title: A treatment-oriented typology of self-identified hypersexuality referrals.
abstract: Men and women have been seeking professional assistance to help control hypersexual urges and behaviors since the nineteenth century. Despite that the literature emphasizes that cases of hypersexuality are highly diverse with regard to clinical presentation and comorbid features, the major models for understanding and treating hypersexuality employ a "one size fits all" approach. That is, rather than identify which problematic behaviors might respond best to which interventions, existing approaches presume or assert without evidence that all cases of hypersexuality (however termed or defined) represent the same underlying problem and merit the same approach to intervention. The present article instead provides a typology of hypersexuality referrals that links individual clinical profiles or symptom clusters to individual treatment suggestions. Case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including: (1) Paraphilic Hypersexuality, (2) Avoidant Masturbation, (3) Chronic Adultery, (4) Sexual Guilt, (5) the Designated Patient, and (6) better accounted for as a symptom of another condition.
authors: Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada. james.cantor@camh.ca
authors: James M
authors: JM
authors: Cantor
authors: Carolin
authors: C
authors: Klein
authors: Amy
authors: A
authors: Lykins
authors: Jordan E
authors: JE
authors: Rullo
authors: Lea
authors: L
authors: Thaler
authors: Bobbi R
authors: BR
authors: Walling
mesh_terms: D005114:Extramarital Relations / Q000523:psychology; D005260:Female; D006167:Guilt; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*