Sex Addiction

Question 1

Sexual Addiction

Answer 1

a condition in which some form of sexual behavior is employed in a pattern that is characterized by 2 key features:
- Recurrent failure to control the behavior
- Continuation of the behavior despite significant harmful consequences

Question 2

Fantasy sex

Answer 2

Items focused on sexual fantasy life and consequences due to obsession. Themes include denial, delusion, and problems due to preoccupation.

Question 3

Seductive role sex

Answer 3

Items focused on seductive behavior for conquest. Multiple relationships, affairs, and unsuccessful serial relationships.

Question 4

Anonymous sex

Answer 4

engaging in sex with anonymous partners, having one-night stands.

Question 5

Voyeuristic sex

Answer 5

Items focused on forms of visual sex, including pornography, window peeping, and secret observation. Highly correlated with excessive masturbation, even to the point of injury.

Question 6

Exhibitionist sex

Answer 6

exposing oneself in public places or from the home or car; wearing clothes designed to expose.

Question 7

Intrusive sex

Answer 7

touching others without permission, using position or power (e.g. professional, religious) to sexually exploit another person; rape.

Question 8

Exploitive Sex

Answer 8

Exploitive Sex: Use of force or partner vulnerability to gain sexual access

Question 9

Diagnostic Criteria

Answer 9

A maladaptive pattern of sexual behavior, leading to clinically significant impairment or distress, as manifested by 3 or more of the following:
1. Tolerance
2. Withdrawal
3. sexual behavior is often engaged in over a longer period, in greater quantity, or at a higher level intensity than was intended
4. there is a persistent desire or unsuccessful efforts to cut down or control the sexual behavior
5. a greater deal of time is spent in activities necessary to prepare for the sexual behavior, to engage in the behavior, or to recover from its effects
6. Important social, occupational, or recreational activities are given up or reduced because of sexual behavior
7. The sexual behavior continues despite knowledge of having persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the behavior.

Question 10

Sexual Addiction & Childhood Sexual Abuse

Answer 10

39% of 160 male sex addicts and 63 % of 24 female sex addicts report sexual abuse

Question 11

Differential Diagnosis

Answer 11

Organic pathology
Brain lesion
Seizure disorder (temporal lobe epilepsy)
Medication (specifically antiparkinsonian)
High testosterone levels
Developmental disability
OCD
Bi-polar disorders

Question 12

Treatment

Answer 12

Medication
Aversion Conditioning
Covert Sensitization
Masturbation Training
Imaginal Desensitization
CBT
Groups
Couple/Family Therapy