RESUMEN
Although relationship factors are an important component in the evaluation and treatment of hypoactive sexual desire (HSD) disorders, a sexual intimacy paradox often occurs wherein many couples increase the intimacy in their relationship while their sexual desire continues to decline. To resolve the apparent paradox and to further our understanding of the relationship between intimacy and eroticism, we offer a developmental model of sexual intimacy as a guide to treating the interpersonal aspects of HSD and other sexual dysfunctions. This model expands Erikson's developmental phase of intimacy into five elements: conflagration, merger, fusion, differentiation, and integration. The model is described and case examples are presented as illustrations of the therapeutic issues and resolutions within each element.
Asunto(s)
Conducta Sexual , Disfunciones Sexuales Psicológicas/terapia , Femenino , Humanos , Relaciones Interpersonales , Masculino , PsicoterapiaRESUMEN
The present study investigated differences between referred and nonreferred children and their families on the basis of home and clinic observations and parent questionnaires. Subjects were 28 families with children between 4 and 8 years of age who had been referred to a clinic for acting-out behavior and 28 nonreferred controls matched on several variables. Home observation results indicated that referred children showed significantly more deviant behavior and less prosocial behavior than nonreferred children and that their parents emitted more negative and commanding behavior in contrast to the control group. Systematic observation in the clinic revealed significant differences only in parent negativeness and number of commands. Finally, all five factors of the parent attitude questionnaire yielded large and significant differences between groups. There was considerable overlap between groups on all behavior variables but less overlap on the parent attitude measure. Results from a stepwise discriminant analysis classified 90% of referred children and 90% of nonreferred children correctly on the basis of the parent attitude variable alone. Taken together, these results suggest that child behavior is not always the critical variable in referral and stress the importance of multiple assessment procedures for child-family problems when children are referred for treatment.
Asunto(s)
Actitud , Trastornos de la Conducta Infantil , Padres , Niño , Crianza del Niño , Preescolar , Femenino , Humanos , Masculino , Relaciones Padres-Hijo , Derivación y Consulta , Percepción SocialAsunto(s)
Trastornos de la Conducta Infantil/terapia , Matrimonio , Padres , Personalidad , Ajuste Social , Actitud , Niño , Trastornos de la Conducta Infantil/diagnóstico , Preescolar , Relaciones Padre-Hijo , Humanos , MMPI , Masculino , Relaciones Madre-Hijo , Satisfacción Personal , Clase SocialRESUMEN
The object of this study was to investigate the extent to which parents can manipulate their children's behavior in home observations. Twelve families with four- to six-year old children were recruited for the research. The parents were instructed to make their child look "bad" or "deviant" on three days of a six-day observation and to look "good" or "nondeviant" on alternate days. Results indicated that, as predicted, the rate of child deviant behavior, parental negative responding, and parental commands were all significantly higher on bad than good days. Parental responses to questionnaires provided more detailed information on how parents felt that they influenced their children in the desired directions. These results were discussed in terms of their implications for child psychopathology and the methodology of data collection in the natural environment.