The purpose of this study was to obtain a clearer description and understanding of problematic sexual behavior. In-depth interviews were conducted with 14 adult men who self-identified as having problematic sexual behavior. Study participants identified a range of meanings for their sexual behavior: meeting sexual needs, fulfillment of narcissistic needs, desire for human connection, compensation for low self esteem, need for control, reenactment of childhood trauma, avoidance of feelings, and/or coping with sexual identity issues. Thus, sexually addictive behaviors serve different psychological organizations and needs, which has particular implications for treatment to expand beyond the overt sexual behaviors.
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John R. Giugliano (2006) studied this question.