Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Arch Sex Behav. 2013 Jul;42(5):883-93. doi: 10.1007/s10508-013-0085-1. Epub 2013 Mar 2.
Men and women have been seeking professional assistance to help control hypersexual urges and behaviors since the nineteenth century. Despite that the literature emphasizes that cases of hypersexuality are highly diverse with regard to clinical presentation and comorbid features, the major models for understanding and treating hypersexuality employ a "one size fits all" approach. That is, rather than identify which problematic behaviors might respond best to which interventions, existing approaches presume or assert without evidence that all cases of hypersexuality (however termed or defined) represent the same underlying problem and merit the same approach to intervention. The present article instead provides a typology of hypersexuality referrals that links individual clinical profiles or symptom clusters to individual treatment suggestions. Case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including: (1) Paraphilic Hypersexuality, (2) Avoidant Masturbation, (3) Chronic Adultery, (4) Sexual Guilt, (5) the Designated Patient, and (6) better accounted for as a symptom of another condition.
自 19 世纪以来，男性和女性一直在寻求专业帮助，以控制过度的性冲动和行为。尽管文献强调，性欲亢进的病例在临床表现和合并特征方面存在高度多样性，但理解和治疗性欲亢进的主要模型采用了“一刀切”的方法。也就是说，这些方法并没有确定哪些有问题的行为可能对哪些干预措施反应最好，而是在没有证据的情况下假设或断言，所有的性欲亢进病例（无论如何命名或定义）都代表相同的潜在问题，并值得采用相同的干预方法。本文提供了一种性欲亢进转诊的分类法，将个体的临床特征或症状群与个体的治疗建议联系起来。提供了病例示例来说明在一个大型的基于医院的性行为诊所中最常见的性欲亢进转诊情况，包括：（1）性癖好亢进，（2）避免自慰，（3）慢性通奸，（4）性内疚，（5）指定患者，以及（6）更好地解释为另一种疾病的症状。
