Kinder B N, Curtiss G
Clinical Psychology Doctoral Program, University of South Florida, Tampa 33620-8200.
J Sex Marital Ther. 1988 Spring;14(1):40-8. doi: 10.1080/00926238808403905.
Controlled outcome studies investigating specific components in the etiology, assessment, and treatment of male sexual disorders are reviewed. Premature ejaculators appear just as accurate in assessing their levels of sexual arousal as are men not suffering from this condition. Absolute levels of sexual activity or desire do not seem to be as important for these individuals as has been suggested. Attempts to distinguish organic versus functional erectile failure using the MMPI or historical data have generally proved unsuccessful. Treatment effectiveness in premature ejaculation may be due to elevating the sensory threshold or may be an artifact of simply prescribing more frequent sexual activities. Removing performance demands through cognitive restructuring and sexual communication training shows promise in the treatment of erectile failure.
对研究男性性功能障碍病因、评估和治疗中特定因素的对照结果研究进行了综述。早泄者在评估自身性唤起水平方面似乎与未患此病的男性一样准确。性活动或欲望的绝对水平对这些个体而言似乎并不像所认为的那样重要。使用明尼苏达多相人格调查表(MMPI)或历史数据来区分器质性与功能性勃起功能障碍的尝试通常被证明是不成功的。早泄治疗的有效性可能是由于提高了感觉阈值,或者可能仅仅是增加性活动频率处方的一种假象。通过认知重构和性沟通训练消除表现要求在勃起功能障碍的治疗中显示出前景。