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Original Articles

Sex Addiction as a Disease: Evidence for Assessment, Diagnosis, and Response to Critics

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Abstract

The journey of addiction treatment is marked with significant societal, clinical, and scientific advances over the past few decades. Not too long ago, addiction was viewed as a moral failing and those suffering with addiction were treated harshly and with great prejudice and fear. One thing remains evident, significant change is difficult to come by is met with resistance, and it takes the perseverance and vision of a collective force of individuals to bring about the change. Addiction is one disease that has been maligned and misunderstood historically, as it presents in its myriad forms, yet clarity has emerged over the last 50 years to the recognition that it is a primary, chronic disease of brain reward, motivation, memory, and related circuitry, with manifestations along biological, psychological, social, and spiritual domains. The ongoing controversy over the acceptance of problem behaviors related to sex as part of addiction is very similar to the phenomenon which occurred with alcoholism and drug dependencies not that long ago however, when presented with the latest scientific advances the criticisms prove to be unfounded and outdated.

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