问题库/情绪与低谷
花钱上戒色课、做性取向矫正,有用吗
没看到手淫伤身的证据,真正看的是有没有耽误睡觉、工作和关系;觉得自己「看色情上瘾」,更多是和自己的道德观打架,停掉补肾偏方和戒色课的钱,把时间花在睡觉上。美国心理学会专家组说,性取向矫正改不了性取向,还可能伤人;国内有精神病院以「性偏好障碍」为名强制收治一名男子,被法院判侵权。
这里不保证什么
两项前列腺癌研究结论方向相反,又都只是记录,只能说没看到伤身的证据;矫正的伤害有多大还有争议,但「改不了」没看到反方证据;住院以自愿为原则,别签不该签的字。
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不要相信「手淫伤身」「戒色才能变好」,真正要看的是有没有耽误睡觉、工作和关系
没看到手淫伤身的证据。射精多的男性前列腺癌少约两成,但也有研究看到年轻时次数多的人风险偏高。少数人每次射精后都会没力气、像感冒,几天才好,这是一种罕见病,可以去泌尿科或男科看。觉得自己「看色情上瘾」,更多是因为这事和自己的道德观打架。
- 先看有没有真被耽误的事:熬夜、误工、影响伴侣关系,有就去看医生
- 把「上瘾」和「和自己的道德观打架」分开,多数是后一种
- 停掉补肾偏方和戒色课的钱,把这份钱和时间花在睡觉上
坑两项前列腺癌研究结论方向相反,又都只是记录;只能说没看到伤身的证据,不能反过来劝人多做。
成本:不花钱。省下的是买「补肾」偏方和「戒色」课程的钱,还有长期自责的那份焦虑。第 6 节 · 反面清单
出处
Rider JR, Wilson KM, Sinnott JA, et al. (2016). Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. European Urology, 70(6), 974–982. <https://doi.org/10.1016/j.eururo.2016.03.027>;Dimitropoulou P, Lophatananon A, Easton D, et al. (2009). Sexual activity and prostate cancer risk in men diagnosed at a younger age. BJU International, 103(2), 178–185. <https://doi.org/10.1111/j.1464-410x.2008.08030.x>;Grubbs JB, Perry SL, Wilt JA, Reid RC. (2019). Pornography Problems Due to Moral Incongruence: An Integrative Model with a Systematic Review and Meta-Analysis. Archives of Sexual Behavior, 48(2), 397–415. <https://doi.org/10.1007/s10508-018-1248-x>;Waldinger MD, Meinardi MM, Zwinderman AH, Schweitzer DH. (2011). Postorgasmic Illness Syndrome (POIS) in 45 Dutch caucasian males: clinical characteristics and evidence for an immunogenic pathogenesis (Part 1). The Journal of Sexual Medicine, 8(4), 1164–1170. <https://doi.org/10.1111/j.1743-6109.2010.02166.x>;Chea M, Teng M, Chesnel C, et al. (2023). Postorgasmic illness syndrome: one or several entities? A retrospective cohort study. The Journal of Sexual Medicine, 20(12), 1407–1413. <https://doi.org/10.1093/jsxmed/qdad139>;Xi GP, Yang RX, Zhang J, et al. (2023). Clinical characteristics, allergic response to autologous semen, and desensitization in patients with postorgasmic illness syndrome. Sexual Medicine, 11(6), qfad068. <https://doi.org/10.1093/sexmed/qfad068>;Ponce S, Chapalamadugu M, Levine S, et al. (2025). Treatments for postorgasmic illness syndrome: a systematic review. The Journal of Sexual Medicine, 22(7), 1236–1243. <https://doi.org/10.1093/jsxmed/qdaf112>;Duran MB, Rubin RS, Reisman Y, Serefoglu EC, et al. (2025). Recognition and practice patterns of sexual medicine experts towards postorgasmic illness syndrome. International Journal of Impotence Research, 37(6), 454–457. <https://doi.org/10.1038/s41443-023-00753-x>
不要花钱做「性取向矫正」「同性恋治疗」,也不要把家里人送去
美国心理学会的专家组看完研究后说,这类矫正改不了性取向,还可能伤人。美国一项调查里,做过矫正的人有过自杀念头的多了近九成。国内有精神病院以「性偏好障碍」为名强制收治一名男子,被法院判侵权、赔 5000 元。
- 先弄清一件事:这类矫正改不了性取向,这是有共识的部分
- 把「住院实行自愿原则」这条讲给家里人听,别签不该签的字
- 家里人坚持要送的,先陪他去精神科问一次,目标是缓解痛苦
坑伤害有多大还有争议:有人重算后自杀念头不再正相关;但「改不了」这一点没看到反方证据,别把争议当成能治。
成本:不花钱。省下的是矫正机构、心理诊所和「戒同」营收的钱。难的是家里人坚持要送。第 6 节 · 反面清单
出处
American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009). Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation. <https://www.apa.org/pi/lgbt/resources/therapeutic-response.pdf>;Blosnich JR, Henderson ER, Coulter RWS, Goldbach JT, Meyer IH. (2020). Sexual Orientation Change Efforts, Adverse Childhood Experiences, and Suicide Ideation and Attempt Among Sexual Minority Adults, United States, 2016–2018. American Journal of Public Health, 110(7), 1024–1030. <https://doi.org/10.2105/AJPH.2020.305637>;Ryan C, Toomey RB, Diaz RM, Russell ST. (2020). Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment. Journal of Homosexuality, 67(2), 159–173. <https://doi.org/10.1080/00918369.2018.1538407>;World Health Organization. ICD-10 Version:2019, F66 Psychological and behavioural disorders associated with sexual development and orientation. <https://icd.who.int/browse10/2019/en#/F66>;全国人大常委会 (2018 年修正). 精神卫生法(第二十三、三十、七十八条). <https://flk.npc.gov.cn/detail?id=2c909fdd678bf17901678bf7448a066d>;广西壮族自治区人民检察院网站转载新京报 (2017). 驻马店「同性恋强制治疗案」终审. <http://www.gx.jcy.gov.cn/jblm/shgz/201709/t20170920_2068489.shtml>;澎湃新闻 (2014-08-02). 首例“矫正同性恋”案在京审理,诊所被指有“三大罪状”(澎湃见习记者 周辰,实习生 尹瑞涛). <https://www.thepaper.cn/newsDetail_forward_1259405>(网页存档 <https://web.archive.org/web/20261005044046/https://www.thepaper.cn/newsDetail_forward_1259405>);澎湃新闻 (2014-12-21). 中国进入多元性别时代:李银河“出柜”与电击中心败诉(澎湃新闻记者 周哲). <https://www.thepaper.cn/newsDetail_forward_1287582>(网页存档 <https://web.archive.org/web/20261005044046/https://www.thepaper.cn/newsDetail_forward_1287582>);反方:Sullins DP. (2022). Sexual Orientation Change Efforts Do Not Increase Suicide: Correcting a False Research Narrative. Archives of Sexual Behavior, 51, 3377–3393. <https://doi.org/10.1007/s10508-022-02408-2>;Blosnich JR, Coulter RWS, Henderson ER, et al. (2023). Correcting a False Research Narrative: A Commentary on Sullins (2022). Archives of Sexual Behavior, 52(3), 885–888. <https://doi.org/10.1007/s10508-022-02521-2>
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这条回答是给一个正在着急的人写的,不是法律意见或医嘱。 金额大、动到人身、或者已经进到程序里,去找律师、医生和办事窗口。