原名「台灣學術線上」
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1
題名:心因型性功能障礙之性知識、態度、與經驗    
The Sexual Knowledge, Sexual Attitude and Sexual Experience For Psychogenic Sexual Dysfunction Problems
著者:薛克利(Ker-Li Hsueh) ;葉明莉(Ming-Li Yeh) ;文榮光(Jung-Kwang Wen)
出版地區:台灣
出版城市:台北市
學科:教育 ; 醫學綜合
關鍵字:心因型性功能障礙 ; 性知識 ; 性態度 ; 性經驗 ; Psychogenic sexual dysfunction ; Sexual knowledge ; Sexual attitude ; Sexual experience
刊名:台灣性學學刊
卷期:3卷1期(1997.3)
頁碼:60-69
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

高雄地區某醫學中心自民商8 4 -+元,月開設「性心理衛生特別門診J '對於「心閻型性功能障礙j的診斷與評估除依循「精神疾病及診斷統計手冊j第四版( DSM- IV) 之診斷標準外, 性治療小組另發展出一套「心性障礙診斷評估工具J (文榮光, 1995) ,內容分為兩大類別:一是半結構式會談時卷,即「性功能障礙評估問卷J ;另一是「性功能障礙自填量表J '色括「性知識j、「性態度j 、「性反應j 、「夫妻間一般溝通j及「夫妻間性溝通j等量哀,以利進一步分析心問型性功能障礙各項可能之致病因素,並採用以西方馬斯特、瓊生及卡普葫所創的配對性治療模式為主,而以適應台灣本土社會文化環境的措施為輔的治療方式,經為期1年4個月的研究發現,在1 28位個案中確定是心因型性功能障礙者有112位,其中有1 5位( 13.4% )治療成功、4位失敗( 3.6% )、7 5位( 67% )拒絕或中斷治療,男性之求助動機較多功能障礙、不孕等生物層面之主訴,女性別偏向蜂姻問題、神經衰弱等社會心理層面,不孕為一項有利於治療繼續進行的周素。在的對已婚俯案當中,今併有婚姻問題者佔1 9位( 30.2%) ,婚姻問題的性質以溝通不住最多,妻對夫之抱怨多為婚姻關係不協調,夫對妻則偏向不渴意性生活之品質。性功能障礙組(N=44 )與對照組( N=25 )接受“聽能障礙自填量表"之結果相較之下顯示,性功能障礙極之性態度較趨於負向及保守、性反應、較低下,且與性伴括前的性溝通亦較不鉤,這些報是性治療中雷特別注意與加弦處理的重點。
A special clinic for psychosexual problems was established since 1995 in Kaohsiung. The new concept of sexual dysfunction and sex therapy as defined mainly in Master and Johnson, as well as Helen Kaplan formats has been adapted and applied to patients in the clinic. Besides, one set of instruments consists of two divided parts. The first part is the semistructured "Diagnostic Interview Schedule for Psychosexual Disorders", which is administered by face to face interview. The second part is a series of self-rating scales including Questionnaire of Sexual knowledge, Sexual Attitude, Sexual Response and Dyadic Communication Questionnaire covering General and Sexual Communication. These scales were developed for the evaluation of underlying contributing factors. During the time from Jan. 1995 to Apr. 1996, there were 128 case of sexual dysfunctions including 112 psychogenic ones. Fifteen cases (13.4%) were successfully treated, 4 cases (3.6%) failed, and the rest 75 cases (67%) refused or dropped out. The motivations of help-se~king are mainly oriented toward sexual function and fertility in male and marital crisis, and eurotic disorders in females, which implied biological- oriented of the former and psychosocial concerns of the latter, respectively. In general, "Infertility" is a significantly positive factor for continuity of sex therapy. Within 63 pair of married couples, 19 couples (30.2%) have comorbid marital problems which' are mainly attributed to poor communication. In addition, the self-rating scale outcome of 44 patients with sexual dysfunction is compared with a normal control group (N=25), and it revealed a low score profile on Sexual knowledge in both groups and a significant difference in Sexual Attitude, Sexual Response and Sexual communication. The overall results indicated that the patient group was more conservative and traditionally oriented in terms of sexual attitude and experience, and also had inadequate sexual communication with partners. It should be the focus of sex therapy.


    

本卷期目次
台灣性學學刊 3卷1期 (1997.3)
國小資優生與普通生性知識差異比較及其與性相關行?經驗之研究/ 施雅彬
國中生對性笑話認知態度之研究/ 陳九五鄭夙芬董力華陳正宗許守真李香嬋郭香桂
親子溝通、父母管教方式與青少年性態度之研究/ 吳秀惠柯澍馨
白人與亞裔美國青少年性行?之初探/ 侯書逸
Testicular Rupture Repaired with Patch Graft of Tunica Vaginalis/ Thomas I-Sheng Hwang
心因型性功能障礙之性知識、態度、與經驗/ 薛克利葉明莉文榮光
 
   
 
   

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