The Medicalization of Male Sexual Dysfunctions: An Analysis of Sex Therapy Journals

M. Winton
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引用次数: 22

Abstract

This study explored paradigm change in sex therapy for male sexual dysfunctions. An analysis of the professional journal literature was used to examine the theories, causes, and treatments utilized to explain and treat erectile dysfunction and premature ejaculation between 1967 and 1998. The journals analyzed include the Journal of Sex Education and Therapy, the Journal of Sex & Marital Therapy, the Journal of Sex Research, and Archives of Sexual Behavior. Sex therapy may be characterized as a multiple paradigm science; the medical and psychological models are reviewed. The medical model includes various approaches such as hormone therapy, herbs, prescription medication, surgery, and vacuum therapy. While the behavioral model is the dominant psychological sex therapy paradigm, the results indicate that the medical model has emerged as the dominant paradigm for the treatment of male sexual dysfunctions. These findings suggest several possibilities for sex therapy: a decline of practitioners without medical training, the development of new roles, and medical and non-medical practitioners working together.
男性性功能障碍的医学化:性治疗期刊分析
本研究探讨了男性性功能障碍性治疗的范式变化。对1967年至1998年间的专业期刊文献进行了分析,以检验用于解释和治疗勃起功能障碍和早泄的理论、原因和治疗方法。被分析的期刊包括《性教育与治疗杂志》、《性与婚姻治疗杂志》、《性研究杂志》和《性行为档案》。性治疗是一门多范式的科学;对医学模型和心理学模型进行了综述。医疗模式包括各种方法,如激素疗法、草药、处方药、手术和真空疗法。虽然行为模式是主要的性心理治疗范式,但研究结果表明,医学模式已成为治疗男性性功能障碍的主要范式。这些发现表明了性治疗的几种可能性:没有接受过医学培训的从业人员减少,新角色的发展,以及医疗和非医疗从业人员的合作。
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