A theoretical model for sexual performance anxiety (SPA) and a clinical approach for its remediation (SPA-R).

IF 3.6 2区 医学 Q1 UROLOGY & NEPHROLOGY
David L Rowland, Paraskevi-Sofia Kirana
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引用次数: 0

Abstract

Introduction: Anxiety, and more specifically performance anxiety, is commonly associated with sexual problems both by health professionals and clients alike. Yet, despite its strong association with sexual dysfunctions, the conceptualization and understanding of performance anxiety are seldom provided in a comprehensive and detailed manner that imparts utility for its remediation.

Objectives: Here, we offer a theoretical model for sexual performance anxiety that directly informs a clinical approach for its remediation, with the goal of better preparing clinicians who routinely work with, counsel, and treat men and women experiencing a sexual problem.

Method: We first lay a groundwork that explains the general characteristics of anxiety as a psychological construct and emotion and briefly summarize 2 overarching models that relate anxiety to performance. Then we present a theoretical model that provides a heuristic for understanding sexual performance anxiety (SPA) and review factors purported to moderate and mediate anxiety in sexual performance situations. Finally, we present a clinical approach for its remediation (SPA-R) that is directly tied to the theoretical model (SPA), specifically demonstrating how consideration of various targets in the flow chart can serve as a roadmap for addressing performance anxiety within a psychotherapeutic context.

Results: We highlight and explain each aspect of the model and delineate the connection between the model and its application, summarizing a number of key principles inherent to the therapeutic process.

Conclusion: We offer both this theoretical model and remedial clinical application not necessarily as the only or even best solution for dealing with clients suffering from sexual performance anxiety but as a challenge to stimulate both critique and further discussion, elaboration, and research on this critically important, though somewhat neglected, topic.

性表现焦虑(SPA)的理论模型及临床补救方法(SPA- r)
导读:焦虑,更具体地说,表现焦虑,通常被健康专家和客户都与性问题联系在一起。然而,尽管表现焦虑与性功能障碍密切相关,但对表现焦虑的概念化和理解却很少以全面和详细的方式提供,从而为其补救提供实用的方法。目的:在这里,我们为性表现焦虑提供了一个理论模型,直接指导临床补救方法,目的是更好地准备临床医生,他们经常与经历性问题的男性和女性一起工作,咨询和治疗。方法:我们首先奠定了一个基础,解释了焦虑作为一种心理结构和情绪的一般特征,并简要总结了两种将焦虑与表现联系起来的主要模型。然后,我们提出了一个理论模型,为理解性表现焦虑(SPA)提供了一个启发式的方法,并回顾了旨在调节和调解性表现情境中焦虑的因素。最后,我们提出了一种与理论模型(SPA)直接相关的临床补救方法(SPA- r),具体展示了如何在流程图中考虑各种目标,作为在心理治疗背景下解决表现焦虑的路线图。结果:我们强调并解释了模型的每个方面,并描述了模型与其应用之间的联系,总结了治疗过程中固有的一些关键原则。结论:我们提供的理论模型和治疗临床应用并不一定是唯一的,甚至是最好的解决方案来处理遭受性表现焦虑的客户,但作为一个挑战,激发批评和进一步的讨论,阐述和研究这个至关重要的,虽然有些被忽视的话题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexual medicine reviews
Sexual medicine reviews UROLOGY & NEPHROLOGY-
CiteScore
7.60
自引率
8.30%
发文量
5
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