, Volume 39, Issue 3, pp 594-596
Date: 19 Feb 2010

Hypersexual Disorder: A More Cautious Approach

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Kafka (2009) has done an exemplary job of synthesizing disparate perspectives on dysregulated sexuality, and distilling the common elements into Hypersexual Disorder, a proposed new diagnosis for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. There appears to be substantial clinical support for this disorder; however, strong empirical evidence demonstrating its validity is currently lacking. Further, previous criticisms of the theoretical assumptions underlying a dysregulated sexuality disorder, regardless of how it is conceptualized and labeled, have not yet been adequately addressed (e.g., Giles, 2006; Levine & Troiden, 1988; Moser, 1993; Rinehart & McCabe, 1997; Winters, Christoff, & Gorzalka, 2010). For these reasons, the addition of Hypersexual Disorder to the DSM may be premature.

To meet the DSM definition for a mental disorder, it must be shown that Hypersexual Disorder represents a psychological or behavioral syndrome that is the manifestation o ...