Compulsive Sexual Behavior Disorder: Understanding, Assessment, and Treatment

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.