Strauss B, Gross J
Fortschr Neurol Psychiatr. 1986 Aug;54(8):248-58. doi: 10.1055/s-2007-1001871.
The review is based upon the observation that the topic of sexuality so far seems to be underrepresented in psychiatric research and practice. The present empirical studies concerning aspects of sexual behavior and experiences of patients with affective and schizophrenic psychoses are summarized in this paper. First, studies related on characteristics of the premorbid sexual behavior of the patient groups are considered. A summary of investigations concerning changes in the sexual life due to the psychiatric illness is divided into results on the changes in the frequency of sexual activities and changes in sexual appetence, results on sexual deviant acts, on sexual activities of psychiatric inpatients, and results on sexual orientation, especially for patients with paranoid symptoms. The review ends with a report of the most important results concerning characteristics of the sexuality specific for the disease and results on the frequency of sexual dysfunctions in different groups of patients. As the review shows, our knowledge about the sexual life of psychiatric patients so far seems very incomplete. More thoroughly performed empirical studies will help to counteract the distribution of stereotypic beliefs.
到目前为止，性取向这一主题在精神病学研究和实践中似乎未得到充分体现。本文总结了目前关于情感性精神病和精神分裂症患者性行为及经历方面的实证研究。首先，考虑与患者群体病前性行为特征相关的研究。关于精神疾病导致的性生活变化的调查总结分为性活动频率变化和性欲望变化的结果、性偏差行为的结果、精神科住院患者的性活动结果以及性取向结果，尤其针对有偏执症状的患者。综述最后报告了关于该疾病特异性性行为特征的最重要结果以及不同患者群体中性功能障碍发生率的结果。正如综述所示，我们目前对精神科患者性生活的了解似乎非常不完整。更全面进行的实证研究将有助于抵制刻板观念的传播。
