我们的大脑如何产生性快感？

How Does Our Brain Generate Sexual Pleasure?

——原载《国际性健康杂志》网络版2021年10月13日——

<International Journal of Sexual Health>, 

Published online: Oct 13, 2021

【摘要】我们在此提出了一篇关于性快感的探索性文章，以支持为世界性健康学会（WAS）性权利宣言开发知识证据基础的目标。我们试图根据对神经元功能的了解来解释色情性快感的感觉。在女性性高潮期间被激活的大脑区域及其感知和生理作用，与与化学诱导的欣快感和渴望相关的大脑区域进行了比较。在性高潮时被激活的大脑区域与那些被欣快和渴望激活的区域相匹配。基于这些发现，我们提出色情的感官感受是欣快加渴望的同时激活。感官刺激、本体感觉、感觉和感觉的重要性通过证据表明它们的破坏会导致病理。激发到峰值然后分解的过程被提议作为由多个系统共享的神经系统的基本“性高潮”特性，如打喷嚏，我们认为这是非生殖器性高潮。我们假设了一个过程，在这个过程中，如果兴奋模式与无意识的动态“模板”一致，则在更高的强度下会让人感到愉悦和欣快，但在与模板不一致的程度上，则是厌恶和痛苦的。在这个公式下，与无意识一致的峰值神经元兴奋，同时“得到渴望的东西”，产生性高潮、色情和性快感。

【关键词】生殖器；脑；高潮；疼痛

[Abstract] We present herein an exploratory essay on sexual pleasure, in support of the objective of developing an evidence base of knowledge for the WAS Declaration of Sexual Rights. We have attempted to account for the feeling of erotic sexual pleasure, in terms of what is known about neuronal function. The brain regions that are activated during women' s orgasm, and their perceptual and physiological roles, are compared with brain regions related to chemically induced euphoria and craving. The brain regions that are activated at orgasm match those that are activated by both euphoria and craving. Based on these findings, we propose that erotic, sensual feeling is a simultaneous activation of euphoria plus craving. The importance of sensory stimulation, proprioception, sensations, and feelings is emphasized by evidence that their disruption leads to pathologies. The process of buildup of excitation to a peak and then resolution is proposed as a basic 'orgasmic' property of the nervous system shared by multiple systems, as in a sneeze, which we consider to be a non-genital orgasm. We postulate a process by which an excitation pattern feels pleasurable and – at higher intensity – euphoric, if it is congruent with an unconscious dynamic “template,” but aversive and at higher intensity painful, to the extent that it is incongruent with the template. Under this formulation, peak neuronal excitation that is congruent with the unconscious, simultaneously “getting what is craved,” generates orgasmic, erotic, sexual pleasure.

[Keywords] Genital; brain; orgasm; pain

论文原文：Barry R. Komisaruk & Maria Cruz Rodriguez del Cerro (2021). How Does Our Brain Generate Sexual Pleasure? International Journal of Sexual Health, Published online: Oct 13, 2021.

https://www.tandfonline.com/doi/full/10.1080/19317611.2021.1989534?src