Sexual issues and aging within the context of work with older adult patients
Sexual issues and aging within the context of work with older adult patients
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DOI：
10.1037/0735-7028.39.3.290
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发表时间：
2008-06-01
影响因子：
1.5
通讯作者：
Hillman, Jennifer
中科院分区：
文献类型：
--
作者：
Hillman, Jennifer
最近的研究表明，大多数老年男性和女性在70多岁时都保持着中等或高度的性兴趣，但往往会经历性功能障碍。鉴于老年人口的迅速增长，心理学家越来越有可能在执业过程中发现有性问题或担忧的老年患者。这篇文章的目的是为心理学家提供有关性和老龄化的最新信息，包括一般流行数据、与年龄相关的生物变化(例如更年期)、大小便失禁、勃起功能障碍、前列腺变化、提高男性表现的药物(例如伟哥)、药物的性副作用以及包括艾滋病毒/艾滋病在内的性传播疾病。实践指南支持生物心理社会观点，在该观点中，性别、伴侣可用性、社会经济地位、种族、宗教信仰和性取向被审查。临床医生潜在的负面反转移也应该得到承认和解决。案例举例说明了其中的许多概念，并为未来的研究和病人护理提供了方向。
Recent studies suggest that the majority of older men and women maintain moderate or high levels of sexual interest well into their 70s but often experience sexual dysfunction. Given the burgeoning of the older adult population, psychologists are increasingly likely to find older patients in their practice with questions or concerns about sexuality. The goal of this article is to provide psychologists with current information regarding sexuality and aging, including general prevalence data, age-related biological changes (e.g., menopause), incontinence, erectile dysfunction, prostate changes, male performance-enhancing drugs (e.g., Viagra), medications' sexual side effects, and sexually transmitted diseases, including HIV/AIDS. Practice guidelines endorse a biopsychosocial perspective, in which stereotypes gender, partner availability, socioeconomic status, ethnicity, religious beliefs, and sexual orientation are examined. Clinicians' potentially negative countertransference also should be recognized and worked through. Case examples illustrate many of these concepts, and directions for future research and patient care are offered.