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Cited by 80Sexuality, Behavior, and TechnologyGambling Behavior and TreatmentsSexual function and dysfunction studies

Diagnosis and Treatment of Sexual Addiction: A Survey among German Sex Therapists

Briken, Peer, Habermann, Niels, Berner, Wolfgang, Hill, Andreas·2007·Sexual Addiction & Compulsivity
DOI 10.1080/10720160701310450
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Abstract

Controversies exist about the diagnostic concept of “sexual addiction.” The aim of this study was to investigate if German specialized sex therapists are confronted with patients who possess sexual addiction symptoms and to obtain information about diagnoses, comorbidity and treatment. A 12-item questionnaire was sent to all members of the German Society of Sex Research asking them about diagnoses, comorbidity and treatment of patients who experienced sexual addiction problems. Forty-three out of 149 members (28.9%) responded to the survey and reported about 97 patients with sexual addiction symptoms. Most common were pornography dependence, compulsive masturbation, and protracted promiscuity. Using ICD-10 definition “excessive sexual drive” was diagnosed more often in women while “disorder of sexual preference” was mainly diagnosed in men. In women neurotic (e.g., anxiety disorders) and eating disorders were most commonly diagnosed as comorbid disorders, while in men substance disorders were most commonly diagnosed. Most patients were treated by individual psychotherapy. We discuss the difficulties of the “sexual addiction” concept critically and propose an algorithm to facilitate the diagnostic process. This algorithm differentiates between the paraphilic and non-paraphilic (we use the term paraphilia-related disorder) types of excessive sexual behavior first. As a second step it includes a dynamic perspective differentiating between a progressive and a non-progressive course.

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Authors
Briken, P., Habermann, N., Berner, W., & Hill, A.
Affiliations
University Medical Center Hamburg-Eppendorf (DE)
ORCID
Venue
Sexual Addiction & Compulsivity
Publisher
Informa UK Limited
Published
2007-05-17
Volume
14
Issue
2
Pages
131-143
ISSN
  • 1072-0162 (ISSN-L)
  • 1532-5318
DOI
10.1080/10720160701310450
OpenAlex
W2067138403
Cited by
80
References
26
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 6 · 2013: 4 · 2012: 5
FWCI
4.73
Type
journal article
Language
en
Open access
closed
Locations
Sexual Addiction & Compulsivity The Journal of Treatment and Prevention (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, sex therapists, comorbidities, treatment, compulsive masturbation, individual psychotherapy, diagnostic algorithm, gender differences

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