悲伤与性亲密：探索治疗师对丧亲当事人的看法

Grief and Sexual Intimacy: Exploring Therapists’ Views of Bereaved Clients

——原载《国际性健康杂志》2024年5月20日在线发布——

<International Journal of Sexual Health>, Pub online: 20 May 2024

【摘要】尽管性亲密与悲伤之间的相互作用可能为个人、夫妻和社会观点如何影响失去亲人的性亲密提供有价值的见解，但这一相互作用仍未得到探索。本研究通过对十位专门从事悲伤治疗的临床心理学家和心理治疗师进行半结构化访谈，探讨了悲伤对性亲密的影响、失去亲人的个人所面临的挑战以及性亲密在悲伤过程中的作用。该研究还调查了治疗师在悲伤治疗过程中处理性亲密的方法。研究结果表明，悲伤往往会破坏性亲密，影响个人与伴侣进行情感和身体接触的能力。二次损失、情感可用性、创伤经历和损失性质等因素导致恢复性亲密的困难。然而，性亲密在悲伤中的有益作用也得到了强调。治疗师指出沟通、相互同情和理解在克服这些挑战方面的重要性，并提倡通过治疗全面解决这些问题。此外，研究还确定了阻碍悲伤治疗中性亲密探索的治疗师相关、当事人相关和共同因素。应对这些挑战的策略包括规范有关性亲密和死亡的讨论、将系统方法融入治疗以及为悲伤治疗师提供性或性治疗方面的培训。总体而言，这项研究强调了认识和解决性亲密和悲伤之间的相互作用以有效支持丧亲者的重要性。治疗师的见解揭示了加强临床干预和提高对丧亲和性复杂动态的认识的潜在途径。

【关键词】悲伤、性亲密、夫妻关系、丧亲、性

[Abstract] The interaction between sexual intimacy and grief remains unexplored despite its potential to offer valuable insights into how individuals, couples, and society perspectives shape bereaved individuals’ sexual intimacy. Through semi-structured interviews with ten clinical psychologists and psychotherapists specialized in grief therapy, this study explores the impact of grief on sexual intimacy, the challenges faced by bereaved individuals, and the role of sexual intimacy in the grieving process. The study also investigates therapists’ approaches to addressing sexual intimacy within grief therapy sessions. Findings reveal that grief often disrupts sexual intimacy, affecting individuals’ ability to engage emotionally and physically with their partners. Factors such as secondary loss, emotional availability, traumatic experiences, and the nature of the loss contribute to difficulties in resuming sexual intimacy. Nevertheless, the helpful role of sexual intimacy in grief was also highlighted. Therapists note the significance of communication, mutual empathy, and understanding in overcoming these challenges, advocating for therapy to address these issues comprehensively. Moreover, therapist-related, client-related, and shared factors hindering the exploration of sexual intimacy in grief therapy were identified. Strategies for managing these challenges include normalizing discussions around sexual intimacy and death, integrating systemic approaches into therapy, and providing training in sexuality or sexual therapy for grief therapists. Overall, this study underscores the importance of recognizing and addressing the interplay between sexual intimacy and grief to support bereaved individuals effectively. Insights from therapists shed light on potential avenues for enhancing clinical interventions and fostering awareness of the complex dynamics surrounding bereavement and sexuality.

[Key words] Grief, sexual intimacy, couple relationships, bereavement, sexuality

论文原文：Sara Jones, Sara Albuquerque & Patrícia M. Pascoal (2024). Grief and Sexual Intimacy: Exploring Therapists’ Views of Bereaved Clients. International Journal of Sexual Health, Published online: 20 May 2024

https://doi.org/10.1080/19317611.2024.2354815

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