Course 5
2. Impartiality?
Fulfillment/Restraint
Self-critical Therapy
Individual fulfillment and social restraint
關鍵概述-陳腐而無據的定勢思維

2. 迷誤——性治療師的公正性

個人性滿足與社會性制約
因為迷信正常的性狀態,第二個最大的陳腐而無據的定勢思維在理性的審視面前同樣也不堪一擊。對性治療師的公正性的迷信簡直就是另一種形式的自我陶醉的錯覺。首先,個人和社會雙方的價值取向是相互排斥的。有判斷力的性治療師們永遠都會知道這個道理,然後,他們會推理的。畢竟,社會如果真關心個人的性滿足,性功能障礙和性功能紊亂不會、確實也不可能出現,由此,性治療將會是多餘的。所以,這種必然會出現的對峙現實會把性治療師置於某種普遍的性價值準則(prevailing sexual values)的矛盾衝突之中。出於同樣的原因,那些僅僅幫助個人順從於社會價值準則的性治療師不會給予真正的性治療,只會進行行為矯正療法。然而,正是這種性治療師的作用無意地代表社會控制著某些性自由信仰者,擾亂著他們的美夢。這些人指責性治療師頻繁地使用未經驗證的治療方法,把性治療師費了九牛二虎之力的所作所為嘲諷為壓制的干預手段,或者乾脆簡單地說成是處方用性(sex by prescription)”(此處類比處方用藥,意指需要治療師開處方才能進行性行為——譯者注)。雖然這種指責誇大其辭,它的基本要點確實是所有的性治療師應該牢記在心的。性治療師的首要職責始終是對應于其客戶的需要。

Critical Introduction - Old Silent Assumptions

2. The Myth of Therapeutic Impartiality

Individual fulfillment and social restraint
As with the belief in a "natural sexuality," the second great silent assumption also cannot stand up to rational scrutiny. The belief in therapeutic impartiality is simply another self-serving delusion. After all, if society really had an interest in individual sexual fulfillment, the dysfunctions would be far less common than they are today, and they would all be traceable to particular individual conditions and circumstances. However, in our society this is not the case. The very fact that so many people need sex therapy points to a larger social problem. Indeed, serious therapists sooner or later find themselves in conflict with certain prevailing sexual values. After all, their professional goal is to free their clients from their inhibitions, and, in most cases, these inhibitions are due to negative social influences. Good sex therapy, therefore, leads to the client’s sexual emancipation and self-determination. By the same token, those who merely help an individual conform to society are not engaged in true therapy but in adjustment training. However, it is this function of sex therapists as unwitting agents of social control which disturbs some libertarians. They deplore the frequently naive approaches of therapists and ridicule their efforts as repressive interventions or simply as "sex by prescription". While this criticism is exaggerated, its basic thrust should be kept well in mind by all sex therapists. Their first duty is always to their clients.

[Course 5] [2. Impartiality?] [Fulfillment/Restraint] [Self-critical Therapy]