Hypersexuality is a medical condition that causes unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment.[1] It is controversial whether it should be included as a clinical diagnosis[1][2] used by mental healthcare professionals. Nymphomania, satyromania and sex maniac were terms previously used for the condition in women and men, respectively.
Hypersexuality may be a primary condition, or the symptom of other medical conditions or disorders such as Klüver–Bucy syndrome, bipolar disorder, brain injury and dementia. Hypersexuality may also present as a side effect of medication, such as dopaminergic drugs used to treat Parkinson's disease.[3][4] Frontal lesions caused by brain injury, strokes, and frontal lobotomy are thought to cause hypersexuality in individuals who have had these conditions.[5] Clinicians have yet to reach a consensus over how best to describe hypersexuality as a primary condition,[6][7][8] or to determine the appropriateness of describing such behaviors and impulses as a separate pathology.
Hypersexual behaviors are viewed variously by clinicians and therapists as a type of obsessive-compulsive disorder (OCD) or "OCD-spectrum disorder", an addiction,[9][10][11] or a disorder of impulsivity. A number of authors do not acknowledge such a pathology,[12] and instead assert that the condition merely reflects a cultural dislike of exceptional sexual behavior.[13][14]
Due to the controversy surrounding the diagnosis of hypersexuality, there is no one generally accepted definition and measurement for hypersexuality, making it difficult to truly determine the prevalence. Thus, the prevalence can vary depending on how it is defined and measured. Overall, hypersexuality is estimated to affect 2–6% of the population, and may be higher in certain populations like men, those who have been traumatized, and sex offenders.[30][31][32]
^Stein, Dan J. (2008). "Classifying Hypersexual Disorders: Compulsive, Impulsive, and Addictive Models". Psychiatric Clinics of North America. 31 (4): 587–591. doi:10.1016/j.psc.2008.06.007. PMID18996299. S2CID9083474.
^Orford, J. (1985). Excessive appetites: A psychological view of the addictions. Chichester, England: John Wiley & Sons.
^Douglas, Weiss (1998). The Final Freedom: Pioneering Sexual Addiction Recovery. Fort Worth, Tex.: Discovery Press. pp. 13–14. ISBN978-1881292371. OCLC38983487.
^Carnes, P. (1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.
^Cite error: The named reference Kafka2010 was invoked but never defined (see the help page).
^Quadland, Michael C. (1985). "Compulsive Sexual Behavior: Definition of a Problem and an Approach to Treatment". Journal of Sex & Marital Therapy. 11 (2): 121–132. doi:10.1080/00926238508406078. PMID4009729.
^Kingston, Drew A.; Firestone, Philip (2008). "Problematic Hypersexuality: A Review of Conceptualization and Diagnosis". Sexual Addiction & Compulsivity. 15 (4): 284–310. doi:10.1080/10720160802289249. S2CID53418034.
^Kafka, M. P. (1995b). "Sexual impulsivity". In Hollander, E.; Stein, D. J. (eds.). Impulsivity and aggression. Chichester, England: John Wiley. pp. 201–228.
^Bancroft, John (2008). "Sexual Behavior that is "Out of Control": A Theoretical Conceptual Approach". Psychiatric Clinics of North America. 31 (4): 593–601. doi:10.1016/j.psc.2008.06.009. PMID18996300.
^Kafka, M. P. (2000). "The paraphilia-related disorders: Nonparaphilic hypersexuality and sexual compulsivity/addiction". In Leiblum, S. R.; Rosen, R. C. (eds.). Principles and practice of sex therapy (3rd ed.). New York: Guilford Press. pp. 471–503.