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Sexual addiction

Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences.[1][2][3][4][5][6][7] The concept is contentious;[8][9][10] as of 2023, sexual addiction is not a clinical diagnosis in either the DSM or ICD medical classifications of diseases and medical disorders, which instead categorize such behaviors under labels such as compulsive sexual behavior.

There is considerable debate among psychiatrists, psychologists, sexologists, and other specialists whether compulsive sexual behavior constitutes an addiction – in this instance a behavioral addiction – and therefore its classification and possible diagnosis. Animal research has established that compulsive sexual behavior arises from the same transcriptional and epigenetic mechanisms that mediate drug addiction in laboratory animals. 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.[11]

  1. ^ Malenka RC, Nestler EJ, Hyman SE (2009). "Chapter 15: Reinforcement and Addictive Disorders". In Sydor A, Brown RY (eds.). Molecular Neuropharmacology: A Foundation for Clinical Neuroscience (2nd ed.). New York: McGraw-Hill Medical. pp. 364–365, 375. ISBN 9780071481274. The defining feature of addiction is compulsive, out-of-control drug use, despite negative consequences. ...
    compulsive eating, shopping, gambling, and sex–so-called "natural addictions"– ... Indeed, addiction to both drugs and behavioral rewards may arise from similar dysregulation of the mesolimbic dopamine system.
  2. ^ Fong, TW (2006). "Understanding and managing compulsive sexual behaviors". Psychiatry. 3 (11): 51–8. PMC 2945841. PMID 20877518.
  3. ^ Derbyshire, Katherine L.; Grant, Jon E. (2015). "Compulsive sexual behavior: A review of the literature". Journal of Behavioral Addictions. 4 (2): 37–43. doi:10.1556/2006.4.2015.003. PMC 4500883. PMID 26014671.
  4. ^ Kingston, Drew A. (2015). "Debating the Conceptualization of Sex as an Addictive Disorder". Current Addiction Reports. 2 (3): 195–201. doi:10.1007/s40429-015-0059-6.
  5. ^ Rosenberg, Kenneth Paul; O’Connor, Suzanne; Carnes, Patrick (2014). "Chapter 9 - Sex Addiction: An Overview". Behavioral Addictions: 215–236. doi:10.1016/B978-0-12-407724-9.00009-4.
  6. ^ Hertzsprung, Meyen; Amadala, Stephen (2015). "Sexual Addiction". Textbook of Addiction Treatment: International Perspectives. pp. 1543–1555. doi:10.1007/978-88-470-5322-9_76. ISBN 978-88-470-5321-2.
  7. ^ Sahithya, B. R.; Kashyap, Rithvik S. (2022). "Sexual Addiction Disorder— A Review With Recent Updates". Journal of Psychosexual Health. 4 (2): 95–101. doi:10.1177/26318318221081080.
  8. ^ Schaefer GA, Ahlers CJ (2017). "1.3, Sexual addiction: Terminology, definitions and conceptualisation". In Birchard T, Benfield J (eds.). Routledge International Handbook of Sexual Addiction. Routledge. ISBN 978-1317274254.
  9. ^ Hall, Paula (2 January 2014). "Sex addiction – an extraordinarily contentious problem". Sexual and Relationship Therapy. 29 (1): 68–75. doi:10.1080/14681994.2013.861898. ISSN 1468-1994. S2CID 145015659.
  10. ^ Epstein, Steven (2022). The Quest for Sexual Health: How an Elusive Ideal Has Transformed Science, Politics, and Everyday Life. University of Chicago Press. p. 371 fn. 101. ISBN 978-0-226-81822-1. Retrieved 17 November 2024.
  11. ^ Haldeman, D (1991). "Sexual orientation conversion therapy for gay men and lesbians: A scientific examination" (PDF). Homosexuality: Research Implications for Public Policy: 149–160. doi:10.4135/9781483325422.n10. ISBN 9780803937642. Archived from the original (PDF) on 6 February 2018. Retrieved 14 May 2017.

Sexual addiction

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