Sexual & Relationship Psychotherapist UKCP Reg, Acc COSRT(Snr), MBACP Accred, The Laurel Centre, London, UK.
Addict Behav. 2021 Dec;123:107054. doi: 10.1016/j.addbeh.2021.107054. Epub 2021 Jul 19.
Sex addiction, a term first coined in the early 80s, has always been met with controversy. Some say the label of addiction is an excuse used by those who have lost their moral compass or refuse to accept responsibility for their sexual choices. Others claim the label is used to pass moral judgement on those whose sex lives or internet viewing habits do not fit societally prescribed norms. The acceptance by WHO of CSBD (Compulsive Sexual Behaviour Disorder) into ICD11 was heralded as a moral victory by the sex addiction naysayers who claimed WHO's position 'proved' it wasn't an addiction; conversely sex addiction professionals claimed victory saying that finally this was a step in the right direction. This paper will explore the divide and provide insight on how using a pure medical model of addiction has contributed and fueled the debate. An alternative model for conceptualization from a biopsychosocial perspective will be provided to suggest ways of moving forward that could ease the controversies as well as opening new areas for research and most importantly, greater understanding and empathy for clients.
性瘾，这个在 80 年代初首次提出的术语，一直以来都备受争议。一些人说，成瘾的标签是那些失去道德指南针或拒绝为自己的性选择承担责任的人的借口。另一些人则声称，这个标签被用来对那些性生或网络浏览习惯不符合社会规定规范的人进行道德评判。世界卫生组织将 CSBD（强迫性性行为障碍）纳入 ICD11，被性成瘾的反对者视为道德胜利，他们声称世卫组织的立场“证明”这不是一种成瘾；相反，性成瘾专业人员声称胜利，称这最终是朝着正确方向迈出的一步。本文将探讨这一分歧，并深入了解使用纯粹的成瘾医学模式如何促成并加剧了这场争论。从生物心理社会的角度提供一个替代的概念化模型，以提出一些前进的方法，可以缓解争议，同时为研究开辟新的领域，最重要的是，为客户提供更多的理解和同理心。
