RESUMO
AIM: The child's self-stimulating pleasure behavior is defined as childhood masturbation (CM). Diagnosis of CM is mainly based on behavior and analysis of video recordings. This study aims to investigate etiological factors, movement patterns, and treatment options.Medical records and video recordings of CM in our clinic between 2015 and 2020 were retrospectively reviewed. RESULTS: Ninety patients aged 8 months to 9 years were included in our study. The male-to-female ratio was 23/67. The mean age at onset of masturbation (mean ± standard deviation) was 21.42 ± 18.44 (6-107) months. Note that 27.7% (32) of the patients were taking antiepileptic drugs before admission.Eight of the 90 patients had abnormal electroencephalograms. The time of onset of CM was related to cessation of breast milk in 24.4%, separation from the mother in 43.3%, new siblings in 16.6%, initiation of toilet training in 7.7%, and parental divorce in 6.6%. Behavioral therapy was sufficient in 71.1%. Hydroxyzine hydrochloride in 19 (21.1%) and risperidone in 9 (10%) were given in the remaining cases. Overall, 23/28 of the cases receiving medication improved during follow-up. CONCLUSION: Physicians may have difficulty identifying repetitive movements in CM. Misdiagnosis or delayed diagnosis may lead to unnecessary use of antiepileptic drugs, delayed initiation of treatment, and prolonged treatment duration. Video recordings are important in the differential diagnosis of CM. CM may have psychosocial causes and can often be effectively treated with behavioral therapy. Pharmacological treatment (hydroxyzine hydrochloride and risperidone) may be considered in cases that do not respond to behavioral treatment.
Assuntos
Anticonvulsivantes , Masturbação , Criança , Humanos , Masculino , Feminino , Masturbação/diagnóstico , Masturbação/terapia , Anticonvulsivantes/uso terapêutico , Estudos Retrospectivos , Risperidona , HidroxizinaAssuntos
Educação Médica/normas , Literatura Erótica/psicologia , Histerectomia/efeitos adversos , Masturbação/terapia , Inibidores Seletivos de Recaptação de Serotonina/efeitos adversos , Incontinência Urinária de Urgência/complicações , Adulto , Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Ejaculação/fisiologia , Feminino , Culpa , Humanos , Masculino , Masturbação/prevenção & controle , Masturbação/psicologia , Medicina , Pessoa de Meia-Idade , Distúrbios do Assoalho Pélvico/diagnóstico , Distúrbios do Assoalho Pélvico/reabilitação , Delitos Sexuais/psicologia , Disfunções Sexuais Psicogênicas/induzido quimicamente , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/psicologiaRESUMO
OBJECTIVE: To study the effect of Tadalafil combined with behavior therapy in helping obtain semen from infertile men in whom masturbation has failed. METHODS: Sixty male infertile patients from whom masturbation had failed to obtain semen were equally assigned to receive Tadalafil combined with behavior therapy (combination group) or Tadalafil only (control group). All the patients took Tadalafil 20 mg orally the night before the day of semen collection by masturbation. Before this procedure, the patients of the combination group practiced masturbation 16 - 24 times at home. RESULTS: The average ages of the patients were (37.0 +/- 5.1) yr and (37.5 +/- 5.2) yr and their IIEF-5 scores were 16.50 +/- 1.25 and 16.90 +/- 1.09 in the combination and the control group, respectively, neither with statistically significant difference between the two groups. Semen was successfully obtained from 9 patients (30.0%) of the combination group and 1 patient (3.33%) of the control group, with statistically significant difference between the two groups (chi2 = 7.680, P < 0.01). CONCLUSION: By training the patients and establishing a conditioned response to masturbation, Tadalafil combined with behavior therapy can significantly increase the success rate of semen collection from the male infertile patients in whom masturbation fails.
Assuntos
Terapia Comportamental , Carbolinas/uso terapêutico , Masturbação/terapia , Sêmen , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Tadalafila , Falha de Tratamento , Resultado do TratamentoRESUMO
This article reviews the current evidence base for the diagnosis, assessment, and treatment of hypersexual conditions. Controversy concerning this diagnosis is discussed. Terminology and diagnostic criteria, as well as psychological, psychopharmacological, and other treatment approaches, are presented.
Assuntos
Transtornos Parafílicos/diagnóstico , Transtornos Parafílicos/terapia , Antidepressivos/uso terapêutico , Terapia Cognitivo-Comportamental , Comorbidade , Comportamento Compulsivo/diagnóstico , Comportamento Compulsivo/terapia , Terapia de Casal , Literatura Erótica , Fantasia , Feminino , Humanos , Internet , Masculino , Masturbação/diagnóstico , Masturbação/terapia , Transtornos Parafílicos/complicações , Transtornos Parafílicos/epidemiologia , Transtornos Parafílicos/psicologia , Guias de Prática Clínica como Assunto , Teoria Psicológica , Distribuição por Sexo , Sexologia , Infecções Sexualmente Transmissíveis/etiologia , Telefone , Sexo sem ProteçãoAssuntos
Transtornos de Deficit da Atenção e do Comportamento Disruptivo , Transtornos Disruptivos, de Controle do Impulso e da Conduta , Sucção de Dedo , Hábitos , Masturbação , Hábito de Roer Unhas , Nariz , Adolescente , Adulto , Ansiolíticos/uso terapêutico , Antidepressivos Tricíclicos/uso terapêutico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/terapia , Terapia Comportamental , Criança , Pré-Escolar , Transtornos Disruptivos, de Controle do Impulso e da Conduta/psicologia , Transtornos Disruptivos, de Controle do Impulso e da Conduta/terapia , Sucção de Dedo/psicologia , Sucção de Dedo/terapia , Humanos , Masturbação/etiologia , Masturbação/psicologia , Masturbação/terapia , Hábito de Roer Unhas/psicologia , Hábito de Roer Unhas/terapia , Inibidores Seletivos de Recaptação de Serotonina/uso terapêuticoRESUMO
This study was performed to investigate the clinical outcome of childhood masturbation. For this purpose 50 children (mean age = 48.7 +/- 24.5 months, 34 girls females and 16 boys males) with masturbation symptoms were examined at first visit to the Department of Child Psychiatry and two years thereafter with psychiatric interviews. The mean masturbation frequency at the initial interview was significantly decreased after two years. It was noted that 39 children (78%) were completely recovered and 11 children (22%) continued to masturbate after two years. Children who did not recover were significantly younger, began to masturbate earlier and masturbated more frequently than others at the time of initial evaluation. It was concluded that the findings about the beneficial effect of sedative drugs in combination with parental guidance, education and means for behavior modification were promising.
Assuntos
Masturbação/terapia , Idade de Início , Terapia Comportamental , Criança , Pré-Escolar , Comorbidade , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , Masturbação/epidemiologia , Masturbação/psicologia , Psicotrópicos/uso terapêutico , Estatísticas não Paramétricas , Resultado do Tratamento , Turquia/epidemiologiaRESUMO
How the analyst and the patient shape the analysis is a complex matter varying with the stage of the analysis and the individual characteristics of each patient and analyst. Examining analytic hours from the beginning, middle, and end of a five-through-seven-year-old girl's treatment suggests an intricate pattern evolving from observing and learning toward elaborating a free-ranging, creative, multilevel interplay of internal dialogues and affects.
