Hypersexuality is a medical condition that causes unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment. It is controversial whether it should be included as a clinical diagnosis used by mental healthcare professionals. Nymphomania, satyromania and sex maniac were terms previously used for the condition in women and men, respectively.
Pornography addiction is the scientifically controversial application of an addiction model to the use of pornography. Pornography use may be part of compulsive behavior, with negative consequences to one's physical, mental, social, or financial well-being. While the World Health Organization's ICD-11 (2022) has recognized compulsive sexual behaviour disorder (CSBD) as an "impulsive control disorder". CSBD is not an addiction, and the American Psychiatric Association's DSM-5 (2013) and the DSM-5-TR (2022) do not classify compulsive pornography consumption as a mental disorder or a behavioral addiction.
Virtual sex is sexual activity where two or more people gather together via some form of communications equipment to arouse each other, often by the means of transmitting sexually explicit messages. Virtual sex describes the phenomenon, no matter the communications equipment used.
Reasons for opposition to pornography include religious objections and feminist concerns, as well as alleged harmful effects, such as pornography addiction and erectile dysfunction. Pornography addiction is not a condition recognized by the DSM-5, the ICD-11, or the DSM-5-TR. Anti-pornography movements have allied disparate social activists in opposition to pornography, from social conservatives to harm reduction advocates. The definition of "pornography" varies between countries and movements, and many make distinctions between pornography, which they oppose, and erotica, which they consider acceptable. Sometimes opposition will deem certain forms of pornography more or less harmful, while others draw no such distinctions.
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.
Sexual anorexia is a term coined in 1975 by psychologist Nathan Hare to describe a fear of or deep aversion to sexual activity. 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. The term largely exists in a colloquial sense and is not presently classified as a disorder in the Diagnostic Statistical Manual.
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.
Internet sex addiction, also known as cybersex addiction, has been proposed as a sexual addiction characterized by virtual Internet sexual activity that causes serious negative consequences to one's physical, mental, social, and/or financial well-being. It may also be considered a subset of the theorized Internet addiction disorder. Internet sex addiction manifests various behaviours: reading erotic stories; viewing, downloading or trading online pornography; online activity in adult fantasy chat rooms; cybersex relationships; masturbation while engaged in online activity that contributes to one's sexual arousal; the search for offline sexual partners and information about sexual activity.
Sexual Compulsives Anonymous (SCA) is a twelve-step program for people who want to stop having compulsive sex. SCA founding is attributed variously to 1982 in New York City and to 1973 in Los Angeles. Although the fellowship originally sought to address issues of sexual compulsion among gay and bisexual men, and this is still the fellowships predominant demographic, today the program is LGBT friendly, open to all sexual orientations, and there is an increasing number of women and heterosexual men participating. SCA meetings are most likely to be held in urban areas with larger gay and bisexual male populations. The majority of members are white, but vary in age and socioeconomic background. The only requirement for membership is a desire to stop having compulsive sex.
Sex Addicts Anonymous (SAA) is a twelve-step program founded in 1977 for people who want to stop their addictive sexual behavior. There also exists a group known as COSA, for those who have been impacted by others' sexual addiction.
Sex and Love Addicts Anonymous (SLAA) is a twelve-step program for people recovering from sex addiction and love addiction. SLAA was founded in Boston, Massachusetts in 1976, by a member of Alcoholics Anonymous (AA). Though he had been a member of AA for many years, he repeatedly acted out and was serially unfaithful to his wife. He founded SLAA as an attempt to stop his compulsive sexual and "romantic" behavior. SLAA is also sometimes known as the Augustine Fellowship, because early members saw many of their shared symptoms described by St. Augustine of Hippo in his work Confessions. COSLAA is another twelve-step fellowship created to support the family members and friends of sex and love addicts.
Pornography has been defined as any material in varying forms, including texts, video, photos or audio that is consumed for sexual satisfaction and arousal of an individual or partnership. The effects of pornography on individuals or their intimate relationships have been a subject of research.
Behavioral addiction, process addiction, or non-substance-related disorder is a form of addiction that involves a compulsion to engage in a rewarding non-substance-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being. In the brain's reward system, a gene transcription factor known as ΔFosB has been identified as a necessary common factor involved in both behavioral and drug addictions, which are associated with the same set of neural adaptations.
Sexual Health & Compulsivity is a peer-reviewed, academic journal. This journal is a key source for providing practicing clinicians useful and innovative strategies for intervention and treatment of sexual behaviors, which includes problematic/compulsive sexual behaviors. It aims to expand knowledge of sexual health with a particular focus on problematic/compulsive sexual behaviors across diverse clinical and non-clinical populations. The journal covers a broad perspective of sexual health, compulsive sexual behaviors, and their co-occurrence with other addictive and mental health disorders. Furthermore, the journal covers behavioral, epidemiological, and neurobiological methods used to assess factors contributing to the development and treatment of compulsive and addictive sexual behaviors.
Alexandra Katehakis is the clinical director of the Center for Healthy Sex in Los Angeles and an author. Katehakis is a clinical supervisor at American Association of Sex Educators, Counselors and Therapists (AASECT) and clinical supervisor and member of the teaching faculty for the International Institute for Trauma and Addiction Professionals (IITAP) a national certifying body for sex addiction therapists. She has been a contributor to Psychology Today, Los Angeles Times and The Huffington Post, as well as a panelist at sexuality conferences and public events.
Robert Weiss is an American author, educator, and clinical expert in the treatment of Sexual Addiction and Related intimacy disorders. Weiss currently serves as Founder Seeking Integrity Treatment Programs.
Compulsive sexual behaviour disorder (CSBD), is an impulse control disorder. CSBD manifests as a pattern of behavior involving intense preoccupation with sexual fantasies and behaviours that cause significant levels of psychological distress, are inappropriately used to cope with psychological stress, cannot be voluntarily curtailed, and risk or cause harm to oneself or others. This disorder can also cause impairment in social, occupational, personal, or other important functions. CSBD is not an addiction, and is typically used to describe behavior, rather than "sexual addiction".
The International Institute for Trauma and Addiction Professionals (IITAP) is one of the most well-known, for-profit organizations that provides training and certification for licensed and interned mental health professionals who want to treat sexual addiction, partner trauma/betrayal, and other compulsive behaviors in their clients. Despite the concept of sexual addiction being contentious in the fields of psychology, medicine, and neuroscience, and was not included in the DSM as of 2017, the need for this type of certification has been demonstrated over several decades.
Center for Healthy Sex is a community therapy center in Los Angeles that specializes in the treatment of sexual dysfunction, sexual anorexia, sex addiction, and love addiction. The Center is located on Santa Monica Boulevard near Overland Avenue bordering the neighborhoods of Century City and Westwood.
Wendy Maltz is an American sex therapist, psychotherapist, author, educator, and clinical social worker. She is an expert on the sexual repercussions of sexual abuse, understanding women's sexual fantasies, treating pornography-related problems, and promoting healthy sexuality. She has taught at the University of Oregon and, up until her retirement in 2016 from providing counseling services, was co-director with her husband, Larry Maltz, of Maltz Counseling Associates therapy practice in Eugene, Oregon.
