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性功能障碍的心理剖析。

A psychological profile of the sexual dysfunctions.

作者信息

Derogatis L R, Meyer J K

出版信息

Arch Sex Behav. 1979 May;8(3):201-23. doi: 10.1007/BF01541239.

DOI:10.1007/BF01541239
PMID:485811
Abstract

The present report summarizes an assessment of the psychological characteristics of a sample of sexually dysfunctional patients and compares them to those of a sample of heterosexual normals. Forty-seven male and 40 female dysfunctional patients were evaluated on the Derogatis Sexual Functioning Inventory (DSFI) and contrasted to a group of 200 heterosexual normals. Findings indicated substantial differences between dysfunctionals and normals on seven of the eight subtests of the DSFI. Both male and female patients showed higher levels of psychological distress and dysphoric affect than normals, and also revealed decrements on sexual information. Particularly noteworthy among male dysfunctionals were lowered sexual drive levels and a somewhat constricted repertoire of sexual experiences. Male dysfunctionals also revealed gender role definitions less polarized in the masculine direction. Female patients did not reveal any additional decrements beyond those mentioned previously, and some equivocation in defining gender role. However, detailed analyses of Experience and Fantasy subtests depicted female patients as more creative and less constrained in their sexual activities. Conclusions suggest that sexually dysfunctional patients do maintain a characteristic psychological profile but one that is distinct for males and females.

摘要

本报告总结了对性功能障碍患者样本的心理特征评估,并将其与异性恋正常人群样本的心理特征进行了比较。47名男性和40名女性性功能障碍患者接受了德罗加蒂斯性功能量表(DSFI)评估,并与200名异性恋正常人群进行了对比。结果表明,在DSFI的八个子测试中的七个方面,功能障碍患者与正常人群存在显著差异。男性和女性患者均表现出比正常人群更高水平的心理困扰和烦躁情绪,且在性知识方面也有所下降。男性功能障碍患者中特别值得注意的是性欲水平降低以及性经历范围有所受限。男性功能障碍患者还表现出性别角色定义在男性化方向上的两极分化程度较低。女性患者除了之前提到的那些方面外,没有表现出任何其他下降情况,并且在定义性别角色方面存在一些含糊不清之处。然而,对“体验”和“幻想”子测试的详细分析表明,女性患者在性活动中更具创造力且限制较少。结论表明,性功能障碍患者确实保持着一种独特的心理特征,但男性和女性的心理特征有所不同。

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