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Abstract
This study explores the relationship between sexual addiction and the paraphilias. It includes a discussion of nomenclature and objections to addiction theory. Sexual addiction and the paraphilias are located in the wider framework of the psychoanalytic theory of perversion. Etiology is traced to childhood trauma. Underneath both there is narcissistic damage. Sexual addiction and the paraphilias are seen as corrective solutions to childhood trauma. The article includes examples of the behavior and two case studies of oppressive male dominance.