The Relation of Intra-Psychic and Relational Aspects of the Self to Compulsive Sexual Behavior

Early Maladaptive Schemas Are Highly Indicative of Compulsive Sexual Behavior

“…CSB is a disorder that characterizes between 3%–10% of adults (Carnes et al, 2010; Coleman, 1992; Dickenson et al, 2018) and 12%–18% of adolescents (Efrati & Dannon, 2018). Recently, Efrati and Mikulincer (2018) identified four facets of CSB that are in keeping with the definition of ICD-11 and that manifest both among adults (e.g., Efrati & Gola, 2018a, 2019b; Efrati et al, 2019) and adolescents (e.g., Efrati & Dannon, 2018; Efrati & Gola, 2018c): (a) Unwanted consequences because of sexual fantasies —how sexual fantasies, urges and behaviors carry harm to oneself (Reid et al, 2012) and/or to one’s close others such as family members (Reid et al, 2010), colleagues, and peers (Reid et al, 2011); (b) lack of behavioral control —constant uncontrolled engagement with sexual fantasies, urges, and behaviors with numerous unsuccessful efforts to significantly reduce repetitive sexual behavior; (c) negative affect —negative feelings and distress accompanied by guilt and shame because of sexual fantasies, urges and behaviors; and (d) affect regulation —escape to sexual fantasies, pornography, and sexual behaviors because of pain, stress, and distress.…”

“…Although the disorder of SA members and sex offenders directly relate to sexual behavior, SAs often have clinical levels of CSB (e.g. Efrati et al, 2019; Efrati & Gola, 2019b; Efrati & Mikulincer, 2018), whereas sex offenders only subclinical levels (Briken, 2012; Efrati et al, 2019; Hanson et al, 2007; Kingston & Bradford, 2013). Thus, in the current research we were able to examine the association between CSB and early maladaptive schemas among clinical and non-clinical samples.…”

“…members of a Sexaholic Anonymous (SA) groups]. Research has indicated that the prevalence of clinical CSB among members of a Sexaholic Anonymous (SA) groups is exceptionally high ranging from 77.6% (Efrati et al, 2019) to 87.7% (Efrati & Gola, 2019b). To ensure the correct classification to clinical and non-clinical CSB we used two commonly used measures of CSB—the Individual-based Compulsive Sexual Behavior (I-CSB; Efrati & Mikulincer, 2018) scale, and the Hypersexual Behavior Inventory (HBI; Reid et al, 2011).…”

Desire thinking as a predictor of compulsive sexual behaviour in adolescents: Evidence from a cross-cultural validation of the Hebrew version of the Desire Thinking Questionnaire

“…Step program patients (Efrati, Gerber, & Tolmacz, 2019;Efrati & Gola, 2018;Efrati & Mikulincer, 2018). Cronbach's alphas were 0.93 for unwanted consequences, 0.94 for lack of control, 0.88 for negative affect, and 0.91 for affect regulation.…”

Compulsive sexual behavior and sexual offending: Differences in cognitive schemas, sensation seeking, and impulsivity

“…CSBD is an impulse-control disorder characterized by a repetitive and intense preoccupation with sexual fantasies, urges, and behaviors, leading to clinically significant distress or impairment in social and occupational functioning and to other adverse consequences (ICD-11;Gola & Potenza, 2018;Kafka, 2010;WHO, 2018). This disorder may also be perceived as a non-paraphilic addictive behavior (i.e., non-paraphilic sex addiction; Efrati, Gerber, & Tolmacz, 2019) such that people who endorse the disorder have remarkable similarities in the five major facets of personality (neuroticism, conscientiousness, extraversion, agreeableness, and openness to experience) and impulsiveness with those addicted to exogenous psychoactive substances (Zilberman, Yadid, Efrati, Neumark, & Rassovsky, 2018). The definitions of non-paraphilic sex addiction (e.g., Carnes, 2000;Goodman, 1998) and CSBD (e.g., Kafka, 2010) also have many similarities.…”