A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals
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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.
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- A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals
Archives of Sexual Behavior
Volume 42, Issue 5 , pp 883-893
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- Springer US
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- Sex addiction
- Sexual compulsivity
- Sexual disorders
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- Author Affiliations
- 1. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada
- 2. Department of Psychiatry, University of Toronto, Toronto, ON, Canada
- 3. Sexual Behaviours Clinic, Centre for Addiction and Mental Health, 250 College St., Toronto, ON, M5T 1R8, Canada