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These regions include the amygdala and the ventral striatum. BOLD fMRI results have shown that individuals diagnosed with compulsive sexual behavior (CSB) show enhanced cue reactivity in brain regions associated traditionally with drug-cue reactivity. Īccording to the American Society of Addiction Medicine, some psychological and behavioral changes characteristic of addiction brain changes include addictive cravings, impulsiveness, weakened executive function, desensitization, and dysphoria. A study on problematic Internet pornography viewing used the criteria of viewing Internet pornography more than three times a week during some weeks, and viewing causing difficulty in general life functioning. It included such criteria as time consumed by sexual activity interfering with obligations, repetitive engagement in sexual activity in response to stress, repeated failed attempts to reduce these behaviors, and distress or impairment of life functioning.
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Ī proposed diagnosis for hypersexual disorder includes pornography as a subtype of this disorder. Diagnostic criteria have been proposed for other behavioral addictions, and these are usually also based on established diagnoses for substance abuse and dependence.
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The only diagnostic criteria for a behavioral addiction in the current Diagnostic and Statistical Manual of Mental Disorders are for pathological gambling, and they are similar to those for substance abuse and dependence, such as preoccupation with the behavior, diminished ability to control the behavior, tolerance, withdrawal, and adverse psychosocial consequences. Pornography addiction is often defined operationally by the frequency of pornography viewing and negative consequences. Universally accepted diagnostic criteria do not exist for pornography addiction or problematic pornography viewing. Individuals may report depression, social isolation, career loss, decreased productivity, or financial consequences as a result of their excessive Internet pornography viewing impeding their social life. Problematic Internet pornography viewing is viewing of Internet pornography that is problematic for an individual due to personal or social reasons, including the excessive time spent viewing pornography instead of interacting with others and the facilitation of procrastination. The DSM-5 (2013) does not classify compulsive pornography consumption as a mental disorder or a behavioral addiction. CSBD is not an addiction, and should not be conflated with sex addiction. ICD-11 (2022) has recognized compulsive sexual behaviour disorder (CSBD) as an "impulsive control disorder". Pornography addiction is an addiction model of compulsive sexual activity with concurrent use of pornographic material, despite negative consequences to one's physical, mental, social, or financial well-being.
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sensitization – an amplified response to a stimulus resulting from repeated exposure to it.rewarding stimuli – stimuli that the brain interprets as intrinsically positive and desirable or as something to approach.reinforcing stimuli – stimuli that increase the probability of repeating behaviors paired with them.psychological dependence – dependence that involves emotional–motivational withdrawal symptoms (e.g., dysphoria and anhedonia).physical dependence – dependence that involves persistent physical– somatic withdrawal symptoms (e.g., fatigue and delirium tremens).drug withdrawal – symptoms that occur upon cessation of repeated drug use.drug sensitization or reverse tolerance – the escalating effect of a drug resulting from repeated administration at a given dose.dependence – an adaptive state associated with a withdrawal syndrome upon cessation of repeated exposure to a stimulus (e.g., drug intake).addictive drug – psychoactive substances that with repeated use are associated with significantly higher rates of substance use disorders, due in large part to the drug's effect on brain reward systems.addiction – a biopsychosocial disorder characterized by persistent use of drugs (including alcohol) despite substantial harm and adverse consequences.Compulsive sexual behaviour driven by use of pornography Addiction and dependence glossary