Stravynski A
Arch Sex Behav. 1986 Aug;15(4):355-61. doi: 10.1007/BF01550369.
Premature ejaculation and erectile failure in a 54-year-old man were treated by a combination of exposure in vivo and social skills training. The intervention was not aimed directly at the dysfunctional sexual response but at features of the patient's interpersonal behavior hypothesized to be instrumental in maintaining it. Change was assessed on the basis of the patient's records of weekly rate of successful intercourse, performance of target behaviors, and associated anxiety within a single-case multiple baseline design. Change occurred only with the introduction of treatment and not before it, ruling out the effect of mere therapeutic contact or passage of time. The intervention resulted in an increased rate of performance of adaptive social targets in real life, a decrease in associated anxiety, and eventually a correlated moderate increase in the rate of successful intercourse. The outcome maintained for 1-year follow-up. Systematic data collection was discontinued after 6 months.
一名54岁男性的早泄和勃起功能障碍通过体内暴露与社交技能训练相结合的方法进行治疗。该干预并非直接针对性功能障碍反应，而是针对患者人际行为中被认为对维持该障碍起作用的特征。在单病例多基线设计中，根据患者每周成功性交率记录、目标行为表现及相关焦虑情况对变化进行评估。变化仅在引入治疗后出现，而非在此之前，排除了单纯治疗接触或时间推移的影响。该干预导致现实生活中适应性社交目标的表现率增加、相关焦虑减少，最终成功性交率适度相关增加。结果在1年随访中得以维持。6个月后停止系统数据收集。
