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首页> 外文期刊>Archives of Sexual Behavior >Application of the Sexual Health Model in the Long-Term Treatment of Hypoactive Sexual Desire and Female Orgasmic Disorder
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Application of the Sexual Health Model in the Long-Term Treatment of Hypoactive Sexual Desire and Female Orgasmic Disorder

机译：性健康模型在性欲减退和女性性高潮障碍的长期治疗中的应用

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摘要

Using the Sexual Health Model as a framework, this case study illustrates the treatment of female orgasmic and low desire disorder in a long-term case with numerous complexities and other co-morbid mental health diagnoses. Derived from a sexological approach to education, the Sexual Health Model defines 10 key components posited to be essential aspects of healthy human sexuality: talking about sex, culture and sexual identity, sexual anatomy and functioning, sexual health care and safer sex, challenges to sexual health, body image, masturbation and fantasy, positive sexuality, intimacy and relationships, and spirituality. The client was selected because of the commonality of her initial presenting concerns and the etiological and treatment complexity of the case, which necessitated the use of all the sexual health treatment modalities provided at our center—individual, couple, and group therapy, sexual medicine, and psychiatric care. Her case is distinct in that her sexual dysfunctions and negative cognitions, while common, occurred in the context of serious relational, family sexual abuse, depression, and life-threatening medical problems, which necessitated long-term treatment. This case illustrates the multifactoral etiology of complex sexual dysfunctions requiring treatment that deals with varied psychosocial and biological factors.
机译：以性健康模型为框架，本案例研究说明了在长期病例中具有多种复杂性和其他并存的精神健康诊断的女性性高潮和低欲障碍的治疗方法。性健康模型源自性学教育方法，它定义了被认为是健康人类性行为必不可少的10个关键组成部分：谈论性，文化和性认同，性解剖和功能，性保健和更安全的性行为，性挑战健康，身体形象，手淫和幻想，积极的性行为，亲密和人际关系以及灵性。选择该客户的原因是她最初表现出的顾虑是共同的，并且病因和治疗的复杂性，因此必须使用我们中心提供的所有性健康治疗方式-个体，夫妇和小组治疗，性医学，和精神病护理。她的案子与众不同之处在于，她的性功能障碍和消极认知虽然很普遍，但发生在严重的人际关系，家庭性虐待，抑郁和危及生命的医疗问题的背景下，需要长期治疗。该病例说明了复杂性功能障碍的多因素病因，需要对各种心理社会和生物学因素进行治疗。

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