Sex Therapy for Premature Ejaculation: An Overview

in Urology: Research and Therapeutics Journal (2019), 2(2), 128

Twenty-seven trials assessing behavioural treatments for premature ejaculation were reviewed. Their effects were estimated intermediate to large. Most of them used techniques of pauses (i.e., “stop-start” ... [more ▼]

Twenty-seven trials assessing behavioural treatments for premature ejaculation were reviewed. Their effects were estimated intermediate to large. Most of them used techniques of pauses (i.e., “stop-start”). Some added penile compression techniques (i.e. “squeeze”) and some added the support of a vibratory device, but these adjunctions did not appear to provide further significant benefits. Other techniques aiming to regulate motor, respiratory and attentional components of sexual arousal (i.e. “regulating” or “sexual-functional” approach) also seemed efficient. On the other hand, exercises specifically designed to rehabilitate the pelvic floor did not appear clearly effective. The therapeutic processes were generally regarded as related to habituation-desensitization mechanisms and/or learning to self-regulate one’s excitement. It also seemed important to accompany the patient in order to ensure the proper use of the techniques and to address possible cognitive, behavioural and relational issues related to the sexual complaint. When access to sex therapy is difficult, it is still possible to recommend a self-treatment (i.e., “bibliotherapy”) as a first-line approach. [less ▲]

Cortical reactivations during sleep spindles following declarative learning

in NeuroImage (2019), 195

Increasing evidence suggests that sleep spindles are involved in memory consolidation, but few studies have investigated the effects of learning on brain responses associated with spindles in humans. Here ... [more ▼]

Increasing evidence suggests that sleep spindles are involved in memory consolidation, but few studies have investigated the effects of learning on brain responses associated with spindles in humans. Here we used simultaneous electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) during sleep to assess haemodynamic brain responses related to spindles after learning. Twenty young healthy participants were scanned with EEG/fMRI during (i) a declarative memory face sequence learning task, (ii) subsequent sleep, and (iii) recall after sleep (learning night). As a control condition an identical EEG/fMRI scanning protocol was performed after participants over-learned the face sequence task to complete mastery (control night). Results demonstrated increased responses in the fusiform gyrus both during encoding before sleep and during successful recall after sleep, in the learning night compared to the control night. During sleep, a larger response in the fusiform gyrus was observed in the presence of fast spindles during the learning as compared to the control night. Our findings support a cortical reactivation during fast spindles of brain regions previously involved in declarative learning and subsequently activated during memory recall, thereby promoting the cortical consolidation of memory traces. © 2019 Elsevier Inc. [less ▲]

Cerebral Activity Associated with Transient Sleep-Facilitated Reduction in Motor Memory Vulnerability to Interference

in Scientific Reports (2016), 6

Psychiatry and psychotherapy in the electronic age

Scientific conference (2015, December 11)

Neurophysiologie du rêve et régulation des émotions

Scientific conference (2015, November 30)

Le stress à l’aune des neurosciences

Scientific conference (2015, October 15)

Neurosciences et Psychiatrie : parallélisme ou convergence ?

Scientific conference (2015, October 02)

Neural correlates of generation and inhibition of verbal association patterns in mood disorders.

in Social Cognitive and Affective Neuroscience (2015), 10(7), 978-86

OBJECTIVES: Thought disorders such as rumination or flight of ideas are frequent in patients with mood disorders, and not systematically linked to mood state. These symptoms point to anomalies in ... [more ▼]

OBJECTIVES: Thought disorders such as rumination or flight of ideas are frequent in patients with mood disorders, and not systematically linked to mood state. These symptoms point to anomalies in cognitive processes mediating the generation and control of thoughts; for example, associative thinking and inhibition. However, their neural substrates are not known. METHOD: To obtain an ecological measure of neural processes underlying the generation and suppression of spontaneous thoughts, we designed a free word association task during fMRI allowing us to explore verbal associative patterns in patients with mood disorders and matched controls. Participants were presented with emotionally negative, positive or neutral words, and asked to produce two words either related or unrelated to these stimuli. RESULTS: Relative to controls, patients produced a reverse pattern of answer typicality for the related vs unrelated conditions. Controls activated larger semantic and executive control networks, as well as basal ganglia, precuneus and middle frontal gyrus. Unlike controls, patients activated fusiform gyrus, parahippocampal gyrus and medial prefrontal cortex for emotional stimuli. CONCLUSIONS: Mood disorder patients are impaired in automated associative processes, but prone to produce more unique/personal associations through activation of memory and self-related areas. [less ▲]

Ability to Maintain Internal Arousal and Motivation Modulates Brain Responses to Emotions

in PLoS ONE (2014)

Les cognitions sociales

Scientific conference (2014, October 22)