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首页> 外文期刊>The journal of sexual medicine >Vaginal orgasm is related to better mental health and is relevant to evolutionary psychology: a response to Zietsch et al.
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Vaginal orgasm is related to better mental health and is relevant to evolutionary psychology: a response to Zietsch et al.

机译：阴道性高潮与更好的心理健康有关，与进化心理学有关：Zietsch等人的回应。

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Zietsch et al. report [1] that in a large sample of Australian twins, "orgasm rates during masturbation, intercourse, and other sexual activities" were uncorrelated with 19 traits. The authors conclude that "female orgasm" might not have evolved by providing adaptive advantages to the woman and that female orgasmic disorder might not be a valid psychiatric construct. There are several problems with their approach and conclusions.One major problem with the approach taken is the failure to differentiate vaginal orgasm from orgasm occurring during penile-vaginal intercourse (PVI) but due to concurrent clitoral masturbation (by self or partner). Vaginal orgasm refers to a woman's orgasm triggered purely by PVI without concurrent clitoral masturbation by self or partner. This differentiation is methodologically crucial. There is well-supported evidence (much of which was presented in this journal) that lack of specifically vaginal orgasm is associated with a variety of accurate indicators of poorer mental health, but orgasm from clitoral masturbation during PVI has opposite associations. Such indicators of poorer mental health have important psychiatric and sexological diagnostic and evolutionary theoretical implications.Zietsch et al. ignored these findings. Thus, when reporting no association between their orgasm measure and neuroticism, Zietsch et al. failed to cite a previous twin study published in this journal that found such an association [2].
机译：Zietsch等。报告[1]在大量的澳大利亚双胞胎样本中，“手淫，性交和其他性行为中的性高潮发生率”与19个特征无关。作者得出的结论是，“女性高潮”可能不会通过为女性提供适应性优势而演变，女性高潮障碍可能不是有效的精神病学构造。他们的方法和结论存在几个问题。所采用方法的一个主要问题是未能将阴道性高潮与阴茎-阴道性交（PVI）期间发生的性高潮区分开，但由于并发的阴蒂手淫（由自己或伴侣引起）。阴道性高潮是指女性的性高潮纯粹是由PVI引发的，而没有自我或伴侣的阴蒂自慰。这种区分在方法上至关重要。有充分支持的证据（其中很多已在本杂志上发表）表明，缺乏明确的阴道性高潮与心理健康状况较差的各种准确指标有关，但PVI期间阴蒂手淫引起的性高潮却有相反的关联。这类心理健康状况较差的指标对精神病学和性学诊断以及进化论具有重要的理论意义。忽略了这些发现。因此，Zietsch等人在报道性高潮测度与神经质之间无关联时。未能引用该杂志先前发表的一项双胞胎研究发现这种关联[2]。

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