Sexual anorexia

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Sexual anorexia is a term coined in 1975 by psychologist Nathan Hare to describe a fear of or deep aversion to sexual activity. [1] [2] It is considered a loss of "appetite" for sexual contact, and may result in a fear of intimacy or an aversion to any type of sexual interaction.[ citation needed ] The term largely exists in a colloquial sense and is not presently classified as a disorder in the Diagnostic Statistical Manual . [3]

Contents

In comparing sexual anorexia to anorexia nervosa, some psychologists suggest that the two disorders share four main characteristics: control, fear, anger, and justification. [4]

Empirical data

Very few studies have been conducted to investigate the specific diagnostic patterns or criteria regarding sexual anorexia. However, one study conducted by Patrick Carnes found that many of his patients diagnosed with sexual anorexia also had a history of sexual, physical, or emotional abuse, other compulsive or addictive problems such as substance abuse, or a family history of addiction. However, only early treatment data was used, and the sample size was very limited. [1]

Sexual addiction

In the view of some practitioners, corroborating the work of Patrick Carnes, there are people who appear to have a sexual addiction which is expressed through a variety of behaviors such as the compulsive use of strip clubs, prostitutes, porn sites, etc. but fit the definition of sexual anorexic in that they seem to lack the ability to have a relationship of a sexual nature beyond a paid-for or anonymous experience. Nonetheless, the data for sex addicts and sexual anorexics draw many similarities in terms of family, abuse, and medical history. [1]

Social phobia

Symptoms of sexual anorexia have also been linked to social anxiety and social phobias. [5] A crossover between the two disorders consists of a deep fear of relationship and/or interactions with others, which for a socially anxious individual might manifest in a complete avoidance of all social interaction, including sexual interaction. [6] Sexual anorexics may experience similar symptoms that are perhaps isolated to their sexual interactions, or the two conditions may be co-morbid. [6]

History of the term

The concept of sexual anorexia was first mentioned by psychologist Nathan Hare in his 1975 dissertation at the California School of Professional Psychology. [2] Ellen Goodman, the nationally syndicated columnist, wrote about psychiatrist Sylvia Kaplan's use of the concept in 1981 and this was noted in the editor's "Notes" in the journal Black Male/Female Relationships. [2] Nathan and Julia Hare's "Sexual Anorexia" in Crisis in Black Sexual Politics was published in 1989. [7]

The term was widely popularized in psychologist Patrick Carnes' book Sexual Anorexia: Overcoming Sexual Self-Hatred, [8] published in 1997. [9] More recently, Julia Hare has used it in the book The Sexual and Political Anorexia of the Black Woman in June 2008. [10]

Symptoms

One of the main symptoms of the sexual anorexic is a lack of sexual desire.[ citation needed ] Fear or avoidance of sexual activity is also a characteristic of sexual anorexia[ citation needed ] - a sexual anorexic may want to or be willing to have sex, but not be able to proceed when faced with a sexual encounter due to fear or anxiety. [11]

Other symptoms of sexual anorexia may include: a preoccupation, sometimes to the point of obsession, with sexual matters, an uncontrollable avoidance of sex, shame regarding sexual experiences, and negative attitudes about sexual activity or body image. [12]

Causes

There are many potential factors which can result in an avoidance of sexual intimacy. Physical problems resulting from exhaustion, hormone imbalances, medication use, and emotional complications resulting from rape, sexual abuse, problems with communication, or power imbalances between partners can cause sexual anorexia.[ medical citation needed ] Sexual anorexia can affect both men and women.[ medical citation needed ]

History of sexual abuse

Among the most well-documented cases of sexual anorexia are those linked to sexual assault (especially assault which occurs in childhood) and unhealthy body images. [13] [14] A strong feeling of aversion toward sex may be a response to earlier trauma or abuse. [11]

Medication use

The use of certain medications, such as antidepressants, may also contribute to a loss of libido or sexual dysfunction, thus resulting in an aversion to sexual activities. [15]

Treatment

Sexual anorexics may be able to be treated by healthcare professionals, sex therapists, or mental health counselors. [12]

Treatment may be aimed at helping the person see where their fears lie and to see the world in less black and white terms, and the patient may be encouraged to take calculated risks with social activities. The goals for both sex addicts and sexual anorexics is to learn to have a healthy relationship with sex, get emotional needs met in direct ways, and set healthy boundaries. This is an issue that requires ongoing treatment in planned stages with the end goal of autonomy, independence, and improved social relationships. [16]

See also

Related Research Articles

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Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The concept is contentious; as of 2023, sexual addiction is not a clinical diagnosis in either the DSM or ICD medical classifications of diseases and medical disorders, which instead categorize such behaviors under labels such as compulsive sexual behavior.

Patrick Carnes is an American proponent of the viewpoint that some sexual behavior is an addiction. According to CBS News, he popularized the term sex addiction. He created the International Institute for Trauma and Addiction Professionals (IITAP), as well as numerous addiction treatment facilities, and created the CSAT certification.

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<span class="mw-page-title-main">Sexual Compulsives Anonymous</span> Twelve-step program

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<span class="mw-page-title-main">Wendy Maltz</span> Sex therapist

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Adult Attachment Disorder (AAD) develops in adults as the result of an attachment disorder, or Reactive Attachment Disorder, that goes untreated in childhood. It begins with children who were not allowed proper relationships with parents or guardians early in their youth, or were abused by an adult in their developmental stages in life. According to attachment theory, causes and symptoms of the disorder are rooted in human relationships over the course of one's lifetime, and how these relationships developed and functioned. Symptoms typically focus around neglect, dysfunction, abuse, and trust issues in all forms of their relationships. These symptoms are similar to those of other attachment disorders, but focus more on relationships later in life rather than those in earlier years. To be considered to have AAD, you must demonstrate at least 2-3 of its symptoms. These symptoms include: impulsiveness, desire for control, lack of trust, lack of responsibility, and addiction. While the DSM-5 does not recognize it as an official disorder, Adult Attachment disorder is currently being studied by several groups and treatment is being developed. Some of these studies suggest splitting AAD into two groups, avoidance and anxious/ambivalent. More recent and advanced medical practice advocates for four categorisations;

References

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  2. 1 2 3 Hare, Nathan (1975). Black Male-Female Relations (PhD thesis). California School of Professional Psychology. ProQuest   302740553.
  3. American Psychiatric Association (2013-05-22). Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). American Psychiatric Association. doi:10.1176/appi.books.9780890425596. ISBN   978-0-89042-555-8.
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  5. Evans, L.; Wertheim, E.H. (March 1998). "Intimacy patterns and relationship satisfaction of women with eating problems and the mediating effects of depression, trait anxiety and social anxiety". Journal of Psychosomatic Research. 44 (3–4): 355–365. doi:10.1016/S0022-3999(97)00260-2. PMID   9587879.
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  12. 1 2 "Sexual anorexia: Symptoms, treatment, causes, and more". Medical News Today. 2022-06-21. Retrieved 2023-04-14.
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Further reading