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Compulsive Sexual Behavior Disorder
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05 April 2021

Compulsive Sexual Behavior Disorder: Understanding, Assessment, and Treatment tackles a diagnosis that remains the subject of intensive debate. Although compulsive sexual behavior disorder (CSBD) is among the new diagnoses included in the World Health Organization's 11th Revision of its International Classification of Diseases (ICD-11), which goes into effect in 2022, it does not appear in DSM-5. The editors, two of the preeminent researchers on sexual disorders, explain this schism by way of background and then, along with a roster of highly qualified contributors, undertake the work of describing CSBD, instructing clinicians on how to address it effectively in their practices and exploring areas for further research. The book is replete with clinical vignettes that illustrate the concepts addressed in the chapters, allowing the reader an intimate look at diagnostic, treatment, and cultural issues as well as comorbidities, co-occurring substance use, and more.
Coverage is
clinically useful and thorough:
• Diagnostic aspects of CSBD are
explored in two chapters: The first conceptualizes out-of-control sexual
behavior and compares sexual addiction and CSBD by reviewing proposed
criteria for both conditions, with an emphasis on common co-occurring
psychiatric disorders, and the second details the comprehensive evaluation
of CSBD and outlines how to conduct clinical interviews with CSBD
patients.
• In a chapter both fascinating and rich in clinical insight,
the authors explore the role of the internet in hypersexuality, ascertaining
when online sexual activities become online sexual problems and proposing
possible treatments.
• Because high rates of CSBD are found among
individuals with substance use disorders, particularly in regard to alcohol,
opioid, and stimulant use disorders, the book examines sexual addiction and
substance abuse in depth, including preferred therapeutic modalities and
interventions.
• Clinical treatments for CSBD—both psychopharmacological
and biopsychosocial—are presented, with the former emphasizing the
importance of enhancing sexual self-control, reducing sexual drive, and
treating comorbid psychiatric disorders, and the latter taking an
integrative approach, focusing on underlying concerns with intimacy
formation, describing treatment modalities, and describing the phases of
treatment.
• Because legal issues and hypersexuality overlap regularly,
the forensic aspects of CBSD are addressed, with the goal of assisting
clinicians in competently navigating the legal sphere—from developing a
legally defensible opinion to identifying mitigating factors to acting as an
expert witness.
Although the diagnosis of CSBD may be debatable by taxonomists, the fact remains that patients presenting with these problems are suffering. Compulsive Sexual Behavior Disorder: Understanding, Assessment, and Treatment brings clinicians up to speed with the ICD-11 diagnosis and empowers them to understand and alleviate the psychological pain of their patients and clients.
MEDICAL / Psychiatry / General
Richard Balon, M.D., is a Professor in the Departments of Psychiatry and Behavioral Neurosciences and Anesthesiology at Wayne State University School of Medicine in Detroit, Michigan.
Peer Briken, M.D., is Professor and Director of the Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry at the University Medical Centre Hamburg-Eppendorf in Hamburg, Germany.
Chapter 1. Compulsive Sexual Behavior Disorder: From Myths
to Reality
Chapter 2. Sexual Addiction vs. CSBD
Chapter 3.
Compulsive Sexual Behavior and Substance Use Disorders
Chapter 4. The
Internet and CSBD
Chapter 5. Diagnostic Aspects of CSBD: DSM and
Beyond
Chapter 6. Clinical Evaluation of CSBD
Chapter 7.
Pharmacotherapy for Patients With CSBD
Chapter 8. Psychotherapies in the
Treatment of CSBD
Chapter 9. Compulsive Sexual Behavior Disorder in
Women
Chapter 10. Forensic Aspects of Hypersexuality
Chapter 11.
Hypersexuality and Sexual Compulsivity: Behavioral/Sexual Risks and Risks of
Sexually Transmitted Diseases
Chapter 12. Religious and Cultural
Influences of CSBD