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Hypersexuality is extremely frequent or suddenly increased sexual urges or sexual activity. Hypersexuality
can be both a symptom and side eect of medical conditions and their treatments; however, most causes of
hypersexuality are unknown. Alcohol or mental health
problems such as borderline personality disorder can give
rise to hypersexuality,[1] . Some drugs can aect social
and sexual inhibitions of some people. A number of theoretical models have been used to explain or treat hypersexuality. The sexual addiction approach is the most
well-known form of treatment; however, sexologists have
not yet reached any consensus on its accuracy or success. Alternative explanations for the condition include
compulsive and impulsive behavioural models.
2 Etiology
There is no consensus among experts as to the causes of
hypersexuality, and many etiological factors have been
proposed. Some research suggests that some cases can
be linked to biochemical or physiological changes that
accompany dementia. Psychological needs also complicate the biological explanation, which identies the temporal/frontal lobe of the brain as the area for regulating libido. Persons suering from injuries to this part
of the brain are at increased risk for aggressive behavior and other behavioral problems including personality
changes and socially inappropriate sexual behavior such
as hypersexuality.[11] The same symptom can occur after unilateral temporal lobectomy.[12] There are other biological factors that are associated with hypersexuality
such as premenstrual changes, and the exposure to virilising hormones in childhood or in utero.[13] It should
be noted that there can be psychological causes for this
condition. Hypersexuality, in these cases, may be related
to the longing for intimacy with another individual. Often, this desire is inappropriately expressed. This can be,
once again, related to the condition of dementia. As this
illness progresses, loss of self-esteem is often inevitable.
A loss of cognitive function as a result of this disease
may be compensated for through hypersexuality.[14] In
research involving use of anti-androgens to reduce undesirable sexual behaviour such as hypersexuality, testosterone is deemed necessary, but not sucient, for sexual
drive.[15] Other proposed factors include a lack of physical closeness, and forgetfulness of the recent past.[14]
Epidemiology
since the late 1800s.[10] In some cases, the hypersexuality was a symptom of another medical disease, such as
Klver-Bucy syndrome or bipolar disorder, or the side
eect of a medication, such as the drugs used to treat
Parkinsons disease. In other cases, the hypersexuality
was reported to be the primary problem.
Addiction model
3
more neuro-degenerative diseases can cause hypersexual behavior. Sexually inappropriate behavior has been
shown to occur in 7-8% of Alzheimers patients living at home, at a care facility or in a hospital setting. A positive link between the severity of dementia
and occurrence of inappropriate behavior has also been
found.[54] Hypersexuality has also been reported to result as a side-eect of some medications used to treat
Parkinsons disease.[55][56] Some street drugs, such as
methamphetamine, may also contribute to hypersexual
behavior.[57]
Hypersexuality can be caused by dementia in a number of
ways, including disinhibition due to organic disease, misreading of social cues, understimulation, the persistence
of learned sexual behaviour after other behaviours have
been lost, and the side-eects of the drugs used to treat
dementia.[58]
engaging in sexual fantasies in response to stress, repetitive but unsuccessful attempts to control such behavior,
and repetitively engaging in sexual behaviours with disregard for physical or emotional harm to self or others.
There must also be clinically signicant personal distress
or negative eect on social or occupational aspects of life
and the sexual behavior must not be because of an exogenous substance. Some behaviors that are specic to this
disorder are masturbation, pornography, sex, cybersex,
telephone sex, and going to strip clubs.[62]
As of 2010, a proposal to add Sexual Addiction to the
DSM system has been rejected by the APA, as not
enough evidence suggested to them that the condition is
analogous to substance addictions, as that name would
imply.[63][64][65]
7 See also
Erotophilia
Persistent genital arousal disorder
Pornography addiction
Sexual Compulsivity Scale
Sexual obsessions
References
[1] Carver, DD (1997). Clinical Aspects of Borderline Personality Disorder. Medscape Psychiatry & Mental Health
eJournal 2 (5): 15. Retrieved 3 July 2014.
[2] 2012 ICD-10 Diagnosis Code F52.7 : Excessive sexual
drive. Retrieved 2013-02-22.
[3] 2012 ICD-10-CM Diagnosis Code F98.8 : Other specied behavioral and emotional disorders with onset usually
occurring in childhood and adolescence. Icd10data.com.
Retrieved 2012-06-22.
[4] DSM-5 Development Page for Sexual Dysfunctions.
Dsm5.org. Retrieved 2012-06-22.
[5] Levine, M. P; Troiden, R. R. (1988). The Myth of Sexual
Compulsivity. Journal of Sex Research 25 (3): 347363.
doi:10.1080/00224498809551467.
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[40] Kafka, M. P. (2000). The paraphilia-related disorders: Nonparaphilic hypersexuality and sexual compulsivity/addiction. In S. R. Leiblum & R. C. Rosen (Eds.),
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[46] Goleman, Daniel (October 16, 1984). Some Sexual Behavior Viewed as an Addiction. New York Times: Cl, C9.
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[47] Barth, R. J., & Kinder, B. N. (1987). The mislabeling of
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[54] Burns, A.; Jacoby, R. & Levy, R. (1990). Psychiatric phenomena in Alzheimers disease. IV: Disorders
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[55] Vogel, H. P., & Schiter, R. (1983). Hypersexuality: A
complication of dopaminergic therapy in Parkinsons disease. Pharmacopsychiatria, 16, 107-110.
[56] Uitti, R. J., Tanner, C. M., & Rajput, A. H. (1989). Hypersexuality with antiparkinsonian therapy. Clinical Neuropharmacology, 12, 375-383.
[57] Mansergh, G., Purcell, D. W., Stall, R., McFarlane, M.,
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[59] Karen M. Robinson, DNS, RN, DS, FAAN. (Jan 2003).
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Dementia. Home Healthcare Nurse. Vol.21, no.1.
[60] Jones, M. C.; Okere, K. (2008). Treatment of Hypersexual Behavior with Oral Estrogen in an Autistic Male. Southern Medical Journal 101 (9): 959
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[62] Kaplain, M, S & Krueger, B, R (2010). Diagnosis, Assessment, and Treatment of Hypersexuality.
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REFERENCES
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