Exploring the applicability of criteria for substance dependence to sexual addiction
Abstract
Since the founding of Alcoholics Anonymous in the 1930s, there has been increasing interest in the study of addiction to mood-altering substances. One of the outcomes of research into this phenomenon has been the development of criteria to diagnose substance dependence. In addition, many researchers have been exploring the possibility of addictions to behaviors such as eating, gambling, and sex. The focus of this study was to explore the applicability of criteria given for substance dependence in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994), a standard reference for diagnosing mental disorders to the emerging concept of sexual addiction. This was accomplished by surveying self-identified sex addicts in recovery to ascertain patterns indicative of sexual addiction and provide data that could be directly compared with criteria established for substance dependence in the DSM-IV. Analysis of the data indicated that a majority of persons surveyed reported having experiences in their sexual addiction that were similar to criteria for substance dependence.
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In one sample, 51% reported that over time their sexually addictive activity got less pleasurable or even that they derived no pleasure from it.
“In one sample, 51% reported that over time their sexually addictive activity got less pleasurable or even that they derived no pleasure from it (Wines, 1997).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Wines, 1997
In one study, 39 out of 53 participants reported tolerance, in needing to spend time more often in their sexual activity to get the same effect.
“In one study, 39 out of 53 participants reported tolerance, in needing to spend time more often in their sexual activity to get the same effect (Wines, 1997).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Wines, 1997
In one sample of people reporting sex addiction, 52 out of 53 experienced withdrawal symptoms, such as depression, insomnia and fatigue.
“In one sample of people reporting sex addiction, 52 out of 53 experienced withdrawal symptoms, such as depression, insomnia and fatigue, the latter two also being associated with withdrawal from stimulants (Wines, 1997).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Wines, 1997
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References 8 · Cited by 43
- Authors
- Wines, D.
- Corresponding author
- Wines, David
- Venue
- Sexual Addiction & Compulsivity
- Publisher
- Informa UK Limited
- Published
- 1997-07
- Volume
- 4
- Issue
- 3
- Pages
- 195-220
- ISSN
- 1072-0162 (ISSN-L)
- 1532-5318
- OpenAlex
- W2295235793
- Cited by
- 43
- References
- 8
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 4
- FWCI
- 1.57
- 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 › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- sexual addiction, substance dependence, diagnostic criteria, DSM-IV, compulsive sexual behavior
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