Poeldinger W
Wien Med Wochenschr. 1987 Feb 15;137(2-3):47-8.
Sexuality in advanced age should not be investigated as an isolated phenomenon but rather looked at in context with recent findings concerning alteration of general functions concomitant with senescence. It has to be emphasized that there may well be augmentation of abilities and not only decline. In the elderly, sexual behaviour shows a tendency of shifting the emphasis more towards sexual fondness and tenderness and not merely to sexual performance. Up to now, the general attitude of the social environment is characterized by not taking notice of the sexual needs of the elderly. This can be demonstrated, for example, in the systems of organization of homes for old age pensioners as well as in the attitudes towards the elderly within families. Progress in this respect can be expected from a general stimulation of geriatric research and increasing emancipation of elderly people. By analogy with the therapy of sexual dysfunction in younger people, the treatment of similar disorders in the elderly has mainly to deal with plain information and with sexual techniques. Prognosis is favorable. Essential for success is the therapist's relevant knowledge and his preparedness to tackle the problems of sexuality in advanced age seriously.
老年期的性行为不应作为一种孤立现象来研究,而应结合近期有关衰老伴随的一般功能变化的研究结果来考量。必须强调的是,能力很可能会增强,而不只是衰退。在老年人中,性行为表现出一种倾向,即更加强调性喜爱和柔情,而不仅仅是性表现。到目前为止,社会环境的总体态度是忽视老年人的性需求。这一点在老年养老金领取者之家的组织体系以及家庭内部对老年人的态度中都有所体现。从老年医学研究的普遍推动以及老年人日益增强的自主性中,可以期待在这方面取得进展。与治疗年轻人的性功能障碍类似,治疗老年人的类似障碍主要涉及提供基本信息和性技巧。预后良好。治疗成功的关键在于治疗师具备相关知识,并愿意认真对待老年期的性问题。