Hiperseksualnost

Hiperseksualnost je nagli porast ili ekstremna učestalost u libida ili seksualne aktivnosti. Iako se hiperseksualnost može dogoditi zbog nekih medicinskih problema i konzumiranja nekih lijekova, u većini slučajeva uzrok nije poznat. Zdravstveni poremećaji poput bipolarnog poremećaja mogu dovesti do hiperseksualnosti,[1] a upotreba alkohola i nekih ovisničkih tvari može uticati na seksualno ponašanje nekih ljudi.

Hiperseksualnost
"Nimfe i Satir" (1873): Mnogi oblici nazvani po tim stvorenjima
Klasifikacija i vanjski resursi

Različiti teorijski modeli korišteni su za objašnjenje ili liječenje hiperseksualnosti. Najčešći, posebno u medijima, je pristup koji hiperseksualnost predstavlja kao ovisnost, ali seksolozi nisu postigli konsenzus. Postoje alternativna objašnjenja poput opsesivnog ili/i kompulzivnog ponašanja.

Klinička slikaUredi

Hiperseksualnost karakterizira česta vizualna stimulacija zbog koje pojedinac povećava svoju prirodnu seksualnost do pogoršanja. To uzrokuje da se genitalno samostimulira i dostigne orgazam ili eskalira do većih stupnjeva zadovoljstva. Hiperseksualnost se može očitovati kod pojedinaca koji su u djetinjstvu ili adolescenciji bili seksualno potisnuti; a kod starijih osoba osjećaj gubitka seksualne snažnosti i žele zadržati libido konzumiranjem pornografije.

Ponekad je hiperseksualnost praćena osjećajima nelagode i krivice. Smatra se da je ovo nezadovoljstvo ono koje podstiče visoku učestalost seksualne stimulacije, kao i dodatne psihološke i psihijatrijske simptome.[2] Drugi način na koji se hiperseksualnost očituje je kada dođe do raskida s vezom u koja je pretežno seksualna, napuštena osoba nesvjesno traži partnera u drugim seksualnim partnerima i na taj način dolazi do ovisnosti o seksu.

Hiperseksualci mogu imati problema na poslu, porodici, ekonomskih i socijalnih problema. Njihova seksualna želja tjera ih da često odlaze u kupleraj, kupuju pornografsku literaturu i filmove, pretražuju stranice o seksu na internetu, upućuju česte pozive na erotske linije, traže kontakt seks kroz izlaske „naslijepo“, prepuštanje povremenom seksu sa strancima, seksu sa životinjama (zoofilija), itd. Takvi sve čine da se njihov život vrti oko seksa.

Nimfomanija i satirijazaUredi

Koncept hiperseksualnosti zamjenjuje stare koncepte "nimfomanije" (maternični bijes) i "satirijaze". Nimfomanija se smatrala isključivo ženskim psihološkim poremećajem koji je karakterizirao vrlo aktivnim libidom i opsesivnošću seksom. U muškaraca se poremećaj zvao satirijaza, a osoba koja je patila od njega zvala se satir ili satirika (da se ne mieša sa satirom).

Sada se termini „nimfomanija“ i „satirijaza“ ne pojavljuju kao specifični poremećaji u Dijagnostičkom i statističkom priručniku (DSM-IV), iako se i dalje se pojavljuju u Međunarodnoj klasifikaciji bolesti (ICD-10).[3]

Prag za ono što predstavlja hiperseksualnost spreman je za raspravu, a kritičari se pitaju može li postojati dijagnostički prag. Seksualna želja kod ljudi se znatno razlikuje; Ono što bi jedna osoba smatrala normalnom seksualnom željom druga bi osoba mogla shvatiti kao pretjeranu, a drugu kao nisku.

Konsenzus onih koji hiperseksualnost smatraju poremećajem je da se postiže prag kada ponašanje uzrokuje nelagodu ili ometa društveno funkcioniranje.

Hiperseksualnost se takođe manifestuje kod zdravih pojedinaca i javlja se za kratka perioda u kojima testosteron ili estradiol ispoljavaju maksimalne razine. Hiperseksualnost se može izraziti i kod osoba koje imaju bipolarni poremećaj tokom perioda manije. Osobe sa bipolarnim poremećajem mogu neprestano doživljavati ogromne varijacije u libidu, ovisno o njihovom raspoloženju. Ponekad je ta psihološka potreba za seksualnom aktivnošću mnogo veća nego što je prepoznaju kao normalnu, a ponekad je i znatno ispod nje.

Također pogledajteUredi

ReferenceUredi

  1. ^ About.com Trastorno bipolar
  2. ^ http://ninfomania.org/
  3. ^ "2017/18 ICD-10-CM Diagnosis Code F52.8. Other sexual dysfunction not due to a substance or known physiological condition". ICD-10. 2017.

Dodatna literaturaUredi

  • Groneman, C. (2001). Ninfomanía: Una historia. London: Fusion Press.
  • ?? (1994). Adicción sexual y compulsividad: El manual de tratamiento y prevención. New York: Brunner/Mazel.
  • About.com Bipolar Disorders
  • http://www.icd10data.com/ICD10CM/Codes/F01-F99/F50-F59/F52-/F52.8
  • http://www.icd10data.com/ICD10CM/Codes/F01-F99/F90-F98/F98-/F98.8
  • DSM-5 Development Page for Sexual Dysfunctions.
  • Levine, M. P; Troiden, R. R. (1988). "The Myth of Sexual Compulsivity". Journal of Sex Research 25 (3): 347–363. doi:10.1080/00224498809551467.
  • Kaplan, M. S.; Krueger, R. B. (2010). "Diagnosis, Assessment, and Treatment of Hypersexuality". Journal of Sex Research 47 (2–3): 181–198. doi:10.1080/00224491003592863. PMID 20358460.
  • Atwood, J. D.; Gagnon, J. (1987). "Masturbatory Behavior in College Youth". Journal of Sex Education and Therapy 13: 35–42.
  • Kinsey, A. C.; Pomeroy, W. B.; Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia: W. B. Saunders.
  • Laumann, E. O.; Gagnon, J. H.; Michael, R. T.; Michaels, S. (1994). The social Organization of Sexuality: Sexual Practices in the United States. Chicago: University of Chicago Press. ISBN 0226469573.
  • Kafka, M. P. (2010). Hypersexual Disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39, 377–400.
  • Robinson, Karen M. DNS, RN, CS, FAAN (January 2003). "Understanding Hypersexuality: ABehavioral Disorder of Dementia". Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 21.
  • Stein, D. J. (2008). Classifying hypersexual disorders: Compulsive, impulsive, and addictive models. Psychiatric Clinics of North America, 31, 587–592.
  • Bancroft, J., & Vukadinovic, Z. (2004). Sexual addiction, sexual compulsivity, sexual impulsivity or what? Toward a theoretical model. Journal of Sex Research, 41, 225–234.
  • Coleman, E. (1986, July). Sexual compulsion vs. sexual addiction: The debate continues. SIECUS Report (pp. 7–11).
  • Orford, J. (1985). Excessive appetites: A psychological view of the addictions. Chichester, England: John Wiley & Sons.
  • Carnes, P. (1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.
  • Levine, S. B. (2010). What is sexual addiction? Journal of Sex & Marital Therapy, 36, 261–275.
  • Rinehart, N. J., & McCabe, M. P. (1997). Hypersexuality: Psychopathology or normal variant of sexuality? Sexual and Marital Therapy, 12, 45–60.
  • Quadland, M. C. (1985). Compulsive sexual behavior: Definition of a problem and an approach to treatment. Journal of Sex and Marital Therapy, 11, 121–132.
  • Coleman, E. (1990). The obsessive–compulsive model for describing compulsive sexual behavior. American Journal of Preventive Psychiatry & Neurology, 2, 9–14.
  • Money, J. (1980). Love and love sickness. The science of sex, gender difference, and pair bonding. Baltimore, MD: Johns Hopkins University Press.
  • Miller, B. L., Cummings, J. L., & McIntyre, H. (1986). Hypersexuality and altered sexual preferences following brain injury. Journal of Neurology, Neurosurgery and Psychiatry, 49, 867–873.
  • Orford, J. (1978). Hypersexuality: Implications for a theory of dependence. British Journal of Addiction, 73, 299–310.
  • Krueger, R. B., & Kaplan, M. S. (2001). The paraphilic and hypersexual disorders. Journal of Psychiatric Practice, 7, 391–403.
  • Kingston, D. A., & Firestone, P. (2008). Problematic hypersexuality: Review of conceptualization and diagnosis. Sexual Addiction and Compulsivity, 15, 284–310.
  • Dodge, B., Reece, M., Cole, S. L., & Sandfort, T. G. M. (2004). Sexual compulsivity among heterosexual college students. Journal of Sex Research, 41, 343–350.
  • Kafka, M. P. (1995b). Sexual impulsivity. In E. Hollander & D. J. Stein (Eds.), Impulsivity and aggression (pp. 201–228). Chichester, England: John Wiley.
  • Bancroft, J. (2008). Sexual behavior that is "out of control": A theoretical conceptual approach. Psychiatric Clinics of North America, 31, 593-601.
  • Kafka, M. P. (1994). Paraphilia-related disorders: Common, neglected, and misunderstood. Harvard Review of Psychiatry, 2, 39–40.
  • Kafka, M. P. (2000). The paraphilia-related disorders: Nonparaphilic hypersexuality and sexual compulsivity/addiction. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3rd ed., pp. 471–503). New York: Guilford Press.
  • Kafka, M. P. (2001). The paraphilia-related disorders: A proposal for a unified classification of nonparaphilic hypersexuality disorders. Sexual Addiction &Compulsivity, 8, 227–239.
  • Orford, J. (1978). Hypersexuality: Implications for a theory of dependence. British Journal of Addiction, 73, 299-320.
  • Ellis, A., & Sagarin, E. (1965). Nymphomania: A Study of oversexed women. London: Ortolan.
  • Goleman, D. (1984, October 16). addiction&st=nyt&pagewanted=2 Some sexual behavior viewed as an addiction. New York Times, pp. Cl, C9.
  • Assalian, P., & Ravart, M. (1993). Compulsive sexual behaviour: Etiology, clinical manifestations & pharmacological treatment. The Canadian Journal of Human Sexuality, 2, 221-226.
  • Coleman, E. (1992). Is your patient suffering from compulsive sexual behavior? Psychiatric Annals, 22, 320–325.
  • Barth, R. J., & Kinder, B. N. (1987). The mislabeling of sexual impulsivity. Journal of Sex & Marital Therapy, 13, 15-23.
  • Dhikav V, Anand K, Aggarwal N (April 2007). "Grossly disinhibited sexual behavior in dementia of Alzheimer's type". Arch Sex Behav 36 (2): 133–4. doi:10.1007/s10508-006-9144-1. PMID 17308974.
  • Miller BL, Cummings JL, McIntyre H, Ebers G, Grode M (August 1986). "Hypersexuality or altered sexual preference following brain injury". J. Neurol. Neurosurg. Psychiatr. 49 (8): 867–73. doi:10.1136/jnnp.49.8.867. PMC 1028946. PMID 3746322.
  • National Institute of Neurological Disorders and Stroke. "NINDS Klüver-Bucy Syndrome Information Page". Retrieved 2009-10-10.
  • Arnulf I, Zeitzer JM, File J, Farber N, Mignot E (December 2005). "Kleine-Levin syndrome: a systematic review of 186 cases in the literature". Brain 128 (Pt 12): 2763–76. doi:10.1093/brain/awh620. PMID 16230322.
  • Vogel, H. P., & Schiffter, R. (1983). Hypersexuality: A complication of dopaminergic therapy in Parkinson's disease. Pharmacopsychiatria, 16, 107-110.
  • Uitti, R. J., Tanner, C. M., & Rajput, A. H. (1989). Hypersexuality with antiparkinsonian therapy. Clinical Neuropharmacology, 12, 375-383.
  • Mansergh, G., Purcell, D. W., Stall, R., McFarlane, M., Semaan, S., Valentine, J., et al. (2006). CDC consultation on methamphetamine use and sexual risk behavior for HIV/STD infection: Summary and suggestions. Public Health Reports, 121, 127-132.
  • Series, H.; Dégano, P. (2005). "Hypersexuality in dementia". Advances in Psychiatric Treatment 11 (6): 424. doi:10.1192/apt.11.6.424. edit
  • Karen M. Robinson, DNS, RN, DS, FAAN. (Jan 2003). Understanding Hyper sexuality, A Behavioral Disorder of Dementia. Home Healthcare Nurse. Vol.21, no.1.
  • Jones, M. C.; Okere, K. (2008). "Treatment of Hypersexual Behavior with Oral Estrogen in an Autistic Male". Southern Medical Journal 101 (9): 959–960. doi:10.1097/SMJ.0b013e318180b3de. PMID 18708975. edit
  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision). Washington, DC: Author.
  • Kafka, M. P. (2007). Paraphilia-related disorders: The evalution and treatment of nonparaphilic hypersexuality. In S. R. Leiblum (Ed.), Principles and practice of sex therapy (4th ed.) (pp. 442-476). New York: Guilford.
  • Krafft-Ebing, R. von (1886/1965). Psychopathia sexualis: A medico–forensic study (H. E. Wedeck, Trans.). New York: Putnam.

Vanjski linkoviUredi