Pub Date : 2022-05-01DOI: 10.46388/ijass.2022.4.10
Erika Anna Seres (Jurescu), C. Delcea
Objective: Endometriosis is a chronic disease with multiple negative implications for the quality of life and mental health of affected women. It can significantly affect various aspects of their lives and can cause long-term suffering in the psycho-emotional, social and sexual spheres. The aim of this paper is to present the consequences of endometriosis on female sexual function and the quality of couple relationships, as well as the importance of a multidimensional approach to it. Methods: A literature search investigating the sexual function of patients with endometriosis was performed to identify the effect of endometriosis on women's sexuality. Results: Endometriosis has negative effects in various areas of female sexual function. Dyspareunia occurs as a common symptom in women with endometriosis and causes severe impairment of sexual function, couple relationships and psychological well-being. However, the presence of dyspareunia is not the only discouraging factor in the sexual health of these women, as a general impairment of sexual function in all its aspects is perpetuated over time: desire, satisfaction, orgasm, pain. Conclusions: Women with endometriosis report significantly more sexual dysfunction compared to healthy women. This issue deserves special attention in the case of endometriosis, in the decision-making process for treatment. As a complex condition, endometriosis requires an integrative and multidisciplinary approach that includes, in addition to surgical and pharmacological approaches, emotional and social support, stress reduction, psychosexual therapy, and an emphasis on quality of life, pain management, sex, and relationships.
{"title":"The effects of endometriosis on women's sexual function","authors":"Erika Anna Seres (Jurescu), C. Delcea","doi":"10.46388/ijass.2022.4.10","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.10","url":null,"abstract":"Objective: Endometriosis is a chronic disease with multiple negative implications for the quality of life and mental health of affected women. It can significantly affect various aspects of their lives and can cause long-term suffering in the psycho-emotional, social and sexual spheres.\u0000The aim of this paper is to present the consequences of endometriosis on female sexual function and the quality of couple relationships, as well as the importance of a multidimensional approach to it.\u0000Methods: A literature search investigating the sexual function of patients with endometriosis was performed to identify the effect of endometriosis on women's sexuality.\u0000Results: Endometriosis has negative effects in various areas of female sexual function. Dyspareunia occurs as a common symptom in women with endometriosis and causes severe impairment of sexual function, couple relationships and psychological well-being. However, the presence of dyspareunia is not the only discouraging factor in the sexual health of these women, as a general impairment of sexual function in all its aspects is perpetuated over time: desire, satisfaction, orgasm, pain.\u0000Conclusions: Women with endometriosis report significantly more sexual dysfunction compared to healthy women. This issue deserves special attention in the case of endometriosis, in the decision-making process for treatment.\u0000As a complex condition, endometriosis requires an integrative and multidisciplinary approach that includes, in addition to surgical and pharmacological approaches, emotional and social support, stress reduction, psychosexual therapy, and an emphasis on quality of life, pain management, sex, and relationships.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115071970","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}
Pub Date : 2022-05-01DOI: 10.46388/ijass.2022.4.11
Dan-Andrei Leahu, C. Delcea
The aim of the paper is to identify the effectiveness of an intervention program based on minfulness techniques in treating premature ejaculation. Method: In a randomized controlled clinical trial (RCT), the participants, 500 men aged 18 to 60 in Romania with premature ejaculation, randomly divided into two groups: experimental group, who will benefit from 60 days of training of mindfulness techniques and the control group that will perform the same measurements of premature ejaculation (PEDT and IELT) but without intervention. The intervention will consist of learning and practicing mindfulness techniques (breathing exercises, meditation, body scanning). Expected results: According to studies and literature, we expect to improve the symptoms of premature ejaculation and increase the interval from the appearance of erection to ejaculation in the experimental group as a result of the techniques learned. Conclusions: interventions based on mindfulness techniques are effective in relieving premature ejaculation. The isolation of effective techniques and the mechanisms involved requires further research.
{"title":"The Effectiveness of a Mindfulness Program in Treating Premature Ejaculation","authors":"Dan-Andrei Leahu, C. Delcea","doi":"10.46388/ijass.2022.4.11","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.11","url":null,"abstract":"The aim of the paper is to identify the effectiveness of an intervention program based on minfulness techniques in treating premature ejaculation.\u0000Method: In a randomized controlled clinical trial (RCT), the participants, 500 men aged 18 to 60 in Romania with premature ejaculation, randomly divided into two groups: experimental group, who will benefit from 60 days of training of mindfulness techniques and the control group that will perform the same measurements of premature ejaculation (PEDT and IELT) but without intervention. The intervention will consist of learning and practicing mindfulness techniques (breathing exercises, meditation, body scanning).\u0000Expected results: According to studies and literature, we expect to improve the symptoms of premature ejaculation and increase the interval from the appearance of erection to ejaculation in the experimental group as a result of the techniques learned.\u0000Conclusions: interventions based on mindfulness techniques are effective in relieving premature ejaculation. The isolation of effective techniques and the mechanisms involved requires further research.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121777293","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}
Pub Date : 2022-05-01DOI: 10.46388/ijass.2022.4.13
Corina Ana Nistor Pop, C. Delcea
The concept of being transgender or gender variant goes back to Asia and India where there was a third recognized gender, Hijra. More recently, there has been a significant increase in the awareness of people who are not comfortable with the sex assigned to them at birth and who choose to assume gender roles of the opposite sex, and even resort to medical treatments or surgery to change their sex. assigned in the opposite sex. In recent centuries, this topic has been treated differently, for example, in 1972 an educational book for children, William's Doll, was published by an influential American writer, Charlotte Zolotow, about a boy, William, who desperately wants a doll. to love despite his father's persistent desire to play with traditional male toys. In addition, over the next four decades, children's books have been developed on this topic, such as how to approach boys who wanted to wear dresses. To understand this disorder in the broader context of sexual disorders, we first ask ourselves: What is gender dysphoria? As a general definition, gender dysphoria can be presented as a condition that causes a person discomfort or suffering because there is a mismatch between their biological sex and their gender identity. Or, as otherwise defined, a condition in which the gender of a person assigned at birth and the gender with which he identifies are incongruent. (Davy, 2018). Until the adoption of the ICD-11 (International Classification of Diseases Review 11) by the WHO, it was called a sexual identity disorder and later the condition was renamed and moved from the Mental and Behavioral Disorders section to get rid of the stigma associated with the term disorder. Along the same lines, in the 5th edition of the Handbook of Diagnosis and Statistics of Mental Disorders, the American Psychiatric Association changed the diagnosis of gender identity disorder into Gender Dysphoria (DG). In the literature, this initiative has been praised, precisely for excluding the term “disorder” (Davy, The DSM-5 and the Politics of Diagnosing Transpeople, 2015). Keywords: gender, gender dysphoria, treatment.
{"title":"Gender Dysphoria. General Theoretical Considerations and Bioethical Aspects of Medical Treatment","authors":"Corina Ana Nistor Pop, C. Delcea","doi":"10.46388/ijass.2022.4.13","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.13","url":null,"abstract":"The concept of being transgender or gender variant goes back to Asia and India where there was a third recognized gender, Hijra. More recently, there has been a significant increase in the awareness of people who are not comfortable with the sex assigned to them at birth and who choose to assume gender roles of the opposite sex, and even resort to medical treatments or surgery to change their sex. assigned in the opposite sex. In recent centuries, this topic has been treated differently, for example, in 1972 an educational book for children, William's Doll, was published by an influential American writer, Charlotte Zolotow, about a boy, William, who desperately wants a doll. to love despite his father's persistent desire to play with traditional male toys. In addition, over the next four decades, children's books have been developed on this topic, such as how to approach boys who wanted to wear dresses. To understand this disorder in the broader context of sexual disorders, we first ask ourselves: What is gender dysphoria? As a general definition, gender dysphoria can be presented as a condition that causes a person discomfort or suffering because there is a mismatch between their biological sex and their gender identity. Or, as otherwise defined, a condition in which the gender of a person assigned at birth and the gender with which he identifies are incongruent. (Davy, 2018). Until the adoption of the ICD-11 (International Classification of Diseases Review 11) by the WHO, it was called a sexual identity disorder and later the condition was renamed and moved from the Mental and Behavioral Disorders section to get rid of the stigma associated with the term disorder. Along the same lines, in the 5th edition of the Handbook of Diagnosis and Statistics of Mental Disorders, the American Psychiatric Association changed the diagnosis of gender identity disorder into Gender Dysphoria (DG). In the literature, this initiative has been praised, precisely for excluding the term “disorder” (Davy, The DSM-5 and the Politics of Diagnosing Transpeople, 2015).\u0000Keywords: gender, gender dysphoria, treatment.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126341256","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}
Objectives: This paper addresses the disorder of orgasm in women, from an integrative-strategic point of view. Through this paper we summarize the impact of various aspects of individual life on sexuality, taking into account a multitude of variables related to self and self-construction, such as biological, behavioral, cognitive, existential, emotional, spiritual or psychodynamic. We are specifically interested in whether certain aspects of the individual's life affect sexual dysfunction. Method: The case study presents the case of a patient who requested psychotherapy stating that she does not have an orgasm. The psychotherapeutic model used was the integrative-strategic one, structured on the six psychological axes, in the approach of each axis specific therapeutic interventions learned in the training of the psychotherapist at the Association for Research, Counseling and Integrative Psychotherapy were applied. The working period was from August 2020 to December 2021. Results: The orgasm disorder may persist, being affected by the couple's life, family history, parental patterns, body image, self-esteem and various coping mechanisms. Conclusions: It is necessary to have several approaches and the continuation of psychotherapy, both individually and as a couple, in order to observe favorable results in disturbing the patient's orgasm. Keywords: sexual dysfunction, orgasm disorder, psychotherapy, integrative-strategic.
{"title":"Integrative-strategic approach in orgasm disorder - case study","authors":"Elena Margartea Andrica Kurunczi, C. Delcea","doi":"10.46388/ijass.2022.4.9","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.9","url":null,"abstract":"Objectives: This paper addresses the disorder of orgasm in women, from an integrative-strategic point of view. Through this paper we summarize the impact of various aspects of individual life on sexuality, taking into account a multitude of variables related to self and self-construction, such as biological, behavioral, cognitive, existential, emotional, spiritual or psychodynamic.\u0000We are specifically interested in whether certain aspects of the individual's life affect sexual dysfunction.\u0000Method: The case study presents the case of a patient who requested psychotherapy stating that she does not have an orgasm. The psychotherapeutic model used was the integrative-strategic one, structured on the six psychological axes, in the approach of each axis specific therapeutic interventions learned in the training of the psychotherapist at the Association for Research, Counseling and Integrative Psychotherapy were applied. The working period was from August 2020 to December 2021.\u0000Results: The orgasm disorder may persist, being affected by the couple's life, family history, parental patterns, body image, self-esteem and various coping mechanisms.\u0000Conclusions: It is necessary to have several approaches and the continuation of psychotherapy, both individually and as a couple, in order to observe favorable results in disturbing the patient's orgasm.\u0000Keywords: sexual dysfunction, orgasm disorder, psychotherapy, integrative-strategic.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114371660","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}
Pub Date : 2022-05-01DOI: 10.46388/ijass.2022.4.12
Ana-Simona Bululoi Negomireanu, C. Delcea
Sexual dysfunction can have a significant effect on quality of life, but is not reported or underdiagnosed. A review of the recent literature highlights the correlation between sexual dysfunction and poor quality of life in people with psychiatric comorbidities and explores several aspects that influence care, from patient follow-up to pharmacological and non-pharmacological treatments. Sexual dysfunction (DS) has been shown to be predominant, but underdiagnosed and often untreated due to communication barriers between patients and physicians. The pharmacogenic and morphogenic causes of sexual problems are often difficult to differentiate. Psychiatric illness may increase the risk of DS, and DS may further aggravate psychiatric problems, suggesting a two-way relationship. Their effective treatment often involves a combination of elements of psychotherapy and behavioral therapies with pharmacotherapeutic interventions, if necessary. The persistence of sexual problems has a significant negative impact on patient satisfaction and adherence to treatment, but also on the patient's quality of life. Routine assessment of sexual function needs to be integrated into ongoing care to identify and address early problems. If sexual dysfunction is ignored, the psychiatric disorder can be maintained, the outcome of treatment can be compromised, and it can lead to non-compliance with treatment schedules.
{"title":"Sexual dysfunction, mental illness and quality of life: a systematic review of the literature","authors":"Ana-Simona Bululoi Negomireanu, C. Delcea","doi":"10.46388/ijass.2022.4.12","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.12","url":null,"abstract":"Sexual dysfunction can have a significant effect on quality of life, but is not reported or underdiagnosed. A review of the recent literature highlights the correlation between sexual dysfunction and poor quality of life in people with psychiatric comorbidities and explores several aspects that influence care, from patient follow-up to pharmacological and non-pharmacological treatments. Sexual dysfunction (DS) has been shown to be predominant, but underdiagnosed and often untreated due to communication barriers between patients and physicians.\u0000The pharmacogenic and morphogenic causes of sexual problems are often difficult to differentiate. Psychiatric illness may increase the risk of DS, and DS may further aggravate psychiatric problems, suggesting a two-way relationship. Their effective treatment often involves a combination of elements of psychotherapy and behavioral therapies with pharmacotherapeutic interventions, if necessary. The persistence of sexual problems has a significant negative impact on patient satisfaction and adherence to treatment, but also on the patient's quality of life. Routine assessment of sexual function needs to be integrated into ongoing care to identify and address early problems. If sexual dysfunction is ignored, the psychiatric disorder can be maintained, the outcome of treatment can be compromised, and it can lead to non-compliance with treatment schedules.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127530023","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}
Objective: The research evaluates the effectiveness of an online CBT program through the S-ONapp method addressed to both partners in order to decrease female sexual problems and increase the sexual satisfaction of both partners in the postpartum period. Method: In a randomized clinical trial, participants - women in the first 3 months postpartum with sexual problems revealed by FSFI scale scores - were randomly assigned to two groups: experimental group (CBT online intervention for both partners) and control group (intervention CBT online standard for women). For both groups, scores on the FSFI (female sexual disorder), NSSS-S (sexual satisfaction) scales for both partners, and DAS (couple satisfaction) scales for both partners are measured on pretest, posttest, and 6-month follow-up. Expected results: Regarding the control group, we expect that in the experimental group there will be: 1) a lower level of postpartum sexual problems reported by women in the posttest; 2) a higher level of sexual satisfaction reported by women in the posttest; 3) a higher level of sexual satisfaction reported by partners in the posttest; 4) a higher level of couple satisfaction reported by women in the posttest; 5) a higher level of couple satisfaction reported by partners in the posttest. The results are maintained 6 months after the intervention. Conclusions: An online CBT intervention program for both partners, based on a multidimensional approach to postpartum female sexual problems, is effective in improving the sexual life of both partners by increasing sexual satisfaction and couple satisfaction, with direct implications for the clinical field. Keywords: female sexual disorders, postpartum, sexual satisfaction, CBT online S-ONapp interventions.
{"title":"Testing the effectiveness of an online CBT intervention with the S-ONapp method for both partners to reduce postpartum female sexual disorders","authors":"Delcea Cristian","doi":"10.46388/ijass.2022.4.8","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.8","url":null,"abstract":"Objective: The research evaluates the effectiveness of an online CBT program through the S-ONapp method addressed to both partners in order to decrease female sexual problems and increase the sexual satisfaction of both partners in the postpartum period.\u0000Method: In a randomized clinical trial, participants - women in the first 3 months postpartum with sexual problems revealed by FSFI scale scores - were randomly assigned to two groups: experimental group (CBT online intervention for both partners) and control group (intervention CBT online standard for women). For both groups, scores on the FSFI (female sexual disorder), NSSS-S (sexual satisfaction) scales for both partners, and DAS (couple satisfaction) scales for both partners are measured on pretest, posttest, and 6-month follow-up.\u0000Expected results: Regarding the control group, we expect that in the experimental group there will be: 1) a lower level of postpartum sexual problems reported by women in the posttest; 2) a higher level of sexual satisfaction reported by women in the posttest; 3) a higher level of sexual satisfaction reported by partners in the posttest; 4) a higher level of couple satisfaction reported by women in the posttest; 5) a higher level of couple satisfaction reported by partners in the posttest. The results are maintained 6 months after the intervention.\u0000Conclusions: An online CBT intervention program for both partners, based on a multidimensional approach to postpartum female sexual problems, is effective in improving the sexual life of both partners by increasing sexual satisfaction and couple satisfaction, with direct implications for the clinical field. \u0000Keywords: female sexual disorders, postpartum, sexual satisfaction, CBT online S-ONapp interventions.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125524076","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}
Purpose: This study addresses the issue of how stress is related to sexual problems among women and men in close relationships (we considered stable couples). Psychological symptoms, relationship quality, daily internal stress (meaning, stress that comes from the couple, such as conflicts, concern for the partner), daily external stress (meaning, stress that occurs outside the couple, such as stress at work, stressful relatives and so on) were examined for their association with various sexual problems. Method: The study included 38 couples participating in this study, chosen at random from a sample of sexually active couples. Online questionnaires were used. Results: The results so far support the hypotheses that 1) there is an incremental effect or stress on sexual problems, controlling psychological symptoms and the quality of the relationship and that 2) it is primarily internal daily stress. Emotional stress that is related to sexual problems, especially hypoactive sexual desire in women and men, sexual aversion in women, vaginismus in women and premature ejaculation in men. Conclusions: Our findings indicate that the treatment of these sexual problems should address relationship issues, including a focus on helping individuals to improve their stress management skills in their relationship. Inner stress plays a key role in sexual behavior, this study once again highlights the fact that better communication as a couple, relaxation and finding specific copying methods are a good remedy, but more studies are needed to demonstrate effectiveness. them. Key words: stress, sexual disorders, couple sexual problems, sexual health, communication, couple, sexuality.
{"title":"The impact of daily stress on sexual activity in stable couples in Romania","authors":"Delcea Cristian","doi":"10.46388/ijass.2022.4.7","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.7","url":null,"abstract":"Purpose: This study addresses the issue of how stress is related to sexual problems among women and men in close relationships (we considered stable couples). Psychological symptoms, relationship quality, daily internal stress (meaning, stress that comes from the couple, such as conflicts, concern for the partner), daily external stress (meaning, stress that occurs outside the couple, such as stress at work, stressful relatives and so on) were examined for their association with various sexual problems.\u0000Method: The study included 38 couples participating in this study, chosen at random from a sample of sexually active couples. Online questionnaires were used.\u0000Results: The results so far support the hypotheses that 1) there is an incremental effect or stress on sexual problems, controlling psychological symptoms and the quality of the relationship and that 2) it is primarily internal daily stress. Emotional stress that is related to sexual problems, especially hypoactive sexual desire in women and men, sexual aversion in women, vaginismus in women and premature ejaculation in men.\u0000Conclusions: Our findings indicate that the treatment of these sexual problems should address relationship issues, including a focus on helping individuals to improve their stress management skills in their relationship. Inner stress plays a key role in sexual behavior, this study once again highlights the fact that better communication as a couple, relaxation and finding specific copying methods are a good remedy, but more studies are needed to demonstrate effectiveness. them.\u0000Key words: stress, sexual disorders, couple sexual problems, sexual health, communication, couple, sexuality.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130936922","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}
Objective: The case study shows an improvement in genito-pelvic pain at acquired penetration, with moderate severity, characterized by persistent recurrent pain for 7 months. Therapeutic methods: According to the patient's evaluation and psychometric tests, the result consisted of differentiated diagnosis of dyspareunia, with moderate severity. During the treatment, psychotherapeutic techniques were applied - purely cognitive therapy validated and standardized by Delcea et al., Relaxation techniques, desensitization therapy and pelvic floor. Outcome of therapy: During sex therapy for a period of 4 months, with individual sessions - two with each individual and 10 couple sessions, the sexual disorder was improved, from 4 to 2, the quantification of the pain by the patient, on a scale of 1 to 5. Conclusion: Sex therapy has been a real success by improving the relationship and sex of the couple. The two managed to improve their communication, to manage stress and nervousness situations through conflict management and in particular, to reconnect sexually through a better intimacy of the couple, rediscovering eroticism and sexual desire, thus ameliorating the genito-pelvic pain disorder. penetration.
{"title":"Case study on penetrating genito-pelvic pain disorder and proposal for evaluation and treatment by digital S-ONapp applications","authors":"Corina Chereches","doi":"10.46388/ijass.2022.4.6","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.6","url":null,"abstract":"Objective: The case study shows an improvement in genito-pelvic pain at acquired penetration, with moderate severity, characterized by persistent recurrent pain for 7 months.\u0000Therapeutic methods: According to the patient's evaluation and psychometric tests, the result consisted of differentiated diagnosis of dyspareunia, with moderate severity. During the treatment, psychotherapeutic techniques were applied - purely cognitive therapy validated and standardized by Delcea et al., Relaxation techniques, desensitization therapy and pelvic floor.\u0000Outcome of therapy: During sex therapy for a period of 4 months, with individual sessions - two with each individual and 10 couple sessions, the sexual disorder was improved, from 4 to 2, the quantification of the pain by the patient, on a scale of 1 to 5.\u0000Conclusion: Sex therapy has been a real success by improving the relationship and sex of the couple. The two managed to improve their communication, to manage stress and nervousness situations through conflict management and in particular, to reconnect sexually through a better intimacy of the couple, rediscovering eroticism and sexual desire, thus ameliorating the genito-pelvic pain disorder. penetration.","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114716974","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}
Objective: The aim of this case study is to change the cognitive-behavioral and sex-therapy mechanisms to reduce sexual distress, relieve anxiety and shift the focus to solving the problem of premature ejaculation of a 35-year-old patient, reaching the stage of changing the sexual focus with the sensory one, by diversifying the excitatory stimuli so that his pleasure and satisfaction help him maintain a normal functioning of his sexual and mental life. Methods: In the therapeutic intervention we applied CBT intervention techniques in cognitive behavioral therapy thus analyzing cognitions, behaviors, and emotions. 1. Standard testing, 2. Sexual testing, 3. Treatment plan. The standard clinical psychological testing used anamnesis and clinical observation, structured, semi-structured and unstructured clinical interviews (Delcea C. 2021) as well as clinical evaluation scales The Generalized Anxiety Disorder 7 (GAD 7), The Patient Health Questionnaire (PHQ- 9) Depression Scale, Beck's Depression Inventory (BDI II), Trauma Symptom Checklist (TSC-40), Symptom Checklist 90-R, Attachment Style Identification Questionnaire (Diana Poole Heller). For sexual testing we used the PESI-Premature Ejaculation Severity Index questionnaire, sexual interviews (Delcea C., 2021). Methodology used in sex therapy intervention: 1. To understand the stimuli of excitement, pleasure, and relaxation, we used the Genogram of excitatory stimuli (Delcea C., 2019) to focus other stimuli on the favorite erogenous zone of the present model of arousal. 2. We used the CBE model (Cognition, Behavior, Emotion) in the cognitive restructuring of dysfunctional cognitions as well as the relational model for identifying and establishing the couple relationship and relational cooperation as well as intimacy and communication. 3. We decreased sexual distress involving decreased performance anxiety as well as relaxation techniques, anticipatory steps technique, distributive thinking technique, management technique, sexual anxiety (fear of performance), disturbance management, relationship management (Standardized intervention model SON, Delcea C ., 2019) as well as progressive desensitization, awareness of critical points and self-help by taking responsibility for the problem, gaining control over ejaculation and understanding the situation of premature ejaculation, improving communication, overcoming the barrier of privacy, accepting one's feelings about dysfunction, growth in one's own sexual performance as well as resolving interpersonal conflicts that maintain dysfunction. 4. Methods of Psychoeducation: The human sexual response, the anatomy and physiology of the male and female body as well as the analysis of the genitals, the change of the cognitive system regarding everything in a positive and playful note of the situation. Results: In the PHQ-9 test score = 10, the subject has no clinical depression. In the GAD-7 test, the score = 8 shows that the subject has a slight anxiety, which c
目的:本案例研究旨在改变认知行为和性治疗机制，减轻性痛苦，缓解焦虑，将焦点转移到解决35岁患者早泄问题上，通过多样化的兴奋刺激，达到以感官焦点转换性焦点的阶段，使他的愉悦和满足帮助他维持正常的性和精神生活功能。方法:在治疗干预中，我们将CBT干预技术应用于认知行为治疗，分析认知、行为和情绪。1. 2.标准测试;3.性测试;治疗计划。标准的临床心理测试采用记忆与临床观察、结构化、半结构化和非结构化临床访谈(Delcea C. 2021)以及临床评估量表广泛性焦虑障碍7 (GAD 7)、患者健康问卷(PHQ- 9)抑郁量表、贝克抑郁量表(BDI II)、创伤症状检查表(TSC-40)、症状检查表90-R、依恋类型识别问卷(Diana Poole Heller)。对于性测试，我们使用了pesi早泄严重程度指数问卷，性访谈(Delcea C.， 2021)。性治疗干预使用的方法学:为了理解兴奋、愉悦和放松的刺激，我们使用了兴奋性刺激的基因图谱(Delcea C.， 2019)，将其他刺激集中在当前唤醒模型中最喜欢的性感区。2. 我们使用CBE模型(认知、行为、情感)进行功能失调认知的认知重构，使用关系模型识别和建立夫妻关系、关系合作、亲密关系和沟通。3.我们通过减少表演焦虑、放松技巧、预期步骤技巧、分配思维技巧、管理技巧、性焦虑(对表演的恐惧)、干扰管理、关系管理(标准化干预模型SON, Delcea C .， 2019)以及渐进脱敏、意识到临界点和通过对问题负责的自助来减少性痛苦。控制射精，了解早泄的情况，改善沟通，克服隐私障碍，接受自己对性功能障碍的感受，提高自己的性能力，解决导致性功能障碍的人际冲突。4. 心理教育的方法:人类的性反应，男性和女性身体的解剖学和生理学，以及对生殖器的分析，以积极和有趣的方式看待一切事物的认知系统的变化。结果:在PHQ-9测试得分= 10时，受试者无临床抑郁。在GAD-7测试中，得分= 8表示被试有轻微的焦虑，这与访谈中关于其表现焦虑的数据相关。在TSC 40测试分数= 10时，受试者没有出现创伤的临床症状。在BDI测试- 2得分= 12时，它表明存在轻微的情绪障碍，没有临床抑郁症的症状。sc90 - r测试未显示轴I - II上存在任何精神障碍。从测试中我们发现Marian对他早泄的性问题有轻微的焦虑，从而发现这种焦虑导致他对性行为有轻微的恐惧。他对他作为一个男人有不切实际的期望，考虑到正常的性行为持续30分钟，无法控制他的射精，他的性场景和幻想缺乏想象力，他把性看作是一种表演，而不是情感和感情的交流。结论:按照应用的方法，受试者呈现出积极的进化，获得了关于他的功能障碍和人类性反应的信息。
{"title":"Genogram of excitatory stimuli from S-ONapp application in Premature Ejaculation. Case Study","authors":"Dumitru Roxana Gabriela","doi":"10.46388/ijass.2022.4.5","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.5","url":null,"abstract":"Objective: The aim of this case study is to change the cognitive-behavioral and sex-therapy mechanisms to reduce sexual distress, relieve anxiety and shift the focus to solving the problem of premature ejaculation of a 35-year-old patient, reaching the stage of changing the sexual focus with the sensory one, by diversifying the excitatory stimuli so that his pleasure and satisfaction help him maintain a normal functioning of his sexual and mental life.\u0000Methods: In the therapeutic intervention we applied CBT intervention techniques in cognitive behavioral therapy thus analyzing cognitions, behaviors, and emotions. 1. Standard testing, 2. Sexual testing, 3. Treatment plan. The standard clinical psychological testing used anamnesis and clinical observation, structured, semi-structured and unstructured clinical interviews (Delcea C. 2021) as well as clinical evaluation scales The Generalized Anxiety Disorder 7 (GAD 7), The Patient Health Questionnaire (PHQ- 9) Depression Scale, Beck's Depression Inventory (BDI II), Trauma Symptom Checklist (TSC-40), Symptom Checklist 90-R, Attachment Style Identification Questionnaire (Diana Poole Heller). For sexual testing we used the PESI-Premature Ejaculation Severity Index questionnaire, sexual interviews (Delcea C., 2021).\u0000Methodology used in sex therapy intervention: 1. To understand the stimuli of excitement, pleasure, and relaxation, we used the Genogram of excitatory stimuli (Delcea C., 2019) to focus other stimuli on the favorite erogenous zone of the present model of arousal. 2. We used the CBE model (Cognition, Behavior, Emotion) in the cognitive restructuring of dysfunctional cognitions as well as the relational model for identifying and establishing the couple relationship and relational cooperation as well as intimacy and communication. 3. We decreased sexual distress involving decreased performance anxiety as well as relaxation techniques, anticipatory steps technique, distributive thinking technique, management technique, sexual anxiety (fear of performance), disturbance management, relationship management (Standardized intervention model SON, Delcea C ., 2019) as well as progressive desensitization, awareness of critical points and self-help by taking responsibility for the problem, gaining control over ejaculation and understanding the situation of premature ejaculation, improving communication, overcoming the barrier of privacy, accepting one's feelings about dysfunction, growth in one's own sexual performance as well as resolving interpersonal conflicts that maintain dysfunction. 4. Methods of Psychoeducation: The human sexual response, the anatomy and physiology of the male and female body as well as the analysis of the genitals, the change of the cognitive system regarding everything in a positive and playful note of the situation.\u0000Results: In the PHQ-9 test score = 10, the subject has no clinical depression. In the GAD-7 test, the score = 8 shows that the subject has a slight anxiety, which c","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117197815","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}
Objectives: The present body of work presents a case study addressing the development of sexual behaviors in a patient with primary anorgasmia in order to reduce emotional distress manifested by guilt, embarrassment and performance anxiety, as well as learning new sexual patterns to increase pleasure and sexual satisfaction. Specifically, we sought to create a positive attitude toward sexuality as part of mental health and increase self-confidence in expressing one's sexuality. Reaching orgasm by the patient was not a stated goal, not to accentuate the distress, but the development of sexual behaviors aimed to increase the duration and intensity of arousal and more frequent manifestation of sexual desire, designed to create the conditions for its occurrence. Method: This is a case study on a 44-year-old patient, during 20 sex therapy sessions of 1 hour each, for 22 weeks, May-September 2021. Assessment methods for Axis I and Axis II, anamnesis and clinical observation, structured, semi-structured and unstructured clinical interviews (Delcea C., 2021) and investigation of medical, family, sexual, socio-cultural, and psycho-social history (individual completion) - MCMI III psychometric tests (Millon), Scale of Anxiety Hamilton, HRSA (SEC), PDA Affective Distress Profile, Opris D., Macavei B. (SEC), YSQ-S3 Short Form Cognitive Questionnaire (SEC), DAS Dysfunctional Attitude Scale Beck A., Weissman A. ( SEC); For sexual testing: Genogram of excitatory stimuli, (Delcea C., 2021), FSFI Female Sexual Function Index, Rosen M. 2000, FSDS Female Sexual Distress Scale, Derogatis, 2019, FOS Female Orgasm Scale, McIntyre, Smith, 2019, ORS The Orgasm Rating Scale, Mah K., Binik, 2019, MISSA Multiple Indicators of Subjective Sexual Arousal, Mosher DL, 2019- SISES Sexual Inhibition / Excitation Scale, (Milhausen RR 2019). Methods used in sex therapy intervention (face to face): to identify stimuli of pleasure, arousal and sexual relaxation, having as source the partner's body we used the Genogram of excitatory stimuli, the technique of anticipating excitatory stimuli and the technique of defocusing irrelevant stimuli. (Delcea C., 2021). Sensate focus and directed masturbation to identify individual arousal stimuli, and self-monitoring through journals. 3. Cognitive restructuring of dysfunctional cognitions. 4. Progressive desensitization, in the construction and practice of new exciting sexual behaviors. 6. Psychoeducation. 7. Relaxation techniques (eg breathing, mindfulness). Results: Following the standard psychological assessment, the patient has no Axis I and II emotional disorders, and no history of sexual abuse. The MCMI profile shows a person without clinical personality disorders, but a very high level of Distress (PDA), present cognitive schemas, Negativism and Need for approval that outlines a possible anxious predisposition, as well as present dysfunctional attitudes of medium level, considered as predispositions for depression. Sexual testing with th
{"title":"Treatment of orgasm disorder in women with the digital S-ONapp method","authors":"Rosoiu Mircela, Camelia Stanciu, Loredana Vâșcu","doi":"10.46388/ijass.2022.4.4","DOIUrl":"https://doi.org/10.46388/ijass.2022.4.4","url":null,"abstract":"Objectives: The present body of work presents a case study addressing the development of sexual behaviors in a patient with primary anorgasmia in order to reduce emotional distress manifested by guilt, embarrassment and performance anxiety, as well as learning new sexual patterns to increase pleasure and sexual satisfaction. Specifically, we sought to create a positive attitude toward sexuality as part of mental health and increase self-confidence in expressing one's sexuality. Reaching orgasm by the patient was not a stated goal, not to accentuate the distress, but the development of sexual behaviors aimed to increase the duration and intensity of arousal and more frequent manifestation of sexual desire, designed to create the conditions for its occurrence.\u0000Method: This is a case study on a 44-year-old patient, during 20 sex therapy sessions of 1 hour each, for 22 weeks, May-September 2021. Assessment methods for Axis I and Axis II, anamnesis and clinical observation, structured, semi-structured and unstructured clinical interviews (Delcea C., 2021) and investigation of medical, family, sexual, socio-cultural, and psycho-social history (individual completion) - MCMI III psychometric tests (Millon), Scale of Anxiety Hamilton, HRSA (SEC), PDA Affective Distress Profile, Opris D., Macavei B. (SEC), YSQ-S3 Short Form Cognitive Questionnaire (SEC), DAS Dysfunctional Attitude Scale Beck A., Weissman A. ( SEC); For sexual testing: Genogram of excitatory stimuli, (Delcea C., 2021), FSFI Female Sexual Function Index, Rosen M. 2000, FSDS Female Sexual Distress Scale, Derogatis, 2019, FOS Female Orgasm Scale, McIntyre, Smith, 2019, ORS The Orgasm Rating Scale, Mah K., Binik, 2019, MISSA Multiple Indicators of Subjective Sexual Arousal, Mosher DL, 2019- SISES Sexual Inhibition / Excitation Scale, (Milhausen RR 2019). Methods used in sex therapy intervention (face to face): to identify stimuli of pleasure, arousal and sexual relaxation, having as source the partner's body we used the Genogram of excitatory stimuli, the technique of anticipating excitatory stimuli and the technique of defocusing irrelevant stimuli. (Delcea C., 2021). Sensate focus and directed masturbation to identify individual arousal stimuli, and self-monitoring through journals. 3. Cognitive restructuring of dysfunctional cognitions. 4. Progressive desensitization, in the construction and practice of new exciting sexual behaviors. 6. Psychoeducation. 7. Relaxation techniques (eg breathing, mindfulness).\u0000Results: Following the standard psychological assessment, the patient has no Axis I and II emotional disorders, and no history of sexual abuse. The MCMI profile shows a person without clinical personality disorders, but a very high level of Distress (PDA), present cognitive schemas, Negativism and Need for approval that outlines a possible anxious predisposition, as well as present dysfunctional attitudes of medium level, considered as predispositions for depression. Sexual testing with th","PeriodicalId":344976,"journal":{"name":"International Journal of Advanced Studies in Sexology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128583426","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}
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