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人格障碍和病理性人格特征中的性功能障碍和性行为问题:系统评价。

Sexual Dysfunctions and Problematic Sexuality in Personality Disorders and Pathological Personality Traits: A Systematic Review.

机构信息

Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.

出版信息

Curr Psychiatry Rep. 2023 Mar;25(3):93-103. doi: 10.1007/s11920-023-01409-9. Epub 2023 Feb 4.

Abstract

PURPOSE OF REVIEW

This aim of the present systematic literature review is to critically analyze problematic sexuality and sexual dysfunctions in personality disorders (PDs) and pathological personality traits.

RECENT FINDINGS

An initial pool of 123 studies was found, out of which 17 met the selection criteria and were therefore included. Traumatic experiences as childhood sexual abuse and adverse childhood experiences characterize the relationship between sexual behavior and PDs. From this point of view, sexual compulsivity and sexual risk behaviors, typical of BPD and ASPD, respectively, are among the pathognomonic aspects of PDs and of pathological personality traits. A maladaptive personality functioning may manifest through a problematic sexuality and a sexual impairment. In this regard, traumatic life experiences may structure personality together with sexual functioning. Therefore, it would be useful to consider the relationship between trauma, sexuality, and personality in research and in the clinical setting.

摘要

目的综述

本系统文献综述的目的是批判性地分析人格障碍(PD)和病态人格特质中与性有关的问题和性功能障碍。

最新发现

初步找到了 123 篇研究论文,其中 17 篇符合选择标准,因此被纳入研究。童年期性虐待和不良童年经历等创伤经历是性行为与 PD 之间关系的特征。从这个角度来看,BPD 患者的性强迫和 ASPD 患者的性冒险行为分别是 PD 和病态人格特质的特征性方面。人格障碍和病态人格特质可能通过性功能障碍表现为适应不良的人格功能。在这方面,创伤性生活经历可能与性功能一起构建人格。因此,在研究和临床实践中考虑创伤、性和人格之间的关系将是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9fb/9968244/b10d477cdcf6/11920_2023_1409_Fig1_HTML.jpg

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