A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals

Abstract

Men and women have been seeking professional assistance to help control hypersexual urges and behaviors since the nineteenth century. Despite that the literature emphasizes that cases of hypersexuality are highly diverse with regard to clinical presentation and comorbid features, the major models for understanding and treating hypersexuality employ a “one size fits all” approach. That is, rather than identify which problematic behaviors might respond best to which interventions, existing approaches presume or assert without evidence that all cases of hypersexuality (however termed or defined) represent the same underlying problem and merit the same approach to intervention. The present article instead provides a typology of hypersexuality referrals that links individual clinical profiles or symptom clusters to individual treatment suggestions. Case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including: (1) Paraphilic Hypersexuality, (2) Avoidant Masturbation, (3) Chronic Adultery, (4) Sexual Guilt, (5) the Designated Patient, and (6) better accounted for as a symptom of another condition.

Normative and Clinical Self-Perceptions of Sexuality and Their Links to Psychopathology among Adolescents

“…The number of boys was significantly higher in the adolescents with high levels of CSB and among sexual fantasizers than among sexual abstainers. Previous studies have indicated that one possible reason for that is that boys are more likely to be sexually active, and that adolescent boys were found to have a higher level of sexual arousal than girls [67, 68]. …”

Understanding the Personality and Behavioral Mechanisms Defining Hypersexuality in Men Who Have Sex with Men

“…Future research is needed to fine tune the construct of hypersexuality, which may be a manifestation of a number of etiological and mechanistic pathways, including impulse control, affect management, or compulsive behavior. Differences in clinical presentation have been found (57), which may provide useful sub-types for further investigation.…”

Prevalencia, comorbilidad y correlatos psicológicos de la compulsividad sexual

“…Tercera etapa Segunda etapa Primera etapa Carnes (1983) Kafka (1997) Cantor et al (2013) Kafka (2010) Coleman (1992) Coleman et al(2003) 6. Clasificación de la conducta sexual compulsiva…”

“…De igual modo que no todos los pacientes con CS comparten los mismos síntomas, sus manifestaciones pueden ser muy diferentes. De ahí su consideración de fenómeno único expresado a través de múltiples formas (Cantor et al, 2013).…”

“…gravedad del cuadro clínico y riesgo asociado (Carnes, 1983), tipo de tratamiento a aplicar (Cantor et al, 2013;Sutton, Stratton, Pytyck, Nathan, & Cantor, 2014), grado en el que el paciente es o no consciente de la gravedad de su problema (Reid, 2007), etc. Sin embargo, el criterio más habitual ha sido su clasificación a partir de la descripción clínica de las conductas sexuales implicadas -presumiblemente por la facilidad para recoger este tipo de información y su importancia para estimar las consecuencias derivadas de cada caso- (Coleman, 1992;Coleman, Raymond, & McBean, 2003;Kafka, 1997Kafka, , 2010 (Kafka & Hennen, 1999).…”