PDF(Pubmed)
Abstract：
Introduction: Sexual pleasure is a human right and a central aspect of human sexuality that contributes significantly to people\'s overall well-being, making it an essential element to consider in clinical settings. This study aims to expand the understanding of sexual pleasure by examining how LGB+ people (lesbian, gay, bisexual, and other minority sexual orientations)-who perceived having a sexual problem-define solitary and partnered sexual pleasure. Methods: A cross-sectional exploratory qualitative study was conducted online. The current study included 85 people who self-identified as LGB+ and reported experiencing a sexual problem. Data analysis was performed using summative content analysis. Results: The results for solitary sexual pleasure comprised the creation of 5 categories (Enhancing the relationship with oneself, Specification of solitary pleasure, Negative experience, Unrestrained experience and A goal). For partnered sexual pleasure, 9 categories were created (The perks of being with another, Openness to experience, A result of sexual techniques, Psychophysiological experience, Misconceptions about sexual pleasure, Absence of intrapersonal constraints, Undesirable feelings, Explicit consent, and Absence of interpersonal constraints). Discussion: Despite reporting sexual problems, most participants reported having experienced sexual pleasure, and were able to define it. This study provided a deeper understanding of the perspectives on and experiences of sexuality among LGB+ people who experience sexual problems. Our findings highlight that current diagnostic criteria (e.g., DSM-5) do not seem to align with the problems reported by this sample population (the problems presented are beyond their sexual function). This reinforces the importance of viewing sexual problems from a perspective that goes beyond the categorial psychopathology model. Our study\'s findings may offer valuable insights for the evaluation and treatment of sexual problems, where sexual pleasure is considered a crucial aspect of sexual well-being.
摘要：
简介：性快感是一项人权，也是人类性行为的核心方面，对人们的整体福祉有重要贡献。使其成为临床环境中需要考虑的基本要素。这项研究旨在通过研究LGB+人(女同性恋，同性恋,双性恋,和其他少数族裔的性取向）-认为有性问题的人定义了孤独和伴侣的性快感。方法:在线进行横断面探索性定性研究。目前的研究包括85名自我识别为LGB+并报告经历性问题的人。使用总结性内容分析进行数据分析。结果：孤独性快感的结果包括5个类别的创建（增强与自己的关系，孤独快乐的规范，消极的经验，无拘无束的经验和目标）。为了伴侣性快感，创建了9个类别(与另一个类别在一起的特权，开放体验，性技术的结果，心理生理经验，关于性快感的误解,没有内部约束，不想要的感觉，明确同意,和缺乏人际约束)。讨论：尽管报告了性问题，大多数参与者报告说经历过性快感，并且能够定义它。这项研究提供了对经历性问题的LGB人群的性观点和经验的更深入理解。我们的发现强调了当前的诊断标准(例如，DSM-5）似乎与该样本人群报告的问题不符（所提出的问题超出了其性功能）。这加强了从超越分类精神病理学模型的角度看待性问题的重要性。我们的研究结果可能为性问题的评估和治疗提供有价值的见解，性快感被认为是性快感的一个重要方面。
