Virtue, Vice, & Addiction


IN June, 2019, the World Health Organization elected to include Compulsive Sexual Behavior Disorder (CSBD) in the 11th edition of the International Classification of Diseases. (ICD 11).  [CSBD] is characterized by:

[1] a persistent pattern of failure to control intense, repetitive sexual impulses or urges,

[2] resulting in repetitive sexual behaviour over an extended period (e.g., six months or more)

[3] that causes marked distress or impairment in [:]

personal, family, social, educational, occupational or other important areas of functioning.

THE use of pornography is very often associated with CSBD.  Nevertheless, the mental health sciences in the United States have been extremely reluctant to acknowledge that the use of pornography is in itself  problematic.

While there has been grudging admission that the notion of sexual compulsion/addiction may possibly be included (or at least suggested as a subject for further study) in future iterations of the DSM, the problem of pornography is only hinted at as a ubject for further study in a potential subgroup within the subset of Internet Addiction.

THE question when the use of pornography may be regarded as a compulsion or addiction is rendered more complex by a tendency on the part of religious or moral persons to regard themselves as "addicts" even though they do not fulfill relevant diagnostic criteria. (Discussion: Religious, Moral Beliefs May Exacerbate Concerns About Porn Addiction, APA News February 6, 2020;  [Original Article] ).



Kaplan and Saddock Synopsis as Standard textbook on sexual addiction

Smith on Sexual Addiction

Images of brain structure and intercellular connections (pathways)  (from 2:02)


The Addicted Brain - Neurochemistry (Harvard, 2009) DOC; pdf


Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviours (PLOS 2014) pdf  http
(1) common neural pathways in compulsive sexual behaviour and drug addictions; (2) CSBs want more and enjoy less

Intense, Passionate, Romantic Love: A Natural Addiction? (Frontiers in Psychology, 2016)  pdfdochttp
Romantic attraction and rejection employ neural pathways and centers common to addiction and drug-craving


Brain Structure and Functional Connectivity Associated With Pornography Consumption (JAMA 2004) httppdf
Higher hours of pornography consumption correlates with (1) lower  gray matter volume in the right caudate (P < .001); (2) lower functional activity during a sexual cue–reactivity paradigm in the left putamen (P < .001); and (3) lower functional connectivity of the right caudate to the left dorsolateral prefrontal cortex was negatively associated with hours of pornography consumption.

Meta-Analysis: Pornography and Satisfaction (Human Communication Research, 2017) pdf  http
lower interpersonal satisfaction for male users of pornography

This Webpage was created for a workshop held at Saint Andrew's Abbey, Valyermo, California in 2002....x....   “”.