Hypersexual Disorder: A Proposed Diagnosis for DSM-V
Submitted on Tuesday, 24 November 2009
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Abstract Hypersexual Disorder is proposed as a new psychiatric disorder for consideration in the Sexual Disorders section for DSM-V.
Historical precedents describing hypersexual behaviors as well as the antecedent representations and proposals for inclusion
of such a condition in the previous DSM manuals are reviewed. Epidemiological as well as clinical evidence is presented suggesting
that non-paraphilic “excesses” of sexual behavior (i.e., hypersexual behaviors and disorders) can be accompanied by both clinically
significant personal distress and social and medical morbidity. The research literature describing comorbid Axis I and Axis
II psychiatric disorders and a purported relationship between Axis I disorders and Hypersexual Disorder is discussed. Based
on an extensive review of the literature, Hypersexual Disorder is conceptualized as primarily a nonparaphilic sexual desire
disorder with an impulsivity component. Specific polythetic diagnostic criteria, as well as behavioral specifiers, are proposed,
intended to integrate empirically based contributions from various putative pathophysiological perspectives, including dysregulation
of sexual arousal and desire, sexual impulsivity, sexual addiction, and sexual compulsivity.
- Content Type Journal Article
- Category Original Paper
- DOI 10.1007/s10508-009-9574-7
- Authors
- Martin P. Kafka, McLean Hospital Department of Psychiatry 115 Mill Street Belmont MA 02478 USA
- Journal Archives of Sexual Behavior
- Online ISSN 1573-2800
- Print ISSN 0004-0002
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