ABSTRACT

This overview of sexual addiction examines classic and contemporary approaches to aetiology and diagnosis, culminating in special attention to the evolution of hypersexual disorder as an integrative concept. Object relations theory and attachment research inform a developmental, systems-oriented model. The biopsychosocial perspective provides a lens for ongoing clarification. Cultural contexts are considered, including the impact of the ‘New View Manifesto’, a feminist model in sexuality therapy, on potential over-medicalisation in sexual addiction diagnosis and treatment. A new view for sexual addiction promotes sexual health, meaning-making choices, individual growth and intimacy in relationships.