II. Type
- Process Addiction
- Paraphilia
- Abnormal Sexual arousal to objects or situations
- Interferes with capacity for reciprocal affection
III. Pathophysiology
- Central Tenets
- Pain of abandonment or neglect
- Search for attachment
- Self doubt
- Internal sense of decreased self worth
- If people would know me, they wouldn't like me
- Needs can not be met by others
- Pathway
- Neurologic pathways craving for Ecstasy
- Arousal
- Sedation
- Hallucination
- Sexual Fantasy
- Rituals and preparations
- Dressing
- Obtaining money
- Planning the place
- Orgasm
- Withdrawal
- Neurologic pathways craving for Ecstasy
IV. Criteria (DSM IIIR)
- Persistent desire or effort to cut down on behavior
- Considerable time spent achieving the activity
- Social, Occupational, and Recreational Impairment
V. Symptoms
- Secrecy
- Abuse
- Sex that crosses significant boundaries
- Sex with children, patients, students, subordinates
- Mood swings
- Shame and despair of having unwanted sex
- Empty relationships
- Sex with people you don't know or don't like
- Compromised values
- Behavior violates values
- Continues despite dramatic efforts to stop
VI. Signs
- Sexually Transmitted Disease
- Unwanted Pregnancy
- Perirectal Abscess
- Asphyxiation injury
VII. Types of Activity
- Level I: Benign
- Hypersexual with single partner
- Frequent masturbation or Pornography
- Fetishism, Masochism, or Sadism
- Transvestic fetishism
- Telephone sex or Cybersex
- Strip Club attendance
- Massage Parlor
- Prostitution
- Infidelity
- Level II: Not tolerated by society
- Voyeurism
- Exhibitionism
- Sexual Harassment
- Obscene Telephone calls
- Frotteurism (Brushes up against others)
- Level III: Not tolerated, and highly criminal
- Pedophiles
- Rapes
- Child molestation
- Child pornography
- Incest
VIII. Management
- Twelve step program