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Frailties of Memory: Implications for Therapists Treating Gender Dysphoric Youth. 记忆的弱点:对治疗师治疗性别障碍青少年的启示》(Implications for Therapists Treating Gender Dysphoric Youth.
IF 2.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-10-21 DOI: 10.1080/0092623X.2024.2406854
Chan Kulatunga Moruzi, Jerry Lawler

Therapists working with gender-questioning teens often encounter disparate narratives. Teens typically report memories consistent with their transgender identity, often recounting specific childhood events. Many parents, however, have different recollections of their teen's childhood. As sound, ethical care is predicated on reality, therapists face the difficult task of navigating these often-contradictory narratives. We present relevant scientific literature on memory and well documented cognitive mechanisms and reflect on past therapeutic controversies to help clinicians understand the complexity of memory and why it may be prudent for therapists to consider not only their patients' accounts of their pasts, but also that of their patient's parents.

治疗师在为有性别疑问的青少年进行治疗时,经常会遇到不同的叙述。青少年通常会报告与其变性身份相符的记忆,并经常讲述特定的童年事件。然而,许多家长对青少年童年的回忆却不尽相同。由于合理、合乎道德的护理是以现实为前提的,因此治疗师们面临着一项艰巨的任务,那就是驾驭这些经常相互矛盾的叙述。我们介绍了有关记忆和认知机制的相关科学文献,并对过去的治疗争议进行了反思,以帮助临床医生理解记忆的复杂性,以及为什么治疗师不仅要考虑患者对其过去的叙述,还要考虑患者父母的叙述。
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引用次数: 0
"Not Offending Is Easy. The Double Life, the Secrets, the Loneliness Are the Hardest Parts I Needed Help with": Understanding the Treatment Needs of People with Attractions to Children. "不得罪人很容易。双重生活、秘密和孤独是我最需要帮助的部分":了解对儿童有吸引力的人的治疗需求。
IF 2.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-09-22 DOI: 10.1080/0092623X.2024.2402320
Rebecca Lievesley, Helen Swaby, Jasmin Stevenson, Craig A Harper

People with sexual attractions to children are often subject to heavy stigmatization, and several studies have started to look at how this affects their mental health. This is likely due to a conflation with offending and sexual risk within society, which translates into academic work on the topic. In this context, little is known about how the experiences of non-offending individuals with attractions to children inform their treatment needs in non-forensic contexts. We conducted anonymous semi-structured interviews with large sample of 31 non-offending adult men who are attracted to children, recruited through online forums. The results focus on two superordinate themes central to interpersonal and intrapersonal experiences, and the effects of these on both everyday functioning ("Living with a sexual interest in children"), and perceived treatment needs ("Establishing treatment targets"). These findings hold significance for the effective design and delivery of both preventative and healthcare-related support services, particularly in relation to early intervention and assisting this population in living full lives with their sexual attractions.

对儿童有性吸引力的人往往会受到严重的侮辱,一些研究已经开始关注这对他们心理健康的影响。这可能是由于在社会中犯罪和性风险被混为一谈,并转化为有关该主题的学术工作。在这种情况下,人们对有儿童吸引力的非犯罪者的经历如何影响他们在非法医环境下的治疗需求知之甚少。我们对通过网络论坛招募的 31 名对儿童有吸引力的非犯罪成年男性进行了匿名半结构式访谈。结果主要集中在人际关系和人际经验的两个核心主题,以及这些主题对日常功能("带着对儿童的性兴趣生活")和感知治疗需求("确立治疗目标")的影响。这些研究结果对于有效设计和提供预防性和医疗保健相关的支持服务具有重要意义,尤其是在早期干预和帮助这些人群带着他们的性吸引力过上充实的生活方面。
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引用次数: 0
Quantifying Circumcision Anesthesia Research: A Bibliometric Analysis Using VOSviewer. 包皮环切术麻醉研究量化:使用 VOSviewer 进行文献计量分析。
IF 2.5 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-09-18 DOI: 10.1080/0092623x.2024.2404603
Alparslan Koç
Circumcision anesthesia, aimed at mitigating pain and distress during the procedure, has evolved, reflecting advancements in medical science and societal attitudes toward pain management. This study conducts a comprehensive bibliometric analysis of circumcision anesthesia research, from historical origins to contemporary trends. The Web of Science collection database was used to search for all articles on circumcision anesthesia between 1980 and 2024. All fields were searched using "circumcision anesthesia" or "circumcision anaesthesia" as keywords. Countries, authors, journals, institutions, citation frequency, and journal metrics were extracted. The results were analyzed bibliometrically using the VOSviewer program. A total of 683 relevant publications between 1980 and 2024 were analyzed. The results showed that the USA had the highest number of publications, followed by Turkey. Original articles were the most common publication type, and the main research topics included pain management strategies, anesthesia techniques, and clinical outcomes. The article by Taddio et al. was the most cited article, with 738 citations, while "circumcision" and "pain" were the most common keywords used. Despite cultural and regional differences, this study highlights the growing acceptance of circumcision anesthesia as a vital aspect of medical practice and offers insights to guide future research efforts and clinical interventions. The findings contribute to a better understanding of the role of circumcision anesthesia in enhancing patient comfort and well-being during this standard surgical procedure.
包皮环切术麻醉旨在减轻手术过程中的疼痛和痛苦,它的发展反映了医学科学的进步和社会对疼痛管理的态度。本研究对包皮环切术麻醉研究进行了全面的文献计量分析,从历史起源到当代趋势。本研究使用 Web of Science 收集数据库搜索了 1980 年至 2024 年间有关包皮环切术麻醉的所有文章。以 "包皮环切术麻醉 "或 "包皮环切术麻醉 "为关键词搜索所有字段。提取了国家、作者、期刊、机构、引用频率和期刊指标。使用 VOSviewer 程序对结果进行了文献计量学分析。共分析了 1980 年至 2024 年间的 683 篇相关论文。结果显示,美国的出版物数量最多,其次是土耳其。原创文章是最常见的出版物类型,主要研究主题包括疼痛管理策略、麻醉技术和临床结果。Taddio等人的文章被引用次数最多,达738次,而 "包皮环切术 "和 "疼痛 "是最常用的关键词。尽管存在文化和地区差异,但本研究强调了包皮环切术麻醉作为医疗实践的一个重要方面正被越来越多的人所接受,并为指导未来的研究工作和临床干预提供了见解。研究结果有助于更好地理解包皮环切术麻醉在提高患者在这一标准手术过程中的舒适度和幸福感方面所起的作用。
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引用次数: 0
"No one told me how this could be pleasurable" A Qualitative Focus Group Study into Experiences and Needs of Transgender People in Addressing Sexuality in the Context of Gender-Affirming Medical Care in The Netherlands. "没有人告诉我这怎么能让人愉悦",《荷兰变性人在性别确认医疗服务中解决性问题的经验和需求定性焦点小组研究》。
IF 2.5 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-09-12 DOI: 10.1080/0092623x.2024.2402315
Noor C Gieles,Karl Gerritse,Eva Zandbergen,Stephanie Both,Baudewijntje P C Kreukels
Various studies show that transgender people may experience diverse challenges to attaining sexual well-being. Receiving gender-affirming medical care (GAMC) may influence one's sexual experiences, but there is little insight into the way sexuality is addressed in GAMC. We conducted a qualitative focus group study among transgender individuals on their experiences and needs related to the way sexuality is addressed in the GAMC context. We included 28 participants (aged 21-60) who were assigned to six groups based on their GAMC trajectories and treatment goals. Each group convened twice for two hours (12 focus groups in total). We analyzed the data using reflexive thematic analysis and identified three main themes. Regarding sexuality in GAMC, participants articulated the need for 1) personalized and balanced information, 2) insight into the experiences of others, and 3) the opportunity for support and guidance concerning sexuality by a healthcare provider. This study highlights the necessity to improve information provision and guidance to promote sexual well-being of people receiving GAMC. Such information ought to transcend cis- and heteronormative sexual assumptions and needs to be tailored to an individual's experiences. Finally, GAMC organizations and their healthcare providers should foster an environment where questions and concerns related to sexuality can be discussed.
各种研究表明,变性人在获得性幸福方面可能会遇到各种挑战。接受性别确认医疗护理(GAMC)可能会影响一个人的性经历,但人们对 GAMC 中处理性行为的方式却知之甚少。我们在变性人中开展了一项焦点小组定性研究,以了解他们在 GAMC 中处理性行为的方式方面的经验和需求。我们纳入了 28 名参与者(21-60 岁),根据他们的 GAMC 轨迹和治疗目标将他们分配到六个小组。每个小组召开两次会议,每次两个小时(共 12 个焦点小组)。我们使用反思性主题分析法对数据进行了分析,并确定了三大主题。关于 GAMC 中的性行为,参与者明确表示需要:1)个性化和平衡的信息;2)对他人经验的洞察;3)医疗服务提供者在性行为方面提供支持和指导的机会。本研究强调了改善信息提供和指导的必要性,以促进接受 GAMC 患者的性健康。这些信息应该超越顺性和异性恋的性假设,并需要根据个人的经历进行调整。最后,接受 GAMC 的组织及其医疗服务提供者应营造一个可以讨论与性有关的问题和关切的环境。
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引用次数: 0
Yes, your kid: What parents need to know about today’s teens and sex 是的,你的孩子:父母需要了解的当今青少年和性知识
IF 2.5 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-06-26 DOI: 10.1080/0092623x.2024.2367784
Carolin Klein
Published in Journal of Sex & Marital Therapy (Vol. 50, No. 5, 2024)
发表于《性与婚姻治疗杂志》(第 50 卷第 5 期,2024 年)
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引用次数: 0
Automatic Associations between Sexual Function Problems and Pursuing Help in Pelvic Physical Therapy Practice: The Psychometric Investigation of an Implicit Association Test. 盆腔物理治疗实践中性功能问题与寻求帮助之间的自动关联:内隐关联测试的心理测量学研究。
IF 2.5 3区 心理学 Q2 Psychology Pub Date : 2024-04-23 DOI: 10.1080/0092623X.2024.2344607
Alma Brand, Wim Waterink, Jacques van Lankveld
Not all women experiencing pelvic floor complaints and sexual function problems seek help in pelvic physical therapy practice. Decisions to seek help can result from explicit and implicit cognitive processes. Having found some explicit predictive factors for receiving help in this setting, this study examines possible complementary implicit associations between sexual function problems and pursuing help that might also be predictive. The Pursuing Help for Sexual Problems Implicit Association Test (PHSP-IAT) was specially developed for this purpose. The instrument's reliability and validity were evaluated. High reliability was found (Spearman's Rho = .95). Convergent and divergent validity analyses resulted in low and non-significant correlations between the PHSP-IAT and the chosen self-report measures. The PHSP-IAT was predictive for receiving help in pelvic physical therapy practice. Further research is necessary to determine the PHSP-IAT's validity and its predictive value in other healthcare settings.
并非所有出现盆底不适和性功能问题的女性都会在盆腔物理治疗实践中寻求帮助。寻求帮助的决定可能来自显性和隐性认知过程。本研究发现了一些在这种情况下接受帮助的显性预测因素,因此研究了性功能问题与寻求帮助之间可能存在的互补性隐性关联,这些关联也可能具有预测作用。为此,我们专门开发了性问题求助内隐关联测试(PHSP-IAT)。我们对该工具的可靠性和有效性进行了评估。结果发现,该工具具有很高的可靠性(Spearman's Rho = .95)。聚合效度和发散效度分析结果表明,PHSP-IAT 与所选自我报告测量之间的相关性较低且不显著。PHSP-IAT 可预测盆腔物理治疗实践中是否会得到帮助。要确定 PHSP-IAT 的有效性及其在其他医疗环境中的预测价值,还需要进一步的研究。
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引用次数: 0
A Brief Online Mindfulness Intervention for Women's Sexual Desire: The BROWSE Study. 针对女性性欲的简短在线正念干预:BROWSE 研究。
IF 2.5 3区 心理学 Q2 Psychology Pub Date : 2024-04-22 DOI: 10.1080/0092623X.2024.2343286
Adrianna Xue, Brett Makarenko, Lori A. Brotto
With growing interest in developing digital health tools for treating sexual dysfunction, this pilot study aimed to determine feasibility and gather preliminary efficacy data of a self-led online mindfulness intervention in comparison to an online psychoeducational intervention for women's low sexual desire in a community sample (N = 57). After a four-week intervention, participants showed overall improvements on sexual functioning, orgasm, sexual self-pleasure, sexual self-image, and sexual distress, in both treatment arms. Majority completed assigned homework and felt the intervention enhanced their sexual well-being. This study supports the feasibility of a self-led online mindfulness intervention that could help inform future programs.
随着人们对开发用于治疗性功能障碍的数字健康工具的兴趣与日俱增,这项试点研究旨在确定一项自我主导的在线正念干预的可行性,并收集初步疗效数据,与针对社区样本(57 人)中女性性欲低下的在线心理教育干预进行比较。经过为期四周的干预后,两个治疗组的参与者在性功能、性高潮、性自娱、性自我形象和性困扰方面都有了整体改善。大多数人完成了指定的家庭作业,并认为干预提高了他们的性幸福感。这项研究证明了自主在线正念干预的可行性,有助于为未来的计划提供参考。
{"title":"A Brief Online Mindfulness Intervention for Women's Sexual Desire: The BROWSE Study.","authors":"Adrianna Xue, Brett Makarenko, Lori A. Brotto","doi":"10.1080/0092623X.2024.2343286","DOIUrl":"https://doi.org/10.1080/0092623X.2024.2343286","url":null,"abstract":"With growing interest in developing digital health tools for treating sexual dysfunction, this pilot study aimed to determine feasibility and gather preliminary efficacy data of a self-led online mindfulness intervention in comparison to an online psychoeducational intervention for women's low sexual desire in a community sample (N = 57). After a four-week intervention, participants showed overall improvements on sexual functioning, orgasm, sexual self-pleasure, sexual self-image, and sexual distress, in both treatment arms. Majority completed assigned homework and felt the intervention enhanced their sexual well-being. This study supports the feasibility of a self-led online mindfulness intervention that could help inform future programs.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Ethical Care in Secret”: Qualitative Data from an International Survey of Exploratory Therapists Working with Gender-Questioning Clients "秘密的伦理关怀":与性别问题客户合作的探索治疗师的国际调查定性数据
IF 2.5 3区 心理学 Q2 Psychology Pub Date : 2024-04-08 DOI: 10.1080/0092623x.2024.2329761
Peter Jenkins, Dwight Panozzo
This is a mixed methods international survey of therapists (n = 89) belonging to Therapy First, an organization supporting the use of exploratory therapy, rather than gender affirmative therapy, wi...
这是一项混合方法国际调查,调查对象是 "治疗第一 "组织的治疗师(n = 89),该组织支持使用探索性疗法,而不是性别平权疗法。
{"title":"“Ethical Care in Secret”: Qualitative Data from an International Survey of Exploratory Therapists Working with Gender-Questioning Clients","authors":"Peter Jenkins, Dwight Panozzo","doi":"10.1080/0092623x.2024.2329761","DOIUrl":"https://doi.org/10.1080/0092623x.2024.2329761","url":null,"abstract":"This is a mixed methods international survey of therapists (n = 89) belonging to Therapy First, an organization supporting the use of exploratory therapy, rather than gender affirmative therapy, wi...","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual Sanctification and Relationship Satisfaction in Black Heterosexual Couples 黑人异性伴侣的性圣洁与关系满意度
IF 2.5 3区 心理学 Q2 Psychology Pub Date : 2024-04-03 DOI: 10.1080/0092623x.2024.2329077
T. J. Moore, Andrew Rose, Antonius Skipper, Emily McKnight
This study examines dyadic data from 299 married and 242 cohabiting Black heterosexual couples in the United States (an understudied cross-section of the population) and assesses individual (actor)...
本研究审查了来自美国 299 对已婚和 242 对同居黑人异性夫妇(这是一个未得到充分研究的人口横截面)的二人数据,并评估了个人(行为者)、家庭和社会的影响。
{"title":"Sexual Sanctification and Relationship Satisfaction in Black Heterosexual Couples","authors":"T. J. Moore, Andrew Rose, Antonius Skipper, Emily McKnight","doi":"10.1080/0092623x.2024.2329077","DOIUrl":"https://doi.org/10.1080/0092623x.2024.2329077","url":null,"abstract":"This study examines dyadic data from 299 married and 242 cohabiting Black heterosexual couples in the United States (an understudied cross-section of the population) and assesses individual (actor)...","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Desire: An Inclusive Guide to Navigating Libido Differences in Relationships 欲望:在人际关系中引导性欲差异的包容性指南
IF 2.5 3区 心理学 Q2 Psychology Pub Date : 2024-03-25 DOI: 10.1080/0092623x.2024.2324231
Leiszle Lapping-Carr
Published in Journal of Sex & Marital Therapy (Vol. 50, No. 2, 2024)
发表于《性与婚姻治疗杂志》(第 50 卷第 2 期,2024 年)
{"title":"Desire: An Inclusive Guide to Navigating Libido Differences in Relationships","authors":"Leiszle Lapping-Carr","doi":"10.1080/0092623x.2024.2324231","DOIUrl":"https://doi.org/10.1080/0092623x.2024.2324231","url":null,"abstract":"Published in Journal of Sex & Marital Therapy (Vol. 50, No. 2, 2024)","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140302299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Sex & Marital Therapy
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