Advertisement

Why is the term sex addiction controversial?

Sari Cooper
Sexual Health

There’s no such thing as a sex addiction, says sex therapist Sari Cooper, but some people clearly have problems with sexual compulsions. Find out the difference by watching this video.


Madeleine M. Castellanos, MD
Psychiatry
I tend to be of the camp that understands excess sexual behavior as a compulsion for some and an impulsive behavior for others. By compulsion, I mean that the person feels driven to act out this behavior and feels quite anxious or uncomfortable if they cannot. Think of the person who cannot leave the house because they have to continue to check to make sure the stove is off. If viewed this way, one could start to make a distinction between some excessive, compulsive sexual behaviors, and other sexual behaviors. Still others tends to use sex in an impulsive way, not feeling compelled to act, but wanting to do it anyway.

Another difficulty with the use of the term "sex addiction" is that it is a bucket term that can include anything from excess masturbation, to excess time viewing pornography, to promiscuous sexual activity with one or more partners, or any combination of the above. The reason why someone might engage in impulsive or compulsive sexual activity can be varied too. Some people act out this way because it is the only way they feel comfortable with closeness to another person, some have low self-esteem and are trying to get approval, others find that they get a much quicker arousal response from intense stimuli or interactions and find this easier than the lower intensity of a long-term relationship.

Continue Learning about Substance Abuse and Addiction

Can Medical Marijuana Laws Curb Opioid Use?
Can Medical Marijuana Laws Curb Opioid Use?
Trading one drug for another is a risky proposition, but sometimes it works—swapping heroin for methadone, for example. What about medical marijuana a...
Read More
Are older people more susceptible to substance abuse?
Challenge AmericaChallenge America
Older people are more susceptible to substance abuse. Substance abuse is one of the most common heal...
More Answers
What are symptoms of sedative withdrawal?
Howard J. Shaffer, PhDHoward J. Shaffer, PhD
Withdrawal symptoms of sedatives often mimic the symptoms of anxiety, such as worry, tension, fe...
More Answers
How Do I Know If I Am Enabling Someone?
How Do I Know If I Am Enabling Someone?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.