{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T23:28:58Z","timestamp":1771543738639,"version":"3.50.1"},"reference-count":155,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["162264"],"award-info":[{"award-number":["162264"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001824","name":"Grantov\u00e1 Agentura \u010cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["GA23-06662S"],"award-info":[{"award-number":["GA23-06662S"]}],"id":[{"id":"10.13039\/501100001824","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Centre of Postgraduate Medical Education","award":["501-1-065-38-22"],"award-info":[{"award-number":["501-1-065-38-22"]}]},{"name":"Polish Medical Research Agency","award":["2022\/ABM\/03\/00039"],"award-info":[{"award-number":["2022\/ABM\/03\/00039"]}]},{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Center for the Application of Substance Abuse Technologies"},{"name":"Massachusetts General Hospital, and Kindbridge Research Institute","award":["GR15685"],"award-info":[{"award-number":["GR15685"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The addition of compulsive sexual behavior disorder (CSBD) into the ICD-11 chapter on mental, behavioral, or neurodevelopmental disorders has greatly stimulated research and controversy around compulsive sexual behavior, or what has been termed \u201chypersexual disorder,\u201d \u201csexual addiction,\u201d \u201cporn addiction,\u201d \u201csexual compulsivity,\u201d and \u201cout-of-control sexual behavior.\u201d<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To identify where concerns exist from the perspective of sexual medicine and what can be done to resolve them.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A scientific review committee convened by the International Society for Sexual Medicine reviewed pertinent literature and discussed clinical research and experience related to CSBD diagnoses and misdiagnoses, pathologizing nonheteronormative sexual behavior, basic research on potential underlying causes of CSBD, its relationship to paraphilic disorder, and its potential sexual health consequences. The panel used a modified Delphi method to reach consensus on these issues.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>CSBD was differentiated from other sexual activity on the basis of the ICD-11 diagnostic criteria, and issues regarding sexual medicine and sexual health were identified. Concerns were raised about self-labeling processes, attitudes hostile to sexual pleasure, pathologizing of nonheteronormative sexual behavior and high sexual desire, mixing of normative attitudes with clinical distress, and the belief that masturbation and pornography use represent \u201cunhealthy\u201d sexual behavior. A guide to CSBD case formulation and care\/treatment recommendations was proposed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Clinical sexologic and sexual medicine expertise for the diagnosis and treatment of CSBD in the psychiatric-psychotherapeutic context is imperative to differentiate and understand the determinants and impact of CSBD and related \u201cout-of-control sexual behaviors\u201d on mental and sexual well-being, to detect forensically relevant and nonrelevant forms, and to refine best practices in care and treatment. Evidence-based, sexual medicine\u2013informed therapies should be offered to achieve a positive and respectful approach to sexuality and the possibility of having pleasurable and safe sexual experiences.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/sxmrev\/qeae014","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T11:47:40Z","timestamp":1711453660000},"page":"355-370","source":"Crossref","is-referenced-by-count":30,"title":["Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective"],"prefix":"10.1093","volume":"12","author":[{"given":"Peer","family":"Briken","sequence":"first","affiliation":[{"name":"Institute for Sex Research , Sexual Medicine, and Forensic Psychiatry, , Hamburg-Eppendorf, Hamburg 20251 , Germany"},{"name":"University Medical Center , Sexual Medicine, and Forensic Psychiatry, , Hamburg-Eppendorf, Hamburg 20251 , 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