McCarthy B W
American University, Washington, DC 20016-8062.
J Sex Marital Ther. 1994 Fall;20(3):200-9. doi: 10.1080/00926239408403430.
Sexually compulsive males report extremely high rates of desire involving paraphiliac activity. Desire and arousal in partner sex is usually low or unstable. Cognitive-behavioral strategies and techniques are presented based on four components in the assessment/intervention process: 1) eliminating or reducing paraphiliac arousal; 2) sex education, changing sexual attitudes, self-disclosure, sexual assertiveness, and reduction of guilt and shame; 3) confronting secrecy and cognitive distortions, increasing empathy for victims, awareness of harm to others, and commitment to abstain from compulsive, abusive behavior; and 4) developing a healthy sexual desire and arousal pattern that nurtures and maintains an intimate relationship. The motivated male (especially with a partner he is comfortable with, attracted to, and trusts) can develop a pleasurable, erotic sexual pattern that allows him to maintain desire during partner sex.
有性强迫行为的男性报告称，涉及恋物癖活动的欲望发生率极高。与伴侣性行为中的欲望和性唤起通常较低或不稳定。基于评估/干预过程中的四个组成部分，介绍了认知行为策略和技巧：1）消除或减少恋物癖性唤起；2）性教育，改变性观念、自我表露、性自信，以及减少内疚和羞耻感；3）直面隐秘行为和认知扭曲，增强对受害者的同理心，意识到对他人的伤害，并承诺戒除强迫性、虐待性行为；4）建立一种健康的性欲和性唤起模式，以培养和维持亲密关系。有动机的男性（尤其是与他感到舒适、有吸引力且信任的伴侣在一起时）可以发展出一种愉悦、充满性欲的性行为模式，使他在与伴侣的性行为中保持欲望。
