Compulsive Sexual Behaviour

This chapter presents a critical examination of the traditional ways of understanding compulsive sexual behaviour (CSB) and advocates for a more inclusive, intersectionally trauma-informed methodology. Traditional frameworks often pathologise CSB without considering the broader socio-cultural and intersectional dynamics that significantly influence individual behaviours. This chapter argues for a paradigm shift from viewing CSB as a disorder to understanding it as a complex interplay of psychological, intersectional, historical, behavioural, social, and societal factors. An integrative model is proposed, which acknowledges the diverse experiences of those affected by CSB, particularly emphasising the importance of recognising intersectional identities, socio-economic backgrounds, personal experiences, and trauma. This includes developing diagnostic criteria and therapeutic interventions adaptable to various intersectional contexts, thereby reducing the risk of intersectional imposition, misdiagnosis, and ineffective interventions. The necessity of employing flexible, informed, and compassionate therapeutic strategies that respect individual identities and values related to sexuality is also emphasised. By adopting this comprehensive approach, clinicians can provide more nuanced and empathetic support, facilitating not only the management of CSB but also promoting genuine healing and recovery, thereby enhancing both individual and social well-being in the psychosexual and mental health fields.