Advances in Psychosomatic Medicine最新文献_第5页

Update on diagnoses of sexual dysfunctions: controversies surrounding the proposed revisions of existing diagnostic entities and proposed new diagnoses. 性功能障碍诊断的最新进展:围绕现有诊断实体的拟议修订和拟议新诊断的争议。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000330670

Richard Balon, Thomas N Wise

引用次数: 9

Developments and trends in sex therapy. 性治疗的发展和趋势。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328808

Marta Meana, Sarah Jones

引用次数: 18

From stigmatized neglect to active engagement. 从耻辱的忽视到积极的参与。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-04-19 DOI: 10.1159/000324062

Michael R Clark, Glenn J Treisman

引用次数: 3

A behaviorist perspective. 行为主义者的观点。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-04-19 DOI: 10.1159/000324063

Glenn J Treisman, Michael R Clark

{"title":"A behaviorist perspective.","authors":"Glenn J Treisman, Michael R Clark","doi":"10.1159/000324063","DOIUrl":"https://doi.org/10.1159/000324063","url":null,"abstract":"Chronic pain is a sensory experience that produces suffering and functional impairment and is the result of both sensory input as well as secondary adaptation of the nervous system. The sensitization of the nervous system to pain is influenced by physical activity (or inactivity) and medication exposure. Medication taking and physical activity are behaviors that are increased or decreased by positive and negative reinforcement. Patients often have comorbid psychiatric conditions at presentation, including addictions, mood disorders, personality vulnerabilities and life circumstances that amplify their disability and impede their recovery. Behavioral conditioning contributes to chronic pain disorders in the form of both classical (Pavlov) and operant (Skinner) conditioning that increases the experience of pain, the liability to ongoing injury, the central amplification of pain, the use of reinforcing medications such as opiates and benzodiazepines, and behaviors associated with disability. The term 'abnormal illness behavior' has been used to describe behaviors that are associated with illness but are not explained physiologically. Behavioral conditioning often amplifies these abnormal behaviors in patients with chronic pain. Addiction can also be seen as a behavior that is reinforced and conditioned. The same factors that amplify abnormal illness behaviors also increase the liability to addiction. Psychiatric comorbidities also complicate and amplify abnormal illness behaviors and addictive behaviors and further contribute to the disability of chronic pain patients. Model interventions that reinforce healthy behaviors and extinguish illness behaviors are effective in patients with addictions and chronic pain. Maladaptive behaviors including addictive behaviors can be used as targets for classical and operant conditioning techniques, and these techniques are demonstrably effective in patients with chronic pain and addictions.","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"30 ","pages":"8-21"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000324063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Screening for abuse risk in pain patients. 疼痛患者滥用风险筛查。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-04-19 DOI: 10.1159/000324069

Tara M Bohn, Lauren B Levy, Sheyla Celin, Tatiana D Starr, Steven D Passik

{"title":"Screening for abuse risk in pain patients.","authors":"Tara M Bohn, Lauren B Levy, Sheyla Celin, Tatiana D Starr, Steven D Passik","doi":"10.1159/000324069","DOIUrl":"https://doi.org/10.1159/000324069","url":null,"abstract":"As opioid prescribing has dramatically expanded over the past decade, so too has the problem of prescription drug abuse. In response to these now two major public health problems - the problem of poorly treated chronic pain and the problem of opioid abuse - a new paradigm has arisen in pain management, namely risk stratification. Once a prescriber has determined that opioids will be used (a medical decision based on how intense the pain is, what has been tried and failed and, to some extent, what type of pain the patient has), he/she must then decide how opioid therapy is to be delivered. Different models of delivery of opioid therapy can be utilized, beginning the process with a risk assessment that is highly individualized to each patient. Recently, researchers have produced a wide variety of literature regarding assessment tools to be used for this purpose. And while there remains a need for larger prospective studies to examine the ability of each tool to predict aberrant drug-taking behaviors, clinicians can and should utilize one or more of these screening tools and understand their benefits and limitations. This chapter will describe the nature of current screening assessments, their potential for use in the pain population in various settings, past clinical observations and suggestions for moving forward.","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"30 ","pages":"113-124"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000324069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Management of female sexual pain disorders. 女性性疼痛障碍的管理。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328810

Stéphanie C Boyer, Corrie Goldfinger, Stéphanie Thibault-Gagnon, Caroline F Pukall

引用次数: 22

The complexity of internet sexuality. 网络性行为的复杂性。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328920

Kristian Daneback, Michael W Ross

引用次数: 15

Autogynephilia: an underappreciated paraphilia. 自恋:一种未被充分认识的性反常。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328921

Anne A Lawrence

{"title":"Autogynephilia: an underappreciated paraphilia.","authors":"Anne A Lawrence","doi":"10.1159/000328921","DOIUrl":"https://doi.org/10.1159/000328921","url":null,"abstract":"Autogynephilia is defined as a male's propensity to be sexually aroused by the thought of himself as a female. It is the paraphilia that is theorized to underlie transvestism and some forms of male-to-female (MtF) transsexualism. Autogynephilia encompasses sexual arousal with cross-dressing and cross-gender expression that does not involve women's clothing per se. The concept of autogynephilia defines a typology of MtF transsexualism and offers a theory of motivation for one type of MtF transsexualism. Autogynephilia resembles a sexual orientation in that it involves elements of idealization and attachment as well as erotic desire. Nearly 3% of men in Western countries may experience autogynephilia; its most severe manifestation, MtF transsexualism, is rare but increasing in prevalence. Some theorists and clinicians reject the transsexual typology and theory of motivation derived from autogynephilia; their objections suggest a need for additional research. The concept of autogynephilia can assist clinicians in understanding some otherwise puzzling manifestations of nonhomosexual MtF transsexualism. Autogynephilia exemplifies an unusual paraphilic category called 'erotic target identity inversions', in which men desire to impersonate or turn their bodies into facsimiles of the persons or things to which they are sexually attracted.","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"31 ","pages":"135-48"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000328921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30214158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Sexual desire and arousal disorders in women. 女性的性欲和性唤起障碍。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328806

Ellen Laan, Stephanie Both

引用次数: 65

The impact of cancer on sexual function. 癌症对性功能的影响。

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI: 10.1159/000328809

Mary K Morreale

引用次数: 21