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Tending to painful sex: applying the neuroscience of trauma and anxiety using mindfulness and somatic embodiment in working with genito-pelvic pain and penetration disorders
Sexual and Relationship Therapy ( IF 1.733 ) Pub Date : 2021-02-24 , DOI: 10.1080/14681994.2021.1881771
Cyndi Darnell 1
Affiliation  

Abstract

Knowledge about the intersections of trauma, emotional wellbeing and sexual health respectively, have increased significantly in recent years. Additionally, knowledge about the relationship between the brain, trauma and the body have gained traction and popularity through interventions like mindfulness. Sexual health professionals working with pleasure and vitality benefit from understanding brain and nervous system function through both trauma-informed and pleasure-informed lenses order to offer the most effective approaches to working with clients experiencing sexual distress. While the etiology of ‘genito-pelvic pain and penetration disorder’ (GPP/PD) is inconclusive, applying knowledge from trauma-informed practices and mindfulness techniques may offer clients relief where traditional top down, physical therapy or medical interventions fall short. Mindfulness and somatic embodiment practices offer non-threatening techniques for clients to access explore their GPP/PD, desires and pleasures, potentially creating new pathways for experience within the body and brain. Embodiment activities that include body movement, breath work, self-massage and attention to erotic thoughts, feelings and arousal can be particularly helpful by providing a healing context for clients with ‘unexplained’ GPP/PD and/or immobilisation in response to sexual arousal. This article offers a model for treatment of GPP/PD through the application of neurologically-informed mindfulness and trauma-informed somatic embodiment.



中文翻译:

缓解性交疼痛:利用正念和躯体体现,应用创伤和焦虑的神经科学来治疗生殖盆腔疼痛和渗透障碍

摘要

近年来,关于创伤、情绪健康和性健康的交叉点的知识显着增加。此外,通过正念等干预措施,有关大脑、创伤和身体之间关系的知识已经获得关注和普及。性健康专业人员在快乐和活力的氛围中工作,可以通过创伤知情和快乐知情的视角来了解大脑和神经系统的功能,从而为遭受性困扰的客户提供最有效的治疗方法。虽然“生殖盆腔疼痛和渗透障碍”(GPP/PD)的病因尚无定论,但应用来自创伤相关实践和正念技术的知识可能会为客户提供缓解,而传统的自上而下的方法,物理治疗或医疗干预措施效果不佳。正念和躯体化实践为客户提供了非威胁性的技术来探索他们的 GPP/PD、欲望和快乐,有可能为身体和大脑内的体验创造新的途径。包括身体运动、呼吸、自我按摩以及对色情想法、感觉和性唤起的关注等具体化活动,可以为患有“无法解释的”GPP/PD 和/或因性唤起而无法动弹的来访者提供治疗环境,特别有帮助。本文提供了一种通过应用神经学信息的正念和创伤信息的躯体实施来治疗 GPP/PD 的模型。潜在地为身体和大脑内的体验创造新的途径。包括身体运动、呼吸、自我按摩以及对色情想法、感觉和性唤起的关注等具体化活动,可以为患有“无法解释的”GPP/PD 和/或因性唤起而无法动弹的来访者提供治疗环境,特别有帮助。本文提供了一种通过应用神经学信息的正念和创伤信息的躯体实施来治疗 GPP/PD 的模型。潜在地为身体和大脑内的体验创造新的途径。包括身体运动、呼吸、自我按摩以及对色情想法、感觉和性唤起的关注等具体化活动,可以为患有“无法解释的”GPP/PD 和/或因性唤起而无法动弹的来访者提供治疗环境,特别有帮助。本文提供了一种通过应用神经学信息的正念和创伤信息的躯体实施来治疗 GPP/PD 的模型。通过为患有“无法解释的”GPP/PD 和/或因性唤起而无法活动的客户提供治疗环境,感受和唤起尤其有帮助。本文提供了一种通过应用神经学信息的正念和创伤信息的躯体实施来治疗 GPP/PD 的模型。通过为患有“无法解释的”GPP/PD 和/或因性唤起而无法活动的客户提供治疗环境,感受和唤起尤其有帮助。本文提供了一种通过应用神经学信息的正念和创伤信息的躯体实施来治疗 GPP/PD 的模型。

更新日期:2021-02-24
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