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Vaginimus and Female Sexuality / Sexualité féminine et vaginisme.

Dubois-Chevalier, Mireille*,1, 1 AIHUS, SFSC, SNMS, Paris, France

ABSTRACT- Objective(Objectif) : Starting from the vaginism symptom, to define typologies of patients and to refine assumptions of responsibility . Material and methods (matériel et méthodes) : From the study of 20 vaginism files, collected over two years per order of arrival, will be noted: - The patients social-cultural level; - Their marital situation; - The characterization of the vaginism type (primary, secondary, complete, incomplete, total, partial, selective, non-selective); - The consultation number and treatment duration; - The description of sexological assumptions of responsibility type; - Difficulties met. Results ( résultats) : Results analyse : - Abandonments of therapies and lost sight of the fact; - Types of difficulties met in therapeutic programs - Positive therapeutic issues. Conclusion and discussion (conclusion et discussion) : Starting from : - The analysis of the literature on the various etiologic assumptions of the vaginism like the phobias (phobia ′′from foreigner′′ amongst other things) and the oedipien problems of castration, - the analysis of the clinical and psychosocial characteristics of these patients, - the analysis of the shelves met during the application of sexotherapies; will be discussed various therapeutic ways, according to typologies highlighted, and their results. - The reproductiveness of these approaches on a more important sample and into multicentric will remain to be validated in order to determine if methodology depends on the therapeutist, the technique, or the nosography of the symptom.

Key words: Vaginism, typologie of patients, couple, nosography, therapeutic dIficulties


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2005 SEXO