Normal psychology, abnormal psychology and sexual hygiene are contemporary studies that can arouse the attention and interest of ordinary people.Before the twentieth century, this kind of attention and interest was undreamed of.Today's young men often know a lot about sexual works or literature, and talk about it clearly and logically, while young women are also full of spirit of exploration on this topic, and no longer express evasive or taboo attitudes.In the eyes of her old grandmother, this can be said to be absolutely blasphemous.A few years ago, if a person was engaged in scientific sex research, in the eyes of ordinary people, this person would at least have an unhealthy tendency, or even a fundamentally bad habit.

But today, sexual psychologists and sexual health workers are quite popular, and those who are most popular are often those who advocate private moral cultivation and maintain public moral principles most powerfully. This change in social attitudes is certainly related to the development of medicine, but except in recent years, the contribution of the medical profession is really not that great.This change began about a hundred years ago.At first in Germany and Austria, and later in other countries.The founders of the mountain at that time were undoubtedly a few doctors, but they were isolated and helpless, and other people in the same industry were limited by prejudice, and 9 out of 10 could not help but look at them with supercilious eyes.In medical training, sexual psychology and sexual hygiene have no place.The status of sexual physiology is almost equally low.It was not until twenty years ago that the medical profession had the first truly scientific and incomplete sexual physiology to meet with the world. This is the book by Marshall (FHA. Marsh-all).

Biology textbooks in universities usually ignore the anatomy and physiology of sex at all, as if the function of sex has nothing to do with the life of animals, and the textbooks in medical schools also completely ignore what sexual psychology is. .This spirit is consistent.But in this way, when a doctor treats a patient, he needs less scientific knowledge in this field than the patient himself knows.Sometimes, he not only suffers from lack of knowledge, but even makes troubles of human life, and is bound by stupid prejudices and habits everywhere, making him baffled. In order to cover up his secretive attitude, he often begged for religious and moral creeds; he did not know that a Christian godfather had long ago said clearly: We should not be ashamed of things that God created and are not ashamed of.These doctors are so religious that they can't even remember such words, which is really surprising.

This lack of knowledge and taboo attitude has also caused a more serious evil result, that is, people who have sexual psychopaths are regarded as "evil spirits" and their perversions are called "evil evil" (perversion). This kind of person is called "pervert" indiscriminately.Ordinary people have only one attitude towards evil and evil people, that is, if they see snakes and scorpions, they should avoid them for fear of unpleasantness.So, a pervert who visits a doctor is only disappointed.The doctor either told him that his illness was insignificant and could not be treated, or he simply thought that the patient had a bad nature and could not be cured.In the past, there were many such examples.When there are many cases of disappointment, the number of perverts who visit doctors gradually decreases, so some very experienced doctors often tell people that cases of psychosexual perversions are extremely rare, and he has hardly encountered them himself. Pass.

This attitude of seeing the right and not seeing the wrong undoubtedly has its uses.A doctor vaguely insists that there are only normal things in the world, and deliberately ignores abnormal things. This is more or less a good stimulus for the patient, and it has a little bit of influencing power to make him go on the right path .But we need to know that there is no difference between mental health and physical health in this respect.The physician should have an accurate and sensible idea of ​​a patient's abnormality before he can attempt to restore it to normality.For him to advance to a destination, we should always know what kind of starting point he is currently in.This is how we should deal with the abnormality of the body, not to mention the so-called spiritual abnormality, whose scope is wide and unpredictable, and it is higher than the abnormality of the body?What's more, the degree of partial psychopathy is often not deep, and it may be regarded as within the normal range, and the so-called normal range probably varies from person to person.To understand a person's normal range, we need to look for his innate sexual and psychological qualities in addition to observing his acquired behavior.Otherwise, the result of the treatment seems to lead him back to the right way, but in fact the right way may be the right way of Zhang San or Li Si, and the way is not his right way.

Because we don't have a deep understanding of sexual perversion, we have all kinds of very casual, stereotyped, but in fact very irrelevant, and even riotous coping methods.For example, we like to advise this kind of person, let him get married, thinking that after marriage, the abnormality can heal itself without medicine.This kind of thinking is sometimes wrong.But if we don't have a good idea of ​​the specifics of a person's perversion, such a good idea always comes out in the first place.How confident are we that we can predict that this idea will work?What if something bigger goes wrong?

This warning applies to all thoughtful and random people.Sex is a whole-body phenomenon. It is not an exaggeration to say that a person is full of sex.A person's sexual quality is inseparable from a part of his overall quality.There is some truth in the old saying, "What a person is sexually is what he is." We don't know this, and it's a waste of effort to advise others on how to direct their sex lives. A person sometimes does not recognize his own sexuality. He may be going through an abnormal stage of adolescence, but this is very temporary. If he stays calm, he will reach a more normal stage. with a permanent state.Perhaps, by some peculiar overreaction, he mistook a minor impulse of his nature for the chief one.We must know that all people are made up of many impulses. There are normal impulses and abnormal impulses. In terms of sex, the so-called normal people may not necessarily be unique, and they are just able to suppress some abnormal impulses. Just control.Generally speaking, a person's sexual quality is meticulous, deep-rooted, unchangeable throughout his life once he matures, and most of them are inherited.

At the same time, we should be careful when we set the boundaries between nature and nurture.On the one hand, we have to admit that the so-called day after tomorrow may not be too late, at least much earlier than people believed before.But on the other hand, the so-called innateness is often very mysterious or obscure, and may not be discovered throughout a person's life. However, generally speaking, nature and nurture, or heredity and habit, are inseparable.The reason a seed can germinate is precisely because it meets the right soil.Here, as elsewhere, success is not due to the seed alone, nor to the soil alone, but to both together.Children of the same parents, according to Mendelian inheritance, often show very different characters, that is, what develops and acts is not necessarily the same seed.Not long ago, the superintendent of the London School of Training for Children said that the same stimulus or pressure may make an elder brother steal and a younger brother unnaturally shy.The reason for the relationship between heredity and environment is extremely complicated, and it cannot be determined by a person who focuses on heredity or environment, so it can be seen from this.

Such considerations may also help us or physicians to be more cautious in advising psychopaths, and may even limit the impact our advice or advice can have on the patient.Sexual urges are inherently less susceptible to therapeutic influences, at least than dietary urges.There is another reason for this.Originally, sexual impulse can also be guided and controlled in many cases. Some people are unwilling to admit so much. Although it is superficial, the practice is not limitless.Sexual impulses are far more conditioned by religious, moral, and social conventions than are dietary impulses.The path taken by the sexual impulse is either blocked by religion in one way or blocked by morality in the other.Some doctors still maintain that this type of blocking force can be ignored.They say, "We are doctors, and have nothing to do with morals and customs." As long as it is beneficial to patients, they advise patients what to do, and they have to say what morals or customs have to say.However, this kind of attitude and behavior is very superficial, it can make the patient very embarrassed, it can cause all kinds of contradictions and conflicts, and sometimes it is not only useless but harmful to the patient's disease.The old disease does not go away, but the new disease comes again, and the new disease is more difficult to cure than the old disease.You must know that sexual impulse has a characteristic, which is very different from eating impulse, that is, its normal satisfaction must have the help of another person.Speaking of another person, we are entering the social realm, or the moral realm.In any aspect of behavior, no one has the right to benefit oneself at the expense of others, and no one has the right to make ideas that benefit others at the expense of others.For the sake of the individual patient, if we look at the word "benefit" with the broadest and most reasonable perspective, we will never be self-interested if we hurt others. Conscience and moral condemnation will be a big disadvantage to him. thing.Considerations of this kind will not be overlooked by a knowledgeable physician.Although he made up his mind that he would not follow the vulgarity or bow down with the times in his advice to patients, he still respected some good customs and habits.These considerations are also very real and extremely important. They are a large part of our traditional social life, and they are integrated in social life.Because of these considerations, nine times out of ten it is impossible for a doctor to prescribe sexual and psychological medicines satisfactorily and recklessly based on the knowledge of biological science.Under such circumstances, he certainly has the pain of being helpless. A patient is placed in front of him and he is asked to treat him. However, the factors causing the patient's illness are not under his control, so it is no wonder that he is helpless. up.But he should understand that if a patient's illness is the result of overwork or undernutrition, how can he control the various factors that cause overwork and undernutrition?Although he can't control it first, he still has to try to diagnose and treat it later, isn't it the same?

We should also note that although the patient's moral environment should not be ignored, we should not fall into the opposite error, which is to regard the moral environment as immutable and unshakable.Moral standards are constantly changing.Many things that are considered moral today, or at least accommodating, were immoral half a century ago, something that could only be done secretly but not publicly.Nowadays, many famous doctors are adapting to the new environment, openly writing books on sex, and enlightening the world. In the environment a few years ago, even if they closed their doors, they would not dare to talk about it.Therefore, in general, the transfer of the moral environment by the medical profession is not without their partial contributions; the task of the medical profession is not only to seek welfare for the society, but also to improve the health of the nation, and this part of the contribution is of course due.But what a doctor should pay attention to is after all the specific situation of each patient.

After this discussion, we can see that there is no need to be overly pessimistic about patients with psychosexual disorders, and it should not be regarded as beyond the scope of medicine; pessimism or indifference is always a mistake.The fact should be the opposite. The pathology of sexual psychology is just because it is psychological and spiritual, and some indirect methods can be tried in treatment.This method will not work if it is applied to a disease that emphasizes physical fitness, or is used to directly affect the factors that cause the physical disease, such as overwork or undernutrition. In this regard, the direct method of doctors is often powerless.This indirect method, or method without drugs, is often quite effective. After a conversation between a doctor and a pervert, the doctor may be feeling helpless, while the patient is already expressing the most sincere gratitude in secret.It turned out that as a result of the conversation, he had indeed improved compared to before.This effect is not necessarily due to the power of suggestion, but by another opposite but no less natural force, namely, that during the conversation, the patient has more or less an opportunity of automatically submitting the problem to the doctor, and his The backlog of thoughts poured out from the consciousness. As a result, the mental backlog was relieved and the tension became relaxed.This is a starting point for Freud's entire psychoanalytic method.When the patient confesses everything to the doctor, although the doctor does not say a word, as long as he can listen quietly and express full understanding and sympathy, he has more or less fulfilled the responsibility of treatment.Even if the patient's sexual impulse does not return to normal after one or two conversations, at least the degree of abnormality is reduced, the chance of trouble is also reduced, and his general spiritual life has returned to the proper state of harmony and balance.The well-developed religious system of confession and forgiveness of sins in Catholicism is also based on this psychological principle. Although it has other purposes at the same time, the benefits to the confessor are always the same.There are many people with sexual and psychological problems who don’t trust doctors to show any sympathy for them, and often ask the pastor directly for advice. No matter what the pastor’s denomination is, it will definitely give him a chance to confess and sympathize with him. The problem is more than half solved.This method of mental treatment is particularly effective in solving sexual and psychological disorders, and it is also a set of skills that a doctor should have. It would be wrong to despise other methods of suggestion that belong to the same species.Regardless of what we think of the development of Freud's theory, whether it was demonstrated by him himself or by others, one of his special contributions is the early recognition of the benefits of this kind of psychiatric treatment, very early I discovered that one of the great secrets of spiritual healing, like the secret of painters and sculptors, is not only to add something to the subject's head, but to take something out of the subject.Isn't this the way to take out a lot of unnecessary backlogs and unrestrained emotions from a patient, so as to restore the normal state of his spiritual life?