Sexual Disorders - Evolving Models
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Most of the clinicians included in the treatment or research of sexual disorders are probably not very content with the current nomenclature, which is largely one-dimensional and not taking on all nuances and prospects of adult problems. The nomenclature doesn't deal with psychological, relational, and situational factors of human sexuality. Some of these problems, particularly the ones related to female sexuality.
A 26-year-old man who complains being distressed because ejaculating within 30 60 sec after penetration during sexual activity with his wife, but reports no rapid ejaculation while masturbating technically encounters the diagnostic criteria for premature ejaculation. Still, the diagnosis of early ejaculation doesn't fully describe the scope and psychology of his sexual dysfunction. The same could be implied in the case of 67-year-old married male who began to compulsively masturbate about 2 years ago. He thinks about other men being around at times while masturbating, or at times he masturbates just without any thoughts, in different places, for instance, while driving. Is his diagnosis sexual disorder not otherwise specified? Or obsessive-compulsive disorder? Do these diagnoses-labels assist the clinician in any way?
The recent diagnostic scheme, rephrasing Winston Churchill, is probably the worst diagnostic system exclude for all those that have been tried. It certainly could be better. Recently, Fagan offered a systematic way in which clinician organize the mass of information about sex. We talk about it in more details for two reasons it distinctly demonstrates that human sexuality, as other 6 Segraves and Balon areas, requires a more compound and sophisticated diagnostic system, and it illustrates one of probably many possible approaches.
Fagan suggests using the system of four perspectives, or four different ways to view a clinical case, which was originally developed by McHugh and Slavney (48) for all psychiatric disorders. He believes that these four perspectives are a more complex way of viewing clinical information and then communicating that information to clinicians, colleagues, and the individual with the clinical problem or disorder.
These four perspectives are:
1. The disease perspective
2. The dimension perspective
3. The behavior perspective
4. The life story perspective
The disease position is categorical, the patient either has or does not have the disease. As Fagan remarks, this is the basis of the medical model, but not the whole story. This position turns to physiology, anatomy, and medicine to study about patients sexual issue.
The dimension perspective concentrates on measurement (dimensional gradation and quantification). Cases of the objects of measurements are intelligence quotient, behavioral patterns, mood, or personality traits.
The behaviour position focuses on the behaviour of an person who is goal directed, or teleological. Fagan explains that the behaviour perspective is to cognitive-behavioral clinician what the disease perspective is to physician.
Lastly, the life story view is what most people associate with psychotherapy. It relies on the story told by the patient to give some meaning and management to their life.
Fagan underlines that no single perspective is, in itself, more valuable than any other, and each perspective can add to the formulation. His proposal assists, in part, to deal with various issues. First, human sexuality is much more complicated than just attaining reliable erection and, as noted, the medical diagnosis doesn't include psychological, relational, and other factors. Second, not all sexually disordered behaviour has a psychiatric diagnosis. Third, sexual diagnosis is an alternate and developing concept. Fourth, sexual diagnosis doesn't involve causality.
Fagan indicates that one should choose the primary perspective that best fits the patient and then incorporate the other perspectives into the formulation and handling to make use of the complementary contributions they may provide. He as well underlines that perspectives are conjunctive and not disjunctive.
Fagan feels that using the four perspectives is more helpful in delineating sexual disorders and conceptualising their treatment. Some will probably see this proposal too compound or not complicated enough, overly inclusive or not inclusive enough, not practical enough or too practical. Nonetheless, we feel that it is an fascinating and thoughtful proposal, which may further induce and aid the argument about the diagnostic problems in the area of sexual disorders. |
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Author Resource:-
David Crawford is the CEO and owner of a Male Enhancement Pills company known as Male Enhancement Group which is dedicated to researching and comparing male enhancement products in order to determine which male enhancement product is safer and more effective than other products on the market. Copyright 2010 David Crawford of http://www.maleenhancementgroup.com This article may be freely distributed if this resource box stays attached.justhost coupon 50 off
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By :
David Jamesonsess
Submitted
2012-03-29 17:46:41 |
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