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The hour afterStep 4 of 9

Lesson 6 of 6 · When this has become something else

Where that category came from, and what is still argued about

We are showing you the argument rather than a settled answer, because there is not a settled answer.

What the research says

This introduces the diagnostic category and what it requires. It is not a diagnosis of pornography addiction, and the authors are clear that no such diagnosis exists in the international classification.

The paper introducing the category and setting out what it requires. It is not a diagnosis of pornography addiction, and the authors are clear that no such diagnosis exists in ICD-11. It sits among the impulse control disorders rather than among the disorders due to addictive behaviours, which is where gambling and gaming sit.

Kraus SW, Krueger RB, Briken P, First MB, Stein DJ, Kaplan MS, Voon V, Abdo CHN, Grant JE, Atalla E, Reed GM (2018). Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry, 17(1), 109 to 110 doi

Where this category was placed in the international classification was contested when it was decided and remains contested. You are not failing to understand something settled, because it is not settled.

A review of how the newer ICD-11 categories have been received in practice. Where compulsive sexual behaviour disorder was placed was contested when the decision was made and it is still contested. That is the honest state of the field, and anybody who tells you this question is settled is telling you about their own view.

Reed GM, First MB, Billieux J, Cloitre M, Briken P, Achab S, Brewin CR, King DL, Kraus SW, Bryant RA (2022). Emerging experience with selected new categories in the ICD-11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder. World Psychiatry, 21(2), 189 to 213 doi