Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F24%3A43921281" target="_blank" >RIV/00023752:_____/24:43921281 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11240/24:10492191

Result on the web

<a href="https://academic.oup.com/smr/advance-article/doi/10.1093/sxmrev/qeae014/7634799" target="_blank" >https://academic.oup.com/smr/advance-article/doi/10.1093/sxmrev/qeae014/7634799</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/sxmrev/qeae014" target="_blank" >10.1093/sxmrev/qeae014</a>

Result language

angličtina

Original language name

Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective

Original language description

Introduction: The addition of compulsive sexual behavior disorder (CSBD) into the ICD-11 chapter on mental, behavioral, or neurodevelopmental disorders has greatly stimulated research and controversy around compulsive sexual behavior, or what has been termed “hypersexual disorder,” “sexual addiction,” “porn addiction,” “sexual compulsivity,” and “out-of-control sexual behavior.”Objectives: To identify where concerns exist from the perspective of sexual medicine and what can be done to resolve them.Methods: A scientific review committee convened by the International Society for Sexual Medicine reviewed pertinent literature and discussed clinical research and experience related to CSBD diagnoses and misdiagnoses, pathologizing nonheteronormative sexual behavior, basic research on potential underlying causes of CSBD, its relationship to paraphilic disorder, and its potential sexual health consequences. The panel used a modified Delphi method to reach consensus on these issues.Results: CSBD was differentiated from other sexual activity on the basis of the ICD-11 diagnostic criteria, and issues regarding sexual medicine and sexual health were identified. Concerns were raised about self-labeling processes, attitudes hostile to sexual pleasure, pathologizing of nonheteronormative sexual behavior and high sexual desire, mixing of normative attitudes with clinical distress, and the belief that masturbation and pornography use represent “unhealthy” sexual behavior. A guide to CSBD case formulation and care/treatment recommendations was proposed.Conclusions: Clinical sexologic and sexual medicine expertise for the diagnosis and treatment of CSBD in the psychiatric-psychotherapeutic context is imperative to differentiate and understand the determinants and impact of CSBD and related “out-of-control sexual behaviors” on mental and sexual well-being, to detect forensically relevant and nonrelevant forms, and to refine best practices in care and treatment. Evidence-based, sexual medicine–informed therapies should be offered to achieve a positive and respectful approach to sexuality and the possibility of having pleasurable and safe sexual experiences.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30217 - Urology and nephrology

Project

<a href="/en/project/GA23-06662S" target="_blank" >GA23-06662S: Body or behavior? Exploring the relative roles of physical versus behavioral indicators of age in mating contexts in pedophiles and teleiophiles</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Sexual Medicine Reviews

ISSN

2050-0513

e-ISSN

2050-0521

Volume of the periodical

12

Issue of the periodical within the volume

3

Country of publishing house

US - UNITED STATES

Number of pages

16

Pages from-to

355-370

UT code for WoS article

001190664200001

EID of the result in the Scopus database

2-s2.0-85197592816