Masturbation is a common phenomenon and often mentions that exists everywhere, both in infants, young children, adults or those who are married, especially community groups in higher education still exist even in the elderly .
The symptoms of masturbation at the age of puberty and adolescence, many of the events. This is due to an increase in sexual maturity and do not receive a fair distribution, and then added to external stimuli, such as books and pictures of porn, blue films, go to friends and others.
For some people, masturbation is considered a good habit. But in another group that is considered an activity of self-desecration or “zelfbevekking” that can lead to psychosomatic disorders and other side effects. 2
The main objective is to seek the satisfaction of masturbation or sexual desire by removing the road without sex. However, masturbation can not provide real satisfaction. Contrary to reports by two persons of opposite sex. They experience joy, happiness and fun. 3
In sexual relations, less stimulation needed to generate artificially, because sex between men and women is a natural thing. In masturbation the only source of stimulation is self-deception. This creates an erotic picture in mind. Masturbation is the stimulation of local character in the members of the genitals. normal intercourse can cause a feeling of happiness and joy, while masturbating even create emotional and psychological depression.
This article will address the influence or impact of activities in the health of your mental masturbation.
Definition
The term masturbation is derived from the Latin word “manasturbo” palpable sense or friction with the hand (Manu). Masturbation is generally defined as the deliberate stimulation performed on the genitals for pleasure and sexual satisfaction. 3
However, in reality, many ways to get self-satisfaction (self-satisfaction) without the use of hand (masturbation without friction), as that term masturbation is less wear. Therefore, the term “auto-eroticism” is a better word to describe this phenomenon once.
There are some terms are known to masturbate in public, including masturbation or masturbation, which involves taking a stimulation of their own sex grinding grain by hand or other object into the genital organs withdraw from the semen and orgasm.
In Islam, masturbation is known under the name of al-istimna at istima’bilkaff-married to al-Yad I’timar-o “adtus sirriyah. Although masturbation is done by a woman named al-ilthaf
With regard to masturbation society is best known. This designation, according to several reviews written by the teacher. Dr. Dr. WIMP Pangkahila MS, and president of Andrology and the Study Centre Seksologi Udayana University School of Medicine, the origin of the name of a man, Onan, as recounted in the Old Testament Book of Genesis Tersebutlah Article 38 Onan was told his father, Judah, to marry the widow of his brother, sister inherited.
Onan’s objection because the child would be born to the descendants of his brother. So Onan spilled his semen outside the body of the widow had sexual intercourse (coitus interruptus). Of course, now called the withdrawal, the widow of his sister is not pregnant. But the effects are horrible. God’s wrath and Onan died.
Masturbation or masturbation in the sense that it is not like Onan. Masturbation is to find sexual satisfaction with self-stimulation (auto-eroticism), and may also serve to give and receive sexual arousal of the genitals to achieve sexual satisfaction with each other (mutual masturbation). Is not no doubt about masturbation no sex took place, but achievable orgasme.
Freud (1957) indicates that there are three stages of masturbation, namely, (1) child, (2) in the phase of the fastest growing childhood sexual development, which is around the age of four years, and (3) in the puberty stage. According to Freud, the sexual instinct was there at the beginning of life and gradually develop until the age of 4 years. After this stop, there is no developed as follows (latency) until the time of puberty until the age of 11 years.
Psychoanalytic theory considers that there are psychological barriers to the normal process of psychosexual maturation, so that may arise from regression to earlier stages of development or fixation may occur in psychosexual development and upstream-ESF stopped. Most of the “sexual deviations” are rooted in the regression and fixation on the sexual development of this child. 1,2,5
Based on the way to go, masturbation can be classified into three types, namely: (1,2)
1. Masturbation in itself (self-masturbation) genital stimulation with their hands, fingers or rubbing of an object-gesekkannya
2. mutual masturbation (mutual masturbation), genital stimulation is performed in groups that are generally established by a sense of unity, meet regularly and sometimes expanded their activities in theft (theft) and vandalism (vandalism)
3. mental masturbation, orgasm through the realization of fantasy and visual stimuli.
While other psychologists, Caprio (1973), masturbation class activities into two main groups, namely: 1
1. Masturbation is normal, including psychological release of sexual tension in normal children is not excessive, masturbation is done by someone who is not married, and masturbating between pairs of classical civil distraction SEBG
2. Masturbation is neurotic, including masturbation is too much and konvulsif; masturbation among couples who prefer this way instead of intercourse, masturbation with symptoms of anxiety, guilt / sin a very, very, masturbation satisfaction associated sexual deviation and may be punishable by law blamed. 1.2
Masturbation is a natural expression of sexuality and is not harmful to man and woman, and an excellent way to experience sexual pleasure. In fact, some experts argue that masturbation could improve sexual health, as it will increase their understanding of body parts and how to please, self-confidence and attitude is understandable. 1.6
This knowledge can be taken to obtain a satisfactory sexual relationship in the future, either in pairs and masturbation, or because you can tell the other what is most comfortable for them. It’s a good idea to discuss both the behavior of masturbation and to calm the couple, if at any moment any of them prefer to masturbate rather than gender. 1,2,6
IMPACT ON MENTAL HEALTH
autoerotic impulses (masturbation), there are all human beings. The difference lies only in how to solve these impulses. Some of us like to say merepresikan, while others expressed the desire for sexual gratification. 2.7
A man of the momentum that often causes people to personal and social difficulties is the sexual impulse, which, in fact, often exposes people to an emergency and very persuasive for immediate sexual gratification. The presence of sexual problems among people can make the individual is often the situation as if there was a tendency to fall to a level that immature infant and any effort to behave in a sexually mature dwarf result. 7
Masturbation refers to many myths about their damage and embarrassing. This negative image could be drawn from the word comes from Latin, masturbate, which is a combination of two Latin words manus (hand) and stuprare (abuse), which means “hand-abuse” 1.6
The concept of sin and shame and are rooted in part by the “abuse” of the word has been in the current translation – even though medical authorities have agreed that masturbation causes no physical or mental harm. Nor is there evidence that children who engage in self-stimulation can be injured by it.
What happens, an important source of sexual satisfaction in some sectors remains responded by guilt and anxiety due to ignorance that masturbation is a safe activity, as well as centuries of religious teachings regarded as a sinful activity. In addition, many of us have received negative messages from our parents, or have been punished when caught masturbation during childhood. 2,5,7
The cumulative effects of these events are often intangible confusion and guilt that often difficult to disentangle. Calendar masturbation has become so dangerous is when he had entered the soul (compulsive). compulsive masturbation – the set of mental health behaviors – is a sign of mental health problems and the need for treatment by a psychiatrist. 8
End if masturbation konfulsif phase was not completed successfully the appearance of the phenomenon of sex addiction, addiction to sexual activity.
Physically, masturbation can cause damage or kelecetan mucous membranes and other genital organs in question, either by the use of tools of masturbation or simply by using hands and fingers. 2,6,10
Epidemiology
The incidence and frequency of masturbation is very variable. Biological factors such as age and social factors such as employment, education, the situation of parents and children, rural-urban base, the influence of religious factors in the epidemiology of masturbation.
One study found that 95 percent of men and 89 percent of women said they masturbated. This is the first sexual behavior by most men and women, although more women than men have sex even before they had ever masturbated. 2, 6
Kinsey’s research in the United States showed that almost all men and three quarters of all women masturbate at some point in their lives. Orebio survey revealed that 83% of boys and 38% of children a woman to masturbate. Other polls have shown a different number in each age level of respondents, such as children (Child sexual reproduction), youth, middle age and other categories. 8
Most men who masturbate tend to do it more often than women, and tend to say that “always” or “often” have an orgasm during masturbation (80: 60). This is the most frequent number of sexual behaviors of two (after sex), even for those who already have a regular sexual partner. 3
According to research, those who masturbate usually between the ages of thirteen to twenty years. Usually who masturbate are unmarried, widows, widowers or the lonely or isolated. 1
More boys than girls masturbating. The causes, first, sexual desire does not come from the girls jumped and eksplosit. Secondly, girls are not attracted attention to the issue of sex for sleep and took sperm (ihtilam) more experienced men. Erotic dreams that cause orgasm in women occurs when the feeling was experienced in the waking state. 5
Etiology
Etiology masturbation for all ages are varied. psychosexual development and the environment in which life influences the practice of masturbation.
(1) Masturbation in children 1, 2, 5
Babies and young children, sexual self-stimulation is a common phenomenon, which is not ignored in the data and the curiosity to explore and learn the parts of the body. sexual development of children has been initiated before birth and sexual behavior begins after birth.
Spitz (1919) found that genital games are very common and normal in the first 15 months of the life of a normal family environment.
In childhood, masturbation can be a thigh-rubbing friction (rubbing of the thighs) or a similar friction may be related to genitalianya and clearly shows a pleasure, continued calm, overwrought and often continue to sleep.
After infancy, masturbation is more clearly associated with the development of sexual activity. Many children have a strong interest in sexual matters, and then decreases, then return and attention while they gain experience are important in determining attitudes and behavior in the future.
In children, the greater the experience of masturbation can be found by accident because of the activities that may be affected genitalianya, like riding a rocking horse, climbing trees, measures meluncurdari the house and so on.
Oliven (1955) said that masturbation is a common symptom of many problems of children, from the orientation of mild to severe disorders and chronic emotional distress. Masturbation often happens when there is a lack of parental affection, and is about when the children were in tension and anxiety.
(2) masturbation remaja1
In adolescence, sex hormones increase and develop secondary sexual characteristics. In this period of sexual desire to strengthen and masturbating (possibly) increases.
teens have the real capacity of intercourse and orgasm, but usually inhibited by social taboos, is often the case due to conflict and control sexual identity pmbentukan sexual taboos. increased sexual tension is physiologically demanding the release of the release of the request (), and masturbation is a normal way to reduce sexual tension. In his teens, the activities of masturbation is always accompanied by the coital fantasies. Fantasy is usually normal heterosexual and shape is determined by previous experiences.
Things are a young person pornography can stimulate the sexual sense. Adolescents who are still being exposed to activity through the exchange of cultural products such as impressions impressions unfiltered porn movies and sex on the theme of the books come to help develop the habit of masturbation in adolescence. In some cases, the habit of masturbating in adolescence is initiated by curiosity and a great curiosity for how to masturbate, perhaps because the pairs menapatkan menapati stories or friends masturbate.
Without a sexual outlet, as in adolescence, can masturbate. In some situations, sexual stimulation is very important and can make someone habitual masturbator.
Masturbation in adolescence should be a careful attention to their parents. If parents are too negative response to this process, the possibility of masturbation activities tend to be more and more young adults and can be psychotic / neurotic.
(3) Masturbation for people dewasa/tua1
In older people, masturbation is considered normal if no other sexual outlets that have or are limited due to many technical factors. In some psychosis and psikoneurosa, frequent masturbation is abnormal. It is a symptom of the disease and not its cause.
Masturbation higher among women of 50-70 years, especially after menopause, for various reasons, such as women who do not marry and follow this pattern since his youth and the consequences of the ill spouse / impotensia / divorce or death.
Masturbation can occur in men who are old. This may be due to a decrease in sexual ability leads to a lack of response and since his wife is old, became unattractive and no woman who wants sex with her.
Sometimes masturbate also played with a purpose, as the analgesic effects of some diseases, or because of certain diseases, such as temporal lobe epilepsy patients because of an activity in the posterior lamina of the temporal lobe neuroal-attack.
Administration
Prevention efforts
1. Parents’ attitudes and understanding
Preventing abnormalities optimal real masturbation played by parents. The right attitude and response of parents to children who masturbate very important. In addition, parents should pay attention to the overall health of their children as cleaning around your genital area. Parents should monitor Orangb wisely the things that are pornographic and are exposed to the action of child pornography.
Emphasizing the habits of masturbation as a sin and punishment only causes the child’s anxiety and stop operations, for example. Although surveillance is openly making children focus more on habit and habits of this bias will be addressed.
Parents must give an honest explanation of sexual health, simply and frankly with their children about the good times associated with physiological changes such as erectile dysfunction, menstruation begins second sexual and other phenomena.
In particular, usually teens to masturbate if you have the chance. Opportunities for making it a major problem. In order not to masturbate, let him (the child) should not be able to. If possible, remove the opportunity. Masturbation is usually done in a quiet calm, and solitude. So do not let the children a chance to shut up. See what is not alone and not alone. Dale has an interesting and full attention, so I do not remember going to the solitude and masturbated.
Moreover, they create an atmosphere of households that can raise self-esteem of children, until she felt her pride. Do not expose the child to see, hear and read books and pornographic images. Involve children in the year, especially martial sports, which channel their excess energy. Or to be more active in the youth and sports organizations. 1.5, 6
2. Sex education
Sex education (sex education) is very useful in preventing masturbation habits among adolescents. Sex education is conceived as a process that must be carried out continuously, since the child is still small. At the beginning of the school receive sexual information in an integrated manner with other materials, sexual explanations given simple and informative.
In the next step can proceed with the debates over free YAG and directed by people who are responsible and other things.
The important thing to do with sex education is so that when the child until the age of young people have the right attitude toward sex and reasonable. 1.5, 6
Treatment
Generally, children have the habit of masturbation is rarely taken to the doctor, except for this habit is very excessive. Masturbation requires treatment only if symptoms abnormal bias existing in the form of inappropriate behavior from parents who have severe anxiety, nervousness, fear, guilt / sin, withdrawn or not an underlying mental disorder, such as disturbances kepriadian neurosis, perversion, or psychosis. 1.5
A. Pharmacotherapy
1. Treatment with estrogen (eastration)
Estrogen can control their sexual urges that had not
controlled for better control. The direction of sexual desire is not changed.
Since peroral. common side effects gynecomastia.
2. Treatment with neuroleptics
a. Phenothizine
Reduce sexual desire and reduce anxiety. Since peroral.
b. Fluphenazine Enanthate
Changes phenothiazine preparations. Reduced sexual desire more
two thirds of cases and the effect is very fast. 1 cc IM doses 25
mg. In force for a period of two weeks.
3. Treatment trnsquilizer
Diazepam and lorazepam is useful in reducing symptoms of anxiety and symptoms of fear. Should be administered with caution, because high doses can inhibit sexual function in general. In general, neuroleptics and transquilizer useful as an adjunct to psychological approaches. 1, 10
B. Psychotherapy
Psychotherapy in the habit of masturbation should be done with a very sensible approach, you can accept with calm and with a full understanding attitude towards the patient’s complaint. Create an environment where patients can make the whole place covered with the problem without an initial goal of psychotherapy.
In patients who have come only with allegations of masturbation and a little anxiety, the measures necessary is to convince the real penederita YAG fact masturbation.
Pad For teens, psychotherapy is often more complex and allows a type of sex education interviews.
Psikotherapi also be done with the religious focus and confidence of the patient. 1, 10
C. Hypnotherapy
Self-hypnosis (self-hypnosis) can be applied to patients with compulsive masturbation, exposing the subconscious with patients with suggestions for preventing masturbation. 1
D. Genital mutilation (optional)
This approach is uncommon and rarely recommended medis.Pada some areas with a particular culture, in order to reduce / reduce or eliminate the sexual desire of any person, female genital mutilation by models of different types. 7
E. Married
For teens and adolescents is available for marriage are encouraged to hurry to marry to avoid or prevent the habit of masturbation.
CONCLUSION
Masturbation is the deliberate stimulation performed on the genitals for pleasure and sexual satisfaction. Normally, this is sometimes done by most men and women. In abnormal conditions, compulsive masturbation can be done.
In a study showed that 95 percent of men and 89 percent of women said they masturbated. This is the first sexual behavior by most men and women, although more women than men have sex even before they had ever masturbated. Most men who masturbate tend to do it more often than women, and tend to say that “always” or “often” have an orgasm during masturbation.
Masturbation refers to many myths about their damage and embarrassing. This negative image could be drawn from the word comes from Latin, masturbate, which is a combination of two Latin words manus (hand) and stuprare (abuse), which means “the abuse of the hand.”
The concept of shame and sin and are rooted on the side of “abuse” of the word remains in modern translation – even though medical authorities have agreed that masturbation causes no physical or mental harm.
Masturbation becomes pathological if konfulsif dilaakukan in what is a symptom of mental disorder, and not their sexual activity, but due to the compulsive nature.
Management of masturbation can be done through prevention efforts involving parents and sex education that is acceptable for adolescents. Farmakotherapi treatment, psychotherapy, hypnotherapy and female genital mutilation (not recommended).
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