2020 Volume 30 Issue 1 Pages 22-29
This study aimed to discuss genito-pelvic pain/penetration disorder, a female sexual dysfunction detailed in DSM-5, from a medical safety perspective. In particular, this study sought to address the ethical issues believed to be faced by the behavior therapy treatment method specific to this field. Currently, behavior therapy is the mainstream form of treatment in Japanese gynecological care. In DSM-5, the diagnosis of this disorder does not include, for the time being, the effects of various problems that can be successfully explained by non-sex-related mental disorders and other stressors. However, at present, subtle signs of non-sex-related mental disorders and other stressors may be overlooked in gynecological care, where this disorder is mainly treated. Such a tendency may lead to further deterioration of a patientʼs condition or cause the development of a secondary disorder. Therefore, we re-evaluated sexual dysfunctions from a traditional psychoanalysis standpoint, starting from the concept of Borderline／la psychose ordinaire lacanianne in the proper psychoan alytical sense. Next, we present the dangers of treatments biased toward behavior therapy specific to the gynecology medical field, which is the current mainstream treatment being given in Japanese gynecology medicine and propose a counterplan for the advancement of safer treatment.
