Archives of Sexual Behavior

, Volume 46, Issue 8, pp 2261–2264 | Cite as

Hypersexuality: Equifinal, Cohesive, Clinical Presentation or Symptom Cluster with Multiple Underlying Mechanisms?

  • Raymond A. KnightEmail author
  • Franklyn J. Graham

Walton, Cantor, Bhullar, and Lykins (2017) provide an excellent summary of the controversies that surrounded the consideration of hypersexuality disorder for the DSM-5, highlighting the limited data that exist in support of the proposed diagnostic criteria and illustrating how the data that do exist suggest multiple etiologies and theoretical conceptualizations for hypersexuality. Despite detailing the variety of the theoretical conceptualizations of hypersexuality, identifying the multiple ways in which it is measured and defined, and speculating about multiple etiologies (high impulsivity behavior primarily related to pleasure seeking, an overuse of sexual behavior to regulate dysphoric mood, a residual of insecure attachment, child abuse, or psychological abuse, or imbalances in brain systems and chemistry), Walton et al. nonetheless conclude that it constitutes a specific “clinical presentation” that is “consistent with various conceptualizations of hypersexuality.”

Although they...


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of Psychology, MS 062Brandeis UniversityWalthamUSA

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