Underlying Dissociative Adjustment in a Case of Same-Sex Sexual Compulsivity

Area of Science:

• Psychology
• Psychiatry
• Trauma Studies

Background:

• Compulsive sexual behavior can be linked to underlying psychological conditions.
• Childhood trauma and dissociation are recognized factors influencing mental health outcomes.
• The intersection of religious beliefs, sexuality, and trauma presents unique challenges.

Purpose of the Study:

• To describe the psychotherapeutic process of an individual with compulsive same-sex sexual behavior.
• To explore the role of dissociation in sexual compulsivity.
• To examine the influence of psychodynamics, intersectional oppressions, trauma, religion, and sexuality on therapy outcomes.

Main Methods:

• A case study approach was used.
• Detailed description of the psychotherapeutic process with one male patient, Francesco.
• Exploration of the patient's history including childhood trauma, dissociation, religious background, and same-sex sexuality.

Main Results:

• Francesco's compulsive same-sex sexual behavior was found to be driven by an underlying dissociative state.
• The therapy highlighted the interplay of psychodynamics and intersectional oppressions.
• Improvements were noted through enhanced affect regulation, locus of control shifts, and secure attachment.

Conclusions:

• Dissociation can significantly contribute to sexual compulsivity.
• Psychotherapy can effectively address compulsive sexual behaviors by targeting dissociation.
• Bolstering affect regulation, locus of control, and attachment security are key therapeutic strategies.