Sex Addiction Is A Legitimate Mental Disorder
Editor's ChoiceMain Category:
Sexual Health / STDs
Also Included In:
Psychology / Psychiatry;
Mental Health
Article Date: 22 Oct 2012 - 11:00 PDT
Although sex addiction is the basis for laughs on many television
programs and in magazines and movies, the reality is that sex addiction
is a condition which destroys families, relationships, and lives.
However, psychiatrists have not been quick to believe that "out-of-control sexual behavior" is a
mental health condition because of lack of research on this topic. A 2010 study asked, "
Is sex addiction fact or fallacy?"
Sex
addiction is also called
sexual
addiction, sexual dependency, hypersexuality, hypersexual disorder,
compulsive sexual behavior, satyriasis (males), nymphomania (females),
and sexual compulsivity.
Researchers from UCLA decided to test whether "hypersexual disorder" is in fact a mental health condition.
Research psychologist and assistant professor of psychiatry at the Semel
Institute of Neuroscience and Human Behavior at UCLA, Rory Reid, lead a
team of doctors and marriage and family counselors in their search to
find substantial criteria to help professionals adequately make
hypersexual disorder diagnoses.
The findings, which were published in the
Journal of Sexual Medicine,
will play a role in determining whether hypersexual disorder will be
part of the improved fifth edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-5), which has been called the "bible" of
psychiatry.
According to Reid, the study is significant because it proposes that
hypersexual disorder is a real mental health disease.
Reid said:
"The criteria for hypersexual disorder that have been proposed, and now
tested, will allow researchers and clinicians to study, treat and
develop prevention strategies for individuals at risk for developing
hypersexual behavior."
In order for hypersexual disorder to be deemed an actual mental
health disorder, an individual must experience repeated sexual
fantasies, behaviors, and urges that last upwards of 6 months, and are
not due to factors, such as medication, another medical condition,
substance abuse, or manic episodes linked to bipolar disorder.
People who have this condition also must display a pattern of sexual
activity as a reaction to their periods of irritated moods, for example,
when they feel depressed. These individuals also use sex as a way to
deal with
stress.
The guidelines used to categorize people with hypersexual disorder was
developed by a DSM-5 sexual and gender identity disorders work group,
established for the newly revised manual.
The guidelines also say that to be diagnosed with hypersexual disorder, a
person must have tried to stop or reduce their sexual activities if
they believe they are becoming a problem, and have failed to do so.
"As with many other mental health disorders, there must also be evidence
of personal distress caused by the sexual behaviors that interfere with
relationships, work or other important aspects of life," said Reid.
To assess the standards for hypersexual disorder, Reid and his team
carried out psychological testing and interviews of 207 participants
throughout many mental health facilities around the U.S. All of the
patients involved were trying to fix their behavior regarding a
substance abuse problem, sexual behavior issue, or a different type of
psychiatric condition, including
anxiety or
depression.
When using the suggested criteria among the patients, 88% were
accurately categorized as having hypersexual disorder. The guidelines
also assisted the researchers in finding negative outcomes 93% of the
time. This means that the criteria helped distinguish between those who
did not have hypersexual disorder and might need treatment for anxiety,
depression or substance abuse, and those who did.
Reid commented: "The results lead us to believe that the proposed
criteria tend not to identify patients who don't have problems with
their sexual behavior. This is a significant finding, since many had
expressed concerns that the proposal would falsely classify
individuals."
He also mentioned that the new criteria was much more precise in recognizing
hypersexual disorder among patients than other psychiatric testing methods.
"So an individual meeting the criteria for hypersexual disorder can
experience significant challenges and consequences in their life. Our
study showed increased hypersexual behavior was related to greater
emotional disturbance, impulsivity and an inability to manage stress,"
Reid added.
Another important outcome of the study was that individuals who met the
standards for hypersexual disorder experienced many more consequences
due to their sexual behaviors, when compared with those who were
suffering from substance abuse and a different medical issue.
Other findings revealed:
- 17% of the 207 patients involved in the study lost their jobs at least one time
- 28% developed a sexually transmitted disease
- 39% lost a relationship
- 78% had a disruption in their healthy sexual activity
According to the report,
54% of the patients with hypersexual
disorder believed that their problems with sexual activity began before
they turned 18, and 30% said that they began noticing problems between
the ages of 18-25.
Reid continued: "This appears to be a disorder that emerges in
adolescence and young adulthood, which has ramifications for early
intervention and prevention strategies."
Different kinds of sexual behaviors were also looked at among the
patients with hypersexual disorder. The researchers found that
masturbation, ample amounts of pornography viewing, which resulted in
sex with another adult, and cybersex were all common among these
individuals.
Hypersexual patients also were found to have had sex with "commercial
sex workers", such as prostitutes, had recurring affairs, and sexual
partners whom they did not know - around 15 partners during the year
before the study.
Reid concluded:
"It's not that a lot of people don't take sexual risks from time to time
or use sex on occasion to cope with stress or just escape, but for
these patients, it's a constant pattern that escalates until their
desire for sex is controlling every aspect of their lives and they feel
powerless in their efforts to change."
Written by Christine Kearney