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If we want to use a medical model, the obsessive-compulsive DSM-1 model is a much better fit than the addiction model. This is the case with many conditions in the medical model, that want to use the "addiction" label. Or perhaps, the Impuse Disorder model, which is where pathological gambling is in the DSM-IV. The research you elude to talks about brain chemistry changes, but that hardly qualifies as addiction, despite the authors claim; since even simple thoughts change our biology. It is impossible to be "addicted" to sex, since we are all sexual all the time (think 7th grade science - The Reproductive System) wether we are having sex or not.
That being said, addiction, OCD and Impulse disorders do have parallels, and can have features of one another. But to say one is a "sex addict" is logically the same as saying one is a "breathing addict"
In this case though it seems clear that although features of OCD or Implusivity may be present on either the Axis 1 or Axis 2; the root cause is in the belief systems each holds about sex, communication about sex, and the understanding of the relationship and behaviors within a certain social world-view. There are many couples who do not share the same value system, who watch Playboy TV each night, share ertotic thoughts and spend a great deal of time enjoying sex with their partner, or enjoy self-stimulation at times (even while married). For thee couples they exact same behavior is not a problem nor viewed as "addiction" so clearly the "addiction" is in the way the couple is defining the parameters of the relationships, the values, expression and meaning of sex....
Had she presented a case with a single male viewing porn obsessively, who has foregone real-world relationships, the psychiatric model might fit. But in this case is is pretty clear a social-religious-cultural issue.....
And I might add, one that will NEVER be resolved in individual therapy, only in conjoint therapy.
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