Abstract

This article addresses the issue of whether sexual addictions exist. An examination of how the concept developed and how it is applied leads to a discussion of why the authors believe that this is an inappropriate use of the term addiction. A specific form of sexual dysfunction, sexual narcissism, is used as an example. Sexual narcissism is not a sexual addiction; it is an enduring pattemn of traditional and dysfunctional forms of sexual interaction characterized by, among other traits, the inability to experience intimacy. It is rooted in low selfesteem and insecurity. Treatment considerations for sexual narcissism are discussed.

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