Clinical Case Report Series

Archives of Sexual Behavior

, Volume 42, Issue 5, pp 883-893

Open Access This content is freely available online to anyone, anywhere at any time.

A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals

  • James M. CantorAffiliated withCampbell Family Mental Health Research Institute, Centre for Addiction and Mental HealthDepartment of Psychiatry, University of TorontoSexual Behaviours Clinic, Centre for Addiction and Mental Health Email author 
  • , Carolin KleinAffiliated withSexual Behaviours Clinic, Centre for Addiction and Mental Health
  • , Amy LykinsAffiliated withSexual Behaviours Clinic, Centre for Addiction and Mental Health
  • , Jordan E. RulloAffiliated withSexual Behaviours Clinic, Centre for Addiction and Mental Health
  • , Lea ThalerAffiliated withSexual Behaviours Clinic, Centre for Addiction and Mental Health
  • , Bobbi R. WallingAffiliated withSexual Behaviours Clinic, Centre for Addiction and Mental Health

Abstract

Men and women have been seeking professional assistance to help control hypersexual urges and behaviors since the nineteenth century. Despite that the literature emphasizes that cases of hypersexuality are highly diverse with regard to clinical presentation and comorbid features, the major models for understanding and treating hypersexuality employ a “one size fits all” approach. That is, rather than identify which problematic behaviors might respond best to which interventions, existing approaches presume or assert without evidence that all cases of hypersexuality (however termed or defined) represent the same underlying problem and merit the same approach to intervention. The present article instead provides a typology of hypersexuality referrals that links individual clinical profiles or symptom clusters to individual treatment suggestions. Case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including: (1) Paraphilic Hypersexuality, (2) Avoidant Masturbation, (3) Chronic Adultery, (4) Sexual Guilt, (5) the Designated Patient, and (6) better accounted for as a symptom of another condition.

Keywords

Hypersexuality Masturbation Sex addiction Sexual compulsivity Sexual disorders Typology