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Nervenheilkunde 2019; 38(10): 759-764
DOI: 10.1055/a-0928-3056
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Auswirkungen der Digitalisierung auf Sexualität und Beziehung

Klinische Beobachtungen und HandlungsempfehlungenThe impact of digitization on sexuality and relationship
Heike Melzer
1   Praxis, München
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Publication History

Publication Date:
15 October 2019 (online)

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ZUSAMMENFASSUNG

Gegenstand und Ziel Die digitale Transformation verändert die Sexualität und Beziehungsgestaltung vor allem junger Menschen in vielfältiger Weise.

Material und Methoden Klinische Beobachtungen aus der Praxis der Paar- und Sexualtherapie werden vor dem Hintergrund aktueller Forschungsergebnisse dargestellt.

Ergebnisse Es zeigt sich ein Anstieg sexueller Funktionsstörungen (erektile Dysfunktion, Hemmung oder Ausbleiben des Orgasmus und partnerbezogene Lustlosigkeit) besonders bei jungen Männern. Zudem entstehen zwanghafte oder süchtige Verhaltensweisen um Pornografie und Sexualität sowie sexuelle Abweichungen (Paraphilien) nehmen zu.

Schlussfolgerungen Der problematische und frühzeitige Konsum von starken sexuellen Stimuli (Pornografie, ständig wechselnde sexuelle Partner sowie leistungsstarke Sex-Toys) verursacht neue Probleme und Krankheitsbilder, die nicht genügend erforscht sind. Für wissenschaftlich fundierte präventive, diagnostische und therapeutisch interdisziplinäre Maßnahmen ist diese Forschung dringend erforderlich.

Klinische Relevanz Zur Förderung sexueller Gesundheit und Zufriedenheit müssen neue sexuelle Störungen bzw. problematische Erlebnis- und Verhaltensweisen im digitalen Kontext frühzeitig fachgerecht erkannt, diagnostiziert und therapiert werden.

ABSTRACT

Objectives Digital transformation is changing sexuality and relationships in many ways, especially in the younger population.

Material and Methods Clinical observations from the practice of couple and sex therapy are presented in the context of current research results.

Results There is an increase in sexual dysfunction (erectile dysfunction, inhibition or absence of orgasm and partner-related listlessness), especially in young men. In addition, compulsive and addictive behaviors arise around pornography and sexuality and sexual deviations (paraphilia) increase.

Conclusions The problematic and early consumption of strong sexual stimuli (pornography, constantly changing sexual partners as well as powerful sex toys) causes new problems and clinical pictures deserving scientific studies. This is necessary to derive scientifically based preventive, diagnostic and therapeutic interdisciplinary measures.

Clinical Relevance In order to promote sexual health and satisfaction, new sexual disorders in the digital context must be identified in time and professionally diagnosed and treated.

Schlüsselwörter

Pornografisch induzierte erektile Dysfunktion (PIED) - Hypersexualität - Internet-Pornografie - Digitalisierung - Cybersex

Key words

Pornoinduced erectile dysfuncion (PIED) - hypersexuality - internet pornography - digitalization - Cybersex
 

  • Literatur

  • 1 Abd El-Rahman SH. Effect of soft core pornography on female sexuality. Human Andrology 2016; 6 (02) 60-64
    CrossrefGoogle Scholar
  • 2 Alarcón R. Online Porn Addiction: What We Know and What We Don’t – A Systematic Review. J Clin Med 2019; 91: 81 doi:10.3390/jcm8010091
    Google Scholar
  • 3 Armed Forces Health Surveillance Center. Erectile dysfunction among male active component service members, U. S. Armed Forces, 2004–2013. MSMR 2014; 21 (09) 13-6
    PubMedGoogle Scholar
  • 4 Blair L. How difficult is it to treat delayed ejaculation within a short-term psychosexual model? A case study comparison. Sexual and Relationship Therapy 2018; 33: 298-308 doi.org/10.1080/1468199.2017.1365121
    CrossrefGoogle Scholar
  • 5 Bridges AJ. Aggression and sexual behavior in best-selling pornography videos: a content analysis update. Violence agains woman 2010; 16: 1065-1085 doi:10.1177/1077801210382866
    Google Scholar
  • 6 Capogrosso P. One patient out of four with newly diagnosed erectile dysfunction is a young man – worrisome picture from the everyday clinical practice. J Sex Med 2013; 10 (07) 1833-41 doi:10.1111/jsm.12179
    CrossrefPubMedGoogle Scholar
  • 7 Carvalheira A. Masturbation and Pornography Use Among Coupled Heterosexual Men With Decreased Sexual Desire: How Many Roles of Masturbation?. J Sex Marital Ther 2015; 41 (06) 626-35 doi:10.1080/0092623X.2014.958790
    CrossrefPubMedGoogle Scholar
  • 8 Castellini G. Deviance or Normalcy? The Relationship Among Paraphilic Thoughts and Behaviors, Hypersexuality, and Psychopathology in a Sample of University Students. J Sex Med 2018; 15 (09) 1322-1335 doi:10.1016/j.jsxm.2018.07.015
    CrossrefPubMedGoogle Scholar
  • 9 Coyne SM. Contributions of Mainstream Sexual Media Exposure to Sexual Attitudes, Perceived Peer Norms, and Sexual Behavior: A Meta-Analysis. Journal of Adolescent Health 2019; 64 (04) 430-436
    CrossrefPubMedGoogle Scholar
  • 10 Dekeseredy WS. Adult Pornography and Violence Against Women in the Heartland: Results From a Rural Southeast Ohio Study. Violence aginst Woman 2016: 1-20 doi:10.1177/1077801216648795
    PubMedGoogle Scholar
  • 11 Doremus-Fitzwater TL. Motivational systems in adolescence: possible implications for age differences in substance abuse and other risk-taking behaviors. Brain Cogn 2010; 70: 114-123 doi:10.1016/j.bandc.2009.08.008
    Google Scholar
  • 12 Feldmann H. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. The Journal of Urology 1994; 151: 54ff doi.org/10.1016/S0022-5347(17)34871-1
    CrossrefPubMedGoogle Scholar
  • 13 Gavrieli R. Why I stopped watching porn. 2013 https://www.youtube.com/watch?v=gRJ_QfP2mhU&t=300s
    PubMedGoogle Scholar
  • 14 Gorman S. Free Adult Internet Web Sites: How Prevalent Are Degrading Acts?. Gender Issus 2010; 27: 3-4 doi:10.1007/s12147-010-9095-7
    Google Scholar
  • 15 Hald GM. Pornography and Attitudes Supporting Violence Against Women: Revisiting the Relationship in Nonexperimental Studies. Aggressive Behaviour 2009; 35: 1-7 doi:10.1002/ab.20328
    CrossrefPubMedGoogle Scholar
  • 16 Hald GM. Pornography and attitudes supporting violence against women: Revisiting the relationship in nonexperimental studies. Aggress Behav 2010; 36: 14-20 doi:10.1002/ab.20328
    CrossrefPubMedGoogle Scholar
  • 17 Hawkins A. XHamster Report on Digital Sexuality, Part 1. 2019 https://de.xhamster.com/blog/posts/934387
    PubMedGoogle Scholar
  • 18 Janssen E. The Dual-Control Model: The role of sexual inhibition & excitation in sexual arousal. The Psychophysiology of Sex 2007: 197-222
    PubMedGoogle Scholar
  • 19 Joyal CC. The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey. J Sex Res 2017; 54 (02) 161-171 doi:10.1080/00224499.2016.1139034
    CrossrefPubMedGoogle Scholar
  • 20 Kinsey A. Sexual behavior in the human male. Philadelphia: Saunders; 1949
    Google Scholar
  • 21 Klein V. Erectile Dysfunction, Boredom, and Hypersexuality among Coupled Men from Two European Countries. J Sex Med 2015; 12 (11) 2160-7 doi:10.1111/jsm.13019
    CrossrefPubMedGoogle Scholar
  • 22 Kraus SW. Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry 2018; 17 (01) 109-110 doi:10.1002/wps.20499
    CrossrefPubMedGoogle Scholar
  • 23 Kunaharan S. Conscious and Non-Conscious Measures of Emotion: Do They Vary with Frequency of Pornography Use?. Applied Sciences 2017; 7 (05) 493 doi:10.3390/app7050493
    CrossrefGoogle Scholar
  • 24 Lim M. Young Australians’ use of pornography and associations with sexual risk behaviours. Australian and New Zealand Journal of Public Health 2017; 41: 438-443 doi.org/10.1111/1753-6405.12678
    CrossrefPubMedGoogle Scholar
  • 25 Maddox AM. Viewing sexually-explicit materials alone or together: associations with relationship quality. Arch Sex Behav 2011; 40 (02) 441-8 doi:10.1007/s10508-009-9585-4
    CrossrefPubMedGoogle Scholar
  • 26 Marston C. Anal heterosex among young people and implications for health promotion: a qualitative study in the UK. BMJ Open 2014; 18: e004996 doi:10.1136/bmjopen-2014-004996
    Google Scholar
  • 27 Melzer H.. Scharfstellung – Die neue sexuelle Revolution. Stuttgart: Tropen; 2018
    Google Scholar
  • 28 Mialon A. Sexual dysfunctions among young men: prevalence and associated factors. J Adolesc Health 2012; 51 (01) 25-31 doi:10.1016/j.jadohealth.2012.01.008
    CrossrefPubMedGoogle Scholar
  • 29 National Center of Sexual Exploitation. The pulic health harm of pornography. 2018 https://endsexualexploitation.org/wp-content/uploads/NCOSE_SymposiumBriefingBooklet_1-28-2.pdf
    PubMedGoogle Scholar
  • 30 National Institute of Population and Social Security Research. The Fifteenth Japanese National Fertility Survey. Japan 2015 http://www.ipss.go.jp/ps-doukou/e/doukou15/Nfs15R_points_eng.pdf
    PubMedGoogle Scholar
  • 31 O’Sullivan L. Prevalence and characteristics of sexual functioning among sexually experienced middle to late adolescents. J Sex Med 2014 doi:10.1111/jsm.12419
    PubMedGoogle Scholar
  • 32 Park B. Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports. Behav Sci 2016 doi:10.3390/bs6030017
    PubMedGoogle Scholar
  • 33 Perry S. Does Viewing Pornography Reduce Marital Quality Over Time? Evidence from Longitudinal Data. Arch Sex Behav 2017; 46 (02) 549-559 doi:10.1007/s10508-016-0770-y
    CrossrefPubMedGoogle Scholar
  • 34 Pornhub. https://www.pornhub.com/insights, 2018. https://www.pornhub.com/insights/2018-year-in-review
  • 35 Porto R. Male masturbation habits and sexual dysfunctions. Sexologies 2016; 25: 160-65 doi.org/10.1016/j.sexol.2016.03.004
    CrossrefGoogle Scholar
  • 36 Quandt T. Eine repräsentative Befragungsstudie zu individuellen und sozialen Kontexten der Nutzung sexuell expliziter Inhalte im Jugendalter. Berlin: Springer; 2017. doi:10.1007/978-3-658-18859-7_5
    Google Scholar
  • 37 Similarweb. top-websites/germany. 2019 https://www.similarweb.com/top-websites/germany
    PubMed
  • 38 Skorska MN. Experimental effects of degrading versus erotic pornography exposure in men on reactions toward women (objectification, sexism, discrimination). The Canadian Journal of Human Sexuality 2018 27: doi:10.3138/cjhs.2018-0001
    PubMedGoogle Scholar
  • 39 Statista 2019 https://de.statista.com/statistik/daten/studie/1722/umfrage/bevoelkerungsreichste-laender-der-welt/
    PubMed
  • 40 Sun C. Pornography and the Male Sexual Script: An Analysis of Consumption and Sexual Relations. Archives of Sexual Behavior 2016; 45: 983-94 doi:10.1007/s10508-014-0391-2
    CrossrefPubMedGoogle Scholar
  • 41 Sutton KS. Patient Characteristics by Type of Hypersexuality Referral: A Quantitative Chart Review of 115 Consecutive Male Cases. Journal of Sex & Marital Therapy 2014; 41: 563-580 doi.org/10.1080/0092623X.2014.935539
    PubMedGoogle Scholar
  • 42 Svedin CG. Frequent users of pornography. A population based epidemiological study of Swedish male adolescents. Journal of Adolescence 2011; 34: 779-788
    CrossrefPubMedGoogle Scholar
  • 43 Szymanski DM. Psychological, relational, and sexual correlates of pornography use on young adult heterosexual men in romantic relationships. J Mens Stud 2014; 22: 64-82 doi.org/10.3149/jms.2201.64
    Google Scholar
  • 44 Tian Y. Association Between Specific Internet Activities and Life Satisfaction: The Mediating Effects of Loneliness and Depression. Front Psychol 2018; 11: 1181 doi:10.3389/fpsyg.2018.01181
    Google Scholar
  • 45 Twenge JM. Declines in sexual frequency among American adults. Arch Sex Behav 2017; 46: 2389-401 doi:10.1007/s10508-017-0953-1
    CrossrefPubMedGoogle Scholar
  • 46 Voon V. Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviours. PLoS One 2014; 9: 1-10 doi:10.1371/journal.pone.0102419
    CrossrefPubMedGoogle Scholar
  • 47 Wellings K. Changes in, and factors associated with, frequency of sex in Britain: evidence from three National Surveys of Sexual Attitudes and Lifestyles (Natsal). BMJ 2019; 365: 1525 doi:10.1136/bmj.l1525
    Google Scholar
  • 48 Wéry A. Online sexual activities: An exploratory study of problematic and non-problematic usage patterns in a sample of men. Computers in Human Behavior 2016; 56: 257-266 doi.org/10.1016/j.chb.2015.11.046
    CrossrefGoogle Scholar
  • 49 WHO. ICD-11 for Mortality and Morbidity Statistics. 2018 https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/1630268048
    PubMedGoogle Scholar
  • 50 Wright PJ. Personal Pornography Viewing and Sexual Satisfaction: A Quadratic Analysis. J Sex Marital Ther 2018; 44 (03) 308-315 doi:10.1080/0092623X.2017.1377131
    CrossrefPubMedGoogle Scholar