108: Out of Control Sexual Behavior – Doug Braun-Harvey

My guest, the sexuality educator, author, trainer, and psychotherapist Doug Braun Harvey is here to share his knowledge on an important distinction in the sexual health realm: Out of Control Sexual Behavior (OCSB). Within this interview, there are discussions about classifications of sexual health, advice for psychotherapists on how to let patients present their own vision of sexual health, and an overall fruitful discussion on the nuances of the field.

Spoken eloquently and drawing from his wide experience in the field, Doug Braun-Harvey makes this a must-listen.

A Specific Definition of Sexual Health
Doug says that sexual health is the “balance between sexual health and sexual pleasure.” What he means by this is that you are not only being careful about your sexual activity but also equally focusing on pleasure. He also states that sexual health must factor in the sexual rights of all involved.

When talking about the generally agreed-upon definition of sexual health currently taught in schools, the definition has not changed for many years – where the didactic preoccupation has centered on wrapping “sexual health” in a limited, encompassing curriculum of just pregnancies, STDs, or STIs.

Classifying Sexual Disorders
With classifications and conceptualizations of sexual dysfunction always being defined, assigned, and redefined, it’s difficult to find the point where an out-of-control sexual behavior becomes a disorder. Classifications are made that relate sexual compulsion to impulse control; this presents challenges from a psychiatric standpoint, and even more so because most of those definitions are not made definitively – so to speak – but are only established to get a dialogue going and the research flowing. In other words, there is a lot of gray area and malleability for sexual disorders that take professionals in the field to work out and categorize.

It’s a fascinating and complex subject that Doug does a goo