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Yıl:2007; Cilt: 9; Sayı: 2>> Özet
Türkiye'de Psikiyatri; 2007;9(2):135-139
Normal Dışı Cinsel Davranışın Tanımlanması Sorununa Bir Örnek
Z Göker, A Tiryaki, İ Ak
KTÜ Tıp Fakültesi Farabi Hastanesi Psikiyatri AD
Bu yazıda Karadeniz Teknik Üniversitesi Tıp Fakültesi Psikiyatri Bölümüne adli olgu olarak gönderilen 27
yaşında kadın hasta, dürtü kontrol bozukluğu/cinsel bağımlılık olgusu olarak sunulmaktadır. Olguda ergenlik
dönemi sonrasında başlayıp giderek artan, sürekli cinsel ilişkide bulunmaya yönelik arama ve eyleme
geçme davranışları vardı. Olgu kapsamlı bir değerlendirmenin yapılabilmesi için kısa süreli yatırılarak değerlendirilmiştir.
ICD-10'a göre Aşırı Seksüel İstek; Diğer Alışkanlık ve İmpuls Bozuklukları tanıları ile resmi
olarak rapor edilen olguda DSM-IV-TR'e göre ?Başka Türlü Adlandırılamayan Dürtü Kontrol Bozukluğu? ve
DSM-IV-TR'de yer almayan ?Cinsel Bağımlılık? tanıları ele alınmıştır. Kontrol kaybı, ciddi boyutta kötü sonuçlara
rağmen davranışı sürdürme şeklinde belirlenen anormal cinsel davranışın DSM-IV-TR'de tanımlanan
bir dürtü kontrol problemi mi yoksa bunun ötesinde cinsel bağımlılık olarak nitelenebilecek, şimdiki tanı
sistemlerinde yer almayan bir diğer psikiyatrik bozukluk mu olduğunun tartışılması amaçlanmıştır.
An Example for The Problem in Defining Abnormal Sexual Behavior
In this paper, a case with sexual addiction who was referred to Karadeniz Technical University School of Medicine Psychiatry Department by
legal authorities for psycho-legal assessment was presented. Twenty-seven [year]s old female patient had repeated sexual behaviors since she
was 14. ?Impulse control disorder not otherwise specified? and 's ex Addiction? diagnoses were considered. In the Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition-Text Revision, it is classified as an impulse control disorder not otherwise specified or a sexual
disorder not otherwise specified. It may be placed in a possible new category in the Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition called substance and behavioral addictions. The aim of this article is to discuss the diagnosis of problematic sexual behavior and
psychiatric comorbidity of an impuls control disorder.

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