Smith A D
Boston University Medical Center, Massachusetts.
Urol Clin North Am. 1988 Feb;15(1):41-51.
The members of a multidisciplinary team treating sexual dysfunction must work together from different perspectives and training to determine an accurate diagnosis, choose an appropriate treatment, and evaluate those treatments systematically. Integrating data from both physical and psychologic evaluations is essential. Anxiety, depression, or other reactions to stress are seen as cognitive interferences that inhibit sexual arousal by distracting attention from erotic stimuli. The goals of sex therapy are to enhance attentional focus on sexual cues and to lessen distractions in the form of anxiety, conflict, or other stresses. Although there continue to be methodologic problems in outcome evaluation research of multidisciplinary treatment of sexual dysfunction, follow-up studies generally indicate improvements in sexual functioning, satisfaction, and self-esteem.
治疗性功能障碍的多学科团队成员必须从不同的角度和专业训练出发，共同努力以确定准确的诊断，选择合适的治疗方法，并系统地评估这些治疗方法。整合来自身体和心理评估的数据至关重要。焦虑、抑郁或对压力的其他反应被视为认知干扰，它们通过将注意力从色情刺激上转移而抑制性唤起。性治疗的目标是增强对性暗示的注意力集中，并减少焦虑、冲突或其他压力形式的干扰。尽管在性功能障碍多学科治疗的结果评估研究中仍然存在方法学问题，但随访研究总体上表明性功能、满意度和自尊有所改善。
