女学生的自慰方式与心理疏导

Manners of masturbation and catharsis in female students

目的:探讨对女生自慰方式的认识,及对青少年心理健康的影响和疏导工作开展的重要性。方法:选择2002-03/2005-07就诊于北京市第二医院心理科少男少女门诊心理咨询的自慰案例女孩22例,年龄5～25岁。案例情况:①案例1、2学龄前儿童,喜欢躺在床上双腿骑在毛巾被或棉被上,用力摩擦外阴局部,此时面红耳赤,出汗,医学上称为“小儿双腿交叉摩擦综合征”。②案例3初二学生14岁,坐椅子上就感觉外阴部不适,想用力摩擦局部,心理焦虑不安很影响学习。③案例4、5大专学生21岁,近一年来双腿搭在一起就想用力挤压外阴部,产生外阴局部兴奋感。④案例6大学生22岁,在洗浴中因水珠打在外阴部阴蒂时,产生兴奋刺激感,以后每次洗澡时即有这种感受。⑤案例7大学四年级学生25岁,晨练仰卧起坐时,双手抱头颈部,双下肢并拢用力进行仰卧起坐运动过程,突然外阴部有刺激兴奋感,之后经常有兴趣做这项运动。⑥其余15例均为以手的方式抚弄外阴部进行手淫行为,其中6例明确说明,自慰方式为抚弄阴蒂部位,9例未详细阐明用手自慰外阴方式。因年龄特点,其中许多问题与青春期发育性知识有关,在咨询过程,立足于保护隐私,对提出的问题以科学的态度,准确解答,给予性知识指导,达到疏导心理焦虑情绪的目的,属于心理障碍神经症者,结合相应的神经介质药物治疗。咨询治疗次数1～5次,平均(2±1.7)次,学龄前儿童主要是母亲协助治疗。其中1例自慰行为导致强迫思维者,在给予认识行为治疗的同时,结合药物“氨那芬妮”治疗6个月。结果:22例案例均进入结果分析。经心理咨询与治疗,21例行为改善明显,1例小儿双腿交叉摩擦综合征好转,但自慰症状仍然存在,临床追踪观察总结治愈率达96%。结论:自慰行为是青春期学生普遍的一种性生理反应,在自慰方式上存在很大的差异,如不给予合理认识,容易在性心理成长过程形成误区,严重者引起心理疾病与人格扭曲障碍。学生本人、医学工作者和教育者,还有家长必须给予认识和理解。

AIM： To study manners of masturbation in female students, and investigate its influence on the mental health of adolescent and its importance for the implement of potent catharsis. METHODS： Twenty-two female adolescent patients （aged 5-25 years） with masturbation were selected from the Outpatient Clinic for Adolescents of Beijing Second Hospital from March 2002 to July 2005. Conditions of the cases： ① Cases 1 and 2 were school-age children, they liked to lie in bed with towel quilt or cotton quilt between the two legs, and rubbed local vulva, and they were flushing and sweating at that time, which was medically named as ＂children tighten legs syndrome＂. ② Case 3 was a 14-year-old students of Grade 2 in a junior middle school, she felt uncomfortable once being seated in a chair, and wanted to rub local vulva, and the anxious and agitating mental status greatly affected her study. ③ Cases 4 and 5 were 21-year-old students of university, they wanted to crush vulva when put one leg over another in the recent 1 year, and felt excitation of local vulva. ④ Case 6 was a university students of 22 years old, she could produce excitation when water hit the clitoris 8uring bathing, and had this kind of feeling in each bath. ⑤ Case 7 was a senior university student of 25 years. When she did sit-ups in morning exercise, she held her cervical part with both hands, and both lower-limbs tightly moved close, and vulva felt exciting suddenly, and then she became interested in this exercise.⑥ The other 15 cases all performed masturbation by means of fondling vulva with hands, and 6 of them clearly stated that the manner of masturbation was to fondle clitoris, and 9 cases did not clarify in detail. Because of the character of age, many problems were correlated with sexual knowledge of adolescent development, so the secrets of the patients should be protected during consultation process, and the suggested problems should be answered and solved accurately with scientific attitude, and the instruction of sexual knowledge should be given to reach the purpose of resolving the anxious mental status. For patients with neurosis of psychological disorder, the corresponding neurotransmitter drugs should be used in the treatment. The number of times for consultation was 1-5 times with an average of （2±1.7） times. The school-age children should be treated under the assistance of mother. There was 1 case of compulsive thinking caused by masturbation, and there were treated with drug for 6 months besides cognition-behavior treatment. RESULTS： All the 22 cases entered the analysis of results. After psychological consultation and treatment, the behaviors were obviously ameliorated in 21 cases, 1 case with children tighten legs syndrome turned better,but the symptoms of masturbation still existed, and the curative rate iff clinical observation and summarization was 96%. CONCLUSION： Masturbation is a prevalent behavior in adolescent students, and the manners of masturbation are various. Misconstruing of masturbation may cause personality disorder and misery of intending marriage, especially for female adolescents. The curative effect relies on the correct comprehension of this problem in adolescent, doctors, teachers and parents.