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題名:戀物症:一例報告
書刊名:臺灣精神醫學
作者:陳志根張曉慧賴武賢蕭正誠葉頌壽
作者(外文):Chen, Chih-kenChang, Hsiao-huiLai, Wu-hsieuHsiao, Cheng-chengYeh, Song-so
出版日期:1998
卷期:12:2
頁次:頁73-79
主題關鍵詞:戀物症迷戀物心理治療FetishismFetish objectPsychotherapyFluoxetine
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:26
     目的︰臺灣過去少有針對戀物症所作較大規模之臨床研究或深入完整的個案報告,本文利用一例個案討論此疾病之病因、臨床表現及治療上常面臨的限制。   病例報告︰一位27歲未婚男性主訴看見套腳式的橡膠拖鞋即有想手淫之衝動,並有偷竊拖鞋之行為。而回溯其成長過程,拖鞋一直扮演重要的客體角色,可能相關的早期經驗包括兒童時期性遊戲遭制止及遭異性拒絕經驗。此個案同時有輕鬱症,施予fluoxetine 20-40 mg/day及心理治療;其情緒改善且戀物及偷竊之行為頻率減少。   結論︰戀物症通常發病於青少年期,但其部份對該物體愛戀行為可以於兒童早期即呈現出來。患者可能承受巨大的社會及家庭壓力,心理治療宜採更多的接受與支持,支持性心理治療可以協助其應付壓力及混亂;雖然嫌惡療法曾被報告為有效的治療方法,但因此類患者常缺乏病識感及改變性行為之動機,宜在建立穩定治療關係後漸進地採用,並留意阻抗現象。
     Objective: There have been no large scale clinical studies on fetishism in Taiwan and there are few case reports. This article discusses the etiology, clinical manifestations and treatment limitations in patients with fetishism based on the report of a case. Case Report: A 27 years old single male complained of feeling the urge to masturbate when seeing slip-on rubber slippers and frequently engaged in thievery of these slippers. An examination of the patient's history revealed that the slippers had held a particular psychological importance for the patient since early childhood. The possible antecedent factors appeared to be complex and may have included being forbidden from childhood sex play and being rejected by the opposite sex. The client was also noted to have dysthymic disorder. After treatment with fluoxetine 20-40 mg/day and psychotherapy, his mood improved and the frequency of behavior associated with the fetish such as stealing decreased. Conclusion: Although the onset of fetishism is usually noted during adolescence, the fetishist may experience an attraction for the object in early childhood. These patients usually suffer from immense pressure from society and their families due to the bizarre nature of their behavior. Supportive psychotherapy can help the patient cope to alter behavior associated with the disorder as well as lessen the stress and chaos which it generates. Although aversive therapy has been reported to be the most effective treatment modality for fetishism, it should be applied gradually after a good rapport with the psychiatrist has been established. The lack of insight and motivation to change commonly found in these patients remains the major obstacle in successful treatment.
期刊論文
1.Brown, J.(1983)。Paraphilias: sadomasochism, fetishism, transvestism and transsexuality。Bi J Psychiatry,143,227-231。  new window
2.Wise, T. N.(1985)。Fetishism-etiology and treatment: a review from multiple perspectives。Compr Psychiatry,26,249-257。  new window
3.Money, J.(1984)。Paraphilias: Phenomenology and classification。Am J Psychotherapy,38,164-179。  new window
4.LaTorre, R. A.(1980)。Devaluation of human love object: heterosexual rejection as a possible antecedent to fetishism。J Abnor Psychol,89,295-298。  new window
5.Rachman, S.、Hodgson, R. J.(1968)。Experimentally-induced "sexual fetishism" replication and development。Psychol Record,18,25-27。  new window
6.Mitchell, W.、Falconer, M. A.、Hill, D.(1954)。Epilepsy with fetishism relieved by temporal lobectomy。Lancet,2,626-630。  new window
7.Ball, J. R.(1968)。A case of hair fetishism, transvestitism, and organic cerebral disorder。Acta Psychiatr Scand,44(3),249-254。  new window
8.Chalkley, A. J.、Powell, G.(1983)。The clinical description of forty-eight cases of sexual fetishism。Br J Psychiatry,142,292-295。  new window
9.Clark, D. F.(1963)。Fetishism treated by negative conditioning。Br J Psychiatry,109,404-407。  new window
10.Marks, I. M.、Gelder, M. G.(1968)。Transvestism and fetishism: clinical and psychological changes during faradic aversion。Br J Psychiatry,113,711-729。  new window
11.Lorefice, L. S.(1991)。Fluoxetine treatment of a fetish。J Clin Psychiatry,52,41。  new window
12.Travin, S.(1995)。Compulsive sexual behaviors。Psychiatr Clin North Am,18,155-169。  new window
13.Clayton, A. H.(1993)。Fetishism and clomipramine。Am J Psychiatry,150,673-674。  new window
圖書
1.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder。Washington, DC:American Psychiatric Association。  new window
圖書論文
1.文榮光(1995)。異常性行為。性教育。台北市:杏林文化出版社。  延伸查詢new window
2.Arndt, W., Jr.(1991)。Fetishism。Gender disorder and the paraphilias。Madison:International Universities Press。  new window
 
 
 
 
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