- 期刊
性諮詢團體介入早洩成員之療效因子探究：以一位早洩超過20年的中年男子為例
A Case Study of Therapeutic Factors for the Sexuality Counseling Group on Premature Ejaculation: A Case of a Middle-Aged Man Having More Than Twenty Years of Premature Ejaculation
摘要
台灣在性功能障礙性諮詢團體的研究闕乏，因此，本研究提供性諮詢團體諮商的創新研究。本研究探討性諮詢團體介入對早洩問題處理與成效，參與成員為北部六位不同性困擾的成員，為期六次、每次二小時的團體課程。在團體進行前、團體結束後一週內、一個月後分別進行訪談、相關量表施測，再以一位經由醫師診斷早洩，未接受過醫療處遇成員的三次訪談評估，並分析成員參與團體後的療效因子，進而建構性諮詢影響因素的模型。研究結果本團體的團體療效因子有：灌輸希望、普同感、傳達資訊、利他主義、發展社交技巧、行為模仿、人際學習、團體凝聚力、宣洩、存在性。針對訪談研究參與者A先生的分析，其生理層面，與伴侶的性交時間從10秒射精，到最長一小時左右；參與團體前不願意與伴侶做性溝通，參加團體後已能主動做性溝通，足見其性滿意度已提升，長久以來的性焦慮也已漸下降。最後根據研究結果加以討論，並針對實務工作及未來研究提出建議。
並列摘要
There is a lack of research on sexual counseling groups in Taiwan. Therefore, this study provides innovative research on sexual counseling groups. This study explored the treatment and effectiveness of sexual counseling group intervention on premature ejaculation. The participants were six members with different sexual distress from northern Taiwan, receiving six two-hour group courses. Interviews and related scales were conducted before each group course, and respectively, within a week and a month after each group. In addition, three interviews with a member who had been diagnosed with premature ejaculation by a doctor and had not received medical treatment were adopted. The efficacy factors of all members after participating in the group were analyed, and the model of influencing factors of constructive consultation was constructed. Results of the group efficacy factors are: instillation of hope, universality, imparting of information, altruism, development of socializing techniques, imitative behavior, interpersonal learning, group cohesiveness, catharsis, and existential factors. According to the analysis of Mr. A, a participant in the interview research, in terms of physiology, the sexual intercourse time with his partner ranges from 10 seconds of ejaculation to about an hour at most. Before participating in the group, they were unwilling to have sexual communication with their partners. After participating in the group, they have been able to take the initiative to have sexual communication, which shows that their sexual satisfaction has improved and their sexual anxiety has gradually decreased for a long time. Finally, discussions based on the results of research and suggestions to practice work and future research were provided.