Problematic and Non-problematic Pornography Use and Compulsive Sexual Behaviors Among Understudied Populations: Children and Adolescents
Purpose of Review
The aim of the current review is to define problematic and non-problematic pornography use, and to show that this definition is dependent on the perspective that one adopts—mental health, feminist, and/or religious.
The definition of problematic and non-problematic pornography use among adolescents is highly dependent on perspective. Pornography use is not reliably linked with mental health problems. However, pornography use is linked with objectification processes, sexual permissiveness, and risky sexual behavior. The current review suggests that to define pornography use as problematic, we need to assess whether or not it relates to compulsive sexual behavior disorder (CSBD) but when treating CSBD, we must consider the specific perspective that the patient holds (religious, feminine, and/or mental health).
There is a need for an objective definition of problematic pornography use—one that could be found in the framework of CSBD. Recent studies indicate the potential of using CSBD as an indicator of problematic pornography use for both basic understanding and therapeutic approaches.
KeywordsPornographic Compulsive sexual behaviors Adolescence Problematic sexual behavior
Compliance with Ethical Standards
Conflict of Interest
The author declares that there is no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.Quadara A, El-Murr A, Latham J. The effects of pornography on children and young people. Australian Institute of Family Studies: Melbourne; 2017.Google Scholar
- 2.Livingstone S, Haddon L, Görzig A, & Ólafsson K. EU kids online II: final report 2011.Google Scholar
- 12.Wright PJ, Donnerstein EI. Sex online: pornography, sexual solicitation, and sexting. Adolescent medicine: state of the art reviews. 2014;25(3):574–89.Google Scholar
- 13.•• Vandenbosch L, van Oosten JM. The relationship between online pornography and the sexual objectification of women: the attenuating role of pornography literacy education. Journal of Communication. 2017;67(6):1015–36 This study provides some evidence for the role of media education in reducing the effects of pornography use on sexual objectification of women. CrossRefGoogle Scholar
- 15.To S, Iu Kan S, Ngai SS. Interaction effects between exposure to sexually explicit online materials and individual, family, and extrafamilial factors on Hong Kong high school students’ beliefs about gender role equality and body-centered sexuality. Youth Soc. 2015;47(6):747–68.CrossRefGoogle Scholar
- 22.Milas G, Wright P, Štulhofer A. Longitudinal assessment of the association between pornography use and sexual satisfaction in adolescence. J Sex Res. 2019:1–13.Google Scholar
- 23.Štulhofer A, Tafro A, Kohut T. The dynamics of adolescents’ pornography use and psychological well-being: a six-wave latent growth and latent class modeling approach. Eur Child Adolesc Psychiatry. 2019. https://doi.org/10.1007/s00787-019-01318-4(Epubaheadofprint).
- 30.O’sullivan L, & Thompson A. Sexuality in adolescence. In DL. Tolman L, Deborah LM, Diamond JA, Bauermeister WH, George JG, Pfaus, & LM. Ward (Eds.), APA handbook of sexuality and psychology, Vol. 1: person-based approaches. APA handbooks in psychology (pp. 433–486). Washington, DC: American Psychological Association. 2014.CrossRefGoogle Scholar
- 51.• Gola M, Potenza MN. The proof of the pudding is in the tasting: data are needed to test models and hypotheses related to compulsive sexual behaviors. Archives of sexual behavior. 2018;47(5):1323–5 This letter highlights the importance of empirical validation of models of CSB. PubMedPubMedCentralCrossRefGoogle Scholar
- 53.• World Health Organization [WHO]. ICD-11 (mortality and morbidity statistics).6C72 Compulsive Sexual Behaviour Disorder. 2018. Retrieved from https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/1630268048. WHO’s definition of compulsive sexual behavior.
- 56.De Crisce D. Sexual addiction and hypersexual behaviors in adolescents. In: Rosner R, editor. Clinical handbook of adolescent addiction. Chichester, UK: Wiley; 2013. p. 362–76.Google Scholar
- 57.•• Efrati Y, Mikulincer M. Individual-based compulsive sexual behavior scale: its development and importance in examining compulsive sexual behavior. Journal of Sex & Marital Therapy. 2018;44(3):249–59. https://doi.org/10.1080/0092623X.2017.1405297This study relates to the construction of the I-CSB scale used to assess CSBD among adolescents. CrossRefGoogle Scholar
- 58.Efrati Y, Gerber, Z, & Tolmacz, R. The relation of intra-psychic and relational aspects of the self to compulsive sexual behavior. Journal of Sex & Marital Therapy.2019.Google Scholar
- 65.Delmonico DL, & Griffin EJ. Cybersex addiction and compulsivity. Internet addiction: a handbook and guide to evaluation and treatment 2011;113–134.Google Scholar
- 71.Siu-ming T, Phyllis KSW, Cherry HLT, Diana KK, Lau CD. Sexual compulsivity, sexual self-concept, and cognitive outcomes of sexual behavior of young Chinese Hong Kong males with compulsive sexual behavior: implications for intervention and prevention. Child Youth Serv Rev. 2019;104400.Google Scholar
- 73.Doornwaard SM, van Den Eijnden RJ, Baams L, Vanwesenbeeck I, Ter Bogt TF. Lower psychological well-being and excessive sexual interest predict symptoms of compulsive use of sexually explicit Internet material among adolescent boys. Journal of youth and adolescence. 2016;45(1):73–84.PubMedCrossRefGoogle Scholar
- 75.Borgogna NC, McDermott RC, Berry AT, Browning BR. Masculinity and problematic pornography viewing: the moderating role of self-esteem. Psychology of Men & Masculinities. 2019.Google Scholar