Reece R
J Homosex. 1981;7(2-3):113-29. doi: 10.1300/j082v07n02_13.
Three different formats for treating gay men with sexual dysfunctions are described, with emphasis on group therapy for men who are without partners. Clients present with general sexual anxieties, lack of sexual desire, secondary erectile dysfunctions, and difficulties with ejaculatory control, both rapid and inhibited. The process of selecting a program, and in particular the factors to consider when deciding if a client should work with a lover, with a partner surrogate or in a group format, are discussed. Primary procedures of sex therapy in each of these formats are described. Some trends in the frequencies of presenting complaints are noted, as well as possible reasons for reported differences between homosexual and heterosexual men. Other special considerations for working with gay men in sex therapy are discussed. Results of a self-report survey of change, administered 6 weeks and again 6 months following the end of 5 different 10-week sex therapy groups, are reported.
本文描述了三种针对患有性功能障碍的男同性恋者的不同治疗形式，重点是为没有伴侣的男性提供团体治疗。患者表现出一般性的性焦虑、性欲缺乏、继发性勃起功能障碍，以及射精控制方面的问题，包括快速射精和射精抑制。文中讨论了选择治疗方案的过程，特别是在决定患者是与爱人、伴侣替代者还是以团体形式进行治疗时需要考虑的因素。还描述了每种治疗形式中性治疗的主要程序。文中指出了就诊主诉频率的一些趋势，以及同性恋男性和异性恋男性之间报告差异的可能原因。此外，还讨论了在性治疗中与男同性恋者合作的其他特殊注意事项。报告了一项自我报告的变化调查结果，该调查在5个不同的为期10周的性治疗小组结束后6周和6个月再次进行。
