Sexuelle Sucht?: Wenn sexuelles Verhalten außer Kontrolle gerät
Abstract
The authors differentiates deviant (paraphilic) and non-deviant forms of a sexual addictive symptomatology. For the non-deviant forms, the diagnostic term paraphilia-related disorder is used. According to etiological factors, the authors discuss an interaction of a biological vulnerability, attachment and relationship problems, disorders of affect regulation as well as disinhibition of sexual excitation. Some individuals react to negative emotions, like depression or anxiety, with an increased sexual arousal. They may try to cope with negative emotions by being sexually active. However, the importance of the sexual stimulus itself should not be ignored. The authors describe specific psychotherapy, the attendance of self-help groups, and pharmacological treatment, especially with selective serotonin reuptake inhibitors.
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Early in the development of the behaviour pattern, impulsivity and positive reinforcement are the most important elements; later, compulsive aspects and negative reinforcement are likely to become increasingly important in sustaining the behaviors.
“Early in the development of the behaviour pattern, impulsivity and positive reinforcement (pleasure) are the most important elements. Later in the course of the disorder, compulsive aspects and negative reinforcement (e.g. temporary improvement of negative mood) are likely to become increasingly important in sustaining the behaviors [107].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [107]
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An integrated model to assess and treat compulsive sexual behaviour disorder
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- Authors
- Briken, P., & Basdekis-Jozsa, R.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Briken, P.
- ORCID
- Briken, P.
- Venue
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
- Published
- 2010-03-04
- Volume
- 53
- Issue
- 4
- Pages
- 313-318
- ISSN
- 0007-5914 (ISSN-L)
- 1436-9990
- 1437-1588
- OpenAlex
- W165108338
- Cited by
- 23
- References
- 34
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 3 · 2012: 1
- FWCI
- 1.05
- Type
- journal article
- Language
- de
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- sexual addiction, paraphilic disorders, etiology, attachment problems, emotion regulation, depression, anxiety, coping with negative emotions, sexual arousal, psychotherapy, self-help groups, selective serotonin reuptake inhibitors, pharmacotherapy
- MeSH terms
- Humans, Psychotherapy, Sexual Behavior, Behavior, Addictive
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