Schwartz M F, Masters W H
J Sex Marital Ther. 1983 Spring;9(1):3-18. doi: 10.1080/00926238308405829.
The purpose of this paper is to discuss conceptual components of treating paraphilia. Detailed description of the treatment interventions will be published subsequently. The format of the psychotherapy has components similar to the programs for sexual dysfunction and homosexual dissatisfaction therapy. Intensive short-term directive conjoint therapy remains essential. The therapeutic model focuses on the paraphilia as an interpersonal relationship disorder which is manifested as an unproductive and sometimes addictive means of coping with stress, particularly engendered by discomfort with intimacy in adult erotic relationships. The basic model of psychotherapy includes specific intervention directed at potential social skill deficits, changing erotic imagery, attitude and cognitive restructuring, self-esteem difficulties, dating anxiety, sexual dysfunction, intimacy issues and addictive behavior, all of which encourage mastery, self-assertion, self-responsibility and communication skills within the context of a relationship.
本文旨在探讨治疗性偏好障碍的概念性组成部分。治疗干预措施的详细描述将随后发表。心理治疗的形式具有与性功能障碍和同性恋不满治疗项目相似的组成部分。强化短期指导性联合治疗仍然至关重要。治疗模式将性偏好障碍视为一种人际关系障碍，表现为应对压力的低效且有时成瘾的方式，尤其是由成年性爱关系中对亲密感的不适所引发的压力。心理治疗的基本模式包括针对潜在社交技能缺陷、改变性意象、态度和认知重构、自尊问题、约会焦虑、性功能障碍、亲密关系问题以及成瘾行为的特定干预，所有这些干预都在人际关系的背景下鼓励掌握、自我主张、自我负责和沟通技巧。
