“…Many studies of paraphilic sex offenders do not systematically assess Hypersexual Disorder; nevertheless, Hypersexual Disorder may be common among PA males (Anthony & Hollander, 1993;Black et al, 1997;Breitner, 1973;Briken, Habermann, Kafka, Berner, & Hill, 2006;Gagné, 1981;Kafka, 2003a;Kafka & Hennen, 1999Kafka & Prentky, 1998;Langevin et al, 1985;Levine, Risen, & Althof, 1990;Longo & Groth, 1983;Prentky et al, 1989;Travin, 1995). For example, extensive and persistent pornography use, along with other empirically based risk factors, is associated with sexual aggression against adult females (Knight & Cerce, 1999;Malamuth, Addison, & Koss, 2000) as well as children (Kingston, Fedoroff, Firestone, Curry, & Bradford, 2008). In some instances, the predominant content of pornography may reflect a paraphilic disorder (e.g., diagnosed as pedophilia or sexual sadism) but the extensive or ''heavy'' persistent and problematic use pornography associated with compulsive masturbation would presumably be most consistent with a Hypersexual Disorder (pornography and masturbation) as intended for DSM-V.…”