Debating the Conceptualization of Sex as an Addictive Disorder

Abstract

Three predominant pathophysiological models have been applied to hypersexuality, which were developed based on observed similarities with obsessive-compulsive disorders, impulse-control disorders, and addictions. Each model was intended to elucidate etiological mechanisms and symptom profile, and facilitate effective treatment. Unfortunately, there are a number of conceptual problems inherent in these models, and clinicians and researchers have typically adopted one descriptive model and have applied it to all individuals presenting with hypersexuality. In this paper, I review the utility and applicability of the sexual addiction conceptualization, arguably the most common model used in both academia and popular media in describing this behavior. Emphasis is placed on the similarities and differences between hypersexuality and addictions, including clinical characteristics, neurobiological underpinnings, diagnostic co-morbidity, and treatment response.

Should compulsive sexual behavior be considered an addiction?

“…1). Despite the growing body of research, little consensus exists among researchers and clinicians about the definition and presentation of CSB [10]. Some view problematic/excessive engagement in sexual behaviors as a feature of hypersexual disorder [7], a non-paraphilic CSB [11], a mood disorder such as bipolar disorder [12] or as a 'behavioral' addiction [13,14].…”

Clinical Characteristics of Men Interested in Seeking Treatment for Use of Pornography

“…Currently, there is little consensus regarding the definition and symptom presentation of hypersexuality (Kingston, 2015). Excessive/problematic engagement in sexual behaviors has been considered as an impulsive–compulsive disorder (Grant et al., 2014), a feature of hypersexual disorder (HD) (Kafka, 2010), a non-paraphilic compulsive sexual behavior (Coleman, Raymond, & McBean, 2003), or as an addiction (Kor, Fogel, Reid, & Potenza, 2013).…”

Psychotherapy of Patients with Hypersexuality

“…• Признание неспособности преодолеть или контролировать аддиктивное сексуальное поведение. [24] в своей статье о сексуальной аддикции отмечает, что некоторые исследователи критикуют полезность 12-ступенчатого подхода как при зависимости от веществ, так и при других зависимостях [23,32]. В частности, они ссылаются на предложение E. Coleman [17] и H. Keane [22], что проблемы, выявленные в рамках 12-ступенчатого подхода к лечению сексуальных аддиктов, свидетельствуют о неправильной адаптации модели зависимости к гиперсексуальному расстройству.…”