Patient Characteristics by Type of Hypersexuality Referral: A Quantitative Chart Review of 115 Consecutive Male Cases

Abstract

Hypersexuality remains an increasingly common but poorly understood patient complaint. Despite diversity in clinical presentations of patients referred for hypersexuality, the literature has maintained treatment approaches that are assumed to apply to the entire phenomenon. This approach has proven ineffective, despite its application over several decades. The present study used quantitative methods to examine demographic, mental health, and sexological correlates of common clinical subtypes of hypersexuality referrals. Findings support the existence of subtypes, each with distinct clusters of features. Paraphilic hypersexuals reported greater numbers of sexual partners, more substance abuse, initiation to sexual activity at an earlier age, and novelty as a driving force behind their sexual behavior. Avoidant masturbators reported greater levels of anxiety, delayed ejaculation, and use of sex as an avoidance strategy. Chronic adulterers reported premature ejaculation and later onset of puberty. Designated patients were less likely to report substance abuse, employment, or finance problems. Although quantitative, this article nonetheless presents a descriptive study in which the underlying typology emerged from features most salient in routine sexological assessment. Future studies might apply purely empirical statistical techniques, such as cluster analyses, to ascertain to what extent similar typologies emerge when examined prospectively.

The Psychometric Properties of the Hypersexual Behavior Inventory Using a Large-Scale Nonclinical Sample

“…Previous studies (e.g., Klein, Schmidt, Turner, & Briken, 2015;Reid et al, 2011;Sutton, Stratton, Pytyck, Kolla, & Cantor, 2015) have demonstrated that older participants (i.e., 60 years or older) can experience hypersexuality; therefore, it was decided to include older participants in the present study. Participants reported their place of residence as the capital city (53.9%), county towns (15.3%), towns (21.4%), or villages (9.3%); their highest level of education as primary (2.7%), secondary (36.5%), and higher education (60.8%).…”

The Risks Young People Face as Porn Consumers

“…Historically, levels of impotence among young men have been 2% to 5% (Park et al, 2016). A range of recent studies are finding that 27% to 33% of young men age 18-40 years are having erectile difficulties and low libido rates with a real partner (Bronner & Ben-Zion, 2014;Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016;Kühn & Gallinat, 2014;Mialon, Berchtold, Michaud, Gmel, & Suris, 2012;Pizzol, Bertoldo, & Foresta, 2015;Sutton, Stratton, Pytyck, Kolla, & Cantor, 2015), though not with internet pornography (Landripet & Štulhofer, 2015). Essentially, they have conditioned their brains to respond to images on a screen and not to real partners.…”

Eliminate Chronic Internet Pornography Use to Reveal Its Effects

“…Researchers have also linked IP use with arousal, attraction, and sexual performance problems, including difficulty orgasming and erectile dysfunction (ED) (Sutton, Stratton, Pytyck, Kolla, & Cantor, 2015;Wéry & Billieux, 2016;Voon et al, 2014, Porto, 2016, negative effects on partnered sex (Poulsen, Busby, & Galovan, 2013;Sun, Bridges, Johnason, & Ezzell, 2014), a need for stronger pornographic material (Wéry & Billieux, 2016), and a preference for using IP to achieve and maintain arousal rather than having sex with a partner (Sun, Miezan, Lee, & Shim, 2015). In the latter study, users with increased interest in degrading or extreme IP also had the greatest concerns about their sexual performance, penis size, and ability to sustain an erection (Sun et al, 2015), suggesting their IP use may have fueled a need for more extreme stimulation.…”