Dergi Ara >>
Yıl:2009; Cilt: 2; Sayı: 4>> Özet
TAM METİN
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2009;2(4):56-58
Vaginismus Erkekleri; Yeni Bir Tanım?
CT Erden
İstanbul Üniversitesi İstanbul Tıp Fakültesi, İstanbul
Vaginismuslu kadınların psikoseksüel yaşantılarında birinci dereceden yakınlık içerisinde oldukları eşlerinin vaginismusun oluşumu ve devamında rollerinin olmadığı söylenemez. Eşleri vaginismus olan erkeklerin bir kısmının ayrı bir grup olarak tanımlanması, hastalığın oluşum, gelişim ve tedavi süreçlerine olan etkilerinin tartışılması zorunludur. Tedavi süreci veya öncesinde empotan olan eşlerin, vaginismuslu kadınların tedavi sürecinde değişen tutumları ile potent hale geldiklerinin vurgulanmaktadır. Buradaki empotans kavramı eşlerin yaşadığı cinsel işlev bozukluklarını kapsamakla birlikte, tedavi talebi, aranışı ve sürecinde sergiledikleri inisiyatifsizlik durumunu ve direnci de belirtmektedir. Vajinimuslu kadınların eşlerini kastre etme korku/arzuları olduğu kadar, eşleri vaginismus olan erkeklerin de yoğun ödipal çatışma yaşadıkları ve kastrasyon korkusu içinde oldukları bildirilmiştir. Bu erkeklerin ?Vaginismus erkekleri? olarak tanımlanmasının, vaginismusun salt bir kadın cinsel işlev bozukluğu değil, eşlerin ortak cinsel sorunu olarak kodlanmasının ve tedavi sürecinin her aşamasına eşlerin de dahil edilmesinin önünü açacağı düşünülmektedir.
Vaginismus Men; A New Definition?
Anybody can not state that male partners of women with vaginismus who are in close psychosexual relationship each other are not responsible for the development and persistancy of the disease. It is a neccesity to group male partners of women with vaginismus as a seperate entity, and to discuss effect on the treatment procedure. Male partnersi of women with vaginismus gain potency with the altered attitudes of the women during treatment. Here, inpotency means both the sexual disorders of the male partner and the resistance they show in the treatment procedure. Altough women with vaginismus had some type of castration desire/fear about spouses, male partners also have their own. Defining male partners of women with vaginismus as a seperate group in literatüre may lead to alterations in the meaning of vaginismus as a couple disorder and to entrance of the male partners in treatment procedures immediately.

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