Skip to main content
Erschienen in: Current Sexual Health Reports 4/2014

01.12.2014 | Variations in Orientation, Identity, Addiction, and Compulsion (E Coleman, Section Editor)

Controversies About Hypersexual Disorder and the DSM-5

verfasst von: Rory C. Reid, Martin P. Kafka

Erschienen in: Current Sexual Health Reports | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Criteria for hypersexual disorder were proposed for consideration for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), but ultimately rejected by the American Psychiatric Association despite a field trial suggesting the criteria were valid and reliable. This article highlights the vast array of controversial issues surrounding the proposal for hypersexual disorder. While some criticisms covered a broader scope of general concerns about the field of psychiatric mental illness, many of these often extended to the proposal for hypersexual disorder. It is important to discuss both general concerns about psychiatric disorders and those specifically focused on hypersexuality in order to understand the challenges encountered in advancing the criteria for hypersexual disorder. This article attempts to place the controversies, criticisms, and issues about hypersexuality in context from leading experts in the field.
Literatur
1.••
Zurück zum Zitat Kafka MP. Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav. 2010;39:377–400. This is the first publication to highlight the proposed criteria for HD for the DSM-5 and contains an excellent literature review.PubMedCrossRef Kafka MP. Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav. 2010;39:377–400. This is the first publication to highlight the proposed criteria for HD for the DSM-5 and contains an excellent literature review.PubMedCrossRef
2.•
Zurück zum Zitat Phillips J, Frances A, Cerullo MA, et al. The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis. Philos Ethics Humanit Med. 2012;7:3. This is one of a three part series of well written articles that discusses some of the major concerns around defining mental illness in the psychiatric community.PubMedCrossRefPubMedCentral Phillips J, Frances A, Cerullo MA, et al. The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis. Philos Ethics Humanit Med. 2012;7:3. This is one of a three part series of well written articles that discusses some of the major concerns around defining mental illness in the psychiatric community.PubMedCrossRefPubMedCentral
3.
Zurück zum Zitat Wakefield JC. The DSM-5’s proposed new categories of sexual disorder: the problem of false positives in sexual diagnosis. Clin Soc Work J. 2012;40:213–23.CrossRef Wakefield JC. The DSM-5’s proposed new categories of sexual disorder: the problem of false positives in sexual diagnosis. Clin Soc Work J. 2012;40:213–23.CrossRef
4.
5.
Zurück zum Zitat Steele VR, Staley C, Fong T, Prause N. Sexual desire, not hypersexuality, is related to neurophysiological responses elicited by sexual images. Socioaffect Neurosci Psychol. 2013;3:20770.PubMedPubMedCentral Steele VR, Staley C, Fong T, Prause N. Sexual desire, not hypersexuality, is related to neurophysiological responses elicited by sexual images. Socioaffect Neurosci Psychol. 2013;3:20770.PubMedPubMedCentral
6.
Zurück zum Zitat Halpern AL. The proposed diagnosis of hypersexual disorder for inclusion in DSM-5: unnecessary and harmful. Arch Sex Behav. 2011;40:487–8.PubMedCrossRef Halpern AL. The proposed diagnosis of hypersexual disorder for inclusion in DSM-5: unnecessary and harmful. Arch Sex Behav. 2011;40:487–8.PubMedCrossRef
8.•
Zurück zum Zitat Moser C. Hypersexual disorder: just more muddled thinking. Arch Sex Behav. 2011;40(2):227–9. Dr. Moser has been a major opponent of the HD proposal. While some of his viewpoints have been somewhat strident, he does raise important questions to be addressed for HD researchers.PubMedCrossRef Moser C. Hypersexual disorder: just more muddled thinking. Arch Sex Behav. 2011;40(2):227–9. Dr. Moser has been a major opponent of the HD proposal. While some of his viewpoints have been somewhat strident, he does raise important questions to be addressed for HD researchers.PubMedCrossRef
9.
Zurück zum Zitat Kafka MP, Krueger RB. Response to Moser’s (2010) critique of hypersexual disorder for DSM-5. Arch Sex Behav. 2011;40:231–2.CrossRef Kafka MP, Krueger RB. Response to Moser’s (2010) critique of hypersexual disorder for DSM-5. Arch Sex Behav. 2011;40:231–2.CrossRef
11.
Zurück zum Zitat Wakefield JC. The concept of mental disorder: diagnostic implications of the harmful dysfunction analysis. World Psychiatry. 2007;6:149–56.PubMedPubMedCentral Wakefield JC. The concept of mental disorder: diagnostic implications of the harmful dysfunction analysis. World Psychiatry. 2007;6:149–56.PubMedPubMedCentral
13.
Zurück zum Zitat First MB, Wakefield JC. Defining ‘mental disorder’ in DSM-V. Psychol Med. 2010;40:1779–82.PubMedCrossRef First MB, Wakefield JC. Defining ‘mental disorder’ in DSM-V. Psychol Med. 2010;40:1779–82.PubMedCrossRef
14.
Zurück zum Zitat Giles J. No such thing as excessive levels of sexual behavior. Arch Sex Behav. 2006;35(6):641–2.PubMedCrossRef Giles J. No such thing as excessive levels of sexual behavior. Arch Sex Behav. 2006;35(6):641–2.PubMedCrossRef
15.
Zurück zum Zitat Levine MP, Troiden RR. The myth of sexual compulsivity. J Sex Res. 1988;25(3):347–63.CrossRef Levine MP, Troiden RR. The myth of sexual compulsivity. J Sex Res. 1988;25(3):347–63.CrossRef
16.
Zurück zum Zitat Van Lankveld J. The road ahead: theoretical models to guide new sex research. J Sex Res. 2012;49(2–3):103–4.PubMedCrossRef Van Lankveld J. The road ahead: theoretical models to guide new sex research. J Sex Res. 2012;49(2–3):103–4.PubMedCrossRef
17.
Zurück zum Zitat Bancroft J, Graham CA, Janssen E, Sanders SA. The dual control model: current status and future directions. J Sex Res. 2009;46(2–3):121–42.PubMedCrossRef Bancroft J, Graham CA, Janssen E, Sanders SA. The dual control model: current status and future directions. J Sex Res. 2009;46(2–3):121–42.PubMedCrossRef
18.
Zurück zum Zitat Reid RC, Karim R, McCrory E, Carpenter BN. Self-reported differences on measures of executive function and hypersexual behavior in a patient and community sample of men. Int J Neurosci. 2010;120(2):120–7.PubMedCrossRef Reid RC, Karim R, McCrory E, Carpenter BN. Self-reported differences on measures of executive function and hypersexual behavior in a patient and community sample of men. Int J Neurosci. 2010;120(2):120–7.PubMedCrossRef
19.
Zurück zum Zitat Reid RC, Garos S, Carpenter BN, Coleman E. A surprising finding related to executive control in a patient sample of hypersexual men. J Sex Med. 2011;8(8):2227–36.PubMedCrossRef Reid RC, Garos S, Carpenter BN, Coleman E. A surprising finding related to executive control in a patient sample of hypersexual men. J Sex Med. 2011;8(8):2227–36.PubMedCrossRef
20.
Zurück zum Zitat Kingston DA, Firestone P. Problematic hypersexuality: a review of conceptualization and diagnosis. Sex Addict Compul. 2008;15:284–310.CrossRef Kingston DA, Firestone P. Problematic hypersexuality: a review of conceptualization and diagnosis. Sex Addict Compul. 2008;15:284–310.CrossRef
21.
Zurück zum Zitat Reid RC, Cyders MA, Moghaddam JF, Fong TW. Psychometric properties of the Barratt Impulsiveness Scale in patients with gambling disorders, hypersexuality, and methamphetamine dependence. Addict Behav. 2014;39(11):1640–5.PubMedCrossRef Reid RC, Cyders MA, Moghaddam JF, Fong TW. Psychometric properties of the Barratt Impulsiveness Scale in patients with gambling disorders, hypersexuality, and methamphetamine dependence. Addict Behav. 2014;39(11):1640–5.PubMedCrossRef
22.
Zurück zum Zitat Reid RC, Garos S, Fong T. Psychometric development of the hypersexual behavior consequences scale. J Behav Addict. 2012;1(3):115–22.CrossRef Reid RC, Garos S, Fong T. Psychometric development of the hypersexual behavior consequences scale. J Behav Addict. 2012;1(3):115–22.CrossRef
23.
Zurück zum Zitat Coleman E, Horvath KJ, Miner M, Ross MW, Oakes M, Rosser BRS. Compulsive sexual behavior and risk for unsafe sex among internet using men who have sex with men. Arch Sex Behav. 2010;39:1045–53.PubMedCrossRefPubMedCentral Coleman E, Horvath KJ, Miner M, Ross MW, Oakes M, Rosser BRS. Compulsive sexual behavior and risk for unsafe sex among internet using men who have sex with men. Arch Sex Behav. 2010;39:1045–53.PubMedCrossRefPubMedCentral
24.
Zurück zum Zitat Fry PS, Debats DL. Perfectionism and other related trait measures as predictors of mortality in diabetic older adults: a six-and-a-half-year longitudinal study. J Health Psychol. 2011;16(7):1058–70.PubMedCrossRef Fry PS, Debats DL. Perfectionism and other related trait measures as predictors of mortality in diabetic older adults: a six-and-a-half-year longitudinal study. J Health Psychol. 2011;16(7):1058–70.PubMedCrossRef
25.
Zurück zum Zitat Bardone-Cone AM, Wonderlich SA, Frost RO, Bulik CM, Mitchell JE, Uppala S, et al. Perfectionism and eating disorders: current status and future directions. Clin Psychol Rev. 2007;27:384–405.PubMedCrossRef Bardone-Cone AM, Wonderlich SA, Frost RO, Bulik CM, Mitchell JE, Uppala S, et al. Perfectionism and eating disorders: current status and future directions. Clin Psychol Rev. 2007;27:384–405.PubMedCrossRef
26.
Zurück zum Zitat McGrath DS, Sherry SB, Stewart SH, Mushquash AR, Allen SL, Nealis LJ, et al. Reciprocal relations between self-critical perfectionism and depressive symptoms: evidence from a short-term, four-wave longitudinal study. Can J Behav Sci. 2012;44(3):169–81.CrossRef McGrath DS, Sherry SB, Stewart SH, Mushquash AR, Allen SL, Nealis LJ, et al. Reciprocal relations between self-critical perfectionism and depressive symptoms: evidence from a short-term, four-wave longitudinal study. Can J Behav Sci. 2012;44(3):169–81.CrossRef
27.
Zurück zum Zitat Flett GL, Hewitt PL. Treatment interventions for perfectionism—a cognitive perspective: introduction to the special issue. J Ration Emot Cogn Behav Ther. 2008;26:127–33.CrossRef Flett GL, Hewitt PL. Treatment interventions for perfectionism—a cognitive perspective: introduction to the special issue. J Ration Emot Cogn Behav Ther. 2008;26:127–33.CrossRef
28.
Zurück zum Zitat Block AD, Adriaens PR. Pathologizing sexual deviance: a history. J Sex Res. 2013;50(3–4):276–98.PubMedCrossRef Block AD, Adriaens PR. Pathologizing sexual deviance: a history. J Sex Res. 2013;50(3–4):276–98.PubMedCrossRef
29.
Zurück zum Zitat Skegg K, Nada-Raja S, Dickson N, Paul C. Perceived “out of control” sexual behavior in a cohort of young adults from the Dunedin Multidisciplinary Heath and Development Study. Arch Sex Behav. 2010;39:968–78.PubMedCrossRef Skegg K, Nada-Raja S, Dickson N, Paul C. Perceived “out of control” sexual behavior in a cohort of young adults from the Dunedin Multidisciplinary Heath and Development Study. Arch Sex Behav. 2010;39:968–78.PubMedCrossRef
30.•
Zurück zum Zitat Winters J, Christoff K, Gorzalka BB. Dysregulated sexuality and high sexual desire: distinct constructs? Arch Sex Behav. 2010;39:1029–43. This is one of the prominent articles to question whether hypersexuality is just a problem with high sexual desire rather than a pathology.PubMedCrossRef Winters J, Christoff K, Gorzalka BB. Dysregulated sexuality and high sexual desire: distinct constructs? Arch Sex Behav. 2010;39:1029–43. This is one of the prominent articles to question whether hypersexuality is just a problem with high sexual desire rather than a pathology.PubMedCrossRef
31.•
Zurück zum Zitat Voon V, Mole TB, Banca P, et al. Neural correlates of sexual cue reactivity in individuals with and without compulsive sexual behaviours. PLoS ONE. 2014;9(7):e102419. This is one of the more tightly controlled neuroimaging studies that also used the HD criteria in the assessment of subjects. This study showed significant differences in various brain regions among sexually compulsive subjects paralleling those also found in subjects with substance abuse.PubMedCrossRefPubMedCentral Voon V, Mole TB, Banca P, et al. Neural correlates of sexual cue reactivity in individuals with and without compulsive sexual behaviours. PLoS ONE. 2014;9(7):e102419. This is one of the more tightly controlled neuroimaging studies that also used the HD criteria in the assessment of subjects. This study showed significant differences in various brain regions among sexually compulsive subjects paralleling those also found in subjects with substance abuse.PubMedCrossRefPubMedCentral
32.
Zurück zum Zitat Miner MH, Raymond N, Mueller BA, et al. Preliminary investigation of the impulsive and neuroanatomical characteristics of compulsive sexual behavior. Psychiatry Res. 2009;174:146–51.PubMedCrossRefPubMedCentral Miner MH, Raymond N, Mueller BA, et al. Preliminary investigation of the impulsive and neuroanatomical characteristics of compulsive sexual behavior. Psychiatry Res. 2009;174:146–51.PubMedCrossRefPubMedCentral
33.
Zurück zum Zitat Kuhn S, Gallinat J. Brain structure and functional connectivity associated with pornography consumption: the brain on porn. JAMA Psychiatry. 2014;71(7):827–34.PubMedCrossRef Kuhn S, Gallinat J. Brain structure and functional connectivity associated with pornography consumption: the brain on porn. JAMA Psychiatry. 2014;71(7):827–34.PubMedCrossRef
34.••
Zurück zum Zitat Ley D, Prause N, Finn P. The emperor has no clothes: a review of the ‘pornography addiction’ model. Curr Sex Health Rep. 2014;6:94–105. While this paper has been very controversial, it highlights the need for theory in guiding the scientific study of HD and offers plausible alternative viewpoints in conceptualizing hypersexual behavior.CrossRef Ley D, Prause N, Finn P. The emperor has no clothes: a review of the ‘pornography addiction’ model. Curr Sex Health Rep. 2014;6:94–105. While this paper has been very controversial, it highlights the need for theory in guiding the scientific study of HD and offers plausible alternative viewpoints in conceptualizing hypersexual behavior.CrossRef
35.••
Zurück zum Zitat Reid RC, Carpenter BN, Hook JN, Garos S, Manning JC, Gilliland R, et al. Report of findings in a DSM-5 field trial for hypersexual disorder. J Sex Med. 2012;9(11):2868–77. This was the UCLA field trial for the DSM-5 proposed criteria for HD wherein the researchers found evidence for the validity and reliability of the HD criteria.PubMedCrossRef Reid RC, Carpenter BN, Hook JN, Garos S, Manning JC, Gilliland R, et al. Report of findings in a DSM-5 field trial for hypersexual disorder. J Sex Med. 2012;9(11):2868–77. This was the UCLA field trial for the DSM-5 proposed criteria for HD wherein the researchers found evidence for the validity and reliability of the HD criteria.PubMedCrossRef
36.
Zurück zum Zitat Twohig MP, Crosby JM, Cox JM. Viewing internet pornography: for whom is it problematic, how, and why? Sex Addict Compul. 2009;16(4):253–66.CrossRef Twohig MP, Crosby JM, Cox JM. Viewing internet pornography: for whom is it problematic, how, and why? Sex Addict Compul. 2009;16(4):253–66.CrossRef
37.
Zurück zum Zitat Hook JN, Reid RC, Penberthy JK, Davis DE, Jennings DJ. Methodological review of treatments for nonparaphilic hypersexual behavior. J Sex Marital Ther. 2014;40(4):294–308.PubMedCrossRef Hook JN, Reid RC, Penberthy JK, Davis DE, Jennings DJ. Methodological review of treatments for nonparaphilic hypersexual behavior. J Sex Marital Ther. 2014;40(4):294–308.PubMedCrossRef
Metadaten
Titel
Controversies About Hypersexual Disorder and the DSM-5
verfasst von
Rory C. Reid
Martin P. Kafka
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 4/2014
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-014-0031-9

Weitere Artikel der Ausgabe 4/2014

Current Sexual Health Reports 4/2014 Zur Ausgabe

FEMALE SEXUAL DYSFUNCTION AND DISORDERS (A GIRALDI AND L BROTTO, SECTION EDITORS)

Current Uses of Surgery in the Treatment of Genital Pain

MEDICAL COMORBIDITIES (AT GOLDSTEIN, M MINER, AND SJ PARISH, SECTION EDITORS)

Implication of Cigarette Smoking and Cessation on Sexual Function in Men and Women

MEDICAL COMORBIDITIES (AT GOLDSTEIN, M MINER, AND SJ PARISH, SECTION EDITORS)

The Implications of Low Testosterone on Mortality in Men

Female Sexual Dysfunction and Disorders (A Giraldi and L Brotto, Section Editors)

Effects of Hysterectomy on Sexual Function

MALE AND FEMALE SURGICAL INTERVENTIONS (AL BURNETT AND CC CARSON III, SECTION EDITORS)

A Review of Testosterone Pellets in the Treatment of Hypogonadism

Current Controversies (P Kleinplatz and C Moser, Section Editors)

Gender Differences and Similarities in Sexual Desire

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.