Assessment Methods and Management of Hypersexuality and Paraphilic Disorders

Daniel Turner; Daniel Schöttle; John Bradford; Peer Briken


Curr Opin Psychiatry. 2014;27(6):413-422. 

In This Article


The databases PubMed and PsycINFO were searched for empirical studies that were published between January 2013 and July 2014. The following terms were used for the literature search: 'Hypersexual', 'Hypersexuality', 'Sexual addiction', 'Sexual compulsivity', 'Sexual preoccupation', 'Paraphilic', 'Paraphilia', 'Exhibitionism', 'Pedophilia', 'Sexual Sadism', and 'Frotteurism'. The focus of the review was set on studies evaluating the psychometric properties of the existing assessment methods or the development of new assessment instruments for hypersexual behaviors and hypersexual disorder or paraphilias and paraphilic disorders. Further, any studies concerning psychotherapeutic or pharmacological treatment methods were included. Although studies assessing the correlates of hypersexuality and paraphilias,[17–19] their taxonomic basis,[20,21] or the assessment of related constructs[22,23] are without a doubt important for an appropriate assessment and treatment, they were not in the scope of this review. However, cross-references to literature that was not published within the according time period or manuscripts not presenting the findings of empirical research were also included if relevant for the purpose of the present review.

Our search revealed 15 studies (5 studies on the assessment of hypersexuality and hypersexual disorder, 1 study on the management of hypersexuality and hypersexual disorder, 6 studies on the assessment of paraphilias and paraphilic disorder, and 3 studies on the management of paraphilias and paraphilic disorders) that met the inclusion criteria. Table 1 provides an overview of the included studies.