Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1515050
E. Coleman, Janna A. Dickenson, Abby Girard, G. N. Rider, Leonardo Candelario-Pérez, Rachel Becker-Warner, Alexander G. Kovic, Rosemary A. Munns
Abstract The diagnostic and conceptualization of obsessive, compulsive, impulsive, and driven sexual behavior is controversial, and its terminology has varied over time and across conceptualizations (out-of-control sexual behavior, compulsive sexual behavior, sexual addiction, etc.). This article articulates our Integrative Biopsychosocial and Sex Positive Model of impulsive/compulsive sexual behavior (ICSB), its ecological conceptualization, and multifaceted approach to treatment of ICSB. After a brief review of extant models, we delineate the core theories from which we conceptualize ICSB and the theoretical underpinnings and therapeutic approach.
{"title":"An Integrative Biopsychosocial and Sex Positive Model of Understanding and Treatment of Impulsive/Compulsive Sexual Behavior","authors":"E. Coleman, Janna A. Dickenson, Abby Girard, G. N. Rider, Leonardo Candelario-Pérez, Rachel Becker-Warner, Alexander G. Kovic, Rosemary A. Munns","doi":"10.1080/10720162.2018.1515050","DOIUrl":"https://doi.org/10.1080/10720162.2018.1515050","url":null,"abstract":"Abstract The diagnostic and conceptualization of obsessive, compulsive, impulsive, and driven sexual behavior is controversial, and its terminology has varied over time and across conceptualizations (out-of-control sexual behavior, compulsive sexual behavior, sexual addiction, etc.). This article articulates our Integrative Biopsychosocial and Sex Positive Model of impulsive/compulsive sexual behavior (ICSB), its ecological conceptualization, and multifaceted approach to treatment of ICSB. After a brief review of extant models, we delineate the core theories from which we conceptualize ICSB and the theoretical underpinnings and therapeutic approach.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1515050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45141558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1476944
S. Stroebel, S. O'keefe, Karen Griffee, Karen V. Harper-Dorton, Keith W. Beard, D. Young, S. Swindell, Walter E. Stroupe, Kerri Steele, Megan Lawhon, Shih-ya Kuo
Abstract Data from 2,607 female participants in an anonymous computerized study were entered by the participants themselves: 276 (10.6%) had exposed themselves in public, 134 (5.1%) reported having urges to expose themselves in public, 153 (5.9%) had engaged in some sort of sex with underage males, and 100 (2.4%) reported they had sexual intercourse with underage males. As predicted by conditioning, modeling, and critical period learning theories, exposure to nudity within the nuclear family and partnered early sexual experimentation involving breast or genital exposure significantly increased the likelihood of participants exposing themselves in public and having such urges.
{"title":"Exhibitionism and Sex with Underage Males in Adult Women","authors":"S. Stroebel, S. O'keefe, Karen Griffee, Karen V. Harper-Dorton, Keith W. Beard, D. Young, S. Swindell, Walter E. Stroupe, Kerri Steele, Megan Lawhon, Shih-ya Kuo","doi":"10.1080/10720162.2018.1476944","DOIUrl":"https://doi.org/10.1080/10720162.2018.1476944","url":null,"abstract":"Abstract Data from 2,607 female participants in an anonymous computerized study were entered by the participants themselves: 276 (10.6%) had exposed themselves in public, 134 (5.1%) reported having urges to expose themselves in public, 153 (5.9%) had engaged in some sort of sex with underage males, and 100 (2.4%) reported they had sexual intercourse with underage males. As predicted by conditioning, modeling, and critical period learning theories, exposure to nudity within the nuclear family and partnered early sexual experimentation involving breast or genital exposure significantly increased the likelihood of participants exposing themselves in public and having such urges.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1476944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43697912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1515051
Michael Crocker, Bill Herring
Abstract The listserv of the Society for the Advancement of Sexual Health (SASH) provides opportunities for members to explore classic and emerging topics in the fields of sexual health and problematic sexual behavior. This inaugural column highlights recent discussions about solosexuality as an emerging label, a consideration of jealousy in the context of chronic betrayal, and a comparison of perspectives on the understanding and resolution of shame.
{"title":"Gist from the list: discussions from the SASH listserv","authors":"Michael Crocker, Bill Herring","doi":"10.1080/10720162.2018.1515051","DOIUrl":"https://doi.org/10.1080/10720162.2018.1515051","url":null,"abstract":"Abstract The listserv of the Society for the Advancement of Sexual Health (SASH) provides opportunities for members to explore classic and emerging topics in the fields of sexual health and problematic sexual behavior. This inaugural column highlights recent discussions about solosexuality as an emerging label, a consideration of jealousy in the context of chronic betrayal, and a comparison of perspectives on the understanding and resolution of shame.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1515051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46254292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1495586
Wiebke Driemeyer, Jan Snagowski, C. Laier, Michael Schwarz, M. Brand
Abstract Research has recently focused on hypersexual behavior and Internet-pornography-viewing disorder as potential psychopathological conditions, but specific aspects of the phenomena have been widely neglected. This study aimed to investigate excessive masturbation as a subset and symptom of hypersexual behaviors. 2 studies with independent samples have been conducted. In study 1 (n = 146), the Excessive Masturbation Scale (EMS) was designed and tested via explorative factor analysis. In study 2 (n = 255), the psychometric properties of the EMS were evaluated by confirmatory factor analysis. A replicable 2-factor structure (“Coping” and “Loss of Control”) was identified. The EMS showed good psychometric properties and provides a promising basis for further research.
{"title":"Operationalization of Excessive Masturbation—Development of the EMS","authors":"Wiebke Driemeyer, Jan Snagowski, C. Laier, Michael Schwarz, M. Brand","doi":"10.1080/10720162.2018.1495586","DOIUrl":"https://doi.org/10.1080/10720162.2018.1495586","url":null,"abstract":"Abstract Research has recently focused on hypersexual behavior and Internet-pornography-viewing disorder as potential psychopathological conditions, but specific aspects of the phenomena have been widely neglected. This study aimed to investigate excessive masturbation as a subset and symptom of hypersexual behaviors. 2 studies with independent samples have been conducted. In study 1 (n = 146), the Excessive Masturbation Scale (EMS) was designed and tested via explorative factor analysis. In study 2 (n = 255), the psychometric properties of the EMS were evaluated by confirmatory factor analysis. A replicable 2-factor structure (“Coping” and “Loss of Control”) was identified. The EMS showed good psychometric properties and provides a promising basis for further research.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1495586","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49330723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1532363
B. McCarthy, Lana Wald Ross
Abstract This conceptual/clinical paper advocates a “both/and” approach to sexual compulsivity/addiction and healthy male and couple sexuality. Sexual recovery is an integral component in successful treatment of sexual compulsivity/addiction. The man commits to confronting the shameful sexual secret component and the woman commits to being his intimate and erotic ally who neither punishes nor shames him. They are an intimate sexual team who develop a couple sexual style which reinforces desire, pleasure, eroticism, and satisfaction.
{"title":"Healthy Male and Couple Sexuality: Integral Components of the Sexual Compulsivity/Addiction Recovery Process","authors":"B. McCarthy, Lana Wald Ross","doi":"10.1080/10720162.2018.1532363","DOIUrl":"https://doi.org/10.1080/10720162.2018.1532363","url":null,"abstract":"Abstract This conceptual/clinical paper advocates a “both/and” approach to sexual compulsivity/addiction and healthy male and couple sexuality. Sexual recovery is an integral component in successful treatment of sexual compulsivity/addiction. The man commits to confronting the shameful sexual secret component and the woman commits to being his intimate and erotic ally who neither punishes nor shames him. They are an intimate sexual team who develop a couple sexual style which reinforces desire, pleasure, eroticism, and satisfaction.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1532363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44841735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1532361
Alisa R. Garner, Hannah L. Grigorian, A. Florimbio, Meagan J. Brem, Caitlin Wolford-Clevenger, G. Stuart
Abstract Sexual aggression perpetrated by men with a history of domestic violence (DV) occurs at higher rates compared to men without a history of DV. Compulsive sexual behavior (CSB) has been related to sexual assault perpetration in sex offender populations; however, this relation has not been examined among men arrested for DV. The current study investigated if CSB would positively relate to sexual aggression perpetration in a sample of men arrested for DV (n = 312), while controlling for impulsivity and alcohol and drug use. We also explored CSB as it related to “minor/moderate” and “severe” sexual aggression tactics. Hierarchical multiple regression analyses revealed that CSB accounted for a small amount of unique variance in the perpetration of sexual aggression total score. Similarly, CSB accounted for a small amount of unique variance in “minor/moderate” sexual coercion, but not “severe” acts of sexual aggression. The findings suggest CSB may be a risk factor for sexual aggression perpetration and lend support to risk factors varying based on tactics utilized.
{"title":"The Association Between Compulsive Sexual Behavior and Sexual Aggression Perpetration Among Men Arrested for Domestic Violence","authors":"Alisa R. Garner, Hannah L. Grigorian, A. Florimbio, Meagan J. Brem, Caitlin Wolford-Clevenger, G. Stuart","doi":"10.1080/10720162.2018.1532361","DOIUrl":"https://doi.org/10.1080/10720162.2018.1532361","url":null,"abstract":"Abstract Sexual aggression perpetrated by men with a history of domestic violence (DV) occurs at higher rates compared to men without a history of DV. Compulsive sexual behavior (CSB) has been related to sexual assault perpetration in sex offender populations; however, this relation has not been examined among men arrested for DV. The current study investigated if CSB would positively relate to sexual aggression perpetration in a sample of men arrested for DV (n = 312), while controlling for impulsivity and alcohol and drug use. We also explored CSB as it related to “minor/moderate” and “severe” sexual aggression tactics. Hierarchical multiple regression analyses revealed that CSB accounted for a small amount of unique variance in the perpetration of sexual aggression total score. Similarly, CSB accounted for a small amount of unique variance in “minor/moderate” sexual coercion, but not “severe” acts of sexual aggression. The findings suggest CSB may be a risk factor for sexual aggression perpetration and lend support to risk factors varying based on tactics utilized.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1532361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47496433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/10720162.2018.1476943
Elliott Woehler, Amanda L. Giordano, Bryce Hagedorn
Abstract Sex addiction is a prevalent experience affecting up to 6% of the adult population. Although many interventions exist for addressing sex addiction, clinicians may benefit from considering the nature of the therapeutic alliance when working with sexually addicted clients. Specifically, the construct of relational depth may help clinicians more holistically conceptualize sex addiction treatment and address client shame and attachment insecurities. In this article, we provide a thorough examination of relational depth, offer ways in which it may augment sex addiction treatment, and provide a case example to demonstrate its implementation.
{"title":"Moments of Relational Depth in Sex Addiction Treatment","authors":"Elliott Woehler, Amanda L. Giordano, Bryce Hagedorn","doi":"10.1080/10720162.2018.1476943","DOIUrl":"https://doi.org/10.1080/10720162.2018.1476943","url":null,"abstract":"Abstract Sex addiction is a prevalent experience affecting up to 6% of the adult population. Although many interventions exist for addressing sex addiction, clinicians may benefit from considering the nature of the therapeutic alliance when working with sexually addicted clients. Specifically, the construct of relational depth may help clinicians more holistically conceptualize sex addiction treatment and address client shame and attachment insecurities. In this article, we provide a thorough examination of relational depth, offer ways in which it may augment sex addiction treatment, and provide a case example to demonstrate its implementation.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1476943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59972125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/10720162.2018.1475699
Brenna Conley-Fonda, Taylor Leisher
ABSTRACT The working definition of sexual health published in this issue of Sexual Addiction and Compulsivity promises to advance theory, research, practice, and training. The definition implicitly assumes that desire is a requirement of healthy sexuality. Recent emergence of research and advocacy for the asexual identity challenges the contemporary definition of sexual health and offers questions for reflective practice.
{"title":"Asexuality: Sexual Health Does Not Require Sex","authors":"Brenna Conley-Fonda, Taylor Leisher","doi":"10.1080/10720162.2018.1475699","DOIUrl":"https://doi.org/10.1080/10720162.2018.1475699","url":null,"abstract":"ABSTRACT The working definition of sexual health published in this issue of Sexual Addiction and Compulsivity promises to advance theory, research, practice, and training. The definition implicitly assumes that desire is a requirement of healthy sexuality. Recent emergence of research and advocacy for the asexual identity challenges the contemporary definition of sexual health and offers questions for reflective practice.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1475699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42138569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/10720162.2017.1403984
Alex Redcay, C. Simonetti
ABSTRACT Research has documented risk for and evidence of behavioral and substance addiction through neurocircuitry, biochemistry, and genetics. This paper will highlight and complete an overview of this literature with a focus on love addiction. A total of 11 criteria for love addiction and a case study demonstrating the criteria are presented.
{"title":"Criteria for Love and Relationship Addiction: Distinguishing Love Addiction from Other Substance and Behavioral Addictions","authors":"Alex Redcay, C. Simonetti","doi":"10.1080/10720162.2017.1403984","DOIUrl":"https://doi.org/10.1080/10720162.2017.1403984","url":null,"abstract":"ABSTRACT Research has documented risk for and evidence of behavioral and substance addiction through neurocircuitry, biochemistry, and genetics. This paper will highlight and complete an overview of this literature with a focus on love addiction. A total of 11 criteria for love addiction and a case study demonstrating the criteria are presented.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2017.1403984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49241099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/10720162.2018.1454371
Y. Efrati
ABSTRACT The purpose of this study was to examine the relation between shame and religiosity in secular and religious adolescents' willingness to seek help or therapy for their compulsive sexual behavior (CSB). The study population included 274 adolescents (131 boys and 143 girls), aged 14–18 (M = 16.84, SD = 1.29). By religiosity, 51.4% (n = 141) self-defined themselves as secular and 48.6% (n = 133) as religious. Questionnaires were uploaded to Qualtrics—an online platform for questionnaires. Help-seeking steps were prompted by shame. Adolescents who experienced a high degree of shame with their CSB reported greater willingness to receive help; those who reported little or no shame did not express a desire to seek help, despite their level of CSB. Among secular adolescents, but not among religious ones, shame motivated help seeking and willingness to receive help. Religious adolescents refrain from seeking help despite their shame of their CSB.
{"title":"Adolescents with a Disposition toward Compulsive Sexual Behavior: The Role of Shame in Willingness to Seek Help and Treatment","authors":"Y. Efrati","doi":"10.1080/10720162.2018.1454371","DOIUrl":"https://doi.org/10.1080/10720162.2018.1454371","url":null,"abstract":"ABSTRACT The purpose of this study was to examine the relation between shame and religiosity in secular and religious adolescents' willingness to seek help or therapy for their compulsive sexual behavior (CSB). The study population included 274 adolescents (131 boys and 143 girls), aged 14–18 (M = 16.84, SD = 1.29). By religiosity, 51.4% (n = 141) self-defined themselves as secular and 48.6% (n = 133) as religious. Questionnaires were uploaded to Qualtrics—an online platform for questionnaires. Help-seeking steps were prompted by shame. Adolescents who experienced a high degree of shame with their CSB reported greater willingness to receive help; those who reported little or no shame did not express a desire to seek help, despite their level of CSB. Among secular adolescents, but not among religious ones, shame motivated help seeking and willingness to receive help. Religious adolescents refrain from seeking help despite their shame of their CSB.","PeriodicalId":46423,"journal":{"name":"Sexual Addiction & Compulsivity-The Journal of Treatment and Prevention","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10720162.2018.1454371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45146636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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