Notes on Compulsive Sexual Behavior Disorder (cSPD) Lecture

Introduction

• Example of a man in a bar representing extreme consequences of pornography addiction.
• Story shared by a guy from Cambridge who suffered from compulsive sexual behavior disorder (cSPD).

Definition of cSPD

• Compulsive: Inability to stop a particular behavior.
  • Example: Checking phones frequently without reason.
• Disorder: Causes personal, social, and occupational dysfunction.
  • Significantly impacts normal life.

Historical Context

• Before 2018, cSPD wasn’t officially recognized.
• Inclusion in World Health Organization (WHO) lists in 2018.
• Research by the lecturer contributed to this recognition.

Current Statistics

• Shift in accessibility to porn over the last 20 years.
  • 20 years ago: Physical access through stores/magazines.
  • 2009: Denmark's major websites now include pornographic sites.
• Recent survey in Denmark:
  • 1 in 5 men and 1 in 20 women watch more porn than desired.
  • 12% of children under 12 regularly watch porn.
• Estimated 3-6% of the adult population in the West suffers from cSPD.

Impact of cSPD

• Not everyone who watches porn becomes addicted.
• Neuroscientific Findings:
  • MRI studies show an enlarged amygdala in cSPD sufferers.
  • Amygdala: Involved in emotional processing.
  • Reduced connections with the prefrontal cortex (controls conscious behavior).
  • More instinctive behavior, less self-control.
  • cSPD associated with hypersensitivity to sexual rewards.

Importance of Diagnosis

• Inclusion in diagnostic manuals allows for better recognition and treatment by general practitioners.
• Similar to gambling disorder; 85% of gamblers remain in remission after treatment.
• Increased funding and prioritization for research on cSPD.

Personal Narratives in Research

• Personal stories (like that of M) are critical for understanding and addressing cSPD.
• M sought treatment, which sparked research interest and clinical attention.
• Research informs treatment, leading to better outcomes for sufferers.

Conclusion

• Advances in understanding and treating cSPD due to research and recognition.
• Clinicians better equipped to assess and treat cSPD.
• Ongoing need for awareness and education on the disorder.

Acknowledgment

• Thanks for attending the lecture.