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Compulsive Sexual Behavior Disorder Flashcards
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Compulsive Sexual Behavior Disorder Flashcards
Compulsive Sexual Behavior Disorder Flashcards
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1
Question
According to ICD-11 guidelines, what is central to the diagnostic criteria for CSBD?
Answer
Difficulties with sexual self-control over a prolonged time that are associated with distress.
2
Question
What does the history of clinical sexology include regarding sexual behavior?
Answer
Attempts to classify addiction-like or compulsive forms of sexual behavior.
3
Question
What is the proposed definition of hypersexual disorder?
Answer
A pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behavior.
4
Question
Why was hypersexual disorder not included in the DSM-5?
Answer
Insufficient scientific evidence and concerns about potential misuse in forensic settings.
5
Question
What is CSBD often associated with?
Answer
CSBD is associated with negative attitudes about sexuality and excessive guilt about one's sexual behavior that can interfere with feelings of pleasure and satisfaction and create distress.
6
Question
How do persons with CSBD present themselves clinically and socially?
Answer
Persons with CSBD present themselves clinically and socially with a perception of out-of-control sexual behavior, extreme guilt over sexual gratification, and distress related to the adverse consequences of repetitive sexual behavior andor the lack of satisfaction from it.
7
Question
What are two important aspects of the CSBD diagnostic criteria?
Answer
Impulse control problems and moral disapproval.
8
Question
What do 80% of those seeking treatment for CSBD report?
Answer
Problematic pornography use (PPU).
9
Question
What is a challenge in diagnosing Compulsive Sexual Behavior Disorder (CSBD)?
Answer
Differentiating between normal and dysregulated sexual behavior due to the wide variability in sexual desires and experiences.
10
Question
Why is it important to assess one's motivation for seeking treatment for CSBD?
Answer
To rule out false CSBD presentations, where the diagnosis may be used as an excuse for sexual misconduct.
11
Question
How does the quantity of pornography use relate to Problematic Pornography Use (PPU)?
Answer
A higher quantity of pornography use is associated with more severe PPU, but the association is only moderate.
12
Question
What is the moral incongruence model of pornography use?
Answer
PPU may appear due to not only control problems or dysregulation but also high levels of religiosity and/or moral incongruence toward pornography use, making the associations between self-perceived PPU and religiosity, moral disapproval, and incongruence complex.
13
Question
What neurochemical mechanisms control sexual behavior?
Answer
Excitatory and inhibitory neurochemical mechanisms in the brain and the spinal cord control different aspects of sexual behavior.
14
Question
What neurochemical mediator is associated with motivation, desire, and wanting/craving in all motivational systems?
Answer
Mesolimbic dopamine
15
Question
What roles do religiosity and moral disapproval of pornography use play in self-perceived PPU?
Answer
Crucial roles, as evidenced by findings suggesting that some treatment-seeking men may not have objectively dysregulated high-frequency pornography use but still seek help due to moral incongruence.
16
Question
What is a key mediator of cue strength in the brain related to sexual gratification?
Answer
Mesolimbic dopamine
17
Question
What type of transmission is activated in the brain during orgasms?
Answer
Opioid and serotonin transmission
18
Question
What is a potent driver of mesolimbic dopamine transmission?
Answer
Reward prediction error, where the real reward intensity or occurrence does not conform to the prediction based on past experience.
19
Question
How can guilt and forced abstinence create a reward prediction error in the context of CSBD?
Answer
Individuals want something that they should not have and try to avoid, leading to an augmented dopamine response to cues that predict reward.
20
Question
What are some potential neuroanatomic correlates observed in brain studies of CSBD cases relative to non-CSBD cases?
Answer
Hyperresponsiveness of mesolimbic dopamine, hyperresponsive excitation regions in the left hemisphere, and hyporesponsive inhibition regions in the right hemisphere.
21
Question
What are some common comorbidities associated with CSB?
Answer
Anxiety disorders, mood disorders, attention-deficit/hyperactivity disorder, and substance use disorders.
22
Question
According to ICD-11, under what conditions should CSBD diagnosis not be assigned?
Answer
ICD-11 criteria state CSBD diagnosis should not be assigned if there is no persistent failure to control sexual impulses, urges, or behaviors, if sexual disinhibition is due to neurocognitive disorder, or if impaired control is due to psychoactive substances.
23
Question
How can chemsex influence sexual behavior, and what substances are commonly involved?
Answer
Chemsex, involving drugs like methamphetamine and alkyl nitrites, may lead to uncontrolled and risky sexual behavior due to their disinhibitory actions on brain dopamine turnover.
24
Question
What is the predictive role of CSB in sexual offending, and in what contexts has it been observed?
Answer
CSB can predict sexual offending recidivism in male criminal samples and has also been linked to sexual violence in domestic violence and intimate partner sexual aggression contexts.
25
Question
Do legal definitions of criminal responsibility vary?
Answer
The legal definitions and implications associated with the concept of criminal responsibility vary substantially across countries and legal systems.
26
Question
Who is equipped to provide assessments for CSBD?
Answer
Sexual medicine experts are uniquely equipped to provide comprehensive assessment and treatment planning for CSBD due to their training in detailed sexual history taking.
27
Question
What should a diagnosis of CSBD include?
Answer
A careful assessment, a thorough sexual history, and an examination of current symptomology.
28
Question
What must be considered when developing a biopsychosocial case formulation?
Answer
All complex factors with the broadest possible understanding of the specific role that sexuality plays in contributing to or maintaining the dysfunctional behavior.
29
Question
What mental health conditions are connected with CSBD?
Answer
Mood and anxiety disorders, substance use disorders, posttraumatic stress disorder, and personality disorders.
30
Question
What roles do guilt and shame play in CSBD?
Answer
Guilt and shame play significant roles and can prevent individuals from talking about sexual disorders.