Hypersexuality
SpecialtyPsychiatry

Hypersexuality is a term used for a presumed mental disorder causing people to engage in or think about sexual activity to a point of distress or impairment.[1] It is controversial whether it should be included as a clinical diagnosis[1] used by mental healthcare professionals. Nymphomania and satyriasis were terms previously used for the condition in women and men, respectively.

Hypersexuality may be a primary condition, or the symptom of other medical conditions or disorders such as Klüver–Bucy syndrome and bipolar disorder. Hypersexuality may also present as a side effect of medication such as dopaminergic drugs used to treat Parkinson's disease.[2] Frontal lesions caused by brain injury, strokes, and frontal lobotomy are thought to cause hypersexuality in individuals who have had these conditions.[3] Clinicians have yet to reach a consensus over how best to describe hypersexuality as a primary condition,[4][5][6] or to determine the appropriateness of describing such behaviors and impulses as a separate pathology.

Hypersexual behaviors are viewed variously by clinicians and therapists as a type of obsessive-compulsive disorder (OCD) or "OCD-spectrum disorder", an addiction,[7][8][9] or a disorder of impulsivity. A number of authors do not acknowledge such a pathology[10] and instead assert that the condition merely reflects a cultural dislike of exceptional sexual behavior.[11][12]

Consistent with there not being any consensus over what causes hypersexuality,[13] authors have used many different labels to refer to it, sometimes interchangeably, but often depending on which theory they favor or which specific behavior they have studied or have done research on; related or obsolete terms include compulsive masturbation, compulsive sexual behavior,[14][15] cybersex addiction, erotomania, "excessive sexual drive",[16] hyperphilia,[17] hypersexuality,[18][19] hypersexual disorder,[20] problematic hypersexuality,[21] sexual addiction, sexual compulsivity,[22] sexual dependency,[12] sexual impulsivity,[23] "out of control sexual behavior",[24] and paraphilia-related disorder.[25][26][27]

Due to the controversy surrounding the diagnosis of hypersexuality, there is not one generally accepted definition and measurement for hypersexuality, making it difficult to truly determine the prevalence. Thus, the prevalence can vary depending on how it is defined and measured. Overall, hypersexuality is estimated to affect 2–6% of the population, and may be higher in certain populations like men, the LGBTQ+ community, and sex offenders.[28][29][30]

Causes

There is little consensus among experts as to the causes of hypersexuality. Some research suggests that some cases can be linked to biochemical or physiological changes that accompany dementia, as dementia can lead to disinhibition.[31] Psychological needs also complicate the biological explanation, which identifies the temporal/frontal lobe of the brain as the area for regulating libido. Injuries to this part of the brain increase the risk of aggressive behavior and other behavioral problems including personality changes and "socially inappropriate" sexual behavior such as hypersexuality.[32] The same symptom can occur after unilateral temporal lobotomy.[33] There are other biological factors that are associated with hypersexuality such as premenstrual changes, and the exposure to virilising hormones in childhood or in utero.[34]

Physiology

In research involving the use of antiandrogens to reduce undesirable sexual behaviour such as hypersexuality, testosterone has been found to be necessary, but not sufficient, for sexual drive.[34] A lack of physical closeness and forgetfulness of the recent past were proposed as other potential factors (specifically in the context of hypersexual behavior exhibited by people suffering from dementia).[35]

Pathogenic overactivity of the dopaminergic mesolimbic pathway in the brain—forming either psychiatrically, during mania,[36] or pharmacologically, as a side effect of dopamine agonists, specifically D3-preferring agonists[37][38]—is associated with various addictions[39][40] and has been shown to result among some in overindulgent, sometimes hypersexual, behavior.[36][37][38] HPA axis dysregulation has been associated with hypersexual disorder.[41]

The American Association for Sex Addiction Therapy acknowledges biological factors as contributing causes of sex addiction. Other associated factors include psychological components (which affect mood and motivation as well as psychomotor and cognitive functions[42]), spiritual control, mood disorders, sexual trauma, and intimacy anorexia as causes or type of sex addiction.[43]

As a symptom

Hypersexuality is known to present itself as a symptom in connection to a number of mental and neurological disorders. Some people with borderline personality disorder (sometimes referred to as BPD) can be markedly impulsive, seductive, and extremely sexual. Sexual promiscuity, sexual obsessions, and hypersexuality are very common symptoms for both men and women with BPD. On occasion for some there can be extreme forms of paraphilic drives and desires. "Borderline" patients, due in the opinion of some to the use of splitting, experience love and sexuality in unstable ways.[44]

People with bipolar disorder may often display tremendous swings in sex drive depending on their mood. As defined in the DSM-IV-TR, hypersexuality can be a symptom of hypomania or mania in bipolar disorder or schizoaffective disorder. Pick's disease causes damage to the temporal/frontal lobe of the brain; people with Pick's disease show a range of socially inappropriate behaviors.[45]

Several neurological conditions such as Alzheimer's disease, autism,[46][47] various types of brain injury,[48] Klüver–Bucy syndrome,[49] Kleine–Levin syndrome,[50] and many neurodegenerative diseases can cause hypersexual behavior. Sexually inappropriate behavior has been shown to occur in 7–8% of Alzheimer's patients living at home, at a care facility or in a hospital setting. Hypersexuality has also been reported to result as a side-effect of some medications used to treat Parkinson's disease.[51][52] Some recreationally used drugs, such as methamphetamine, may also contribute to hypersexual behavior.[53]

A positive link between the severity of dementia and occurrence of inappropriate behavior has also been found.[54] Hypersexuality can be caused by dementia in a number of ways, including disinhibition due to organic disease, misreading of social cues, understimulation, the persistence of learned sexual behavior after other behaviours have been lost, and the side-effects of the drugs used to treat dementia.[55] Other possible causes of dementia-related hypersexuality include an inappropriately expressed psychological need for intimacy and forgetfulness of the recent past.[35] As this illness progresses, increasing hypersexuality has been theorized to sometimes compensate for declining self-esteem and cognitive function.[35]

Symptoms of hypersexuality are also similar to those of sexual addiction in that they embody similar traits. These symptoms include the inability to be intimate (intimacy anorexia), depression and bipolar disorders.[56] The resulting hypersexuality may have an impact in the person's social and occupational domains if the underlying symptoms have a large enough systemic influence.[57][58]

As a disorder

In 2010, a proposal to add Sexual Addiction to the Diagnostic and Statistical Manual of Mental Disorders (DSM) system has failed to get support of the American Psychiatric Association (APA).[59][60][61] The DSM does include an entry called Sexual Disorder Not Otherwise Specified (Sexual Disorder NOS) to apply to, among other conditions, "distress about a pattern of repeated sexual relationships involving a succession of lovers who are experienced by the individual only as things to be used".[62] As of March 2022 the DSM-5-TR, does not recognize a diagnosis of sexual addiction.[63]

The International Statistical Classification of Diseases and Related Health Problems (ICD-10) of the World Health Organization (WHO), includes two relevant entries. One is "Excessive Sexual Drive" (coded F52.7),[64] which is divided into satyriasis for males and nymphomania for females. The other is "Excessive Masturbation" or "Onanism (excessive)" (coded F98.8).[65]

In 1988, Levine and Troiden questioned whether it makes sense to discuss hypersexuality at all, arguing that labeling sexual urges "extreme" merely stigmatizes people who do not conform to the norms of their culture or peer group, and that sexual compulsivity be a myth.[11] However, and in contrast to this view, 30 years later in 2018, the ICD-11 created a new condition classification, compulsive sexual behavior, to cover "a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour". It classifies this "failure to control" as an abnormal mental health condition.[66][67]

Risks

Individuals with hypersexuality are at a higher risk for various negative consequences, such as contracting STIs, damaging relationships, and developing other addictions. 27.5% of affected individuals contracted an STI on at least one occasion as a result of their hypersexual behavior, and 12% of affected individuals engage in excessive, unprotected sex with multiple anonymous partners.[68] Additionally, an overwhelming 89% affected individuals admit to engaging in sexual activities outside of their primary relationship.[68] This can negatively affect one's interpersonal and sexual relationships. In fact, 22.8% of sex addicts have had a relationship end due to their behaviors. [69]

Furthermore, those with hypersexuality are more likely to have had or acquire another addiction. Multiple addictions are also prevalent amongst affected individuals. Common co-occurring disorders and addictions hypersexual individuals include eating disorders, compulsive spending, chemical dependency, and uncontrollable gambling.[70]

Assessment

Those seeking treatment for hypersexual behavior are a heterogeneous group, thus a thorough assessment is required to evaluate what kinds of behaviors and conditions need to be addressed and treated. It is essential for clinicians to conduct a comprehensive clinical interview with the patient, in which they address the history of their presenting problems, psychological history, sexual history, psychiatric history, mental health history, substance use history, and medical history.[71] Understanding these facets of an individual exhibiting hypersexual behavior is crucial due to the diverse array of comorbid conditions potentially linked to hypersexuality. The presence of ongoing treatment for any coexisting conditions in the individual can also have an impact on their symptoms and subsequent therapeutic interventions. Supplemental information from a spouse or family member could also be used during assessments.

In addition to this, various questionnaires and instruments may be used to further assess various aspects of an individual's behaviors and symptoms. Some common questionnaires that are used in assessments are the Sexual Inhibition/Sexual Excitation Scale,[72] Intensity of Sexual Desire and Symptoms Scale,[73] Compulsive Sexual Behavior Inventory,[74] Sexual Compulsivity Scale,[75] and the Sexual Addiction Screening Test[76] amongst others. Different instruments can also be used in assessments, including but not limited to the Clinical Global Impression Scale,[77] Timeline Followback,[78] Minnesota Multiphase Personality Inventory II,[79] and the Millon Inventory.[80]

Treatment

The first step to treat hypersexual behavior is to help the individual stop or control their urges. There are a multitude of different treatment options for those experiencing hypersexual behaviors, and many clinicians recommend a multifaceted approach. Treatment plans are created after assessing the individual, so treatment methods can vary depending on an individual's history, current symptoms, and any comorbid conditions they may have. Common treatment methods include cognitive-behavioral therapy, relapse-prevention therapy, psychodynamic psychosocial therapy, and psychopharmacological treatment, which can be implemented through individual therapy, couple's therapy, and/or group therapy. [81]

The concept of hypersexuality as an addiction was started in the 1970s by former members of Alcoholics Anonymous who felt they experienced a similar lack of control and compulsivity with sexual behaviors as with alcohol.[11][82] Multiple 12-step style self-help groups now exist for people who identify as sex addicts, including Sex Addicts Anonymous, Sexaholics Anonymous, Sex and Love Addicts Anonymous, and Sexual Compulsives Anonymous. Some hypersexual men may treat their condition with the usage of medication (such as Cyproterone acetate) or consuming foods considered to be anaphrodisiacs.[83] Other hypersexuals may choose a route of consultation, such as psychotherapy, self-help groups or counselling.[84]

Terminology

Sexologists have been using the term hypersexuality since the late 1800s, when Krafft-Ebing described several cases of extreme sexual behaviours in his seminal 1886 book, Psychopathia Sexualis.[85][13] The author used the term "hypersexuality" to describe conditions that would now be termed premature ejaculation. Terms to describe males with the condition include donjuanist,[86] satyromaniac,[87] satyriac[88] and satyriasist,[89] for women clitoromaniac,[90] nympho and nymphomaniac,[91] for teleiophilic (attracted to adults) heterosexual women andromaniac,[92] while hypersexualist, sexaholic,[93] onanist, hyperphiliac and erotomaniac[94] are gender neutral terms.[95]

Other, mostly historical, names include Don Juanism, the Messalina complex,[96] sexaholism,[97] hyperlibido[98] and furor uterinus.[99] John Wilmot, 2nd Earl of Rochester described hypersexuality in some of his literature.[100]

See also

References

  1. 1 2 "hypersexuality"., according to the website of Psychology Today, 2021.
  2. ↑ Kaplan, Meg S.; Krueger, Richard B. (2010-03-24). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research. 47 (2–3): 181–198. doi:10.1080/00224491003592863. ISSN 0022-4499. PMID 20358460. S2CID 37602962.
  3. ↑ Kaplan, Meg S.; Krueger, Richard B. (2010-03-24). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research. 47 (2–3): 181–198. doi:10.1080/00224491003592863. ISSN 0022-4499. PMID 20358460. S2CID 37602962.
  4. ↑ Stein, Dan J. (2008). "Classifying Hypersexual Disorders: Compulsive, Impulsive, and Addictive Models". Psychiatric Clinics of North America. 31 (4): 587–591. doi:10.1016/j.psc.2008.06.007. PMID 18996299. S2CID 9083474.
  5. ↑ Bancroft, John; Vukadinovic, Zoran (2004). "Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model" (PDF). The Journal of Sex Research. 41 (3): 225–234. doi:10.1080/00224490409552230. PMID 15497051. S2CID 3493468. Archived from the original (PDF) on 2014-12-05.
  6. ↑ Coleman, E. (July 1986). "Sexual Compulsion vs. Sexual Addiction: The Debate Continues" (PDF). SIECUS Report. 14 (6): 7–11. Retrieved 2012-10-15.
  7. ↑ Orford, J. (1985). Excessive appetites: A psychological view of the addictions. Chichester, England: John Wiley & Sons.
  8. ↑ Douglas, Weiss (1998). The Final Freedom: Pioneering Sexual Addiction Recovery. Fort Worth, Tex.: Discovery Press. pp. 13–14. ISBN 978-1881292371. OCLC 38983487.
  9. ↑ Carnes, P. (1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.
  10. ↑ Levine, Stephen B. (2010). "What is Sexual Addiction?". Journal of Sex & Marital Therapy. 36 (3): 261–275. doi:10.1080/00926231003719681. PMID 20432125.
  11. 1 2 3 Levine, M. P.; Troiden, R. R. (1988). "The Myth of Sexual Compulsivity". Journal of Sex Research. 25 (3): 347–363. doi:10.1080/00224498809551467. Archived from the original on 2014-02-02.
  12. 1 2 Rinehart, Nicole J.; McCabe, Marita P. (1997). "Hypersexuality: Psychopathology or normal variant of sexuality?". Sexual and Marital Therapy. 12: 45–60. doi:10.1080/02674659708408201.
  13. 1 2 Kafka, M. P. (2010). "Hypersexual Disorder: A Proposed Diagnosis for DSM-V" (PDF). Archives of Sexual Behavior. 39 (2): 377–400. doi:10.1007/s10508-009-9574-7. PMID 19937105. S2CID 2190694. Archived from the original (PDF) on 2012-09-14. Retrieved 2013-01-02.
  14. ↑ Quadland, Michael C. (1985). "Compulsive Sexual Behavior: Definition of a Problem and an Approach to Treatment". Journal of Sex & Marital Therapy. 11 (2): 121–132. doi:10.1080/00926238508406078. PMID 4009729.
  15. ↑ Coleman, E. (1990). "The obsessive–compulsive model for describing compulsive sexual behavior" (PDF). American Journal of Preventive Psychiatry & Neurology. 2: 9–14. Archived from the original (PDF) on 2019-01-08. Retrieved 2019-01-08.
  16. ↑ "ICD-10 entry for "Excessive sexual drive"". Apps.who.int. Retrieved 2012-06-22.
  17. ↑ Money, J. (1980). Love and love sickness. The science of sex, gender difference, and pair bonding. Baltimore, MD: Johns Hopkins University Press.
  18. ↑ Miller, B. L.; Cummings, J. L.; McIntyre, H.; Ebers, G.; Grode, M. (1986). "Hypersexuality or altered sexual preference following brain injury" (PDF). Journal of Neurology, Neurosurgery & Psychiatry. 49 (8): 867–873. doi:10.1136/jnnp.49.8.867. PMC 1028946. PMID 3746322.
  19. ↑ Orford, Jim (1978). "Hypersexuality: Implications for a Theory of Dependence". Addiction. 73 (3): 299–310. doi:10.1111/j.1360-0443.1978.tb00157.x. PMID 280354.
  20. ↑ Krueger, Richard B.; Kaplan, Meg S. (2001). "The Paraphilic and Hypersexual Disorders: An Overview". Journal of Psychiatric Practice. 7 (6): 391–403. doi:10.1097/00131746-200111000-00005. PMID 15990552. S2CID 17478379.
  21. ↑ Kingston, Drew A.; Firestone, Philip (2008). "Problematic Hypersexuality: A Review of Conceptualization and Diagnosis". Sexual Addiction & Compulsivity. 15 (4): 284–310. doi:10.1080/10720160802289249. S2CID 53418034.
  22. ↑ Dodge, Brian; Reece, Michael; Cole, Sara L.; Sandfort, Theo G. M. (2004). "Sexual compulsivity among heterosexual college students". Journal of Sex Research. 41 (4): 343–350. doi:10.1080/00224490409552241. PMC 3331786. PMID 15765274.
  23. ↑ Kafka, M. P. (1995b). "Sexual impulsivity". In Hollander, E.; Stein, D. J. (eds.). Impulsivity and aggression. Chichester, England: John Wiley. pp. 201–228.
  24. ↑ Bancroft, John (2008). "Sexual Behavior that is "Out of Control": A Theoretical Conceptual Approach". Psychiatric Clinics of North America. 31 (4): 593–601. doi:10.1016/j.psc.2008.06.009. PMID 18996300.
  25. ↑ Kafka, Martin P. (1994). "Paraphilia-Related Disorders – Common, Neglected, and Misunderstood". Harvard Review of Psychiatry. 2 (1): 39–40. doi:10.3109/10673229409017112. PMID 9384878. S2CID 45257740.
  26. ↑ Kafka, M. P. (2000). "The paraphilia-related disorders: Nonparaphilic hypersexuality and sexual compulsivity/addiction". In Leiblum, S. R.; Rosen, R. C. (eds.). Principles and practice of sex therapy (3rd ed.). New York: Guilford Press. pp. 471–503.
  27. ↑ Kafka, Martin P. (2001). "The Paraphilia-Related Disorders: A Proposal for a Unified Classification of Nonparaphilic Hypersexuality Disorders". Sexual Addiction & Compulsivity. 8 (3–4): 227–239. doi:10.1080/107201601753459937. S2CID 144675897.
  28. ↑ Walton, Michael T.; Cantor, James M.; Bhullar, Navjot; Lykins, Amy D. (2017-11-01). "Hypersexuality: A Critical Review and Introduction to the "Sexhavior Cycle"". Archives of Sexual Behavior. 46 (8): 2231–2251. doi:10.1007/s10508-017-0991-8. ISSN 1573-2800. PMID 28687897. S2CID 207092880.
  29. ↑ Bőthe, Beáta; Bartók, Réka; Tóth-Király, István; Reid, Rory C.; Griffiths, Mark D.; Demetrovics, Zsolt; Orosz, Gábor (2018-11-01). "Hypersexuality, Gender, and Sexual Orientation: A Large-Scale Psychometric Survey Study". Archives of Sexual Behavior. 47 (8): 2265–2276. doi:10.1007/s10508-018-1201-z. ISSN 1573-2800. PMID 29926261. S2CID 49333993.
  30. ↑ Kaplan, Meg S.; Krueger, Richard B. (2010-03-24). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research. 47 (2–3): 181–198. doi:10.1080/00224491003592863. ISSN 0022-4499. PMID 20358460. S2CID 37602962.
  31. ↑ Cipriani, Gabriele; Ulivi, Martina; Danti, Sabrina; Lucetti, Claudio; Nuti, Angelo (March 2016). "Sexual disinhibition and dementia: Sexual disinhibition and dementia". Psychogeriatrics. 16 (2): 145–153. doi:10.1111/psyg.12143. PMID 26215977. S2CID 43886263.
  32. ↑ Robinson, Karen M. DNS, RN, CS, FAAN (January 2003). "Understanding Hypersexuality: A Behavioral Disorder of Dementia". Home Healthcare Nurse. 21 (1): 43–47. doi:10.1097/00004045-200301000-00010. PMID 12544463. S2CID 35691077.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  33. ↑ Devinsky, Julie; Devinsk, Oliver; Sacks, Orrin (18 Nov 2009). "Neurocase: The Neural Basis of Cognition". Klüver–Bucy Syndrome, Hypersexuality, and the Law. 16 (2): 140–145. doi:10.1080/13554790903329182. PMID 19927260. S2CID 23738965.
  34. 1 2 Catalan, Jose; Singh, Ashok (1995). "Hypersexuality revisited". The Journal of Forensic Psychiatry. 6 (2): 255–258. doi:10.1080/09585189508409891.
  35. 1 2 3 Robinson, Karen M. (2003). "Understanding Hypersexuality". Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional. 21 (1): 43–47. doi:10.1097/00004045-200301000-00010. PMID 12544463. S2CID 35691077.
  36. 1 2 Silverstone T, T (1985). "Dopamine in manic depressive illness. A pharmacological synthesis". Journal of Affective Disorders. 8 (3): 225–231. doi:10.1016/0165-0327(85)90020-5. PMID 2862169.
  37. 1 2 "MedlinePlus Drug Information: Pramipexole (Systemic)". United States National Library of Medicine. Archived from the original on 2006-09-26. Retrieved 2006-09-27.
  38. 1 2 Boyd, Alan (1995). "Bromocriptine and psychosis: A literature review". Psychiatric Quarterly. 66 (1): 87–95. doi:10.1007/BF02238717. PMID 7701022. S2CID 29539691.
  39. ↑ Arias-Carrión O, Pöppel E (2007). "Dopamine, learning and reward-seeking behavior". Acta Neurobiol Exp. 67 (4): 481–488. doi:10.55782/ane-2007-1664. PMID 18320725.
  40. ↑ Nestler, Eric J. (2005). "Is There A Common Molecular Pathway For Addiction?" (PDF). Nature Neuroscience. 8 (11): 1445–1449. doi:10.1038/nn1578. PMID 16251986. S2CID 6120032.
  41. ↑ Chatzittofis, A.; Arver, S.; Öberg, K.; Hallberg, J.; Nordström, P.; Jokinen, J. (2016). "HPA axis dysregulation in men with hypersexual disorder". Psychoneuroendocrinology. 63: 247–253. doi:10.1016/j.psyneuen.2015.10.002. hdl:10616/45066. PMID 26519779. S2CID 44319298.
  42. ↑ "Psychological components". Mobility and transport – European Commission. 2016-10-17. Retrieved 2018-06-18.
  43. ↑ "American Association For Sex Addiction Therapy". aasat.org. Retrieved 2018-06-18.
  44. ↑ Mitchell, Stephen (1995). Freud and Beyond: A History of Modern Psychoanalytic Thought. New York: Basic Books. ISBN 978-0-465-01405-7.
  45. ↑ Cummings, J. L. Dementia: A clinical approach (2nd ed). Boston: Butterworth-Heinemann.
  46. ↑ Jones, M. C.; Okere, K. (2008). "Treatment of Hypersexual Behavior with Oral Estrogen in an Autistic Male". Southern Medical Journal. 101 (9): 959–960. doi:10.1097/SMJ.0b013e318180b3de. PMID 18708975. S2CID 27225525.
  47. ↑ Dhikav V, Anand K, Aggarwal N (April 2007). "Grossly disinhibited sexual behavior in dementia of Alzheimer's type". Arch Sex Behav. 36 (2): 133–4. doi:10.1007/s10508-006-9144-1. PMID 17308974. S2CID 19434520.
  48. ↑ Miller BL, Cummings JL, McIntyre H, Ebers G, Grode M (August 1986). "Hypersexuality or altered sexual preference following brain injury". J. Neurol. Neurosurg. Psychiatry. 49 (8): 867–73. doi:10.1136/jnnp.49.8.867. PMC 1028946. PMID 3746322.
  49. ↑ National Institute of Neurological Disorders and Stroke. "NINDS Klüver–Bucy Syndrome Information Page". Archived from the original on 2017-01-04. Retrieved 2009-10-10.
  50. ↑ Arnulf I, Zeitzer JM, File J, Farber N, Mignot E (December 2005). "Kleine–Levin syndrome: a systematic review of 186 cases in the literature". Brain. 128 (Pt 12): 2763–76. doi:10.1093/brain/awh620. PMID 16230322.
  51. ↑ Vogel, H. P.; Schiffter, R. (1983). "Hypersexuality: A complication of dopaminergic therapy in Parkinson's disease". Pharmacopsychiatria. 16 (4): 107–110. doi:10.1055/s-2007-1017459. PMID 6685318. S2CID 1107353.
  52. ↑ Uitti, Ryan J.; Tanner, C. M.; Rajput, A. H.; Goetz, C. G.; Klawans, H. L.; Thiessen, B. (1989). "Hypersexuality with antiparkinsonian therapy". Clinical Neuropharmacology. 12 (5): 375–383. doi:10.1097/00002826-198910000-00002. PMID 2575449.
  53. ↑ Mansergh, G.; Purcell, D. W.; Stall, R.; McFarlane, M.; Semaan, S.; Valentine, J.; Valdiserri, R. (2006). "CDC Consultation on Methamphetamine Use and Sexual Risk Behavior for HIV/STD Infection: Summary and Suggestions". Public Health Reports. 121 (2): 127–132. doi:10.1177/003335490612100205. PMC 1525267. PMID 16528944.
  54. ↑ Burns, A.; Jacoby, R.; Levy, R. (1990). "Psychiatric phenomena in Alzheimer's disease. IV: Disorders of behavior". British Journal of Psychiatry. 157: 86–94. doi:10.1192/bjp.157.1.86. PMID 2397368. S2CID 28199198.
  55. ↑ Series, H.; Dégano, P. (2005). "Hypersexuality in dementia". Advances in Psychiatric Treatment. 11 (6): 424. doi:10.1192/apt.11.6.424.
  56. ↑ Douglas., Weiss (1998). The Final Freedom: Pioneering Sexual Addiction Recovery. Fort Worth, Tex.: Discovery Press. pp. 31–34. ISBN 978-1881292371. OCLC 38983487.
  57. ↑ Douglas., Weiss (1998). The Final Freedom: Pioneering Sexual Addiction Recovery. Fort Worth, Tex.: Discovery Press. pp. 87–88, 92–93. ISBN 978-1881292371. OCLC 38983487.
  58. ↑ Weiss, Douglas (2007). Sex Addiction: 6 Types and Treatment. Fort Worth, Texas: Discovery Press. p. 33. ISBN 978-1-881292-36-4.
  59. ↑ Rubin, Rita (2010-02-09). "Psychiatry's bible: Autism, binge-eating updates proposed for 'DSM'". USA Today.
  60. ↑ "Black Friday deals for Target, H&M, Forever21, Old Navy, Radio Shack and more". Daily News. New York. 2010-02-10. Archived from the original on July 27, 2011.
  61. ↑ "New Diagnostic Guidelines for Mental Illnesses Proposed". Health.usnews.com. 2010-02-10. Retrieved 2012-06-22.
  62. ↑ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Vol. 1. 2000. doi:10.1176/appi.books.9780890423349. ISBN 0-89042-334-2.
  63. ↑ Martinez-Gilliard, Erin (2023). Sex, Social Justice, and Intimacy in Mental Health Practice: Incorporating Sexual Health in Approaches to Wellness. Taylor & Francis. p. unpaginated. ISBN 978-1-000-84578-5. Retrieved 5 March 2023. 'Sex addiction' is also referred to as a diagnosis or presenting problem. Sex addiction is not a diagnosis in the DSM-5-TR and identified as Compulsive Sexual Behavior in the ICD-11 rather than an issue of addiction.
  64. ↑ "2012 ICD-10 Diagnosis Code F52.7 : Excessive sexual drive". Retrieved 2013-02-22.
  65. ↑ "2012 ICD-10-CM Diagnosis Code F98.8 : Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence". Icd10data.com. Retrieved 2012-06-22.
  66. ↑ Christensen, Jen. "WHO classifies compulsive sexual behavior as mental health condition". CNN. Retrieved 2018-11-26.
  67. ↑ "ICD-11 - Mortality and Morbidity Statistics". icd.who.int. Retrieved 2018-11-26.
  68. 1 2 "Sexual Addictions Statistics [2023]: Impacts & Treatments". 2023-02-08. Retrieved 2023-11-30.
  69. ↑ "Sexual Addictions Statistics [2023]: Impacts & Treatments". 2023-02-08. Retrieved 2023-11-30.
  70. ↑ "Sexual Addictions Statistics [2023]: Impacts & Treatments". 2023-02-08. Retrieved 2023-11-30.
  71. ↑ Kaplan, Meg S.; Krueger, Richard B. (2010-03-24). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research. 47 (2–3): 181–198. doi:10.1080/00224491003592863. ISSN 0022-4499. PMID 20358460. S2CID 37602962.
  72. ↑ Janssen, Erick; Vorst, Harrie; Finn, Peter; Bancroft, John (2002-05-01). "The sexual inhibition (SIS) and sexual excitation (SES) scales: II. Predicting psychophysiological response patterns". The Journal of Sex Research. 39 (2): 127–132. doi:10.1080/00224490209552131. ISSN 0022-4499. PMID 12476244. S2CID 30279794.
  73. ↑ Rösler, Ariel; Witztum, Eliezer (1998-02-12). "Treatment of Men with Paraphilia with a Long-Acting Analogue of Gonadotropin-Releasing Hormone". New England Journal of Medicine. 338 (7): 416–422. doi:10.1056/nejm199802123380702. ISSN 0028-4793. PMID 9459644.
  74. ↑ Coleman, Michael Miner, Fred Ohlerk, Eli (July 2001). "Compulsive Sexual Behavior Inventory: A Preliminary Study of Reliability and Validity". Journal of Sex & Marital Therapy. 27 (4): 325–332. doi:10.1080/009262301317081070. ISSN 0092-623X. PMID 11441516. S2CID 216091399.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  75. ↑ Kalichman, Seth C.; Rompa, David (June 2001). "The Sexual Compulsivity Scale: Further Development and Use With HIV-Positive Persons". Journal of Personality Assessment. 76 (3): 379–395. doi:10.1207/s15327752jpa7603_02. ISSN 0022-3891. PMID 11499453. S2CID 23701672.
  76. ↑ Carnes, Patrick; Green, Bradley; Carnes, Stefanie (2021). "Sexual Addiction Screening Test--Revised Version". PsycTESTS Dataset. doi:10.1037/t75674-000. Retrieved 2023-11-27.
  77. ↑ Fletcher, Kenneth E. (November 2008). "Handbook of Psychiatric Measures, 2nd Editionedited by A. John Rush, Jr., M.D., Michael B. First, M.D., and Deborah Blacker, M.D., Sc.D.; Washington, D.C., American Psychiatric Publishing, Inc., 2008, 828 pages, $195, CD-ROM included". Psychiatric Services. 59 (11): 1351. doi:10.1176/ps.2008.59.11.1351. ISSN 1075-2730.
  78. ↑ Trevin, A.; Carter Sobell, L.; Sobell, M. (November 2012). "PRM124 Translation of the Alcohol Timeline Followback (TLFB) in 4 Languages". Value in Health. 15 (7): A483. doi:10.1016/j.jval.2012.08.1587. ISSN 1098-3015.
  79. ↑ Butcher, James N.; Dahlstrom, W. Grant; Graham, John R.; Tellegen, Auke; Kaemmer, Beverly (2001). "Minnesota Multiphasic Personality Inventory-2". PsycTESTS Dataset. doi:10.1037/t15120-000. Retrieved 2023-11-27.
  80. ↑ "The Millon Clinical Multiaxial Inventory–III (MCMI–III)", Encyclopedia of Psychology and Law, 2455 Teller Road, Thousand Oaks California 91320 United States: SAGE Publications, Inc., 2008, doi:10.4135/9781412959537.n196, ISBN 9781412951890, retrieved 2023-11-27{{citation}}: CS1 maint: location (link)
  81. ↑ Kaplan, Meg S.; Krueger, Richard B. (2010-03-24). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research. 47 (2–3): 181–198. doi:10.1080/00224491003592863. ISSN 0022-4499. PMID 20358460. S2CID 37602962.
  82. ↑ Goleman, Daniel (October 16, 1984). "Some Sexual Behavior Viewed as an Addiction". New York Times: Cl, C9. Retrieved 2012-10-15.
  83. ↑ Bitomsky, Jane (2015). "Aphrodisiacs, Fertility and Medicine in Early Modern England by Jennifer Evans". Parergon. 32 (2): 293–294. doi:10.1353/pgn.2015.0119. S2CID 147637623.
  84. ↑ Griffiths, Mark D.; Dhuffar, Manpreet K. (2014). "Treatment of Sexual Addiction within the British National Health Service" (PDF). International Journal of Mental Health and Addiction. 12 (5): 561–571. doi:10.1007/s11469-014-9485-2. S2CID 20280073.
  85. ↑ von Krafft-Ebing, R. (1965) [1886]. Psychopathia sexualis: A medico–forensic study (H. E. Wedeck, Trans. ed.). New York: Putnam.
  86. ↑ Sifuentes-Jáuregui, B (2002). Transvestism, Masculinity, and Latin American Literature: Genders Share Flesh. Springer. p. 207. ISBN 9780230107281.
  87. ↑ Scruton, Roger (2015). Sexual Desire: A Philosophical Investigation. Bloomsbury. p. 168. ISBN 9781472927842.
  88. ↑ Eghigian, Greg (August 2012). "Hypersexual disorder: an encounter with Don Juan in the archives". Psychiatric Times. 29 (8): 18.
  89. ↑ Spooner, Henry (1918). American Journal of Urology and Sexology. p. 565.
  90. ↑ Plummer, Ken. "A sociological perspective." Sexualities: Difference and the diversity of sexualities 3 (2002): 43.
  91. ↑ Craigshead, W. Edward; Nemeroff, Charles, eds. (2004). The Concise Corsini Encyclopedia of Psychology and Behavioral Science (3rd ed.). Wiley. p. 630.
  92. ↑ Trout, Steven (1997). "Decadence & Modernism". English Literature in Transition. 40 (2): 210–214.
  93. ↑ Gozzi, Raymond Jr. (Spring 1995). "Confessions of a metaphoraholic". ETC: A Review of General Semantics. 52 (1): 51–55.
  94. ↑ Coleman, Eli (1991). "Compulsive Sexual Behavior". Journal of Psychology & Human Sexuality. 4 (2): 37–52. doi:10.1300/J056v04n02_04.
  95. ↑ "Jen Gerson: Feel free to opt for the epidural sans guilt, new moms". 8 April 2016.
  96. ↑ Orford, Jim (1978). "Hypersexuality: Implications for a Theory of Dependence". Addiction. 73 (3): 299–310. doi:10.1111/j.1360-0443.1978.tb00157.x. PMID 280354.
  97. ↑ Longo-Disse, Samadhi Carol (2006). "Sexaholism: A Perspective". Sexual Addiction & Compulsivity. 13: 69–94. doi:10.1080/10720160500529292. S2CID 145338301.
  98. ↑ Coleman, Eli (1992). "Is Your Patient Suffering from Compulsive Sexual Behavior?". Psychiatric Annals. 22 (6): 320–325. doi:10.3928/0048-5713-19920601-09.
  99. ↑ Groneman, Carol (1994). "Nymphomania: The Historical Construction of Female Sexuality". Signs: Journal of Women in Culture and Society. 19 (2): 337–367. doi:10.1086/494887. S2CID 143081405.
  100. ↑ Davies, M.; Owens, W.R. (2018). The Oxford Handbook of John Bunyan. Oxford Handbooks. OUP Oxford. p. 125. ISBN 978-0-19-164944-8. Retrieved 2023-06-18.
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