Madorsky J G, Dixon T P
West J Med. 1983 Aug;139(2):174-6.
The PLISSIT model is a comprehensive program that combines educational strategies with behavioral intervention to integrate human sexuality into the initial rehabilitation of spinal cord-injured persons. Sexuality is treated as a health care issue as important as bowel and bladder care, skin care, psychosocial issues, mobility, self-care and vocational concerns. Patients admitted to the Spinal Cord Injury Program are surrounded by a supportive milieu and an interdisciplinary staff who comfortably incorporate sexuality into discussions about catheter care, positioning, communication styles, assistive devices and so forth. Patients are exposed to a behavioral training program that makes available didactic lectures, group and individual sessions, bibliotherapy, films and opportunities for directed overnight sexual exploration within the hospital. We advocate that sex therapy be integrated into comprehensive rehabilitation programs along with physical therapy occupational therapy, recreation therapy and psychotherapy as an integral and effective form of functional restoration for patients with major physical disabilities.
PLISSIT模式是一个综合项目，它将教育策略与行为干预相结合，以便将人类性活动纳入脊髓损伤患者的早期康复过程。性活动被视为一个与肠道和膀胱护理、皮肤护理、心理社会问题、行动能力、自我护理及职业问题同等重要的医疗保健问题。入住脊髓损伤项目的患者身处一个支持性的环境中，且有跨学科的工作人员，他们能轻松地将性活动纳入有关导管护理、体位摆放、沟通方式、辅助设备等方面的讨论中。患者会接受一个行为训练项目，该项目提供教学讲座、小组和个人辅导课程、阅读疗法、影片，以及在医院内进行有指导的夜间性探索的机会。我们主张，性治疗应与物理治疗、职业治疗、娱乐治疗及心理治疗一起，作为主要身体残疾患者功能恢复的一种不可或缺且有效的形式，纳入综合康复项目中。
