Sexual Obsessive-Compulsive Disorder (Sexual OCD) is characterized by persistent, unwanted, and distressing sexual intrusive thoughts, mental imagery, and compul- sive rituals aimed at neutralizing the associated anxiety. This paper presents a novel theoretical framework and self-administered longitudinal observation documenting how concrete sexual stimuli—specifically, pornography—function as a mental loop- closure mechanism that effectively suppresses intrusive sexual projections, hierar- chical mental constructs, and image deformation phenomena characteristic of Sexual OCD. Over a six-month abstinence experiment, the subject observed a progressive escalation of intrusive phenomena: from manageable ritual-based suppression, to physical compulsion-based control, to the emergence of complex, immovable mental hierarchies involving real persons encountered in daily life. Reintroduction of con- crete visual sexual stimuli (pornography) produced immediate and near-complete cessation of these phenomena. The paper proposes that pornography provides the brain with a closed, unambiguous, and externally defined sexual signal that eliminates the need for internally generated projections, thereby deactivating the OCD loop. This mechanism is discussed in terms of predictive processing theory, dopaminergic reward systems, contextual memory dependency, and the distinction between open-loop and closed-loop cognitive processing. The findings suggest that the widespread difficulty in abstaining from pornography may be partly explained by its function as a cognitive stabilizer in individuals with subclinical or clinical Sex- ual OCD traits, rather than by addiction alone. Implications for treatment, future research, and the reconceptualization of pornography use in OCD populations are discussed.
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Kaoru Aguilera Katayama
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Kaoru Aguilera Katayama (Sat,) studied this question.
synapsesocial.com/papers/69ada8b2bc08abd80d5bbee6 — DOI: https://doi.org/10.5281/zenodo.18897492