<i>Considering Safety of Treatment for Sexual Dysfunction:</i>

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  • Mizuno Rei
    名古屋大学大学院／名古屋市立大学

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Other Title
  • 性機能不全における治療の安全性を考える
  • 性機能不全における治療の安全性を考える : 境界例/普通精神病という観点から
  • セイ キノウ フゼン ニ オケル チリョウ ノ アンゼンセイ オ カンガエル : キョウカイレイ/フツウ セイシンビョウ ト イウ カンテン カラ
  • From the Perspective of Borderline /La Psychose Ordinaire
  • －境界例／普通精神病という観点から－

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Description

<p>　　This study aimed to discuss genito-pelvic pain/penetration disorder, a female sexual dysfunction detailed in DSM-5, from a medical safety perspective. In particular, this study sought to address the ethical issues believed to be faced by the behavior therapy treatment method specific to this field. Currently, behavior therapy is the mainstream form of treatment in Japanese gynecological care. In DSM-5, the diagnosis of this disorder does not include, for the time being, the effects of various problems that can be successfully explained by non-sex-related mental disorders and other stressors. However, at present, subtle signs of non-sex-related mental disorders and other stressors may be overlooked in gynecological care, where this disorder is mainly treated. Such a tendency may lead to further deterioration of a patientʼs condition or cause the development of a secondary disorder. Therefore, we re-evaluated sexual dysfunctions from a traditional psychoanalysis standpoint, starting from the concept of Borderline／la psychose ordinaire lacanianne in the proper psychoan alytical sense. Next, we present the dangers of treatments biased toward behavior therapy specific to the gynecology medical field, which is the current mainstream treatment being given in Japanese gynecology medicine and propose a counterplan for the advancement of safer treatment.</p>

Journal

  • Bioethics

    Bioethics 30 (1), 22-29, 2020-09-26

    Japan Association for Bioethics

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