RESUMO
The article describes the efficacy of combination, staged and differential therapy of sexual disorders in 90 women with slowly progressive schizophrenia. The treatment was carried out in 3 stages. At the first stage the treatment with psychotropic drugs (supplemented with some elements of rational and behavioural psychotherapy--PT) was aimed at reducing the underlying psychopathological syndrome; at the second stage the maintenance psychopharmacotherapy was combined with the maximal utilization of PT (behavioural, marital, training), whereas the third stage consisted of various types of PT and sex therapy.
Assuntos
Libido/fisiologia , Transtornos Psicofisiológicos/terapia , Transtorno da Personalidade Esquizotípica/psicologia , Disfunções Sexuais Psicogênicas/terapia , Terapia Combinada , Feminino , Humanos , Transtornos Psicofisiológicos/etiologia , Transtorno da Personalidade Esquizotípica/complicações , Disfunções Sexuais Psicogênicas/etiologiaRESUMO
The article deals with sexual disorders in the form of lack of libido, decreased libido, anorgasmy, decreased orgasmic response, loss of the emotional element of libido, predominance of the rational element of sexual libido, manifestations of pseudovaginismus and unmotivated revulsion toward sexual intercourse in women (aged 20-47 years) with slowly progressive schizophrenia and a 2-15 year history of the endogenic process. Definite correlations between psychopathological and sexual pathological manifestations have been ascertained. Sexual disorders were of a secondary systemic nature and were undetected if the endogenic process began after the completion of all stages of normal psychosexual development.