Course 5
PLISSIT Model
1. Graph
2. Explanation
The PLISSIT Model of Sex Therapy (Explanation)
性功能障礙的診斷與治療-性治療
傳統的性功能障礙 - 性治療PLISSIT模式(普裏西特治療模式) (解說)

P 代表給予認可,因為許多性問題是由焦慮、內疚感或性禁錮所導致。由此斷定性治療師運用其專業權威完全地對病人的所作所為“給予認可”,這樣能夠減輕病人的許多不必要的痛苦。(例如:由於手淫所產生的內疚感和焦慮)。

第二步治療干預措施稱為LI或叫規範資訊。給予病人正確的性解剖學和性生理學知識常常就足矣,以幫助病人恢復其性機能。也可以常常見到病人就自己的身體有著錯誤的想法,然後就此成為這種不切實際想法的犧牲品。對於這樣的病例,就需要給予較多的有關性知識和性教育輔導。

第三步是SS,即特殊建議,需要針對個人的具體病情給予實用性的提示或性行為練習。馬斯特斯和詹森推薦了許多諸如此類相互愉悅的性行為練習。

最後一步只是IT強化治療,需要針對所導致的病因進行長期的干預治療。但是,安儂相信達到需要強化治療的這類病例相對罕見。

所以,整個的PLISSIT性治療模式象徵著性治療漸進濾過系統,在這個濾過系統裏,輕度的病例被輕鬆地發覺並首先獲得處理,而更嚴重的病例以遞減的方式被截流下來。所以,安儂的這種注重實效和應用性很強的性治療模式對於所有的性治療師及其客戶是一種實用工具,因為並不是每一種性功能障礙都需要全套的性治療療程。

The Treatment of Sexual Dysfunctions - Sex Therapy
The “Classic” Dysfunctions -The PLISSIT Model of Sex Therapy (Explanation)

P stands for Permission, since many sexual problems are caused by anxiety, guilt feelings, or inhibitions. It follows that a therapist who, using his professional authority, simply "gives permission" to do what the patient is already doing, can alleviate much unnecessary suffering. (Example: Guilt feelings and anxiety because of masturbation)

The next step of therapeutic intervention is called LI or Limited Information. Often it is enough to give patients correct anatomical and physiological information to restore their sexual functioning. It is not at all uncommon that patients have erroneous notions about the functioning of their own body and thus fall victim to unrealistic expectations. In such cases little more than factual information and education is necessary.

The next step - SS, Specific Suggestions, requires practical hints or exercises tailored to the individual case. Many of the exercises of mutual pleasuring recommended by Masters and Johnson belong in this category.

Only the last step - IT or Intensive Therapy, requires a long-term intervention addressing complex underlying causes. Annon is convinced, however, that these cases are relatively rare.

Thus, the whole PLISSIT model represents a graduated system of therapeutic sieves, in which the easy cases are caught and eliminated first, while the more difficult cases sink to the bottom in steadily diminishing numbers. Thus, Annon's pragmatic and practical model is a useful reminder for all therapists and their clients that not every sexual problem requires the whole therapeutic arsenal.

[Course 5] [PLISSIT Model] [1. Graph] [2. Explanation]