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Shame, Sexual Compulsivity, and Eroticizing Flirtatious Others: An Experimental Study

Shame, Sexual Compulsivity, and Eroticizing Flirtatious Others: An Experimental Study | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it


"The present study tested whether experimental induction of shame leads to increased interest in erotically suggestive targets among more sexually compulsive individuals............Shame appears to increase sexualization (i.e., reduces salience of agentic features and increases appeal of physical attributes) of erotically suggestive targets among more sexually compulsive individuals." 

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Bill Herring LCSW, CSAT's curator insight, January 7, 10:15 PM

Curator comment:  This appears to be an intriguing study, as a complete reading of the abstract will demonstrate.  Shame is an esential component of this topic.  See also, for example,  "The Role of Shame and Guilt in Hypersexual Behavior"


Authors: Petrican, R., Burris, C.T. & Moscovitch, M.

Source: The Journal of Sex Research. Published online 03 Dec 2013. doi: 10.1080/00224499.2013.829796


Abstract only.

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Nonparaphilic Hypersexual Behavior and Depressive Symptoms: A Meta-Analytic Review of the Literature

Nonparaphilic Hypersexual Behavior and Depressive Symptoms: A Meta-Analytic Review of the Literature | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"(T)he authors review the literature on the relation between nonparaphilic hypersexual behavior and depressive symptoms. There was a moderate, positive relation between nonparaphilic hypersexual behavior and depressive symptoms (r = .34). This relation was similar across gender, sexual orientation, and age. The authors discuss the implications for researchers and clinicians working with hypersexual individuals. Future research should work to elucidate the causal direction of the relation between nonparaphilic hypersexual behavior and depressive symptoms. The authors encourage clinicians who work with hypersexual patients to assess them for depressive symptoms and consider treatment options that address concurrent depressive symptoms."

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Bill Herring LCSW, CSAT's curator insight, November 16, 2013 9:26 AM

Curator comment: This study supports the common-sense notion that for some people  depression contributes to hypersexually disordered behavior as a coping mechanism, and the negative consequences of this behavior can intensity depressive symptoms, resulting in a never-ending cycle.


(2013). Nonparaphilic Hypersexual Behavior and Depressive Symptoms: A Meta-Analytic Review of the Literature. Journal of Sex & Marital Therapy.  Published online: 29 Oct 2013. 


Abstract only.

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Partner Reactions to Disclosure of Relapse by Self-Identified Sexual Addicts

Partner Reactions to Disclosure of Relapse by Self-Identified Sexual Addicts | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"This study examined the experience of relapse and disclosure from the perspective of the partner who is in a committed relationship with a sex addict. Partners (N = 92) answered questions related to the first disclosure of sex addiction, experiences of relapse, the effect of relapse on the self and relationship, and reasons partners decided to stay vs. leave the relationship. In general, relapse was a common experience, and had a wide range of (mostly) negative consequences."

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Bill Herring LCSW, CSAT's curator insight, October 27, 2013 1:43 PM

Authors: M Deborah Corley, Jennifer P. Schneider, Joshua N. Hook


(2012). Partner Reactions to Disclosure of Relapse by Self-Identified Sexual Addicts. Sexual Addiction & Compulsivity: Vol. 19, No. 4, pp. 265-283.

BK's curator insight, October 28, 2013 3:32 PM

"In general, relapse was a common experience, and had a wide range of (mostly) negative consequences. Partners often viewed themselves as a victim of interpersonal relational trauma."

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Looking for Attachment Solutions In All The Wrong Places: Out of Control Sexual Behavior As A Symptom of Insecure Attachment in Men

"Hypersexual behavior may be a particular manifestation of avoidant attachment and it is this underlying issue that must be addressed to effectively treat Hypersexual Disorder."

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Bill Herring LCSW, CSAT's curator insight, September 24, 2013 10:10 PM

Curator comment: This is a Doctorate in Social Work dissertation by Michael Crocker, downloadable in its entirety.




BK's curator insight, September 25, 2013 9:43 AM

"The results yielded 13 characteristics related to OCSB: denial and dissociation, avoidance behavior, delusional omnipotence, narcissism, obsession and compulsion, risk taking, excessive fantasy, endangering professional/personal life, tolerating abusive relations, living a double life, desperate and irresponsible behavior, and a decline in one’s spiritual life."

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Problematic internet use and other risky behavior in college students: an application of problem-behavior theory

Problematic internet use and other risky behavior in college students: an application of problem-behavior theory | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"The present study examined college students' problematic Internet use (PIU) behaviors within the framework of Jessor and Jessor's (1977) problem-behavior theory. Its specific aim was to investigate the links between PIU with both internalizing (depression, social anxiety) and externalizing (substance use and other risky behaviors) problems......PIU did not share the characteristics typically associated with the traditional problem-behavior syndrome consistent with problem-behavior theory, but showed correlates more consistent with internalizing rather than externalizing problems."

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Bill Herring LCSW, CSAT's curator insight, September 12, 2013 6:07 PM

Curator comment: Although this article (note only the abstract is available) does not reference that the "PIU" of its subjects contained a sexual dimension, that can be pretty much assumed.  It is included here in part to introduce the concept of "problem-behavior theory", which is not referenced in any journal article typically read by professionals who self-identify as specializing in treating people with chronically problematic sexual behavior.


Citation: Problematic Internet use and other risky behaviors in college students: An application of problem-behavior theory. De Leo, Joseph Anthony; Wulfert, Edelgard Psychology of Addictive Behaviors, Vol 27(1), Mar 2013, 133-141. doi: 10.1037/a0030823

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Mindfulness, Emotional Dysregulation, Impulsivity, and Stress Proneness Among Hypersexual Patients

Mindfulness, Emotional Dysregulation, Impulsivity, and Stress Proneness Among Hypersexual Patients | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"The current study explores relationships between mindfulness, emotional regulation, impulsivity, and stress proneness in a sample of participants recruited in a (DSM-V) Field Trial for Hypersexual Disorder and healthy controls...... Our results show a robust inverse relationship of mindfulness to hypersexuality over and above associations with emotional regulation, impulsivity, and stress proneness. These results suggest that mindfulness may be a meaningful component of successful therapy among patients seeking help for hypersexual behavior in attenuating hypersexuality, improving affect regulation, stress coping, and increasing tolerance for desires to act on maladaptive sexual urges and impulses."


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Bill Herring LCSW, CSAT's curator insight, July 17, 2013 6:04 PM

Curator comment:  This just-published article is notable for being the first study lending support for mindfulness as a plausible intervention for hypersexuality.  It's also the first time that the highly reputable journal Clinical Psychology has accepted an article on the topic of hypersexual behavior.  This study lends more support for the DSM-5 conceptualization of hypersexuality disorder.


Reid, R. C., Bramen, J. E., Anderson, A. and Cohen, M. S. (2013), Mindfulness, Emotional Dysregulation, Impulsivity, and Stress Proneness Among Hypersexual Patients. J. Clin. Psychol.. doi: 10.1002/jclp.22027

Stephanie Anne Nairn's curator insight, July 18, 2013 10:58 AM

"...mindfulness may be a meaningful component of successful therapy among patients seeking help for hypersexual behavior in attenuating hypersexuality, improving affect regulation, stress coping, and increasing tolerance for desires to act on maladaptive sexual urges and impulses".

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Mindfulness and Addictive Behaviors

Mindfulness and Addictive Behaviors | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"This study examined the relationship between mindfulness and various addictive behaviors (i.e. alcohol abuse, pathological gambling, sex addiction, and compulsive buying) in a community sample. A short but comprehensive composite measure of mindfulness was constructed...... Inverse correlations emerged between the nonjudgmental attitude and alcohol abuse, pathological gambling, and sexual addiction, ......The findings of this study support the use of mindfulness as a treatment for substance abuse and suggest the possible usefulness for the treatment of other addictive behaviors."

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Bill Herring LCSW, CSAT's curator insight, June 15, 2013 8:30 PM

Curator comment: "Mindfulness", a state of nonjudgmental self-awareness, has become a popular topic in the field of behavioral health, and this article continues that trend.  The authors used the Compulsive Sexual Behavior Inventory (CSBI) to measure the sexual dimensions of their study.  It would have been nice if they had shown more consistency by avoiding using the phrases "sex addiction" and "sexual addiction" interchangeably and if they had defined the term other than via the CSBI (which does not use either term).  The "Composite Mindfulness Questionnaire" (which is included) is interesting.


Note: This article is currently available in its entirety through Open Access, which is always nice for those without university or other institutional access.


AMA cite: Spinella M, Martino S, Ferri C. Mindfulness and Addictive Behaviors. J Behav Health. 2013; 2(1): 1-7. doi:10.5455/jbh.20120908033138

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Dirty Habits? Online Pornography Use, Personality, Obsessionality, and Compulsivity

Dirty Habits? Online Pornography Use, Personality, Obsessionality, and Compulsivity | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"Internet pornography use can be compulsive, but evaluation of pathology underlying this is difficult to assess. The present study aimed to distinguish individual differences in personality and psychopathology that predict pornography consumption in an individual, and whether this reflected more general compulsive processes, assessing 226 male participants. Neuroticism, agreeableness, conscientiousness, and obsessional checking all significantly correlated with a latent measure of compulsive behavior upon which use of Internet pornography use also loaded. The authors suggest the greater use of pornography on the Internet may reflect a general vulnerability to compulsive problems related to basic disposition, and that problems associated with this behavior can be managed with generic clinical approaches to obsessional and compulsive disorders."



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Bill Herring LCSW, CSAT's curator insight, June 4, 2013 9:01 PM

(2013) Journal of Sex and Marital Therapy

Published online: 11 Apr 2013


Abstract only.

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Compulsive sexual behavior and psychopathology among treatment-seeking men in Sao Paulo, Brazil

Compulsive sexual behavior and psychopathology among treatment-seeking men in Sao Paulo, Brazil | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"This study examined compulsive sexual behavior (CSB) and psychopathology in a treatment-seeking sample of men in São Paulo, Brazil. Eighty-six men (26% gay, 17% bisexual, 57% heterosexual) who met diagnostic criteria for excessive sexual drive and sexual addiction completed assessments consisting of the Mini International Neuropsychiatric Interview, a structured clinical interview for DSM-IV Axis I Disorders-Clinical Version (segment for Impulse Control Disorder), Sexual Compulsivity Scale (SCS), and questions about problematic CSB. The average SCS score for our sample was above the cut-off score reported in other studies, and 72% of the sample presented at least one Axis I psychiatric diagnosis. There were no differences among gay, bisexual, and heterosexual men on SCS scores and psychiatric conditions, but gay and bisexual men were more likely than heterosexual men to report casual sex and sex with multiple casual partners as problematic behaviors. SCS scores were associated with psychiatric co-morbidities, mood disorder, and suicide risk, but diagnosis of a mood disorder predicted higher SCS scores in a regression analysis. The study provides important data on the mental health needs of men with CSB in São Paulo, Brazil."



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Bill Herring LCSW, CSAT's curator insight, February 24, 2013 12:48 AM
Source: Psychiatry Res. 013 Feb 14. pii: S0165-1781(13)00042-5. doi: 10.1016/j.psychres.2013.01.021. [Epub ahead of print]
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The Effects of Gay Sexually Explicit Media on the HIV Risk Behavior of Men Who Have Sex with Men

The Effects of Gay Sexually Explicit Media on the HIV Risk Behavior of Men Who Have Sex with Men | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"While most men who have sex with men (MSM) consume sexually explicit media (SEM) without problems—including without HIV risk—for a small subgroup of high consumers, our formative research and these results both suggest their behavior may be experienced as problematic. Clinically, it would be helpful to establish what relationship, if any, exists between very high SEM consumption and compulsive sexual behavior, to identify whether the SEM use is compulsive in itself, and then to compare the behavior and characteristics of MSM with and withour compulsive SEM use."

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Bill Herring LCSW, CSAT's curator insight, January 1, 11:03 PM

Curator comment: (1) The above excerpt from the conclusion of this study is only a small part of the overall findings.  (2) The instrument used to measure compulsive sexual behavior is the well-established Compulsive Sexual Behavior Inventory (CSBI).  (3) And for those not familiar with the phrase, "sexually explicit media" is increasingly replacing the term"pornography" in the sexual health field.


AIDS Behav (2013) 17:1488–1498

DOI 10.1007/s10461-013-0454-8


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Sexual Compulsivity in Heterosexual Married Adults: The Role of Sexual Excitation and Sexual Inhibition in Individuals not Considered “High-Risk”

Sexual Compulsivity in Heterosexual Married Adults: The Role of Sexual Excitation and Sexual Inhibition in Individuals not Considered “High-Risk” | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"(W)e explored sexual compulsivity in a non-clinical convenience sample of 1,301 heterosexual, married adults......We also investigated whether sexual excitation and sexual inhibition, constructs in the dual control model of sexual response, would be useful in explaining differences in men's and women's sexual compulsivity. .......The importance of assessing (sexual compulsivity) in samples not considered “high risk” and the utility of applying a sexual inhibition/excitation framework to understanding sexual compulsivity are discussed."

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Bill Herring LCSW, CSAT's curator insight, November 4, 2013 6:06 PM

Curator comment:  The "dual control" model as developed by Bancroft and colleagues is a useful way to conceptualize variables that influence sexual compulsivity.


(2013) Sexual Addiction and Compulsivity: The Journal of Treatment and Prevention. Volume 20, Issue 3.  


Abstract only.

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Cybersex addiction: Experienced sexual arousal when watching pornography and not real-life sexual contacts makes the difference

Cybersex addiction: Experienced sexual arousal when watching pornography and not real-life sexual contacts makes the difference | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"The results support the gratification hypothesis, which assumes reinforcement, learning mechanisms and craving to be relevant processes in the development and maintenance of cybersex addiction."

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Bill Herring LCSW, CSAT's curator insight, October 8, 2013 4:46 PM

Journal of Behavioral Addictions, V2, N2: 100-107 (June 2013)

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Pornography addiction leads to same brain activity as alcoholism or drug abuse, study shows

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People who are addicted to pornography show similar brain activity to alcoholics or drug addicts, a study has revealed.

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Sexual compulsivity among heterosexual college students

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"Although we found support for construct validity of the Sexual Compulsivity Scale in our sample (of 876 heterosexual college students), it is not clear whether the scale distinctly measures sexual compulsivity or taps into other constructs, such as sexual desire and sexual exploration."

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Bill Herring LCSW, CSAT's curator insight, August 13, 2013 3:26 PM

Curator comment:  It can seem so very basic to an understanding of the nature of compulsivity, but many professionals in the field struggle to account for variable levels of desire when considering reasons for problematic sexual excesses. To say that some people aren't classically "addicted" or "compulsive" but instead have high levels of sexual desire that can get them in trouble doesn't dismiss the severity of their problem.  This explains some of the negative reaction generated by journal titles such as "Sexual desire, not hypersexuality, is related to neurophysiological response elicited by sexual images


Dodge, et. al., J Sex Res. 2004 Nov;41(4):343-50.

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Methodological Review of Treatments for Non-Paraphilic Hypersexual Behavior

Methodological Review of Treatments for Non-Paraphilic Hypersexual Behavior | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

 

"Despite several attempts to explore treatments aimed at attenuating the symptoms of non-paraphilic hypersexual behavior, the findings from this review indicate that much of the outcome research in the field contains significant methodological limitations."


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Bill Herring LCSW, CSAT's curator insight, June 19, 2013 9:56 PM

Curator comment: Therapists who treat the various manifestations of chronically problematic sexual behavior, no matter what degree or discipline, have not exactly set the world on fire with well-designed, empirically-based outcome research, and the subject has not yet attracted a sizable number of behavioral health investigators (which is one reason why some of the same names consistently appear in higher-tier journals).  This article appears to substantiate this conclusion and point the way toward improving the quality of research the field is capable of producing.


Methodological Review of Treatments for Non-Paraphilic Hypersexual Behavior. Journal of Sex & Marital Therapy. . doi: 10.1080/0092623X.2012.751075

(Posted online June 14, 2013)


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Personal Perspectives on Hypersexual Disorder

Personal Perspectives on Hypersexual Disorder | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"Understanding the etiology, prevalence, treatment, and associated characteristics of HD is in its infancy. Important questions about the neurobiological mechanisms underlying HD remain unanswered at the present time. Debates continue as to which theoretical conceptualizations of HD might offer the best explanation (e.g., addiction, compulsivity, impulse-control models, etc.). Little is known about the onset, clinical course, and trajectories of HD symptoms as they manifest in various populations and across genders. Public health issues beyond the risks for sexually transmitted infections need to be considered including the impact of hypersexuality on the family, monogamous partnered relationships, child development, and potential risks for suicidal ideation. As advances continue to be made, investigators might benefit from assessing the body of literature about other non-substance related dysfunctional behaviors such as eating disorders or pathological gambling in order to generate hypotheses to guide future research endeavors. Indeed, it is both an exciting and challenging time for researchers and clinicians to be involve."



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Bill Herring LCSW, CSAT's curator insight, June 8, 2013 3:09 PM

Curator comment: This is an exceptionally useful article for a number of reasons.  It is authored by one of the most noted and empirically-grounded researchers in the field, Rory Reid Ph.D., LCSW.  It is an extremely helpful and current overview of issues in the field, including descriptions and limitations of various theoretical formulations.  It reviews important issues pertaining to such topics as cultural diversity, comorbidity, brain imaging, public health issues and outcomes research.  It is well annotated. And it's available online in its entirety, not just an abstract.  If you only had a very limited amount of time to get current on this complex issue, make sure this is one of your initial primary sources of information.


Source: (2013). Personal Perspectives on Hypersexual Disorder. Sexual Addiction & Compulsivity: Vol. 20, Hypersexual Disorder, pp. 4-18.

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Hypersexual Behavior in an Online Sample of Males: Associations with Personal Distress and Functional Impairment

Hypersexual Behavior in an Online Sample of Males: Associations with Personal Distress and Functional Impairment | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"The purpose of this study was to investigate personal distress and functional impairment in a community sample of male self-identified “sex addicts” and to explore the associations with related variables."



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Bill Herring LCSW, CSAT's curator insight, April 27, 2013 10:22 PM

Curator comment: Based soley on the abstract, this study seems to determine that people who self-identify as "sex addicts" generally expreience distress, often in personal relationships, which seems pretty obvious.  It would be nice to see the entire article.


Source: Spenhoff M, Kruger THC, Hartmann U, and Kobs J. Hypersexual behavior in an online sample of males: Associations with personal distress and functional impairment. Journal of Sexual Medicine. Article first published online: 11 APR 2013 (early view).

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Review of the Empirical Evidence for a Theoretical Model to Understand the Sexual Problems of Women with a History of CSA

Review of the Empirical Evidence for a Theoretical Model to Understand the Sexual Problems of Women with a History of CSA | Women: Relationships, alcohol, porn, lesbians, masturbation, swinging, fantasy, female sex predators and orgasm | Scoop.it

"(T)he relationship between hyposexuality and hypersexuality is relatively unexplored....... Because of the lack of information on these sexual problems, the present model was based on the assumption that, at least for some childhood sexual abuse (CSA) survivors, hyposexuality and hypersexuality coexist in the same individual. However, it is also possible that some CSA survivors develop only hyposexuality while others develop only hypersexuality. Future longitudinal studies on hyposexuality and hypersexuality can adequately explain the relationship and the course of these two problems in CSA survivors."



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Bill Herring LCSW, CSAT's curator insight, January 25, 2013 10:19 PM

Curator comment: It's a pleasant surprise to have free access to an entire article online (rather than just an abstract), especially one as comprehensive as this overview of theories that attempt to explain sexual dysfunction in women with a history of childhood sexual abuse.  Problems of definition and methodology are carefully described, as is the challenge of formulating theories that account for both hyposexual and hypersexual symptoms in women with childhood histories of sexual abuse.


Author: Alessandra Rellini PhD


Source: The Journal of Sexual Medicine, Vol. 5, No. 1, 31-46, January 2008.