男女性功能障碍 -性功能障碍

我们能够做什么？

不只是性交一种选择
就像下述要详细讨论的内容会表明的那样，当代性治疗常常潜心于一些特殊的性行为练习，改为由女性采取主动。其次，过分强调性交会导致许多男女忽视其他的做爱方式，并由此而陷入厌倦和僵化的性交行为的陷阱。甚至更为糟糕的是，只是沉溺于生殖器官的接触，他们也许会逐渐失去其他性敏感区的敏感性。继而，这会导致惟有性器官才能“传递整个的性反应”以获得性满足，而身体的其余部分仍旧“无动于衷”。然而，性反应不是以这种模式被阻隔、被分解和被间隔的，久而久之，最终，性反应因此会受到损害。另一方面，确实引人瞩目的变化是，一旦一对性伴转向非性交模式的性行为，他们的性反应常常就会完全恢复活力。就是出于这种原因，许多现代的性治疗师会指导其客户练习手交和口交，把这些性行为方式作为客户重建性自信(sexual self-confidence)的手段。 同样值得我们关注的是，同性恋者由于不能参与性交(coitus，即阴道性交——译者注)行为，他们罕有罹患在异性恋者中如此严重的性功能障碍。男同性恋者和女同性恋者都自然而然地认为性满足能够从多种不同的途径获得，所以他们习惯于充分利用任何性接触条件。毋容置疑，许多“异性恋者(straight，注意此处著者措辞，该英文词的原意为正直的，诚实的等——译者注)”性伴可以采用与之相同的性态度而获得益处。

Female and Male Sexual Dysfunctions -
Sexual Dysfunctions

What can be done?

Expand your options beyond coitus
As the following detailed discussions will show, modern sex therapy often involves specific exercises which shift the initiative to the female. Secondly, the overemphasis on coitus causes many men and women to neglect other forms of lovemaking and thus to fall victim to boredom and rigidity. Even worse, by focusing only on their genital contact, they may gradually desensitize other erogenous zones. This, in turn, leads to a situation where the sex organs alone "carry the entire responsibility" for sexual satisfaction, while the rest of the body remains "uninvolved". However, the sexual response is not to be restricted, divided, or compartmentalized in this fashion, and, in the long run, it may therefore become seriously impaired. On the other hand, it is truly remarkable how the sexual response often regains its full strength as soon as a couple turns to non-coital forms of sexual intercourse. It is for this reason that many modern sex therapists instruct their clients to practice manual and oral intercourse as a means of rebuilding sexual self-confidence. It is also worth noting that homosexual couples, who cannot engage in coitus, rarely suffer from the severe dysfunctions so common among heterosexuals. Both male and female homosexuals take it for granted that sexual satisfaction can be obtained in many different ways, and therefore they are used to making the best of any sexual situation. There is no doubt that many "straight" couples could profit from adopting the same attitude.