This single-case study examines the psychotherapeutic journey of a 23-year-old woman experiencing a persistent and long-standing fear of emotional intimacy and aversion to physical intimacy, which led to the active avoidance of sexual encounters, psychological distress, and interpersonal difficulties. Over 26 one-hour sessions, an integrative therapeutic approach was employed, combining elements from psychodynamic, acceptance and commitment, cognitive-behavioral, and exposure therapies, with psychoeducation and sex education playing pivotal roles. The treatment resulted in significant improvements, as evidenced by both quantitative and qualitative assessments. Quantitative measures of emotional distress—specifically anxiety, depression, and fear of intimacy—initially increased during intentional exposure but showed significant improvements at 6-month and 1-year follow-ups. Qualitative data revealed enhancements in self-concept, increased self-compassion, and improved social functioning aligned with the individual’s life aspirations. This case study highlights effective therapeutic strategies for addressing sexual aversion in young adults and demonstrates the potential for alleviating symptoms and enriching quality of life through an integrative approach.

这项单案例研究考察了一名 23 岁女性的心理治疗之旅，她经历了对情感亲密关系的持续和长期恐惧和对身体亲密关系的厌恶，这导致主动回避性接触、心理困扰和人际关系困难。在 26 节一小时的课程中，采用了综合治疗方法，结合了心理动力学、接受和承诺、认知行为和暴露疗法的元素，其中心理教育和性教育起着关键作用。定量和定性评估都证明了这一点，治疗效果得到了显著改善。情绪困扰的定量测量——特别是焦虑、抑郁和对亲密关系的恐惧——最初在有意暴露期间增加，但在 6 个月和 1 年的随访中显示出显着改善。定性数据揭示了自我概念的增强、自我同情心的增加以及与个人生活抱负相一致的社会功能的改善。本案例研究强调了解决年轻人性厌恶的有效治疗策略，并展示了通过综合方法缓解症状和丰富生活质量的潜力。