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Del trastorno a la dimensionalidad: Reconceptualizando la conducta sexual compulsiva-Comentario sobre Grubbs y Boness

Lindsey Snaychuk¹, Sarah Dermody¹, Hyoun S Kim¹

¹Department of Psychology, Toronto Metropolitan University.

Journal of psychopathology and clinical science

|October 27, 2025

Abstract:

Comentarios sobre el artículo de J. B. Grubbs y C. L. Boness (véase el registro 2025-66167-001). La conducta sexual compulsiva (CSC) es una afección compleja y a menudo incomprendida, caracterizada por patrones persistentes y angustiantes de conducta sexual fuera de control. A pesar de su creciente prevalencia, la CSC sigue siendo diagnósticamente ambigua y es objeto de un debate continuo sobre cómo debe conceptualizarse. Si bien diversos marcos existentes capturan aspectos fundamentales de la afección, ninguno parece dar cuenta plenamente de sus diversas características. Este comentario sostiene que los modelos diagnósticos categóricos rígidos pueden estar limitando el progreso tanto en la investigación como en la atención clínica de la CSC. En su lugar, se propone un enfoque multidimensional orientado a los procesos, basándose en el marco de los Criterios de Dominio de la Investigación para comprender mejor los mecanismos subyacentes de la CSC. A través de este enfoque, la CSC se conceptualiza no como un trastorno unidimensional, sino como un síndrome con múltiples vías y presentaciones individualizadas. Se discuten las implicaciones para la evaluación, el diagnóstico y el tratamiento, con un llamado a la investigación para identificar subtipos distintos y desarrollar intervenciones modulares y dirigidas. Aceptar la complejidad de la CSC puede conducir, en última instancia, a una comprensión más matizada de su presentación y a mejores resultados en el tratamiento. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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