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Do Gay and Bisexual Men Share Researchers' Definitions of Barebacking? 同性恋和双性恋男性是否认同研究人员对裸背的定义?
Pub Date : 2006-07-24 DOI: 10.1300/J056v18n01_04
D. Huebner, R. J. Proeschold-Bell, C. Nemeroff
Abstract Despite pervasive discussion of “barebacking” in the HIV prevention literature, inconsistencies exist in how the term is defined. Moreover, little is known about whether gay and bisexual men concur with any of the definitions in the literature. In this study, gay and bisexual men (n = 398) were provided with four scenarios, describing various circumstances in which someone has unprotected anal intercourse. Participants were asked to indicate whether the man in each scenario was “barebacking.” Sixty-four percent did not discriminate in defining the term, indicating that barebacking includes any unprotected anal intercourse with any kind of sexual partner. Men were also asked whether they had ever tried barebacking, and if so, why. The most common reasons provided were (1) having sex with a steady partner, and (2) increased physical sensation. These findings suggest that men's definitions of “barebacking” vary widely and do not necessarily coincide with those of researchers and HIV prevention advocates.
尽管在艾滋病毒预防文献中普遍讨论“裸背”,但在如何定义该术语方面存在不一致。此外,很少有人知道同性恋和双性恋男性是否同意文献中的任何定义。在这项研究中,男同性恋和双性恋男性(n = 398)被提供了四种场景,描述了人们进行无保护肛交的各种情况。参与者被要求指出每个场景中的男人是否“光着背”。64%的人在定义这个术语时没有歧视,这表明裸背包括与任何类型的性伴侣进行任何无保护的肛交。男性还被问及是否试过光背,如果试过,原因是什么。最常见的原因是:(1)与稳定的伴侣发生性关系;(2)增强身体感觉。这些发现表明,男性对“裸背”的定义差异很大,并不一定与研究人员和艾滋病预防倡导者的定义一致。
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引用次数: 23
Sexual Development of Prepubertal Children 青春期前儿童的性发展
Pub Date : 2006-07-24 DOI: 10.1300/J056v18n01_01
H. de Graaf, J. Rademakers
Abstract Studies of childhood sexuality are scarce and often focus on sexual abuse. In this review, an attempt is made to establish what is known, from empirical studies, about sexual behaviors (solitary and interpersonal) and feelings in pre-pubertal boys and girls. In addition, the research methods used will be described and evaluated. The findings of this review can be used to guide future research. In the conclusions, knowledge gaps with respect to sexual behavior and development of children are identified and advantages and disadvantages of different research methods to study childhood sexuality are discussed.
关于儿童性行为的研究很少,而且往往集中在性虐待方面。在这篇综述中,试图从实证研究中建立关于青春期前男孩和女孩的性行为(单独的和人际的)和感受的已知内容。此外,所使用的研究方法将被描述和评估。本综述的发现可用于指导未来的研究。在结论中,指出了关于儿童性行为和发展的知识差距,并讨论了不同研究方法研究儿童性行为的优缺点。
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引用次数: 34
Psychological Functioning of Bondage/Domination/Sado-Masochism (BDSM) Practitioners 束缚/统治/施虐/受虐(BDSM)实践者的心理功能
Pub Date : 2006-07-24 DOI: 10.1300/J056v18n01_05
Pamela H. Connolly
Abstract A demographic questionnaire and 7 psychometric tests were administered to 32 self-identified Bondage/Domination/SadoMasochism (BDSM) practitioners. Although psychoanalytic literature suggests that high levels of certain types of psychopathology should be prevalent among BDSM practitioners, this sample failed to produce widespread, high levels of psychopathology on psychometric measures of depression, anxiety, obsessive-compulsion, psychological sadism, psychological masochism, or PTSD. In fact, on measures of clinical psychopathology and severe personality pathology, this sample appeared to be comparable to both published test norms and to DSM-IV-TR estimates for the general population. There were, however, some exceptions to this general pattern, most notably the higher-than-average levels of narcissism and nonspecific dissociative symptoms found in the sample. This study also raises significant concern about the appropriateness of the diagnosis of sexual masochism and sadism in the Diagnostic and Statistical Manual of the American Psychiatric Association or, minimally, the diagnostic criteria of these disorders.
摘要对32名自我认定为束缚/统治/施虐受虐(BDSM)患者进行人口统计问卷和7项心理测试。尽管精神分析文献表明,某些类型的高水平精神病理应该在BDSM从业者中普遍存在,但该样本未能在抑郁、焦虑、强迫症、心理施虐、心理受虐或创伤后应激障碍的心理测量中产生广泛的、高水平的精神病理。事实上,在临床精神病理学和严重人格病理学的测量中,该样本似乎与公布的测试规范和DSM-IV-TR对一般人群的估计相当。然而,这种普遍模式也有一些例外,最明显的是样本中发现的高于平均水平的自恋和非特异性分离症状。这项研究也引起了对美国精神病学协会诊断和统计手册中性受虐狂和施虐狂诊断的适当性的重大关注,或者至少是这些疾病的诊断标准。
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引用次数: 132
Age and Judgments of Attractiveness as Factors of HIV Preventive Behavior Among HIV-Positive Men Who Have Sex with Men 年龄和吸引力判断对男男性行为者HIV阳性预防行为的影响
Pub Date : 2006-07-24 DOI: 10.1300/J056V18N01_03
Gideon A. Feldstein, J. Parsons, D. Bimbi, José E. Nanín, Cynthia A Gómez
Abstract An ethnically diverse sample (N = 250) of HIV seropositive men who have sex with men (MSM) in the New York City and San Francisco metropolitan areas were interviewed in depth to elicit their experiences regarding living with HIV and their sexuality. Topics included coping with HIV, factors influencing partner selection, and sexual risk behaviors. Analyses of these responses revealed several interrelated themes regarding age and physical appearance that naturally emerged. These themes included: (1) protecting younger sexual partners from HIV infection compared with older partners; (2) assumptions regarding the HIV status of younger casual sex partners; (3) disclosure of HIV serostatus by older men; and (4) issues regarding sexual desirability and physical appearance. These findings point to the direct impact that age and sexual desirability have on sexual decision-making on intergenerational sexual encounters among HIV-seropositive MSM.
摘要本研究对纽约市和旧金山大都会区HIV血清阳性的男男性行为者(MSM)进行了深度访谈,以了解他们的HIV感染经历和性行为。主题包括应对艾滋病毒、影响伴侣选择的因素和性危险行为。对这些回答的分析揭示了自然出现的有关年龄和外貌的几个相互关联的主题。这些主题包括:(1)与老年性伴侣相比,保护年轻的性伴侣免受艾滋病毒感染;(2)对年轻随意性伴侣HIV感染状况的假设;(3)老年男性艾滋病病毒(HIV)抗体状况披露情况;(4)关于性欲望和外表的问题。这些发现指出,年龄和性欲望对艾滋病毒血清阳性男男性接触者代际性接触的性决策有直接影响。
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引用次数: 3
Factors Mediating the Effects of Childhood Sexual Abuse on Risky Sexual Behavior Among College Women 儿童期性虐待对女大学生危险性行为影响的中介因素
Pub Date : 2006-07-24 DOI: 10.1300/J056v18n01_02
Mary E. Randolph, K. Mosack
Abstract We surveyed 157 college women regarding sexual abuse, age at first intercourse, reactions to first intercourse, sexual attitudes, and sexual risk behavior outcomes to clarify the relationship between early sexual experiences and risky sexual behavior. Women who had been sexually abused in childhood reported greater numbers of lifetime sexual partners. This relationship was partially explained by adolescent/adult sexual abuse, age at first intercourse, permissive sexual attitudes, and reaction to first intercourse. Childhood sexual abuse was indirectly associated with more frequent use of alcohol or drugs during sexual activity through its relationships with adolescent/adult sexual abuse, age at first intercourse, permissive sexual attitudes, and reaction to first intercourse. Implications for therapists are discussed.
摘要本研究对157名女大学生的性侵犯、初次性交年龄、初次性交反应、性态度和性危险行为结果进行了调查,以阐明早期性经历与性危险行为之间的关系。童年时遭受过性虐待的妇女报告有更多的终生性伴侣。这种关系可以用青少年/成人性虐待、第一次性行为的年龄、宽容的性态度和对第一次性行为的反应来部分解释。儿童期性虐待与青少年/成人性虐待、第一次性行为的年龄、宽容的性态度和对第一次性行为的反应有间接关系,因此与性活动中更频繁地使用酒精或药物有关联。讨论了对治疗师的启示。
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引用次数: 29
DSM-IV-TR and the Paraphilias DSM-IV-TR和错乱症
Pub Date : 2006-02-03 DOI: 10.1300/J056v17n03_05
C. Moser, Peggy J. Kleinplatz
Abstract The DSM-IV-TR (2000) sets its own standards for inclusion of diagnoses and for changes in its text. The Paraphilia section is analyzed from the perspective of how well the DSM meets those standards. The concept of Paraphilias as psychopathology was analyzed and assessed critically to determine if it meets the definition of a mental disorder presented in the DSM; it does not. The Paraphilia diagnostic category was critiqued for logic, consistency, clarity, and whether it constitutes a distinct mental disorder. The DSM presents “facts” to substantiate various points made in the text. The veracity of these “facts” was scrutinized. Little evidence was found in their support. Problems with the tradition of equating particular sexual interests with psychopathology were highlighted. It was concluded that the Paraphilia section is so severely flawed that its removal from the DSM is advocated.
DSM-IV-TR(2000)为诊断的包含和文本的更改设置了自己的标准。从DSM如何满足这些标准的角度分析了性反常部分。对性偏离作为精神病理学的概念进行了分析和批判性评估,以确定它是否符合DSM中对精神障碍的定义;但事实并非如此。反性恋诊断类别因其逻辑性、一致性、清晰度以及是否构成一种明显的精神障碍而受到批评。DSM提出了“事实”来证实文本中提出的各种观点。这些“事实”的真实性经过了仔细审查。几乎找不到支持他们的证据。强调了将特殊的性兴趣等同于精神病理学的传统问题。得出的结论是,性反常部分存在严重缺陷,因此有人主张将其从DSM中删除。
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引用次数: 156
What Is Sexual Pain? A Critique of DSM's Classification of Dyspareunia and Vaginismus 什么是性疼痛?对DSM对性交困难和阴道痉挛分类的批判
Pub Date : 2006-02-03 DOI: 10.1300/J056v17n03_10
K. Payne, E. Reissing, Marie-Andrée Lahaie, Y. Binik, R. Amsel, S. Khalifé
Abstract The Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) introduced the term “sexual pain disorder” to classify dyspareunia and vaginismus as sexual dysfunctions (American Psychiatric Association, 1987). However, the notion of sexual pain as well as the diagnostic criteria for dyspareunia and vaginismus are questionable both on theoretical and empirical grounds. Recent studies support the view that dyspareunia is better classified as a pain disorder and challenge the validity of the vaginal spasm criterion for vaginismus. Alternative conceptualizations of these conditions are presented.
《精神疾病诊断与统计手册》(DSM-III-R)引入“性疼痛障碍”一词,将性交困难和阴道痉挛归类为性功能障碍(美国精神病学协会,1987)。然而,性疼痛的概念以及性交困难和阴道痉挛的诊断标准在理论和经验上都是值得怀疑的。最近的研究支持这样一种观点,即性交困难最好被归类为疼痛障碍,并对阴道痉挛标准的有效性提出了挑战。提出了这些条件的备选概念。
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引用次数: 13
Sexual and Gender Identity Disorders 性与性别认同障碍
Pub Date : 2006-02-03 DOI: 10.1300/J056V17N03_07
P. Fink
Abstract The author responds to Hill et al.'s “Gender Identity Disorders in Childhood and Adolescence: A Critical Inquiry,” Winters' “Gender Dissonance: Diagnostic Reform of Gender Identity Disorder for Adults,” and Moser and Kleinplatz's “DSM-IV-TR and the Paraphilias: An Argument for Removal.” As a clinician, the author is loathe to relegate these conditions to mere legal problems and have those affected by them go to jail as the only consequence where they will not get treated as they would by psychiatry or other mental health professions. The author, who has evaluated over 40 transsexuals for sex reassignment surgery, believes psychiatrists should remain the patient's ombudsman in these procedures. He also does not believe that the diagnosis stigmatizes anyone worse than the stigma that the transsexuals receive every single day. In regard to paraphilias, the author believes there must be some way of differentiating between the normal and abnormal ways in which people get aroused, excited, and fulfilled. The author argues that psychiatrists have multiple roles and even though a diagnosis may be offensive to some, it is still important that society maintain the diagnosis in order for psychiatrists to find a way to save some people from jail and others from themselves.
作者对希尔等人的《儿童期和青春期的性别认同障碍:一项批判性调查》、温特斯的《性别失调:成人性别认同障碍的诊断改革》以及莫泽和克莱恩普拉茨的《DSM-IV-TR和性偏离:移除的理由》进行了回应。作为一名临床医生,提交人不愿将这些情况仅仅归结为法律问题,不愿让受这些问题影响的人入狱,因为他们得不到精神病学或其他心理健康专业人士应有的治疗。作者对40多名变性人进行了变性手术评估,他认为精神科医生应该在这些手术中充当病人的调查员。他也不相信这个诊断会比变性人每天承受的耻辱更让人感到耻辱。关于性偏离,作者相信一定有某种方法可以区分人们被唤起、兴奋和满足的正常和不正常的方式。作者认为,精神科医生有多重角色,即使诊断可能会冒犯一些人,但社会维持诊断仍然很重要,这样精神科医生才能找到一种方法,使一些人免于入狱,另一些人免于自杀。
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引用次数: 7
Commentary 评论
Pub Date : 2006-02-03 DOI: 10.1300/J056v17n03_08
W. Bockting, R. Ehrbar
Abstract The diagnosis of Gender Identity Disorder (GID) in the Diagnostic and Statistical Manual of Mental Disorders (DSM; American Psychiatric Association, 2000) continues to be controversial. Three papers by Hill et al. (2005), Lev (2005), and Winters (2005) each offer a critique of this diagnosis. Drawing from our clinical experience and research with transgender youth and adults as well as the scientific literature on gender dysphoria, we will comment on the main issues raised by these authors: the criteria reflect bias, who needs this diagnosis, and how can we lessen the associated stigma. Our discussion will clarify the rationale behind GID, and illustrate the dilemmas inherent in reform or removal of the diagnosis from the DSM.
《精神障碍诊断与统计手册》(DSM)中性别认同障碍(GID)的诊断;美国精神病学协会,2000)仍然是有争议的。Hill等人(2005)、Lev(2005)和Winters(2005)的三篇论文都对这种诊断提出了批评。根据我们的临床经验和对跨性别青年和成人的研究,以及关于性别焦虑症的科学文献,我们将对这些作者提出的主要问题发表评论:标准反映了偏见,谁需要这种诊断,以及我们如何减少相关的耻辱。我们的讨论将阐明性别认知障碍背后的基本原理,并说明改革或从DSM中删除诊断所固有的困境。
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引用次数: 30
Gender Dissonance 性别失调
Pub Date : 2006-02-03 DOI: 10.1300/J056v17n03_04
Kelley Winters
Abstract Since its appearance in 1980, the diagnostic category “gender identity disorder” (GID) in the Diagnostic and Statistical Manual of Mental Disorders (DSM) has sparked concern among gender variant people and their advocates that it contributes to hurtful stigma and social barriers faced by gender variant individuals, while at the same time it contradicts the medical legitimacy of sex reassignment for the treatment of gender dysphoria. This paper examines the GID diagnosis of adults and adolescents and the social and medical consequences posed by its implication of “disordered” gender identity. Parallels are drawn to the removal of homosexuality and ego dystonic homosexuality from the DSM in the 1970s and '80s. At issue is the label of mental illness for behaviors that are otherwise ordinary or even exemplary based only on natal anatomical sex. Finally, a path forward is proposed to replace GID with a new diagnosis unambiguously defined by chronic distress rather than social nonconformity.
自1980年《精神疾病诊断与统计手册》(DSM)中出现“性别认同障碍”(gender identity disorder, GID)这一诊断类别以来,它引发了性别变异者及其支持者的关注,认为它助长了性别变异个体所面临的有害污名和社会障碍,同时也与性别重置治疗性别焦虑症的医学合法性相矛盾。本文探讨了成人和青少年的性别认知障碍诊断,以及性别认同“紊乱”所带来的社会和医疗后果。在20世纪70年代和80年代,人们将同性恋和自我失调性同性恋从DSM中删除。争论的焦点是,对于那些原本很普通甚至是典型的行为,只根据出生时的生理性别来给它们贴上精神疾病的标签。最后,提出了一条前进的道路,用一种新的诊断来取代GID,明确地定义为慢性痛苦,而不是社会不符合。
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引用次数: 35
期刊
Journal of psychology & human sexuality
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