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Abstract

Purpose:

This study explores outcomes of treatment provided by specialized units within the social welfare sector in Sweden to clients seeking help with hypersexual behavior.

Method:

The participants were 27 males and 1 female (M = 40.3 years) who sought help from one of the three specialized units within social welfare in Sweden. A pretest–posttest group design was used to assess changes after treatment. Quantitative data were collected through interviews and self-report forms.

Results:

At posttreatment stage (on average a 10-month follow-up), mental health was significantly improved and hypersexual behavior reportedly reduced. The treatment at the specialized units appeared to help the clients.

Conclusions:

The specialized units seemed to deliver favorable service without shaming and stigmatizing participants. As this study can be considered a pilot study, it needs to be replicated.

Keywords

hypersexual behavior sexual addiction social work specialized treatment follow-up

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References

American Psychiatric Association. (2012). Press release. Retrieved from http://www.psyweb.com/content/main-pages/dsm-5-fifth-edition-of-the-diagnostic-and-statistical-manual-of-mental-disorders

Bancroft

Janssen

Strong

Carnes

Vukadinovic

Long

(2003). The relation between mood and sexuality in heterosexual men. Archives of Sexual Behavior, 32, 217–230. doi:10.1023/A:1023409516739

Black

D. W.

(1998). Compulsive sexual behavior: A review. Journal of Practical Psychiatry and Behavioral Health, 4, 217–229.

Carnes

(1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.

Carnes

Green

Carnes

(2010). The same yet different: Refocusing the Sexual Addiction Screening Test (SAST) to reflect orientation and gender. Sexual Addiction & Compulsivity, 17, 7–30.

Cash

Rae

C. D.

Steel

A. H.

Winkler

(2012). Internet addiction: A brief summary of research and practice. Current Psychiatry Reviews, 8, 292–298. doi:10.2174/157340012803520513

Chatzittofis

Savard

Arver

Öberg

Hallberg

Nordström

Jokinen

(2017). Interpersonal violence, early life adversity, and suicidal behavior in hypersexual men. Journal of Behavioral Addictions, 6, 187–193. doi:10.1556/2006.6.2017.027

Clinton

Björck

Sohlberg

Norring

(2004). Patient satisfaction with treatment in eating disorders: Cause for complacency or concern? European Eating Disorders Review, 12, 240–246. doi:10.1002/erv.582

Cohen

(1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

10.

Coleman

. (1987). Sexual compulsivity: Definition, etiology, and treatment considerations. Journal of Chemical Dependency Treatment, 1, 189–204. doi:10.1300/J034v01n01_11

11.

Derogatis

L. R.

(1977). SCL-90: Administration, scoring & procedures manual-I for the r(evised) version. Baltimore, MD: John Hopkins University School of Medicine.

12.

Derogatis

L. R.

Fitzpatrick

(2004). The SCL-90-R, the Brief Symptom Inventory (BSI), and the BSI-18. In Maruish

M. E.

(Ed.), The use of psychological testing for treatment planning and outcomes assessment: Volume 3: Instruments for adults (3rd ed., pp. 1–41). Mahwah, NJ: Lawrence Erlbaum.

13.

Fridell

(2002). SCL-90: Svensk normering, standardisering och validering av symtomskalan. [Swedish norms, standardization and validation of the symptom checklist 90]. Stockholm, Sweden: SiS [In Swedish].

14.

Gilliland

South

Carpenter

B. N.

Hardy

S. A.

(2011). The roles of shame and guilt in hypersexual behavior. Sexual Addiction & Compulsivity, 18, 12–29. doi:10.1080/10720162.2011.551182

15.

Goffman

(1963). Stigma: Notes on the management of spoiled identity. New York, NY: Simon & Schuster.

16.

Göteborgs stad. (n.d.). KAST-Köpare av Sexuella Tjänster [KAST-Buyers of sexual service]. Retrieved from http://goteborg.se/wps/portal/enhetssida/kast-kopare-av-sexuellatjanster/!ut/p/z1/04_Sj9CPykssy0xPLMnMz0vMAfIjo8ziTYzcDQy9TAy9DQz8zQ0cQ01cfDwDQ91dTQ31C7IdFQHH6uI_/

17.

Griffiths

Dhuffar

(2014). Treatment of sexual addiction within the British National Health Service. International Journal of Mental Health & Addiction, 12, 561–571. doi:10.1007/s11469-014-9485-2

18.

Herek

G. M.

(2007). Confronting sexual stigma and prejudice: Theory and Practice. Journal of Social Issues, 63, 905–925. doi:10.1111/j.1540-4560.2007.00544.x

19.

Hook

J. N.

Reid

R. C.

Penberthy

J. K.

Davis

D. E.

Jennings

D. J.

(2014). Methodological review of treatments for nonparaphilic hypersexual behavior. Journal of Sex & Marital Therapy, 40, 294–308. doi:10.1080/0092623X.2012.751075

20.

Kafka

M. P.

(2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400. doi:10.1007/s10508-009-9574-7

21.

Kaplan

M. S.

Krueger

R. B.

(2010). Diagnosis, assessment, and treatment of hypersexuality. Journal of Sex Research, 47, 181–198. doi:10.1080/00224491003592863

22.

Kjellgren

Priebe

Svedin

C. G.

Långström

(2010). Sexually coercive behavior in young men: Population survey of general and specific risk factors. Archives of Sexual Behavior, 39, 1161–1169. doi:10.1007/s10508-009-9572-9

23.

Klein

Kennedy

M. A.

Gorzalka

B. B.

(2009). Rape myth acceptance in men who completed the Prostitution Offender Program of British Columbia. International Journal of Offender Therapy and Comparative Criminology, 53, 305–315. doi:10.1177/0306624X08316969

24.

Långström

Hanson

R. K.

(2006). High rates of sexual behavior in the general population: Correlates and predictors. Archives of Sexual Behavior, 35, 37–52. doi:10.1007/s10508-006-8993-y

25.

McMahon

(2010). Rape myth beliefs and bystander attitudes among incoming college students. Journal of American College Health, 59, 3–11. doi:10.1080/07448481.2010.483715

26.

Monto

M. A.

Hotaling

(2001). Predictors of rape myth acceptance among male clients of female street prostitutes. Violence Against Women, 7, 275–293. doi:10.1177/10778010122182442

27.

Payne

D. L.

Lonsway

K. A.

Fitzgerald

L. F.

(1999). Rape myth acceptance: exploration of its structure and its measurement using the Illinois Rape Myth Acceptance Scale. Journal of Research in Personality, 33, 27–68. doi:10.1006/jrpe.1998.2238

28.

Reid

R. C.

(2007). Assessing readiness to change among clients seeking help for hypersexual behavior. Sexual Addiction & Compulsivity, 14, 167–186. doi:10.1080/10720160701480204

29.

Reid

R. C.

(2010). Differentiating emotions in a sample of men in treatment for hypersexual behavior. Journal of Social Work Practice in the Addictions, 10, 197–213. doi:10.1080/15332561003769369

30.

Reid

R. C.

Carpenter

B. N.

Lloyd

T. Q.

(2009). Assessing psychological symptom patterns of patients seeking help for hypersexual behavior. Sexual & Relationship Therapy, 24, 47–63. doi:10.1080/14681990802702141

31.

Reid

R. C.

Garos

Carpenter

B. N.

(2011). Reliability, validity and psychometric development of the hypersexual behavior inventory in an outpatient sample of men. Sexual Addiction & Compulsivity, 18, 30–51. doi:10.1080/10720162.2011.555709

32.

Rettenberger

Klein

Briken

(2015). The relationship between hypersexual behavior, sexual excitation, sexual inhibition, and personality traits. Archives of Sexual Behavior, 45, 219–233. doi:10.1007/s10508-014-0399-7

33.

Rosenberg

(1989). Society and the adolescent self-image (Rev. ed.). Middletown, CT: Wesleyan University Press.

34.

Schultz

Hook

J. N.

Davis

D. E.

Penberthy

J. K.

Reid

R. C.

(2013). Nonparaphilic hypersexual behavior and depressive symptoms: A meta-analytic review of the literature. Journal of Sex & Marital Therapy, 40, 477–487. doi:10.1080/0092623X.2013.772551

35.

Short

M. B.

Wetterneck

C. T.

Bistricky

S. L.

Shutter

Chase

T. E.

(2016). Clinicians’ beliefs, observations, and treatment effectiveness regarding clients’ sexual addiction and internet pornography use. Community Mental Health Journal, 52, 1070–1081. doi:10.1007/s10597-016-0034-2

36.

Skegg

Nada-Raja

Dickson

Paul

(2010). Perceived “out of control” sexual behavior in a cohort of young adults from the Dunedin Multidisciplinary Health and Development Study. Archives of Sexual Behavior, 39, 968–978. doi:10.1007/s10508-009-9504-8

37.

Spenhoff

Kruger

Hartmann

Kobs

(2013). Hypersexual behavior in an online sample of males: Associations with personal distress and functional impairment. Journal of Sexual Medicine, 10, 2996–3005. doi:10.1111/jsm.12160

38.

Svedin

C. G.

Jonsson

Kjellgren

Priebe

Åkerman

. (2012). Prostitution i Sverige. Huvudrapport: Kartläggning och utvärdering av prostitutionsgruppernas insatser samt erfarenheter och attityder i befolkningen [Prostitution in Sweden. Main report. Mapping and evaluation of the prostitution units support and experiences and attitudes in the general population]. Linköping, Sweden: Linköping University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-75383

39.

The Act prohibiting. (1998). Lag om förbud mot köp av sexuella tjänster [The Act prohibiting the purchase of sexual services]. SFS 1998:408. The Ministry of Health and Social Affairs. Stockholm. Sweden

40.

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, 301–320. doi:10.1080/1533256X.2011.619926

Outcomes for Treatment of Hypersexual Behavior Provided by Specialized Social Welfare Units

Abstract

Purpose:

Method:

Results:

Conclusions:

Keywords

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References