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How to recognize the signs of sexual addiction
Asking the right questions may uncover serious problems
Jennifer P. Schneider, MD, PhD
VOL 90/N0 6/NOVEMBER 1, 1991/POSTGRADUATE MEDICINE - SEXUAL
ADDICTION
Preview:
Addiction to sexual activities can be just as destructive as addiction to chemical
substances. Addicts may jeopardize their marriage and family relationships, allow their
job performance to deteriorate, and endanger themselves and their partner through
multiple sexual exposures. Even though they realize the consequences, they cannot
control their compulsions without appropriate treatment. The author explains how to spot
addicts and coaddicts among your patients. For most people, sex enhances the quality of
life. However, about 3% to 6% of Americans have sexual addiction(1). Through their
addiction, they may injure themselves physically, experience psychological distress, lose
their livelihood, and ruin meaningful relationships. Sexual addiction often coexists with
chemical dependency, and untreated sexual addiction contributes to relapse to chemical
use. These patients not only endanger themselves but also put their loved ones at risk for
AIDS and other sexually transmitted diseases. Physicians can help by learning about this
phenomenon, which is gaining increasing attention in behavioral medicine, and then
educating these patients and their families.
Criteria for sexual addiction
The concept of sexual addiction was introduced less than 10 years ago(2). It not only
provides an explanation for otherwise irrational behavior but also suggests effective
treatment for patients who have not been helped by more traditional therapy.The
Diagnostic and Statistical Manual of Mental Disorders, revised third edition (DSM-III-
R)(3), lists nine criteria for chemical dependency (table 1). The presence of three
establishes the diagnosis. Most of t
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