Hypersexual Disorder (Kafka, 2009). Kafka’s proposal includes the following diagnostic criteria: (1) Over a period of at least six months, recurrent and intense sexual fantasies, sexual urges, or sexual behaviors in association with three or more of the following five criteria: a. Time consumed by repeatedly indulging in sexual fantasies, urges or behaviors which interferes with other important (non-sexual) goals, activities and obligations. b. Repetitively engaging in sexual fantasies, urges or behaviors in response to dysphoric mood states (e.g., anxiety, depression, boredom, irritability). c. Repetitively engaging in sexual fantasies, urges or behaviors in response to stressful life events. d. Repetitive but unsuccessful efforts to control or significantly reduce these sexual fantasies, urges, or behaviors. e. Repetitively engaging in sexual behaviors while disregarding the risk for physical or emotional harm to self or others. (2) There is a clinically significant personal distress or impairment in social, occupational, or other important areas of functioning associated with the frequency and intensity of these sexual fantasies, urges, or behaviors. (3) These sexual fantasies, urges, or behaviors are not due to the direct physiological effect of an exogenous substance (e.g., a drug of abuse or a medicine). (p. 3)
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