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Putting Sex Problems on the Back Burner
by Leonard DeRogatis, Ph.D.
Not long ago at the Hopkins Sex Clinic we had back-to-back cases of couples in their 40s in which both partners suffered from sexual dysfunctions.
One man suffered from rapid ejaculation (RE) and his wife had a sexual pain disorder; in the second couple, the man suffered from both low sexual desire and erectile dysfunction and his wife had an arousal disorder. Neither of these cases was especially unusual. Under normal conditions all of the people involved would have responded well to standard therapies.
The unspoken difficulty in both of the couples was that all of the partners involved were also angry and frustrated at one another. In the judgment of the assessment team, these feelings of anger probably would have undermined any benefits they might have received from a standard treatment regimen to treat their sexual problems.
In the first couple, the man was angry about his wife's pain disorder because she rarely became sufficiently aroused to be lubricated, which to him implied that he was a poor lover. She, in turn, felt that he was selfish and uncaring, making shallow gestures to help her with her problem but no real effort to control his own problem, rapid ejaculation.
In the second couple, the man's problems appeared to be due to low testosterone, while his wife's arousal disorder was compounded by a combination of mysterious medical problems.
She claimed that her husband had never been interested in having sex with her, even during the early years of their marriage. And he was extremely upset about the money she spent on pills and snake oils for conditions he felt were convenient excuses for her to avoid sex.
Under these circumstances, our therapies to treat the sexual problems would almost certainly fail until the relationship conflicts these couples had were recognized and resolved.
Both couples were referred to couples therapy with experienced marital therapists. Their sexual problems were temporarily put on the back burner until they acknowledged, understood, and improved their relationship problems. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 一对夫妇中男人遭受早泄的痛苦同时他的妻子性交痛；第二对夫妇中，男人性欲低下和勃起功能障碍同时他的妻子反应迟钝。以上两种情况都是非常常见的。在正常条件下所有涉及上述疾病的人们都能通过标准的治疗获得痊愈。
在这些夫妇中不言而喻的困难就是所有的配偶都对另一半很不满，心情很失落。在对这些夫妇的判断中，他们的这种失落的情绪可能会影响通过合理的食物疗法来解除性问题的效果。
在第一对夫妇中，男人对他妻子性交痛很不满，因为她很少能充分的唤醒产生分泌物，使他感觉他是一个缺少爱的人。相反的她感觉他很自私不会关心人，只用肤浅的手势来帮她解决她的问题，但没有真正的努力来控制他早泄的问题。
在第二对夫妇中，男人的问题在于睾酮分泌低下，而他的妻子由于可疑药物问题而激醒障碍。
她认为他的丈夫对于和她过性生活从来不感兴趣，即使在刚结婚的那几年。对她花钱在药丸和骗人的万灵油上他很不满，他感觉用避免性生活来表示他的歉疚。
在这些环境下，我们治疗性问题的治疗方法几乎都失败了直到这些夫妇公认和下决心解决他们的关系冲突。
夫妻二人都提到治疗由富有经验的已婚医学家。他们的性问题都被暂时放后直到他们公认、理解和改善他们的夫妻关系问题为止。 Putting Sex Problems on the Back Burner
性问题放在最后
by Leonard DeRogatis, Ph.D.
Leonard DeRogatis博士
Not long ago at the Hopkins Sex Clinic we had back-to-back cases of couples in their 40s in which both partners suffered from sexual dysfunctions.
不久前我们在Hopkins性病诊所先后发现40对夫妇遭受性功能障碍的痛苦。
One man suffered from rapid ejaculation (RE) and his wife had a sexual pain disorder; in the second couple, the man suffered from both low sexual desire and erectile dysfunction and his wife had an arousal disorder. Neither of these cases was especially unusual. Under normal conditions all of the people involved would have responded well to standard therapies.
一对夫妇中男人遭受早泄的痛苦同时他的妻子性交痛；第二对夫妇中，男人性欲低下和勃起功能障碍同时他的妻子反应迟钝。以上两种情况都是非常常见的。在正常条件下所有涉及上述疾病的人们都能通过标准的治疗获得痊愈。
The unspoken difficulty in both of the couples was that all of the partners involved were also angry and frustrated at one another. In the judgment of the assessment team, these feelings of anger probably would have undermined any benefits they might have received from a standard treatment regimen to treat their sexual problems.
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作者:admin@医学,生命科学 2011-02-15 17:14
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