自我诊断 "色情成瘾 "的话语建构

Alicia Shevlin, Gavin Ivey
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摘要

成瘾一词最近被引申为有问题的性行为。色情作品成瘾(PA)的支持者认为,色情作品对大脑过程和行为的影响堪比毒品,产生的效果类似于药物滥用障碍。但批评者认为,色情成瘾缺乏诊断效力,支持者的研究在方法上不健全,而且诊断掩盖了性行为所处的社会环境和话语实践。本研究调查了自我认同的色情成瘾者是如何描述他们的经历的,并探讨了在这种身份建构中起作用的隐含动机和意义。作者采用精神分析的话语方法,分析了与 10 名自我认定的色情成瘾者的访谈,重点关注自我诊断的意义、自我贴标签的过程以及参与者对诊断的心理投入。参与者认为,对欲望的奴役是他们成瘾身份的核心。这种身份认同工作的基础是关于权力、性别、性和变态的防御和冲突,以及被父母人物干扰的依恋和剥夺的历史。PA 诊断消除了参与者的羞耻感,使他们能够更自由地谈论自己的困难。然而,它也排除了更细微的自我理解和身份认同的可能性。文章最后讨论了自我诊断为 PA 的人的心理健康和心理治疗意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The discursive construction of self-diagnosed “Pornography addiction”
Addiction is a term recently extended to problem sexual behaviours. Proponents of pornography addiction (PA) argue that pornography is comparable to drugs in its impact on brain processes and behaviour, producing effects similar to substance abuse disorders. Critics, however, assert that PA lacks diagnostic validity, that supporting research is methodologically unsound, and that diagnosis obscures the social contexts and discursive practices in which sexual behaviours are embedded. This study investigates how self-identified pornography addicts describe their experiences and explores the implicit motives and meanings at play in this identity construction. Using a psychoanalytically informed discursive methodology, the authors analyzed interviews with 10 self-identified pornography addicts, focusing on the meaning of self-diagnosis, the process of self-labelling, and participants’ psychological investment in diagnosis. Participants perceived an enslavement to desire as central to their addiction identities. Underlying this identity work were defences and conflicts about power, gender, sexuality, and perversion, as well as histories of disturbed attachment and deprivation by parental figures. The PA diagnosis counteracted feelings of shame and allowed participants to speak more freely about their difficulties. However, it also precluded more nuanced self-understandings and identity possibilities. The article concludes with a discussion of the mental health and psychotherapeutic implications of those presenting with self-diagnosed PA.
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