Fichten C S, Libman E, Takefman J, Brender W
Sir Mortimer B. Davis Jewish General Hospital, Sexual Dysfunction Service, Montreal, Quebec, Canada.
J Sex Marital Ther. 1988 Summer;14(2):120-8. doi: 10.1080/00926238808403912.
Self-focused attention can cause anxiety and poor performance in those with low self-efficacy expectations. Self-monitoring is frequently used in sex therapy assessment. If self-monitoring is conceptualized as a self-focusing manipulation, it would be expected to cause "spectatoring," anxiety and deterioration in individuals with erectile dysfunction. Therefore, this investigation explored the relationship between the dispositional tendency to focus attention on the self (self-consciousness) and sexual behavior in males with erectile dysfunction, and evaluated the effects of self-monitoring on erectile dysfunctional males who differed in dispositional self-consciousness. Results indicate that (a) individuals with erectile dysfunction were less dispositionally self-conscious than nondysfunctional individuals, (b) self-monitoring had no adverse effects on any aspect of sexuality investigated, and (c) manipulated and dispositional self-focus had no interactive effects. Implications of these results for sex therapy and for a better understanding of etiological and maintaining factors in sexual dysfunction are discussed.
自我关注会在那些自我效能期望较低的人身上引发焦虑并导致表现不佳。自我监测常用于性治疗评估。如果将自我监测概念化为一种自我聚焦的操作，那么预计它会在勃起功能障碍患者中引发“旁观者效应”、焦虑以及机能恶化。因此，本研究探讨了将注意力集中于自我的倾向性（自我意识）与勃起功能障碍男性性行为之间的关系，并评估了自我监测对在倾向性自我意识方面存在差异的勃起功能障碍男性的影响。结果表明：（a）勃起功能障碍患者的倾向性自我意识低于无性功能障碍者；（b）自我监测对所研究的性行为的任何方面均无不良影响；（c）人为操控的自我聚焦和倾向性自我聚焦没有交互作用。本文讨论了这些结果对性治疗以及更好地理解性功能障碍的病因和维持因素的意义。
