Sexual Addiction: Different Therapeutic Approaches? A Review of the Literature
European Fellowship of Sexual Medicine (FECSM), Elmattry Teaching Hospital and Motmaena Medical Center (KSA), Egypt
M. Falone Percival
President of the“ Società Italiana di Psicologia, Psicoterapia e Sessuologia Scientifica”, Italy
Fulltext (english, pages 169-169).pdf
Objective: Sexual addiction refers to specific condition in which the individual engages in repetitive and increasingly risky sexual behaviors. The behavior serve as a coping mechanism for dealing with painful affects, especially shame due to early trauma and this coping results in loss of control in spite of negative consequences and this term sexual addiction can be used to imply that sexual stimulation acts like a drug on nervous system, and sexual addiction interferes with normal living and causes severe stress on family, friends, loved ones, and one’s work environment. The term sexual addiction appears in the third revised edition of DSM, but it was excluded in the DSM IV, and very recently in DSM-5 as well. The main aim of this article is to provide a general overview of different therapeutic approaches of sexual addiction.
Design and Method: We are providing a nonsystematic and worldwide review on treatment of sexual addiction.
Results: Appropriate treatment of sexual addiction should include a combination of pharmacological and psychological approaches and psychiatric and somatic co-morbidities that frequently occur with sexual addiction should be integrated into the therapeutic process.
Conclusions: Sexual addiction is a challenging topic because of differing societal views about sex and the nature of the addiction, and because of a lack of consensus and empirical research on sexual addiction, clear diagnostic criteria are needed to test the efficacy of psychological and pharmacological treatments in controlled studies. Because of most individuals suffering from this addiction feel shame and embarrassment which makes it difficult for them to seek treatment as with other behavioral addictions (e.g., pathological gambling, compulsive buying) it is hoped that this review will add to the growing awareness and affirm the need for more treatment in this area.