In the sexual addiction personality

Journal title RIVISTA DI SESSUOLOGIA CLINICA
Author/s Fabrizio Quattrini, Michele Spaccarotella
Publishing Year 2013 Issue 2013/2 Language Italian
Pages 31 P. 5-35 File size 417 KB
DOI 10.3280/RSC2013-002001
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"Sexual addiction" still currently represents a dysfunctional aspect of the sexual behaviour of the individual that hardly finds a clear and exhaustive clinical, psychopathological and diagnostic collocation. The use of an integrated model furnishes the possibility to consider this condition as the point of meeting among a behaviour of leaving of disagreeable feelings (characteristic of the compulsion) and one of active search of the pleasure (peculiarity of the impulse). The personality of the sexual addicted results characterized by a particular sexual attitude that invests all of its relationships. They cannot be considered factually "relations", because the subject just uses sex as a confirmation of his/her own importance/existence. As it happens in the narcissism, the person needs of the others to maintain stable his/her own inside equilibrium, but at the same time he/she must get further since he/she holds them a danger for his/her own psychic safety. The incapability of the sexual addicted to establish a real contact with the others, leading the person to have an extreme sexual behaviour, has pushed the Authors to advance the hypothesis of a possible correlation between the characteristics of the sexual addicted and those of the narcissistic personality.

Keywords: Sexual addicted, narcissism personality, sexual addiction, compulsion, sex drive, porno addicted

  1. American Psychiatric Association (2000), Diagnostic and Statistical Manual of Mental Disorders, IV Ed. Text Revision. Washington DC: American Psychiatric Association (trad. it.: Manuale diagnostico e statistico dei disturbi mentali. IV Ed. Testo Revisionato. Milano: Masson, 2002).
  2. American Psychiatric Association (2011). Hypersexual disorder. Testo disponibile al sito: http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=415.
  3. Ancona L. (2001). Prefazione. In Symington N., ed. Narcisismo. Una nuova teoria. Roma: Scientifiche Ma.Gi.
  4. Avenia F. (2008). Sexual Addiction in Italy: A national research and a screening inventory. Sexologies, Abstracts of the IX Congress of the European Federation of Sexology, Rome (Italy), 13-17 april.
  5. Barth R.J., Kinder B.N. (1987). The mislabelling of sexual impulsivity. Journal of Sexual and Marital Therapy, 13: 15-23. DOI: 10.1080/00926238708403875
  6. Cantelmi T., Lambiase E. (2007). Legame affettivo e comportamento sessuale. Come lo stile di attaccamento influenza il comportamento sessuale. Psicoterapia e Scienze Umane, 41: 205-28.
  7. Carnes P.J. (1983). Out of the shadows: understanding sexual addiction. Minneapolis: CompCare Publishers.
  8. Carnes P.J. (1989). Contrary to love. Helping the sexual addict. Minneapolis: Comp-Care Publishers.
  9. Carnes P.J. (1991). Don’t call it love: counseling the sexual addict. New York: BantamBooks. Carnes P., Delmonico D., Griffin E. (2004). In the shadows of the net: breaking free of compulsive online sexual behavior. Hazelden: Publishing and Educational Services.
  10. Coen S.J. (1981). Sexualization as a predominant mode of defense, Journal of the American. Psychoanalysis Association, 29: 893-920.
  11. Coleman E. (1986). Sexual compulsion vs. Sexual addiction: the debate continues. Sex Information and Education Council of the United State Report, 14: 7-11.
  12. Coleman E. (1987). Sexual compulsivity: definition, etiology and treatment considerations. In: Coleman E., ed, Chemical dependency and intimacy dysfunction. New York: Haworth Press.
  13. Delmonico D. (2004). Rejecting and projecting. Sexual addiction and compulsivity, 2: 1-2.
  14. Deutsch F., Madle R.A. (1975). Empathy: historic and current conceptualizations, measurement and cognitive theoretical perspective. Human Development. 18: 267-287. DOI: 10.1159/00027148
  15. Earle R., Crow G. (1998). Lonely all time. Recovery, understanding, and overcoming sex addiction, for addicts and co-dependents. Phoenix: Tri Star Visual Communications.
  16. Ellis H. (1898). Autoerotism. A psychological study. Alienist and Neurologist, 19: 260-99.
  17. Falcone A. (1984). L’Io in psicoanalisi. Roma: Borla.
  18. Fenichel O. (1945). The psychoanalytic theory of neurosis. New York: W.W. Norton (trad. it.: Trattato di psicoanalisi delle nevrosi e delle psicosi. Roma: Astrolabio, 1951).
  19. Fonagy P., Targert M. (2001). Attaccamento e funzione riflessiva. Milano: Raffaello Cortina.
  20. Freud S. (1910). Osservazioni psicoanalitiche su un caso di paranoia. (Caso clinico del presidente Schreber). in Opere. 6: 339-406. Torino: Bollati Boringhieri.
  21. Freud S. (1914). Introduzione al Narcisismo. Opere. 7: 443-72. Torino: Bollati Boringhieri.
  22. Freud S. (1922). L’Io e l’Es. Opere. 9: 476-520. Torino: Bollati Boringhieri.
  23. Gabbard G.O. (2000). Psychodynamic psychiatry in clinical practice. 3th edition. American Psychiatric Press (trad. it.: Psichiatria psicodinamica. Terza Edizione. Milano: Raffaello Cortina, 2002).
  24. Giugliano J.R. (2004). A sociological perspective of sexual health: the clinician’s role. Sexual Addiction and Compulsivity, 2: 43-56. DOI: 10.1080/10720160490458238
  25. Giugliano J.R (2008). Sexual impulsivity, compulsivity or dependence: An investigative inquiry. Sexual Addiction and Compulsivity, 15: 139-57. DOI: 10.1080/10720160802035600
  26. Goldberg A. (1995). The problem of perversion: the view from self psychology. New Haven: Yale University Press. (trad. it.: Perversione e perversioni. Torino: Bollati Boringhieri, 1998).
  27. Goodman A. (1993). Diagnosis and treatment of sexual addiction. Journal of Sex and Marital Therapy, 19, 225-50. DOI: 10.1080/00926239308404908.
  28. Goodman A. (1998). Sexual addiction. An integrated approach. Madison: International Universities Press (trad. it.: La dipendenza sessuale. Un approccio integrato. Roma: Astrolabio, 2005).
  29. Goodman A. (2001). What’s in a name? Sexual Addiction and Compulsivity, 8, 191-214.
  30. Graves R. (1955). The Greek Myths. Londra: Penguin Books (trad. it.: I miti greci. Milano: Longanesi, 1963).
  31. Greenwald A.G., Bellezza F.S., Banaji, M.R. (1988). Is self-esteem a central ingredient of the self-concept? Personality and Social Psychology Bulletin, 14: 34-5. DOI: 10.1177/0146167288141004
  32. Herring B. (2004). The next 20 years: The developmental changes facing the field of compulsive sexual behavior. Sexual Addiction and Compulsivity, 11, 35-42. DOI: 10.1080/10720160490458229
  33. Hoffman M. (1964). Drug addiction and hypersexuality: Related modes of mastery. Comprehensive Psychiatry, 5: 262-70.
  34. Hollander E. (1993). Introduction. In: Hollander E., ed. Obsessive-compulsive related disorders. Washington DC: American Psychiatric Association.
  35. Hook J.N., Hook J.P., Davis D.E., Worthington E.L.Jr., Penberthy J.K. (2010). Measuring sexual addiction and compulsivity: A critical review of instruments. Journal of Sex and Marital Therapy, 36, 227-60. DOI: 10.1080/00926231003719673
  36. Jacobson E. (1964). The self and the object world. New York: International Universities Press.
  37. Johnson A.M., Robisnon D.B. (1957). The sexual deviant (psychopath) – causes, treatment, and prevention. Journal of the American Medical Association, 164: 1559-65. DOI: 10.1001/jama.1957.02980140035006
  38. Kafka M.P. (2000). Paraphilia-related disorders: The evaluation and treatment of non-paraphilic hypersexuality. In: Leiblum S.R., Rosen R., eds. Principles and Practices of Sex Therapy. New York: Guilford Press (trad. it.: I disturbi correlate alle parafilie. In: Leiblum, S.R., Rosen R., Graziottin A., eds. (2004).
  39. Principi e pratica di terapia sessuale. Roma: CIC Edizioni Internazionali).
  40. Kafka M.P., Hennen J. (1999). The paraphilia-related disorders: an empirical investigation of nonparaphilic hypersexuality disorders in outpatient males. Journal of Sex and Marital Therapy, 25: 305-19. DOI: 10.1080/00926239908404008
  41. Kafka M.P. (2001). The paraphilia related disorders: a proposal for a unified classification of nonparaphilic hypersexuality disorders. Sexual Addiction and Compulsivity, 8, 227-39. DOI: 10.1080/107201601753459937
  42. Kafka M.P., Hennen J. (2003). Hypersexual desire in males: are males with paraphilia different from males with paraphilia-related disorders? Sexual Abuse: a Journal of Research and Treatment, 4: 307-21. DOI: 10.1023/A:1025000227956
  43. Kafka M.P. (2010). Hypersexual disorder: a proposed diagnosis for DSM-V. Archives of Sexual Behaviour, 39, 377-400. DOI: 10.1007/s10508-009-9574-7
  44. Kaplan M.S., Krueger R.B. (2010). Diagnosis, assessment, and treatment of Hypersexuality. Journal of Sex research, 47: 181-98. DOI: 10.1080/00224491003592863
  45. Katehakis A. (2012). Sex addiction beyond the DSM-V. Sex, Lies and Trauma. Psychology Today. http://www.psychologytoday.com/blog/sex-lies-trauma/201212/sex-addiction-beyond-the-dsm-v.
  46. Kernberg O.F. (1966). Structural derivatives of object relationships. International Journal of Psycho-Analysis, 47: 236-53.
  47. Kernberg O.F. (1972). Early Ego Integration and Object Relations. Annals of the New York Academy of Scences, 193: 233-47. DOI: 10.1111/j.1749-6632.1972.tb27840.x
  48. Kernberg O.F. (1975). Borderline conditions and pathological narcissism. New York: Aronson (trad. it.: Sindromi marginali e narcisismo patologico. Torino: Bollati Boringhieri, 1978).
  49. Khan M.M.R. (1979). Alienation in perversions. New York: International Universities Press.
  50. Kohut H. (1971). The analysis of the self. New York: International Universities Press (trad. it.: Narcisismo e analisi del sé. Torino: Bollati Boringhieri, 1976).
  51. La Barbera D., Caretti V., La Bua M., Lambiase E. (2005). Postfazione. Compulsività sessuale: un inquadramento diagnostico, clinico e psicodinamico delle dipendenze sessuali. In: Goodman A., a cura di, La dipendenza sessuale. Un approccio integrato. Roma: Astrolabio, 2005.
  52. Lambiase E. (2009). La dipendenza sessuale. Clinica e proposte di intervento. Roma: LAS.
  53. Lasch C. (1979). The culture of narcissism. American life in an age of diminishing expectations. New York: W.W. Norton and Company Inc. (trad. it.: La cultura del narcisismo. L’individuo in fuga dal sociale in un’età di disillusioni collettive. Milano: Bompiani, 2001).
  54. Lee J.K.P., Jackson H.J., Pattison P., Ward T. (2002). Developmental risk factors for sexual offending. Child Abuse and Neglect, 26: 73-92.
  55. Lowen A. (1983). Narcisismo. Denial of the True Self. New York: Macmillan Publishing Company (trad. it.: Il narcisismo. L’identità rinnegata. Milano: Feltrinelli, 1985).
  56. Marshall W.L., Anderson D., Fernandez Y. (1999). Cognitive behavioural treatment of sexual offenders. England: John Wiley and Sons (trad. it.: Trattamento cognitive comportamentale degli aggressori sessuali. Torino: Centro Scientifico Editore e John Wiley and Sons, 2001).
  57. Mitchell S.A., Black M.J. (1995). Freud and beyond. A history of modern psychoanalytic thought. Basic Books (trad. it.: L’esperienza della psicoanalisi. Storia del pensiero psicoanalitico moderno. Torino: Bollati Boringhieri, 1996).
  58. Moore B.S. (1990). The origins and development of empathy. Motivation and Emotion, 14: 75-9. DOI: 10.1007/BF00991639
  59. Näcke P. (1899). Die sexuellen perversitaten in der irrenanstalt. Psychiatrische en Neurologische Bladen, 3: 20-30.
  60. Nardulli A. (2006). La seduzione di Narciso. Narcisismo e Disturbo narcisistico di personalità. Una analisi differenziale. Francavilla al Mare: Psiconline.
  61. Ovesey L., Person E. (1973). Gender identity and sexual psychopathology in men: A psychodynamic analysis of homosexuality, transsexualism, and transvestism. Journal of the American Academy and Psychoanalysis, 1: 53-72.
  62. Ovesey L., Person E. (1976). Transvestism: a disorder of the sense of self. International Journal of Psychoanalytic Psychotherapy, 5: 219-36.
  63. Person E., Ovesey L. (1978). Transvestism: new perspectives. Journal of the American Academy and Psychoanalysis, 6: 301-23.
  64. Pithers W.D. (1990). Relapse prevention with sexual aggressors: a method for maintaining therapeutic gain and enhancing external supervision. In: Marshall W.L., Laws D.R., Barbaree H.E., eds, Handbook of sexual assault: issues, theories, and treatment of the offender. New York: Plenum Press.
  65. Price D. (2004). Youth with problem sexual behaviors: integrating diverse models of treatment. Sexual Addiction and Compulsivity, 2: 183-6. DOI: 10.1080/10720160490900542
  66. Quadland M.C. (1985). Compulsive sexual behavior: definition of a problem and an approach to treatment. Journal of Sex and Marital Therapy, 11: 121-32. DOI: 10.1080/0092623850840607
  67. Raskin R., Terry H. (1988). A principal-components analysis of the narcissistic personality inventory and further evidence of its construct validity. Journal of Personality and Social Psychology, 54: 890-902. DOI: 10.1037/0022-3514.54.5.890
  68. Reid R.C., Garos S., Carpenter B.N. (2011). Reliability, validity, and psychometric development of the Hypersexual Behavior Inventory in an outpatient sample of men. Sexual Addiction and Compulsivity, 18: 30-51. DOI: 10.1080/10720162.2011.555709
  69. Samenow C.P. (2011). What you should know about Hypersexual disorder. Sexual Addiction and Compulsivity, 18: 107-113. DOI: 10.1080/10720162.2011.596762
  70. Schneider J. (2004). Sexual addiction and compulsivity: twenty years of the field, ten years of the journal. Sexual Addiction and Compulsivity, 11: 3-5. DOI: 10.1080/10720160490458193
  71. Schneider J. (2005). Addiction is addiction is addiction. Sexual Addiction and Compulsivity, 12: 75-7. DOI: 10.1080/10720160500201322
  72. Schneider J., Sealy J., Montgomery J., Irons R. (2005). Ritualization and Rinforcement: Keys to understanding mixed addiction involving sex and drugs. Sexual Addiction and Compulsivity, 12: 121-48. DOI: 10.1080/10720160500203468
  73. Schwartz M.F., Masters W.H. (1983). Conceptual factors in the treatment of paraphilias: a preliminary report. Journal of Sex and Marital Therapy, 9: 3-18. DOI: 10.1080/00926238308405829
  74. Shainess N. (1983). Nymphomania, hostile sex, and superego development. In: Schlesinger L.B., Revitch E., eds. Sexual dynamics of antisocial behaviour. Springfield: Charles C.Thomas Publisher.
  75. Stolorow R.D. (1975). Addendum to a partial analysis of a perversion involving bugs: An illustration of the narcissistic function of a perverse activity. International Journal of Psychoanalisys, 56: 361-4.
  76. Stolorow R.D. (1975a). The narcissistic function of masochism (and sadism). International Journal of Psychoanalysis, 56: 441-8. Stolorow R.D. (1979). Psychosexuality and the representational world. International Journal of Psychoanalysis, 60: 39-45.
  77. Symington N. (1993). Narcissism. A new theory. London: Karnac Books (trad. it.: Narcisismo. Una nuova teoria. Roma: Scientifiche Ma.Gi, 2001).
  78. Trop J.L., Alexander R. (1992). The concept of promiscuity: A self psychological perspective. In: Stern E.M., ed. Psychotherapy and the Promiscuous Patient. New York: Haworth Press, 1992.
  79. Tustin F. (1972). Autism and Childhood Psychosis. London: Hogart Press (trad. it.: Autismo e psicosi infantile. Roma: Armando, 1975).
  80. Tustin F. (1981). Autistic States in Children. London: Routledge (trad. it. Stati autistic nei bambini. Roma: Armando, 1983).
  81. Weissberg J.H., Levay A.N. (1986). Compulsive Sexual Behavior. Medical Aspects of Human Sexuality, 20,:127-28.
  82. Woody J.D. (2011). Sexual Addiction/Hypersexuality and the DSM: Update and Practice Guidance for Social Workers. Journal of Social Work Practice in the Addictions, 11: 301-20. DOI: 10.1080/1533256X.2011.619926

Fabrizio Quattrini, Michele Spaccarotella, Il ruolo del narcisismo nella personalità del dipendente sessuale the role of narcisism in "RIVISTA DI SESSUOLOGIA CLINICA" 2/2013, pp 5-35, DOI: 10.3280/RSC2013-002001