Sexual compulsivity
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 The History and Rise of Sex and Love Addiction (INFOGRAPHIC) |
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 Robert Weiss & David Ley. Is sex addiction a myth? // KPCC (25 April 2012, 9:29 am) |
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 Nicole Prause, Ph.D. (sexual physiologist). [1] CBS (18 July 2013) |
Sexual addiction, also known as sex addiction, is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. Proponents of a diagnostic model for sexual addiction, as defined here, consider it to be one of several sex-related disorders within an umbrella concept known as hypersexual disorder. The term sexual dependence is also used to refer to people who report being unable to control their sexual urges, behaviors, or thoughts. Related models of pathological sexual behavior include hypersexuality (nymphomania and satyriasis), erotomania, Don Juanism (or Don Juanitaism), and paraphilia-related disorders.
The concept of sexual addiction is contentious. There is considerable debate amongst psychiatrists, psychologists, sexologists, and other specialists over the whether compulsive sexual behavior constitutes an addiction, and therefore its classification and possible diagnosis. As of 2017[update], sexual addiction is not a clinical diagnosis in either the DSM or ICD medical classifications of diseases and medical disorders. Some argue that applying such concepts to normal behaviors such as sex, can be problematic, and suggest that applying medical models such as addiction to human sexuality can serve to pathologise normal behavior and cause harm
Neuroscientists, pharmacologists, molecular biologists, and other researchers in related fields have identified the transcriptional and epigenetic mechanisms of addiction pathophysiology. Diagnostic models, which use the pharmacological model of addiction (this model associates addiction with drug-related concepts, particularly physical dependence, drug withdrawal, and drug tolerance), do not currently include diagnostic criteria to identify sexual addictions in a clinical setting. In the brain disease model of addiction, which uses neuropsychological concepts to characterize addictions, sexual addictions are identifiable and well-characterized. In this model, addictive drugs are characterized as those which are both reinforcing and rewarding. Addictive behaviors (those which can induce a compulsive state) are similarly identified and characterized by their rewarding and reinforcing properties.
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