• https://www.facebook.com/profile.php?id=100009856982302


An Interdisciplinary Journal on Sexual Health

Aktif Ziyaretçi3
Bugün Toplam21
Toplam Ziyaret582111
Web Site Map
Member's Pages


APA’S DSM-5 HDSI Proposal Re-

Female Perspectives


H. Ümit Sayin and Asiye Kocatürk


American Psychiatric Association (APA) revised and updated the DSM-IV into DSM-5 in 2013; DSM-6 is said to be on the way. DSM Manual is globally used for the diagnosis of psychiatric disorders. In 2013 APA was about to define a new psychiatric disorder, enti-tled as “Hypersexual Disorder” (HD); however, many criteria defined by Martin P. Kafka for the proposal were unclear, ambiguous and questionable, which was criticized by psychiatrists and medical doctors fiercely. APA dropped the proposal.  In this article, we re-assess the female perspectives of the HD and question whether such a new disorder is necessary. Norms of sexual behavior changes from culture to culture; “normal” is very difficult to define in sexual research, while many aspects of female sexuality has not been unraveled yet.  Great extent of research and surveys should be realized before defining “what is pathological?” and “what is hypersexual disorder?” Otherwise, healthy women can easily be misdiagnosed as HD.

KEY WORDS:  hypersexual disorder, APA, DSM-5, nymphomania, Kafka, mental illness, psychiatric disorder, HDSI


SexuS Journal ● Winter-2019 ● 4 (11): 979-990


American Psychiatric Association.  Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author, 2000.

American Psychiatric Association.  Hypersexual disorder, proposed revision. In DSM-5 development. Retrieved August 21, 2010 from http://www. dsm5.org/ ProposedRevisions/Pages/proposedrevision. aspx?rid=415#

Hite Shere. Hite Raporu, Kadınların Cinselliği Konusunda En kap-samlı Araştırma (Hite Report on Women’ Sexuality), Çev: Esin Eden, İstanbu:  Cep/Cinsellik Yayınları, 1984.

Kafka, M. P.  Hypersexual disorder: A proposed diagnosis for DSM-V. Arch Sex Behav 2010; 39: 377–400.

Kocatürk A, Sayin HÜ, Baş GY, Kocatürk C. Comparison of the Sexual Behavior of 939 Female Students in İstanbul Universities (2012) to the Survey Results of Kadınca Report (1993): Decline in Sexual Knowledge and Education in Turkish Universities? 38th Annual Meeting of IASR (International Academy of Sex Research), Lisbon-Portugal, July 8-11, 2012; Abstract Book, 38: 82, 2012 (a).

Kocatürk A, Sayin HÜ. A comparison of hyperactive sexual tendencies of global and Turkish women: Some lessons and aspects for HDSI criteria of DSM-5. 38th Annual Meeting of IASR (International Academy of Sex Research), Lisbon-Portugal, July 8-11, 2012; Abstract Book, 38:81, 2012 (b).

Komisaruk Barry R, Carlos Beyer-Flores, Bevely Whipple. The Science of Orgasm, Baltimore: John Hopkins University Press, 2006.

Ladas Alice Kahn, Beverly Whipple, John D Perry.  The G-Spot and other Discoveries About Human Sexuality, New York: Henry Holtand Com-pany 2005, (first printing 1982).

Moser C.  Hypersexual disorder: Just more muddled thinking. Arch Sex Behav 2011; 40: 227–229.

Sayin HÜ & Kocatürk A. Expanded Sexual Response in the Human Female: The Mechanisms of Expanded Orgasms in Women. SexuS Journal June, 2018; 3 (8): 533-548.

         (www.sexusjournal.com) (a)

Sayin HÜ & Kocatürk A. Some Findings on Turkish Women. SexuS Journal September 2018; 3 (9): 643-656.

         (www.sexusjournal.com). (b)

Sayin HÜ and Asiye Kocatürk.  İSTANBUL REPORT: Preliminary findings; the decline of the fantasy patterns and the frequency of masturbation in Turkish women during the last decades. SexuS Journal, Abstracts and Proceedings of International Anatolian Congress on Neuroscience and Sexual Health, Kozyatağı-Hilton Hotel, Kadıköy-İstanbul, 1-3, May, 2015; 1 (2): 137-138, (www.sexusjournal.com).

Sayin HÜ. Artırılmış Cinsel Doyum: ESR; Kadınlarda Ultra Orgazm (Expanded Sexual Response: ESR; Ultra Orgasm in Women), İstanbul: Tantra Akademi/Onur Publications, 2012. ISBN: 978-605-87091-0-2 (b)

Sayin HÜ. Cinsellikte Farklı Boyutlar (Derin Sex) (Different Dimensions of Sexuality: Deep Sex), second expanded edition, two volumes) Second Updated Edition. (2 volumes)  İstanbul: Tantra Akademi/Onur Publications, 2014. ISBN: 978-60587091-9-5

Sayin HÜ. Doors of female orgasmic consciousness: New theories on the peak experience and mechanisms of female orgasm and expanded sexual response. (Research and Review) NeuroQuantology 2012; 10 (4): 692-714. (a)

Sayin HÜ. Female Orgasmic Consciousness: New Horizons. SexuS Journal June 2017;2 (4): 117-145.  (b)


Sayin HÜ. Kadın ve Orgazm: Orgazm Yöntemleri ve Yeni Cinsel Terapi Teorileri (Women and Orgasm: Orgasm Methods and Novel Sex Therapy Theories), İstanbul: Tantra Akademi/Onur Publications. 2017.  (a) ISBN: 978-605-2141-02-1

Sayin HÜ. Love hormone oxytocin: acute behavioral effects of oxytocin, in a dose dependent manner. (Panel Lecture and Poster Presentation). SexuS Journal, Abstracts and Proceedings of International Anatolian Congress on Neuroscience and Sexual Health Kozyatağı-Hilton Hotel, Kadıköy-İstanbul, 1-3, May, 2015; 1 (2): 130-132.

         ( www.sexusjournal.com ).

Sayin Ü, Günay C., Ramstadius M, Kocatürk A, Kahya İ. Desire in Turkish Women: Orgasmic Behaviour Patterns in 2240 Educated Turkish Women Which Improves with Education. 33rd NACS (Nordic Association for Clinical Sexology) Conference, October, 13-16, 2011, Oslo-Norway, Nordic Association for Clinical Sexology 33rd Congress Abstract Book (33):22, 2011.

Taylor Patricia.  PhD Thesis: An Observational and Comparative Study of Practitioners of Expanded Orgasm: An Investigation of an Effective and Accessible Path to Transcendent States of Consciousness, Submitted in Partial Fulfillment of the Requirements for the Degree of Philosophy in Transpersonal Psychology, International University of Professional Studies, Maui, Hawaii, 2000.

Taylor Patricia. Expanded Orgasm, Soar to Ecstasy at your Lover's Every Touch, New York: Sourcebooks, 2002

Wakefield JC. The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis. J Clin Soc Work 2012;  40:213–223.

Winters J.  Hypersexual disorder: A more cautious approach. Archives of Sexual Behavior 2010; 39: 594–596. (a)

Winters J, Christoff K, Gorzalka BB. Dysregulated Sexuality and high sexual desire: Distinct constructs? Arch Sex Behav, 2010; doi:10.1007/s10508-009-9591-6.(b)

Wolfe Linda. The Cosmo Report, London: Corgi Books, 1982.

Acknowledgements: This study was supported by the funds of Marmara University, Medipol University and BAP/İstanbul University. We thank Prof. Charles Moser for his invaluable, feed back, information and support.