Ramstadius Marjo, Sayin Ümit and Kocatürk Asiye. Will Enhanced and Expanded Sexual Response in Human Female be Misdiagnosed as Hypersexual Disorder in DSM-V: ESR or Hypersexual Disorder? 33rd NACS Conference 2011, Oslo-Norway, Nordic Association for Clinical Sexology 33rd Congress Abstract Book (33):20, 2011.



Rationale:   Recent publications on human female sexuality point out that sexual desire and  response can be enhanced and expanded in the human female. This phenomenon has been coined as “Expanded Sexual Response” (ESR).  In 2013 the new DSM-V will be defining  hypersexual disorder” in the human female . There have been many discussions about   DSM-V proposal and the criteria for The Hypersexual Disorder Screening Inventory (HDSI). We have investigated the ESR through an internet survey.

Methods: A simple 12 item questionnaire was published in 2 international websites that were in English, and in 2 national websites that were in Turkish. Groups of scoring, A(60-72), B(50-60), C(40-50), D(30-40), E(20-30), F(below 20) were formed and 313 correspondents chose which group of scoring they belonged. The questions were prepared such that a score between 60 and 72 would correspond to an ESR, and that the women who were in group A would be regarded as ‘hypersexual disorder’ according to the new HDSI scoring.

Results: Among 229 international, 84 Turkish correspondents, the score ranges were recorded as follows in the whole study groups: group A, 38 %; group B, 25 %; group C, 19 %, group D, 13 %; group E, 8 %; group F, 7 %. Among the international group; group A was 41 %; group B was 26 %; group C was 19 %; group D was 12 %; group E was 2 %; group F was 0 percent.

Conclusion: It was obviously seen that 38 % of the female correspondents had a score over 60. If they were scored by HDSI, they might have been mistakenly diagnosed as ‘hypersexual disorder’. We have concluded that the limits of female sexual response should be investigated thoroughly before deriving any conclusions that may lead to ambiguous diagnosis patterns by certain classifications such as DSM-V.




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