Separating Models Obscures the Scientific Underpinnings of Sex Addiction as a Disorder
- 819 Downloads
A foundational concern we have about the Target Article by Walton, Cantor, Bhullar, and Lykins (2017) involves its structure. For example, the manner in which Walton et al. explore various theoretical approaches by dividing them into subtopics is problematic. Of greatest concern is the separation of research on sex addiction from research that utilizes other terms that describe the same basic phenomenon, and from the coverage of neurobiology as it relates to this issue.
Starting with the latter concern, Walton et al. present a largely phenomenological description of sex addiction, and the primary reference to neurobiology in this section is the problematic statement, “The conceptualization of sexual behavior as an addiction has long been criticized, as research has failed to substantiate physiological conditions of tolerance and withdrawal.” We suggest a more accurate wording would be, “The conceptualization of sexual behavior as an addiction has been inaccurately criticized, as some...
- American Society of Addiction Medicine. (2011). Public policy statement: Definition of addiction. Retrieved July 28, 2017 from http://www.asam.org/research-treatment/definition-of-addiction.
- Brand, M., Young, K. S., Laier, C., Wölfling, K., & Potenza, M. N. (2016). Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Neuroscience and Biobehavioral Reviews, 71, 252–266. doi: 10.1016/j.neubiorev.2016.08.033.CrossRefPubMedGoogle Scholar
- Carnes, P. (1983). The sexual addiction. Minneapolis, MN: CompCare Publications.Google Scholar
- Doidge, N. (2007). The brain that changes itself: Stories of personal triumph from the frontiers of brain science. New York, NY: Penguin Books.Google Scholar
- Hilton, D., Carnes, S., & Love, T. (2016). The neurobiology of behavioral addictions: Sexual addiction. In A. Swann, G. Moeller, & M. Lijffijt (Eds.), Neurobiology of addictions (pp. 176–190). New York, NY: Oxford University Press.Google Scholar
- Messina, B., Fuentes, D., Tavares, H., Abdo, C. H., & Scanavino, M. D. T. (2017). Executive functioning of sexually compulsive and non-sexually compulsive men before and after watching an erotic video. Journal of Sexual Medicine, 14, 347–354. doi: 10.1016/j.jsxm.2016.12.235.CrossRefPubMedGoogle Scholar
- Volkow, N. D., Wang, G. J., Fowler, J. S., & Telang, F. (2008). Overlapping neuronal circuits in addiction and obesity: Evidence of systems pathology. Philosophical Transactions of the Royal Society of London B: Biological Sciences, 363, 3191–3200. doi: 10.1098/rstb.2008.0107.CrossRefPubMedPubMedCentralGoogle Scholar
- Volkow, N. D., Wang, G. J., Fowler, J. S., Tomasi, D., Telang, F., & Baler, R. (2010). Addiction: Decreased reward sensitivity and increased expectation sensitivity conspire to overwhelm the brain’s control circuit. BioEssays, 32, 748–755. doi: 10.1002/bies.201000042.CrossRefPubMedPubMedCentralGoogle Scholar