Comments on the article by J. B. Grubbs and C. L. Boness (see record 2025-66167-001). Compulsive sexual behavior (CSB) is a complex and often misunderstood condition, characterized by persistent, distressing patterns of out-of-control sexual behavior. Despite increasing prevalence, CSB remains diagnostically ambiguous and is subject to ongoing debate about how it should be conceptualized. While various existing frameworks capture core aspects of the condition, none seems to fully account for its diverse features. This commentary argues that rigid categorical diagnostic models may be limiting progress in both research and clinical care for CSB. Instead, a multidimensional, process-oriented approach is proposed, drawing on the Research Domain Criteria framework to better understand the underlying mechanisms of CSB. Through this approach, CSB is conceptualized not as a unidimensional disorder but as a syndrome with multiple pathways and individualized presentations. Implications for assessment, diagnosis, and treatment are discussed, with a call for research to identify distinct subtypes and develop modular, targeted interventions. Embracing the complexity of CSB may ultimately lead to a more nuanced understanding of its presentation and better treatment outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Most etiological research on mental disorders tries to find specific causes of specific disorders. However, the search for causal specificity has been elusive. In fact, new evidence reveals that the major etiological factors are transdiagnostic. One possible reason for why the search for specificity has been elusive is that most disorders are more similar than they are distinct, an idea that prompted research on "p"-the tendency of a person to develop a wide range of different mental disorders. Here we bring together data from unique sources to provide the intergenerational and developmental empirical evidence base for understanding "p." Men and women with a history of mental disorders tend to mate with partners who are also prone to have mental disorders, but not necessarily the same disorders. This creates a situation whereby their offspring, whether through genetic and/or environmental transmission, are at heightened risk of developing a variety of different mental disorders, but which specific disorder offspring ultimately develop is not easy to predict. Given that offspring inherit these multiple liabilities, it may not surprise that these liabilities manifest as different disorders at different points throughout their lives, but which disorder emerges at a particular time is difficult to foretell. The intergenerational and developmental evidence about the familiality and course of mental disorders helps to deconstruct "p" and invites psychopathology research and clinical science to reconsider their common approach to studying one mental disorder at a time. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：