性的统合分析

The meta-analysis of sex

当代的社会心理学理论(含性学理论),很大程度上是经过对临床/非临床的观察结果或资料进行汇总和分析后得出的。一个最佳的例子就是心理分析理论及其派生理论,这些理论基本上可被视为是对性及其相互关系所进行的传统"统合分析"(meta analysis)。自此以后,其他许多社会心理理论也蓬勃发展,而且还有诸多建树,但就其方法论而言,大致仍在传统的统合分析的框架内。随着人类在科学思维方面的进步,随着研究工作越来越多地使用统计和数学手段,过去10多年来,现代统合分析已经面目一新;它着力找出传统统合分析中的漏洞,并加以克服。时至今日,在实证医学界,在评估各种理论和治疗方法时,统合分析已经成为重要的准绳之一,并已结出丰硕的、富有启发性的果实。然而,在性学方面,统合分析仍鲜有应用。本文列举了性学方面一些最新的统合分析案例;这些案例有一部分是由我的同事和我本人操作的。从中可看出现代统合分析是如何对社会心理精神病学做出前景喜人的贡献的。然而,另一方面,仍有某些严重的问题亟待解决。

Much of our contemporary psychosocial theory including the sexological is derived from the synthesis and analysis of clinical/non clinical observations or data.An example par excellence is the psychoanalytic theory and its derivatives which can be conceptualized basically as a traditional meta-analysis of sex and its correlates.Many other psychosocial theories have since flourished;breaking new grounds,but have methodologically stayed largely within the traditional meta-analytic framework.With advances in scientific thinking and the growing application of statistical and mathematical modules in research,modern meta-analysis has for more than a decade taken on a radically new shape,rigorously identifying the loopholes of traditional meta-analysis and overcoming them.It has now become one of the important yardsticks for assessing theories and treatments in evidence-based medicine with heuristic results.Yet little of it has been applied in sexology.With examples of some the few most updated sexological meta-analyses that have been performed,including those by my colleagues and me,it can be seen how modern sexological meta-analysis can make promising contributions to psychosocial psychiatry but on the other hand has particular serious problems awaiting solutions.