Andersen B L
Psychol Bull. 1983 Jan;93(1):105-36.
As a diagnostic category, primary orgasmic dysfunction includes all women who have never experienced orgasm under any circumstances except sleep or fantasy. However, the research samples of nonorgasmic women in clinical reports and empirical investigations are heterogeneous with regard to disruption of earlier phases of the sexual response cycle and emotional concomitants of the dysfunction. The major treatment models—systematic desensitization, sensate focus, directed masturbation, and hypnosis—are presented, and empirical support is reviewed. Separate discussion is included for investigations comparing treatment modalities. Finally, a strategy for future programmatic sex therapy research is suggested within the broader context of psychotherapy outcome research.
作为一种诊断类别，原发性性高潮功能障碍包括所有除在睡眠或幻想中外，在任何情况下都从未体验过性高潮的女性。然而，临床报告和实证研究中无性高潮女性的研究样本在性反应周期早期阶段的中断以及该功能障碍的情感伴随因素方面存在异质性。文中介绍了主要的治疗模式——系统脱敏、感官集中训练、指导性自慰和催眠，并回顾了实证支持。还包括对比较治疗方式的研究的单独讨论。最后，在心理治疗结果研究的更广泛背景下，提出了未来系统性性治疗研究的策略。
