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Woman's life ruled by sex?

Woman's life ruled by sex? | Sex  Addiction | Scoop.it

"Mandy Stadtmiller says that her entire life has been defined by sex.  She calls herself a sex and love addict. In this clip Stadtmiller tells HLN’s Dr. Drew how it all began and what she's doing to help control her actions."

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Curator: Click image to play this 6 minute video clip. 

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Sex  Addiction
Articles and topics related to compulsive sexual behavior.
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Welcome to One of The Largest Online Sources For Curated Information on Chronically Problematic Sexual Behavior

This curated website is dedicated to improving professional and public understanding about why  some people  repeatedly engage in sexual behavior that compromises their safety and personal values despite the knowledge of inevitably problematic consequences and a sincere but repeatedly unsuccessful desire to stop. 

 

Common phrases for this complex behavioral phenomenon include "sex addiction", "compulsive sexual behavior" and "hypersexuality". This site often uses the generic phrase "chronically problematic sexual behavior" (used as a description rather than a diagnosis) since it:


  • is broad enough to transcend theoretical limitations without being so vague that it loses all meaning,


  • is capable of describing clusters of symptoms and complaints rather than a singular clinical entity,


  • accommodates conditions that stem from varying individual, relational and societal sources,


  • is therefore a useful inter-disciplinary term to describe "patterns of sexual behavior that are out of control and have problematic consequences" (Bancroft and Vukadinovic, 2004*).


Information about this topic will be curated from every conceivable source and perspective, in order not to privilege one viewpoint over another to the detriment of an informed and expanded knowledge base that supports a continually evolving understanding of this subject.  Topics range from rigorous research to irreverent humor, representing the entire spectrum of attitudes, opinions and understanding about this topic.  Some items will have lasting significance while others are likely to merit only brief notice.


However, this curation does not focus on mere breadth and quantity of sources with a complete disregard for content.  Conscious effort is made to avoid excessive repetiton of content and to separate the wheat from the chaff, with judicious commentary accompanying almost every item or category.  An editorial or descriptive overview provides an orientation for almost every category or "tag" (see below).


This site is not designed to promote any specific service or treatment providers; hence there are no direct links to sites that do not contain some relevant information that enhances the knowledge base of the topic.  


Due to the volume of information on this site, it's best to  use the "Filter" feature near the top of the screen to find content related to a particular category or topic.  


Disclaimer: This site attempts to avoid any copyright infringement by linking directly to all sources instead of reproducing, preparing derivative works, distributing, or displaying them publicly.  This site will also not link to any material that appears to be available online as a result of copyright violation.


Feedback, commentary and suggestions are welcome since they will help build a stronger site.   Please consider "following" this site by clicking the button near the top right of the page  This is a great way to stay current on this topic and to help enhance the visibility of this site to others would may benefit from it.


This site is curated by Bill Herring, LCSW, CSAT, an Atlanta-based psychotherapist  who specializes in helping good people maintain consistent, safe and ethical sexual boundaries. 


This site was created December 7, 2011.

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*Bancroft, J. & Vukadinovic, Z. (2004).  Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model. Journal of Sex Research: 41(3), 225-234. (Note, this article is easily available online. A direct link is not being provided to it in order to protect copyright.)



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Looker's comment, December 24, 2011 12:35 AM
Good site. Keep it up.
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The Relationship Between Hypersexual Behavior, Sexual Excitation, Sexual Inhibition, and Personality Traits

The Relationship Between Hypersexual Behavior, Sexual Excitation, Sexual Inhibition, and Personality Traits | Sex  Addiction | Scoop.it

"The main aim of the present study was to investigate the impact of different personality traits on the degree of hypersexual behavior as measured by the Hypersexual Behavior Inventory (HBI). A further aim was to evaluate the association between sexual inhibition and excitation [as described in the Dual Control Model] and hypersexual behavior. ......... The results provided strong support for the components of the Dual Control Model — sexual excitation and inhibition — to explain hypersexual behavior, irrespective of gender and sexual orientation. Some of the general personality traits also showed significant relationships with hypersexual behavior."

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Bill Herring LCSW, CSAT's insight:

Curator comment: Anyone looking to become well-versed in basic theory about the overall concept of hypersexual would benefit from learning about Bancroft's dual control model, which can be found by typing "dual control" into the funnel-shaped "Search in Topic" icon near the top right of this page.

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Confessions of a Sex Addict (India)

Confessions of a Sex Addict (India) | Sex  Addiction | Scoop.it

"Pankaj's confession relating to Sex Addiction is a brave decision that may help others suffering from this disease."

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Bill Herring LCSW, CSAT's insight:

Curator comment: This 4:26 video is being posted primarily because it is spoken in Hindi (with English subtitles).

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Sex addiction and gambling disorder: similarities and differences

Sex addiction and gambling disorder: similarities and differences | Sex  Addiction | Scoop.it

"The sample included 59 patients diagnosed with sex addiction, who were compared to 2190 individuals diagnosed with gambling disorder and to 93 healthy controls......While sex addiction and gambling disorder share some psychopathological and personality traits that are not present in healthy controls, there are also some diagnostic-specific characteristics that differentiate between the two clinical groups." 

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Bill Herring LCSW, CSAT's insight:

Curator comment: It is often difficult to ascertain exactly what a study has determined by simply reading the abstract.  This article is no exception.  How is sex addiction "diagnosed" in this case?  Is it simply the SCL-90?  The results show some seemingly interesting findings about personality characteristics, but again without the full article it's impossible to kow how the authors conceptualize these differences.


Comprehensive Psychiatry, V 56, January 2015, pages 59-68

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When Narcissism Dances With Sex Addiction

When Narcissism Dances With Sex Addiction | Sex  Addiction | Scoop.it
Do sex addicts actually use narcissism to escape feelings of shame & inadequacy? Learn more about when when narcissism dances with sex addiction.
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David Wolan's curator insight, December 28, 2014 10:21 AM

Loving this article....

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Enhanced Attentional Bias Towards Sexually Explicit Cues in Individuals With and Without Compulsive Sexual Behaviours

Enhanced Attentional Bias Towards Sexually Explicit Cues in Individuals With and Without Compulsive Sexual Behaviours | Sex  Addiction | Scoop.it

"(C)ompared to healthy volunteers, CSB (compulsive sexual behavor) subjects have enhanced attentional bias to explicit cues but not neutral cues particularly for early stimuli latency. Our findings suggest enhanced attentional bias to explicit cues possibly related to an early orienting attentional response. This finding dovetails with our recent observation that sexually explicit videos were associated with greater activity in a neural network similar to that observed in drug-cue-reactivity studies. Greater desire or wanting rather than liking was further associated with activity in this neural network. These studies together provide support for an incentive motivation theory of addiction underlying the aberrant response towards sexual cues in CSB."


Bill Herring LCSW, CSAT's insight:

Curator comment: Somehow I missed curating this important study that lends credence to the theory that pornography triggers brain activity in people with compulsive sexual behavior­ similar to that triggered by drugs in the brains of drug addicts.  That's a very important finding, and one that is useful to cite in response to people who use last year's "Prause" study (which can be found on this cite by searching for that term) to argue against the existence of an addictive process related to sexual behavior.

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A story of porn addiction and recovery

I am Noah B.E. Church, author of "Wack: Addicted to Internet Porn". On October 11th, 2014, I told my story at Mississippi Studios as part of The Mystery Box which features true, personal, sexually themed stories told by the people who lived them. I hope my story helps someone."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  Good stuff. Our stories heal us. Worth the 18 minutes.

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This Is What Being a Sex Addict Is Really Like

This Is What Being a Sex Addict Is Really Like | Sex  Addiction | Scoop.it

"I couldn't stop. No matter what happened, no matter how bad things got, even when I lost marriages, homes and jobs because of my sexual behavior. Instead of stopping I was getting further into it, going into darker and more depraved places......There is no doubt in my mind that I desperately needed some sort of pattern interruption, and treatment did that for me."

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Bill Herring LCSW, CSAT's insight:

Curator comment: This article is primarily about the author's experience in two different treatment facilities.  

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Is Sex Addiction Really a Disorder?

Is Sex Addiction Really a Disorder? | Sex  Addiction | Scoop.it

"(M)ore research is needed to understand whether hypersexuality constitutes a problem in living, internal conflict around sexual values, a culturally-bound construct, a personality trait, or if this phenomenon meets the more stringent standard required for a psychiatric disorder."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  Some opponents of the concept of sex addiction cackle when they read this, seeing it as a "nail in the coffin" of the construct (I have heard these words).  They seem to breeze over language in the article that is less definitive, such as:  "Collectively, the scientific evidence for hypersexual behavior to be classified as a psychiatric disorder is incomplete at the present time. ... Whether or not the HD proposal will end up in subsequent updates to the DSM has yet to be determined."

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IT HAPPENED TO ME: I Relapsed From My Sex Addiction and it Made Me Get the Help I Needed

IT HAPPENED TO ME: I Relapsed From My Sex Addiction and it Made Me Get the Help I Needed | Sex  Addiction | Scoop.it

"Unlike an alcohol or drug addiction, having sex is a normal human need. Just because I have a problem using sex as a crutch for dealing with emotions doesn’t mean I can’t have it at all. A person with any addiction needs to learn the difference between feeding their body and feeding their hunger."

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Bill Herring LCSW, CSAT's insight:


Curator comment: An earlier essay by this same author is curated on this site.  People willing to share their vulnerabilities to help others deserve support, and one benefit of a site like xojane is that the comments are uniformly supportive rather than disparaging as is the case with more mainstream sites.

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I can’t stop cheating on my husband

I can’t stop cheating on my husband | Sex  Addiction | Scoop.it

"I’m not a sex addict, I’m not looking for love...... For me, it’s a form of self-medicating a traumatic childhood. Yet it does not work, as it only leaves me feeling angry, empty, and filled with more self-loathing."

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Bill Herring LCSW, CSAT's insight:

Curator comment: There is an odd, dispassionate tone to this essay, in which the author admits that she "can't" stop her behavior on the one hand, but comes up with a variety of justifications for her behavior and barriers to admitting her problem and seeking help.  There is also a disconcerting absence of emotion in the essay. 

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Patient characteristics by type of hypersexuality referral: A quantitative chart review of 115 consecutive male cases

Patient characteristics by type of hypersexuality referral: A quantitative chart review of 115 consecutive male cases | Sex  Addiction | Scoop.it

"The present study used quantitative methods to examine demographic, mental health, and sexological correlates of common clinical subtypes of hypersexuality referrals proposed by Cantor and colleagues (2013). Findings support the existence of subtypes, each with distinct clusters of features."

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Bill Herring LCSW, CSAT's insight:

Curator comment: This is a useful companion article to the 2013 publication of "A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals", curated on this site last year.

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Brain activity in sex addiction mirrors that of drug addiction

Brain activity in sex addiction mirrors that of drug addiction | Sex  Addiction | Scoop.it

"Pornography triggers brain activity in people with compulsive sexual behaviour – known commonly as sex addiction – similar to that triggered by drugs in the brains of drug addicts, according to a University of Cambridge study published in the journal PLOS ONE. However, the researchers caution that this does not necessarily mean that pornography itself is addictive."

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Bill Herring LCSW, CSAT's insight:

Curator comment: This is an interesting study, while it's important to note that neither its intent nor findings provide evidence of sex/porn addiction nor do they suggest that such behaviors are themselves addictive.


Here is the link to the actual study, Neural Correlates of Sexual Cue Reactivity in Individuals With and Without Compulsive Sexual Behavior.


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Compulsive sexual behavior among male military veterans: prevalence and associated clinical factors

Compulsive sexual behavior among male military veterans: prevalence and associated clinical factors | Sex  Addiction | Scoop.it

"Compulsive sexual behavior was reported by 16.7% of the sample (of male military veterans)......This exploratory study suggests that compulsive sexual behavior is prevalent among veterans returning from combat and is associated with childhood trauma and PTSD, particularly re-experiencing....."

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Bill Herring LCSW, CSAT's insight:

Curator comment: It's rare to find articles addressing compulsive sexual behvior in the military, which is a curious omission in the professional literature that makes this article exceptionally important. Also it's available online! 

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It’s Not Just A Guy’s Thing - Muslim Women And Sex Addiction

It’s Not Just A Guy’s Thing - Muslim Women And Sex Addiction | Sex  Addiction | Scoop.it
Think sex addiction is just a "guy thing?" Think again. Learn about the additional pressures and stigma facing women, particularly Muslim women who are dealing with unwanted sexual behaviours.

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Bill Herring LCSW, CSAT's insight:

Curator comment: This is the first time I've seen this topic addressed directly to Muslim women who may struggle with this issue. This is a great service for a population that has been almost totally ignored.

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An Item Response Theory Analysis of the Sexual Compulsivity Scale and Its Correspondence with the Hypersexual Disorder Screening Inventory among a Sample of Highly Sexually Active Gay and Bisexual ...

An Item Response Theory Analysis of the Sexual Compulsivity Scale and Its Correspondence with the Hypersexual Disorder Screening Inventory among a Sample of Highly Sexually Active Gay and Bisexual ... | Sex  Addiction | Scoop.it

"This study examined the correspondence between the Sexual Compulsivity Scale (SCS( and the Hypersexual Disorder Screening Instrument (HDSI)......"(A)lthough two of the SCS items had low reliability, the SCS as a whole was reliable across much of the sexual compulsivity continuum. Scores on the SCS and the HDSI were highly correlated......."

"Comparisons of SCS scores with HDSI results indicated that the SCS itself could not serve as a substitute for the HDSI and would incorrectly classify a substantial number of individuals' levels of hypersexuality. However, the SCS could be a useful screening tool to provide a preliminary screening of people at risk for meeting criteria on the HDSI."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  This core group of researchers continues to do a tremendous service in evaluating measurement criteria for the various assessment instruments currently in use. 


Ventuneac A, Rendina HJ, Grov C, Mustanski B, and Parsons JT.

J Sex Med  Article first published online 15 DEC 2014


Abstract only

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A Minority Stress-Emotion Regulation Model of Sexual Compulsivity Among Highly Sexually Active Gay and Bisexual Men

"The purpose of this study was to examine a model of sexual compulsivity based on minority stress theory and emotion regulation models of mental health among gay and bisexual men." (Abstract only.)

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Chronic Sexual Deception and Sex Addiction

"Chronic sexual infidelity....... can be a result of many factors, yet no matter the cause, any repetitive pattern of inappropriate sexual behavior needs to be addressed in a forthright and informed manner in order to bring healing and happiness to all involved. This article explores this topic in depth, including an examination of how it intersects with the concept of sex addiction."

Bill Herring LCSW, CSAT's insight:

Curator comment: This is from my primary website.  I don't typically post my own articles but I have changed my primary website domain and need to be able to update the link from this curated page, so I have taken down the links from my former domain in place of this one.  Beyond that I think this article has substantial merit as a way to continue to explore the paradigmatic boundaries of this construct.

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Pornography and the Male Sexual Script: An Analysis of Consumption and Sexual Relations

Pornography and the Male Sexual Script: An Analysis of Consumption and Sexual Relations | Sex  Addiction | Scoop.it
we surveyed 487 college men (ages 18-29 years) in the United States to compare their rate of pornography use with sexual preferences and concerns. Results showed the more pornography a man watches, the more likely he was to use it during sex, request particular pornographic sex acts of his partner, deliberately conjure images of pornography during sex to maintain arousal, and have concerns over his own sexual performance and body image. Further, higher pornography use was negatively associated with enjoying sexually intimate behaviors with a partner
Bill Herring LCSW, CSAT's insight:

Curator comment: Abstract only, so it's unclear how this study was controlled.  Findings seem limited to heterosexual population

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Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil

Sexual Compulsivity Scale, Compulsive Sexual Behavior Inventory and Hypersexual Disorder Screening Inventory: Translation, Adaptation, and Validation for Use in Brazil | Sex  Addiction | Scoop.it

"This study sought to adapt and validate the Sexual Compulsivity Scale (SCS), the 22-item version of the Compulsive Sexual Behavior Inventory (CSBI-22), and the Hypersexual Disorder Screening Inventory (HDSI) for use in Brazil....... All measures showed very good psychometric properties.......The findings support the conceptualization of hypersexuality as a cluster of problematic symptoms that are highly consistent across a variety of measures.."

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Bill Herring LCSW, CSAT's insight:

Curator comment: useful for its intended purpose.

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Relationship Attachment Styles in a Sample of Hypersexual Patients

Relationship Attachment Styles in a Sample of Hypersexual Patients | Sex  Addiction | Scoop.it

"The present study seeks to further our understanding of relationship attachment styles and hypersexual behavior by analyzing both categorical and dimensional measures of attachment among a large sample of men (N = 136) seeking treatment for excessive sexual behaviors."


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Bill Herring LCSW, CSAT's insight:

Curator comment:  Research and conjecture attempting to locate attachment styles characteristic of this population is both increasingly prevalent yet continually elusive.

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Controversies About Hypersexual Disorder and the DSM-5

Controversies About Hypersexual Disorder and the DSM-5 | Sex  Addiction | Scoop.it

This article highlights the vast array of controversial issues surrounding the proposal for hypersexual disorder. ......This article attempts to place the controversies, criticisms, and issues about hypersexuality in context from leading experts in the field.

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Bill Herring LCSW, CSAT's insight:


Curator comment: Cogent, comprehensive overview.

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Shame, Rumination, and Self-Compassion in Men Assessed for Hypersexual Disorder

"...... self-compassion partially mediated the relationship between shame and rumination and hypersexual behavior."

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Relationship Between Sexual Compulsivity and Sexual Risk Behaviors Among Chinese Sexually Active Males

Relationship Between Sexual Compulsivity and Sexual Risk Behaviors Among Chinese Sexually Active Males | Sex  Addiction | Scoop.it

"This study validated the Chinese version of the Sexual Compulsivity Scale and investigated its associations with specific sexual behaviors."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  The SCS is an increasingly well-established instrument.

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Using Polygraph Tests to Keep Sex Addicts Honest

Using Polygraph Tests to Keep Sex Addicts Honest | Sex  Addiction | Scoop.it


"Asking a sex addict to take a polygraph seemed ludicrous to me at first. First off, it seems like something you do with a criminal, not with a patient who has come in for help with a sexually compulsive behavior."


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Bill Herring LCSW, CSAT's insight:

Curator comment: The use of polygraph as a way to regain trust, provide accountability and protect against relapse can be a useful tool although one that is not without its challenges and controversies.

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Self-Reported Indicators of Hypersexuality and Its Correlates in a Female Online Sample

Self-Reported Indicators of Hypersexuality and Its Correlates in a Female Online Sample | Sex  Addiction | Scoop.it

"The results of the current study do not support the idea of previous research that hypersexual women are typically engaged in more passive forms of sexual behavior. Rather female hypersexuality seems to be more characterized by impersonal sexual activity. An association between hypersexual behavior and sexual risk behavior was identified."

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Bill Herring LCSW, CSAT's insight:

Curator comment:  Little research has focused specifically on the behavioral patterns of hypersexuality in women, making studies like this especially important

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