Assessment of compulsive sexual behavior disorder among lesbian, gay, bisexual, transgender, and queer clients •

Abstract

Numerous debates surround the recent inclusion of compulsive sexual behavior disorder (CSBD) in the International Classification of Diseases (11th ed.), such as the appropriate classification of this construct and what symptom criteria best capture this syndrome. Although controversy surrounding CSBD abounds, there is general agreement that researchers should examine this syndrome in diverse groups, such as lesbian, gay, bisexual, and transgender populations. However, there have been few investigations into how diverse sociocultural contexts may influence the assessment and treatment of CSBD. Therefore, we propose several differential diagnosis considerations when working with sexual and gender diverse clients to avoid CSBD misdiagnosis.

Who feels affected by “out of control” sexual behavior? Prevalence and correlates of indicators for ICD-11 Compulsive Sexual Behavior Disorder in the German Health and Sexuality Survey (GeSiD)

“…These two types of distress would require different clinical interventions (Kraus and Sweeney, 2019). Finally, CSBD among sexual minority individuals (Jennings, Gleason, & Kraus, 2022), but also in migrant populations, should receive more empirical attention. Authors' contribution: PB, AD, VK, JF, GMR study concept and design.…”

Compulsive Sexual Behavior Disorder Among Dating Apps Users: A Case Report

“…6 The use of GNAs by gay men seems to be fueled by stigma and fear of discrimination (distal stressors) 6 as minority stress plays a relevant role in CSBD in nonheterosexual patients. 7 (p. 11)…”

Another failure of the latent disease model? The case of compulsive sexual behavior disorder •

“…However, some suggestions are offered in the spirit of leading us to a valid model of CSBD. First, in echoing the statements of Jennings et al (2022), theoretical models of CSBD need to be tested against one another. It is hoped that researchers will put forth new/updated transtheoretical, dimensional (as opposed to categorical classification), and biopsychosocial frameworks of CSBD and then test them against existing models.…”

“…As such, if a person describes their experience as “addictive” but does not demonstrate behavior that is consistent with the current conceptualization of addiction, it is unlikely that underlying biomarkers would be consistent between perceived addiction and actual addiction cases. In the same vein, Jennings, Gleason, and Kraus (2022) noted concern for how professionals conceptualize CSBD when considering individuals from minoritized sexual identity backgrounds. Indeed, pornography use and other sexual behaviors may be more frequent in sexually diverse people, yet this may not mean that it is necessarily associated with additional distress ( Bőthe, Vaillancourt-Morel, Bergeron, & Demetrovics, 2019 ).…”

“…However, some suggestions are offered in the spirit of leading us to a valid model of CSBD. First, in echoing the statements of Jennings et al. (2022) , theoretical models of CSBD need to be tested against one another.…”