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Transcript of Sex Addiction
behavior Sexual Addiction: is a conceptual model divised in order to provide a scientific explanation for sexual urges, behaviors, or thoughts that appear extreme in frequency or feel out of one's control—in terms of being a literal addiction to sexual activity. WHAT IS IT? 2 opinions:
1. a medical form of clinical addiction
2.a form of obsessive compulsive disorder American Society of Addiction Medicine Addiction is a primary, chronic disease of brain reward, motivation and memory related circuitry.
The structure and function of the brains of persons with addiction differ from the structure and function of the brains of persons who do not have addiction.
Brain reward circuitry makes food and sex rewarding (survival mechanism)
A healthy brain has feedback mechanisms for satiety.
In an addicted brain, this circuitry system becomes dysfunctional which leads to the pathological pursuit of rewards and/or relief through the use of substances and behaviors. The American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM)
1987 - (DSM-III-R) - "distress about a pattern of repeated sexual conquests or other forms of nonparaphilic sexual addiction, involving a succession of people who exist only as things to be used."
2000 - (DSM-IV-TR)- no longer mentions sexual addiction as a mental disorder
DSM-IV-TR includes a miscellaneous diagnosis called Sexual Disorders Not Otherwise Specified "distress about a pattern of repeated sexual relationships involving a succession of lovers who are experienced by the individual only as things to be used." World Health Organization International Classification of Diseases (ICD) - not limited to mental disorders
"Excessive sexual drive" as a diagnosis: satyriasis (males) & nymphomania (females) some research indicates that sex addicted people process dopamine differently than other people do ADDICTION CARNES 4 types of addctions:
Chemical, Process Feelings, and Compulsive
Process Addiction: is an addiction to an activity or process, such as eating, spending money, gambling or sex
People become addicted to sex in the same way they become addicted to alcohol or drugs.
Symptoms of Sex Addiction: GOODMAN
*a need for markedly increased amount or intensity of the behavior to achieve the desired effect
*markedly diminished effect with continued involvement in the behavior at the same level or intensity
*characteristic psychophysiological withdrawal syndrome of physiologically described changes and/or psychologically described changes upon discontinuation of the behavior
*the same (or a closely related) behavior is engaged in to relieve or avoid withdrawal symptoms
3.the sexual behavior is often engaged in over a longer period, in greater quantity, or at a higher intensity than was intended 4.persistent desire or unsuccessful efforts to cut down or control the behavior
5.a great deal of time spent in activities necessary to prepare for the behavior, to engage in the behavior, or to recover from its effects
6.important social, occupational, or recreational activities are given up or reduced because of the behavior
7.the sexual behavior continues despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the behavior 7 symptoms that show it is a real addiction: SCHNEIDER 3 indicators of sexual addiction:
CONTUNIATION despite the consequences
OBESSION CAUSES??? Obsessive-compulsive disorder (OCD)
Narcissistic Personality Disorder In addictions, obsession is progressive and pervasive, and develops along with denial.
Compulsion is present only while the addict is physically dependent on the activity for physiological stasis. constant attempt to escape emotional or physical discomfort by using ritualized, sexualized behaviors such as; masturbation, pornography,obsessive thoughts about sexual activity Childhood Traumas False “core beliefs” "I am basically a bad, unworthy person."
"No one would love me as I am."
"If I share everything with you, you will reject me."
"My needs are never going to be met if I have to depend on others."
"Sex is my most important need."
Pick’s disease causes damage to the temporal/frontal lobe of the brain; people suffering with Pick’s disease show a range of socially inappropriate behaviors
Several neurological conditions such as Alzheimer's disease,various types of brain injury can cause hypersexual behavior.
A side-effect of some medications used to treat Parkinson's disease. PAIN AGENT addict is not able to take care of the pain agent in a healthy way Prior to acting out sexually, the addict goes through a period of mental preoccupation or obsession.
A separation begins to take place between his or her mind and his or her emotional self. DISSOCIATION ACTING OUT This is the step that separates reality from sexual obsession. It separates the addict from reality. SEXUAL COMPULSIVITY The act of sex.
Compulsivity means that sex becomes inevitable, no matter what the circumstances or the consequences.
The compulsive act ends with orgasm. DESPAIR Immediately after sex reality sets in, and the addict begins to feel ashamed.
This point of the cycle is very painful which becomes the emotional trigger for the pain agent. Sexual release activates pleasure centers in the brain, flooding the body with serotonin, dopamine and adrenaline. These chemicals cause feelings of pleasure and temporarily block pain, creating a natural high. GENES
NATURE VS. NURTURE The new research centres on a gene called D4
-involved in the brain's reaction to the pleasure chemical; dopamine
Tests on animals have suggested this gene may influence sex drive and arousal.
People with a certain genetic make-up; those with a higher functioning D4 gene; have a much stronger sex drive than others.
People with one particular variation of the D4 gene have a much larger chance of developing an over active sexual appetite.
Past studies have shown the chemical produced by the D4 gene is also linked to other addictive behaviors such as gambling. D4 is not entirely responsible for sex addiction.
Possible other genes and more importantly social factors also play a great role. 3-6% of US population suffers from sex addiction
85% adult males SOURCES http://www.doctoroz.com/videos/sex-addiction-real-disorder?page=2