Sexual behavior that is "out of control": A theoretical conceptual approach
Abstract
At this stage of our knowledge, it seems reasonable to assume that out-of-control sexual behavior results from a variety of etiological mechanisms associated with different behavioral patterns that share Goodman's two key features of addictive behavior: (1) a recurrent failure to control the sexual behavior; and (2) continuation of the behavior despite harmful consequences. Any overriding definition relevant to clinical management seems premature until we better understand the various patterns and their likely determinants. The concepts of "compulsivity" and "addiction" may have explanatory value in some cases, but are not helpful when used as general terms for this class of behavior problem. Stein and colleagues suggested that, in these circumstances, we use the term "hypersexuality." In my opinion, out-of-control sexual behavior or "impulse control disorders" as proposed by Barth and Kinder are more appropriate nonspecific terms because they focus on the issue of control rather than on high levels of sexuality. A number of clinically relevant and researchable hypotheses need to be addressed in further research, which hopefully will lead to more etiologically or therapeutically relevant subcategories of out-of-control sexual behavior.
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The overlap between obsessive-compulsive disorder and out-of-control sexual behavior is small.
“The overlap between obsessive-compulsive disorder and out-of control sexual behavior is small (Bancroft, 2008;Kafka, 2010;Kingston and Firestone, 2008).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Bancroft, 2008
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The neural basis of drug craving: An incentive-sensitization theory of addiction
Robinson, T. (1993) · Brain Research Reviews · doi:10.1016/0165-0173(93)90013-p · Cited by 7,346 · see citing works
Lesch, K.-P., Bengel, D., Heils, A., Sabol, S. Z., Greenberg, B. D., Petri, S., Benjamin, J., Müller, C. R., Hamer, D. H., & Murphy, D. L. (1996) · Science · doi:10.1126/science.274.5292.1527 · Cited by 5,162 · see citing works
Self-regulation failure: an overview.
Baumeister, R. F., & Heatherton, T. F. (1996) · Psychological Inquiry · doi:10.1207/s15327965pli0701_1 · Cited by 2,266 · see citing works
Alcohol myopia: Its prized and dangerous effects.
Steele, C. M., & Josephs, R. A. (1990) · American Psychologist · doi:10.1037/0003-066x.45.8.921 · Cited by 2,070 · see citing works
Losing control: how and why people fail at self-regulation
(1995) · Choice Reviews Online · doi:10.5860/choice.32-6508 · Cited by 1,924 · see citing works
Social psychophysiology : a sourcebook
Cacioppo, J. T., Petty, R. E., & Shapiro, D. (1983) · Cited by 1,596 · see citing works
Functional imaging of neural responses to expectancy and experience of monetary gains and losses
Breiter, H. C., Aharon, I., Kahneman, D., Dale, A., & Shizgal, P. (2001) · Neuron · doi:10.1016/s0896-6273(01)00303-8 · Cited by 1,404 · see citing works
Substance Abuse: A Comprehensive Textbook
Lowinson, J. H. (1992) · Cited by 910 · see citing works
Psychiatric features of individuals with problematic internet use
Shapira, N. A., Goldsmith, T. D., Keck, P. E., Khosla, U. M., & McElroy, S. L. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00107-x · Cited by 898 · see citing works
O'Neil, J. H. (1995) · North East Linguistics Society · Cited by 785 · see citing works
'Behavioral' Addictions: Do They Exist?
Holden, C. (2001) · Science · doi:10.1126/science.294.5544.980 · Cited by 746 · see citing works
Losing control: How and why people fail at self-regulation
Horn, D. H. A. V. (1995) · Clinical Psychology Review · doi:10.1016/0272-7358(95)90149-3 · Cited by 717 · see citing works
Substance Abuse: A Comprehensive Textbook
Liskow, B. I. (1998) · JAMA · doi:10.1001/jama.279.10.802-a · Cited by 712 · see citing works
Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model
Bancroft, J., & Vukadinovic, Z. (2004) · The Journal of Sex Research · doi:10.1080/00224490409552230 · Cited by 482 · see citing works
Self-citationBancroft, J., & Janssen, E. (2000) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(00)00024-5 · Cited by 433 · cited 1× · see citing works
“The Kinsey Institute’s Dual Control Model postulates that sexual arousal depends on a balance between excitatory and inhibitory systems in the brain, and that individuals vary in their propensity for either sexual excitation or sexual inhibition.(23) Inhibition of sexual response is, according to this perspective, an…”
BackgroundSelf-citationNeuroanatomical Correlates of Visually Evoked Sexual Arousal in Human Males
Stoléru, S., Grégoire, M., Gérard, D., Decety, J., Lafarge, E., Cinotti, L., Lavenne, F., Bars, D. L., Vernet-Maury, E., Rada, H., et al. (1999) · Archives of Sexual Behavior · doi:10.1023/a:1018733420467 · Cited by 418 · see citing works
Characteristics of 36 subjects reporting compulsive sexual behavior
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.2.243 · Cited by 375 · see citing works
The mislabeling of sexual impulsivity
Barth, R. J., & Kinder, B. N. (1987) · Journal of Sex & Marital Therapy · doi:10.1080/00926238708403875 · Cited by 315 · see citing works
Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002) · The Journal of Sex Research · doi:10.1080/00224490209552130 · Cited by 300 · see citing works
Self-citationThe Relation Between Mood and Sexuality in Heterosexual Men
Bancroft, J., Janssen, E., Strong, D., Carnes, L., Vukadinovic, Z., & Long, J. S. (2003) · Archives of Sexual Behavior · doi:10.1023/a:1023409516739 · Cited by 285 · see citing works
Self-citationCentral inhibition of sexual response in the male: A theoretical perspective
Bancroft, J. (1999) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(99)00019-6 · Cited by 246 · cited 1× · see citing works
“Thus our use of the Dual Control Model has been based on conceptual systems in the brain, defined in terms of function rather than specific neurotransmitter mediation or anatomic localization.(25)”
MethodDeterminants of Female Sexual Arousal: Psychophysiological Theory and Data
Laan, E. T. M., & Everaerd, W. T. A. M. (1995) · Annual Review of Sex Research · doi:10.1080/10532528.1995.10559901 · Cited by 233 · see citing works
Sexual Risk-Taking in Gay Men: The Relevance of Sexual Arousability, Mood, and Sensation Seeking
Bancroft, J., Janssen, E., Strong, D., Carnes, L., Vukadinovic, Z., & Long, J. S. (2003) · Archives of Sexual Behavior · doi:10.1023/a:1026041628364 · Cited by 228 · see citing works
Sexual addiction: Many conceptions, minimal data
Gold, S. N., & Heffner, C. L. (1998) · Clinical Psychology Review · doi:10.1016/s0272-7358(97)00051-2 · Cited by 215 · see citing works
An Internet Study of Cybersex Participants
Daneback, K., Cooper, A., & Månsson, S. (2005) · Archives of Sexual Behavior · doi:10.1007/s10508-005-3120-z · Cited by 201 · see citing works
Serotonergic medications for sexual obsessions, sexual addictions, and paraphilias.
Stein, D. J., Hollander, E., Anthony, D. T., Schneier, F. R., Fallon, B. A., Liebowitz, M. R., & Klein, D. F. (1992) · PubMed · Cited by 189 · see citing works
Compulsive sexual behavior: Definition of a problem and an approach to treatment
Quadland, M. C. (1985) · Journal of Sex & Marital Therapy · doi:10.1080/00926238508406078 · Cited by 179 · see citing works
Bancroft, J., Janssen, E., Carnes, L., Goodrich, D., Strong, D., & Long, J. S. (2004) · The Journal of Sex Research · doi:10.1080/00224490409552226 · Cited by 173 · cited 2× · see citing works
“Recent research at the Kinsey Institute has focused on the role of sexual excitation and inhibition and the impact of negative mood on sexual risk-taking as well as sexual dysfunctions.(13,14) The Institute conducted a small study of 29 male and 2 female selfdefined sex addicts(15) who were interviewed and completed q…”
BackgroundMethodSelf-citationThe Relation Between Mood and Sexuality in Gay Men
Bancroft, J., Janssen, E., Strong, D., & Vukadinovic, Z. (2003) · Archives of Sexual Behavior · doi:10.1023/a:1023461500810 · Cited by 167 · see citing works
Self-citationThe relationship between negative mood and sexuality in heterosexual college women and men
Lykins, A. D., Janssen, E., & Graham, C. A. (2006) · The Journal of Sex Research · doi:10.1080/00224490609552308 · Cited by 165 · see citing works
Flash Decaging of Tyrosine Sidechains in an Ion Channel
Miller, J. C., Silverman, S. K., England, P. M., et al. (1998) · Neuron · doi:10.1016/s0896-6273(00)81001-6 · Cited by 88 · see citing works
Psychological, Medical, and Pharmacological Correlates of Persistent Genital Arousal Disorder
Leiblum, S. R., Seehuus, M., Goldmeier, D., & Brown, C. (2007) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2007.00575.x · Cited by 86 · see citing works
A Monoamine Hypothesis for the Pathophysiology of Paraphilic Disorders
Kafka, M. P. (1997) · Archives of Sexual Behavior · doi:10.1023/a:1024535201089 · Cited by 83 · see citing works
Persistent Genital Arousal: Disordered or Normative Aspect of Female Sexual Response?
Leiblum, S. R., Seehuus, M., & Brown, C. (2007) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2007.00495.x · Cited by 63 · see citing works
Personality characteristics of sexual addicts and pathological gamblers
Raviv, M. (1993) · Journal of Gambling Studies · doi:10.1007/bf01019922 · Cited by 61 · see citing works
Hypersexuality: psychopathology or normal variant of sexuality?
Rinehart, N. J., & McCabe, M. P. (1997) · Sexual and Marital Therapy · doi:10.1080/02674659708408201 · Cited by 59 · see citing works
Serotonergic Drug Treatment of Deviant Sexual Interests
Pedoroff, J. P. (1993) · Sexual Abuse · doi:10.1177/107906329300600202 · Cited by 42 · see citing works
The impact of sexual arousal on sexual risk‐taking: A qualitative study
Strong, D., Bancroft, J., Carnes, L., Davis, L. A., & KENNEDY, J. M. (2005) · The Journal of Sex Research · doi:10.1080/00224490509552273 · Cited by 37 · see citing works
Self-citationSerotonergic drug treatment of deviant sexual interests
Fedoroff, J. P. (1993) · Sexual Abuse · doi:10.1007/bf00849302 · Cited by 36 · see citing works
Unwanted Erections in Obsessive-Compulsive Disorder
Warwick, H. M. C., & Salkovskis, P. M. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.157.6.919 · Cited by 20 · see citing works
Gorwood, P. A. P. M., & Hamon, M. (2006) · Springer eBooks · doi:10.1007/0-387-34577-2 · Cited by 16 · see citing works
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Report of Findings in a DSM-5 Field Trial for Hypersexual Disorder
Reid, R. C., Carpenter, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., Cooper, E. B., McKittrick, H., Davtian, M., & Fong, T. (2012) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2012.02936.x · Cited by 430 · see citing works
Diagnosis, Assessment, and Treatment of Hypersexuality
Kaplan, M. S., & Krueger, R. B. (2010) · The Journal of Sex Research · doi:10.1080/00224491003592863 · Cited by 267 · see citing works
A taxonomy of technology design features that promote potentially addictive online behaviours
Flayelle, M., Brevers, D., King, D. L., Maurage, P., Perales, J. C., & Billieux, J. (2023) · Nature Reviews Psychology · doi:10.1038/s44159-023-00153-4 · Cited by 195 · see citing works
Sexual Compulsivity and Sexual Risk in Gay and Bisexual Men
Grov, C., Parsons, J. T., & Bimbi, D. S. (2010) · Archives of Sexual Behavior · doi:10.1007/s10508-009-9483-9 · Cited by 185 · see citing works
Reid, R. C., Bramen, J. E., Anderson, A., & Cohen, M. S. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22027 · Cited by 170 · see citing works
An integrated model to assess and treat compulsive sexual behaviour disorder
Briken, P. (2020) · Nature Reviews Urology · doi:10.1038/s41585-020-0343-7 · Cited by 101 · see citing works
Sassover, E., & Weinstein, A. (2020) · Journal of Behavioral Addictions · doi:10.1556/2006.2020.00055 · Cited by 100 · see citing works
Antons, S., Engel, J., Briken, P., Krüger, T. H. C., Brand, M., & Stark, R. (2022) · Journal of Behavioral Addictions · doi:10.1556/2006.2022.00061 · Cited by 91 · see citing works
“…use, hypersexual behavior, internet-use disorders, therapy, CONSORT, PRISMA INTRODUCTION Originally, the term “out-of-control sexual behavior” has been used by Bancroft (2008) to describe the loss of control over sexual behaviors such as using telephone hotlines, visiting pCorresponding author.”
MethodHypersexual behavior in frontotemporal dementia: a comparison with early-onset Alzheimer’s disease
Mendez, M. F., & Shapira, J. S. (2013) · Archives of Sexual Behavior · doi:10.1007/s10508-012-0042-4 · Cited by 86 · see citing works
Turner, D., Briken, P., Grubbs, J., Malandain, L., Mestre-Bach, G., Potenza, M. N., & Thibaut, F. (2022) · Dialogues in Clinical Neuroscience · doi:10.1080/19585969.2022.2134739 · Cited by 86 · see citing works
Briken, P., Wiessner, C., Štulhofer, A., Klein, V., Fuß, J., Reed, G. M., & Dekker, A. (2022) · Journal of Behavioral Addictions · doi:10.1556/2006.2022.00060 · Cited by 81 · see citing works
Is high sexual desire a facet of male hypersexuality? Results from an online study
Štulhofer, A., Jurin, T., & Briken, P. (2016) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2015.1113585 · Cited by 70 · see citing works
A network approach to hypersexuality: insights and clinical implications
Werner, M., Štulhofer, A., Waldorp, L., & Jurin, T. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.01.009 · Cited by 58 · see citing works
Theoretical antecedents of male adolescents’ problematic pornography use: a longitudinal assessment
Rousseau, A., Bőthe, B., & Štulhofer, A. (2021) · The Journal of Sex Research · doi:10.1080/00224499.2020.1815637 · Cited by 49 · see citing works
Online dating is associated with sex addiction and social anxiety
Zlot, Y., Goldstein, M., Cohen, K., & Weinstein, A. (2018) · Journal of Behavioral Addictions · doi:10.1556/2006.7.2018.66 · Cited by 38 · see citing works
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Toates, F. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104872 · Cited by 25 · see citing works
“The overlap between obsessive-compulsive disorder and out-of control sexual behavior is small (Bancroft, 2008; Kafka, 2010; Kingston and Firestone, 2008).”
BackgroundHypersexual disorder and recidivism risk in individuals convicted of sexual offenses
Gregório Hertz, P., Rettenberger, M., Turner, D., Briken, P., & Eher, R. (2022) · The Journal of Forensic Psychiatry & Psychology · doi:10.1080/14789949.2022.2053183 · Cited by 16 · see citing works
- Authors
- Bancroft, J.
- Affiliations
- Indiana University Bloomington (US)
- Corresponding author
- Bancroft, John
- Venue
- Psychiatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 31
- Issue
- 4
- Pages
- 593-601
- ISSN
- 0193-953X (ISSN-L)
- OpenAlex
- W2012128256
- Cited by
- 91
- References
- 42
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 8 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 6 · 2015: 4 · 2014: 9 · 2013: 10 · 2012: 5
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Clinics of North America (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
- hypersexuality, impulse control disorders, compulsivity, addiction
- MeSH terms
- Arousal, Depressive Disorder, Female, Humans, Disruptive, Impulse Control, and Conduct Disorders, Internal-External Control, Male, Masturbation, Obsessive-Compulsive Disorder, Personality Inventory, Psychometrics, Sexual Behavior, Comorbidity, Behavior, Addictive, Sexual Dysfunctions, Psychological, Internet
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