Future Contemplations for Classifying Compulsive Sexual Behaviors

December 7, 2022

Future Contemplations for Classifying Compulsive Sexual Behaviors

Order Number	636738393092
Type of Project	ESSAY
Writer Level	PHD VERIFIED
Format	APA
Academic Sources	10
Page Count	3-12 PAGES

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Future Contemplations for Classifying Compulsive Sexual Behaviors

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The debate about whether to classify compulsive sexual behavior as an addiction continues to evolve. Additional research is needed to clarify the terminology and diagnostic criteria used for classification purposes. Data assessing prevalence and other comorbidities are needed to further policy, prevention, diagnosis, and treatment efforts.

We recently considered evidence for classifying compulsive sexual behavior (csb) as a non-substance (behavioral) addiction [1]. Our review found that csb shared clinical, neurobiological and phenomenological parallels with substance-use disorders; however, we concluded that more research is needed in order to address current shortcomings.

The responding commentaries highlight important issues regarding classification efforts including the lack of a consensus definition for csb and disagreement about proposed criteria central to defining csb [2]. More research should examine which proposed criteria – whether those relating more closely to sexual addiction [3] or hypersexual disorder [4] – accurately reflect csb in clinical contexts.

Although the two diagnostic categories may conceptually differentiate between addiction and excessive drive, the criteria overlap and stress and negative emotionality as triggers apply to both [5]. More research is needed to better understand in csb how central features of addiction (e.g. Tolerance, withdrawal) relate to csb and its treatment.

Additional concerns included improving research method- ologies and minimizing possible confounds that may limit generalizability of studies [2]. Although data suggest that other behavioral addictions are comorbid with other psychiatric disorders [6,7], additional research is needed to determine the prevalence of co-occurring disorders with csb [8].

Co-occurring behavioral addictions with csb should be considered, particularly if the behaviors are intertwined (e.g. Traveling to resort casinos to engage in sex and gamble). Further, additional research is needed to better understand the prevalence of csb among the general population.

Additional points were raised regarding the language used to describe csb, with ‘risky’ or ‘excessive’ terminology being potentially misleading. ‘excessive’ sex may not be problematic [8]. Instead, sexual behavior leading to significant functional impairment or psychological distress maymore likely reflect important clinical hallmarks of csb.

Applying a more objective approach to developing a diagnostic framework for csb may promote advancement. Objective indicators of distress (e.g. Repeated attempts to quit, craving, etc.) Rather than frequency of sexual behav- iors should be a focus [9], particularly as frequency of sexual behaviors may not be a strong predictor of csb [10].

The pathologizing of sexual behaviors falling outside normative standards or ranges and the evolution of sexual practices and societal values over time were also discussed [11]. Notably, changes in usage of digital technologies have altered sexual behaviors, particularly amongst youth and young adults.

Internet pornography is thriving, casual sex (‘hook-up’) websites are widely popular, and social me- diamay act as a sexual conduit formany individuals. These developments are accompanied by many unanswered questions [12]. Future longitudinal research is needed to examine how digital technologies are related to the devel- opment and maintenance of csb over the lifespan.

Although the american psychiatric association rejected hypersexual disorder [4] from dsm-5, a diagnosis of csb (excessive sex drive) can be made using icd-10 [13]. Csb is also being considered by icd-11 [14], al- though its ultimate inclusion is not certain.

Future re- search should continue to build knowledge and strengthen a framework for better understanding csb and translating this information into improved policy, pre- vention, diagnosis, and treatment efforts to minimize the negative impacts of csb.

Funding sources

This study was funded by support from the department of veterans affairs, visn1mental illness research education and clinical center, the national center for responsible gaming, and the national center on addiction and substance abuse. Swk is a full-time employee of the department of veterans affairs. The content of this manuscript does not necessarily reflect the views of the funding agencies and reflects the views of the authors.

Declaration of interests

The authors report no conflicts of interest with respect to the content of this manuscript. Dr. Potenza has consulted for and advised ironwood, lundbeck, insys, shire, rivermend health and opiant/lakelight therapuetics;

has received research support from mohegan sun casino, the national center for responsible gaming, and pfizer; has participated in surveys, mailings or telephone consul- tations related to drug addiction, impulse-control disorders or other health topics; has consulted for gambling and legal entities on issues related to impulse-control and addictive disorders; provides clinical care in the connecticut department of mental health and addiction services

Future Contemplations for Classifying Compulsive Sexual Behaviors

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Excellent Quality

95-100%

Introduction

45-41 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Literature Support

91-84 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Methodology

58-53 points

With titles for each slide as well as bulleted sections to group relevant information as required, the content is well-organized. Excellent use of typeface, color, images, effects, and so on to improve readability and presenting content. The minimum length criterion of 10 slides/pages is reached.

Average Score

50-85%

40-38 points

More depth/information is required for the context and importance, otherwise the study detail will be unclear. There is no search history information supplied.

83-76 points

There is a review of important theoretical literature, however there is limited integration of research into problem-related ideas. The review is just partly focused and arranged. There is research that both supports and opposes. A summary of the material given is provided. The conclusion may or may not include a biblical integration.

52-49 points

The content is somewhat ordered, but there is no discernible organization. The use of typeface, color, graphics, effects, and so on may sometimes distract from the presenting substance. It is possible that the length criteria will not be reached.

Poor Quality

0-45%

37-1 points

The context and/or importance are lacking. There is no search history information supplied.

75-1 points

There has been an examination of relevant theoretical literature, but still no research concerning problem-related concepts has been synthesized. The review is just somewhat focused and organized. The provided overview of content does not include any supporting or opposing research. The conclusion has no scriptural references.

48-1 points

There is no logical or apparent organizational structure. There is no discernible logical sequence. The use of typeface, color, graphics, effects, and so on often detracts from the presenting substance. It is possible that the length criteria will not be reached.