双侧眼动刺激对性幻想的影响及随访

IF 1.7 4区 医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2023-06-01 DOI:10.1016/j.jbtep.2022.101826
Andrew Allen , Nadine McKillop , Mary Katsikitis , Prudence Millear
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引用次数: 2

摘要

背景和目的性幻想是人类性行为的一个常见方面,它可以支持性健康,但也有助于精神病理学。后者需要干预,用眼动刺激双侧可能是损害性幻想心理意象的合适干预措施。这项研究旨在评估多轮EM对性幻想的影响,通过一周的随访来衡量其影响,并评估受损的性意象如何影响行为和行为意图。方法28名参与者(14名男性,Mage=44.10,SDage=9.77)选择一个喜欢的性幻想,并通过面对面或远程健康的方式重复进行五轮EM任务。在每轮EM后和一周的随访中,将性幻想的基线现象学特征与重复测量进行比较,以及假设的行为意图和幻想手淫的频率。结果所有的性幻想特征(如生动性、感觉、唤醒、可信度)在每轮EM之间逐渐减少。从第五轮到后续行动,这些特征有所增加。然而,与基线相比,它们仍然显著减少。参与者假设的行为意图和与其性幻想相关的手淫频率也减少了EM后的任务。限制自我报告措施的使用;参与者的心理意象无法直接测量;不包括对照组。结论作为一项损害意象的任务,EM的双边刺激可以有效地削弱性幻想的现象学性质,并扩展到现有文献中。总之,关于EM和性幻想的进步研究鼓励在特定人群中复制(例如,有问题或有害性幻想的个人)。
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The effects of bilateral stimulation using eye movements on sexual fantasies with follow-up

Background and objectives

Sexual fantasies represent a common aspect of human sexuality that can support sexual well-being but also contribute to psychopathology. The latter warrants intervention and bilateral stimulation with eye movements (EMs) may be a suitable intervention for impairing mental imagery of sexual fantasies. This study aimed to evaluate the effect of multiple rounds of EMs on sexual fantasies, gauge the effect over time with a one-week follow-up, and assess how impaired sexual imagery may influence behaviour and behavioural intention.

Methods

Twenty-eight participants (14 male, Mage = 44.10, SDage = 9.77) selected a favoured sexual fantasy and engaged in five repeated rounds of an EM task, either face-to-face or via telehealth. Baseline phenomenological characteristics of sexual fantasies were compared against repeated measures after each round of EMs and at one-week follow-up, as well as hypothetical behavioural intention and frequency of fantasy masturbation.

Results

All sexual fantasy characteristics (e.g., vividness, sensations, arousal, believability) diminished progressively between each round of EMs. These characteristics increased from round five to follow-up. However, they remained significantly reduced compared to baseline. Participants’ hypothetical behavioural intention and frequency of masturbation associated with their sexual fantasies also reduced post-EM task.

Limitations

Use of self-report measures; participants’ mental imagery could not be measured directly; and no comparison groups were included.

Conclusions

As an imagery impairing task, bilateral stimulation with EMs is effective for diminishing the phenomenological properties of sexual fantasies, extending upon extant literature. Collectively, the progressive research regarding EMs and sexual fantasies encourages replication in specific populations (e.g., individuals with problematic or harmful sexual fantasies).

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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
48
期刊介绍: The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.
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