Abstract
The diagnostic and conceptualization of obsessive, compulsive, impulsive, and driven sexual behavior is controversial, and its terminology has varied over time and across conceptualizations (out-of-control sexual behavior, compulsive sexual behavior, sexual addiction, etc.). This article articulates our Integrative Biopsychosocial and Sex Positive Model of impulsive/compulsive sexual behavior (ICSB), its ecological conceptualization, and multifaceted approach to treatment of ICSB. After a brief review of extant models, we delineate the core theories from which we conceptualize ICSB and the theoretical underpinnings and therapeutic approach.