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Articoli scientifici

1/2019: Modelli della Mente

Online pornography. Neurological correlates, and cognitive and behavioral process of development and maintenance

Submitted
febbraio 10, 2020
Published
2020-02-10

Abstract

To date, studies that have investigated the etiology of sexual addiction in a systematic and scientifically based way are almost nonexistent.
In a very general way, there are some studies that have found an association with insecure forms of attachment (Zapf, Greiner, Carroll, 2008), or there are the hypotheses of Carnes (Carnes, 1983/1992, 1989, 1991) who saw it associated with dysfunctional basic beliefs concerning self-image, basic needs and sexuality.
It was believed that these basic beliefs were rooted in the feeling of shame. In past publications (Cantelmi & Lambiase, 2015) we presented some hypotheses of “etiological trajectories” concerning attachment, metacognitive functioning and cultural sexualization.
In association with these dynamics, in recent times, two areas have been investigated with increasing focus, mainly concerning a particular form of sexual addiction, that of online pornography: the relationships between sexual behavior and cognitive and behavioral functioning; the relationship between use and addiction on pornography and brain functioning.
The analysis of these studies has revealed how forms of pathological use of online pornography can be favored both by vulnerabilities and psychological characteristics, and by conditioned learning responses characteristic of the medium itself, which can act on the brain mechanisms involved in the processes of
gratification, typical of other forms of dependence on substances and behaviors.

References

  1. Akins C. (2004). The role of Pavlovian Conditioning in sexual behavior: a comparative analysis of human and nonhuman animals. International Journal of Comparative Psychology, 17(2): 241-262. Permalink: https://escholarship.org/uc/item/1wc177zt.
  2. Allen A., Kannis-Dymand L. & Katsikitis M. (2017). Problematic internet pornography use: The role of craving, desire thinking, and metacognition. Addictive Behaviors, 70: 65-71. DOI: 10.1016/j.addbeh.2017.02.001.
  3. American Psychological Association, Task Force on the Sexualization of Girls. (2007). Report of the APA Task Force on the Sexualization of Girls. (2nd ed. 2010). Online: http://www.apa.org/pi/women/programs/girls/report-full.pdf.
  4. Bailey R. (2011). Letting Children be Children. Report of an Independent Review of the Commercialisation and Sexualisation of Childhood. Department for Education. Online: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/175418/Bailey_Review.pdf.
  5. Banca P., Morris L.S., Mitchell S., Harrison N.A., Potenza M.N. & Voon V. (2016). Novelty, conditioning and attentional bias to sexual rewards. Journal of Psychiatric Research, 72: 91-101. DOI: 10.1016/j.jpsychires.2015.10.017.
  6. Bancroft J., Janssen E., Strong D., Carnes L., Vukadinovic Z. & Long J.S. (2003). The relation between mood and sexuality in heterosexual men. Archives of Sexual Behavior, 32(3): 217-230. DOI: 10.1023/A:1023409516739.
  7. Barlow D.H., Sakheim D.K. & Beck J.G. (1983). Anxiety increases sexual arousal. Journal of Abnormal Psychology, 92(1): 49-54. DOI: 10.1037/0021-843X.92.1.49.
  8. Berridge K.C. & Robinson T.E. (2016). Liking, Wanting and the Incentive-Sensitization Theory of Addiction. American Psychologist, 71(8): 670-679. DOI: 10.1037/amp0000059.
  9. Bocher M., Chisin R., Parag Y, Freedman N., Meir Weil Y., Lester H. & Bonne O. (2001). Cerebral activation associated with sexual arousal in response to a pornographic clip: a 15O-H2O PET study in heterosexual men. NeuroImage, 14(1 Pt 1): 105-117. DOI: 10.1006/nimg.2001.0794.
  10. Borkovec T.D. (1994). The nature, functions, and origins of worry. In: G. Davey & F. Tallis (Eds.), Worrying: Perspectives on Theory Assessment and Treatment (pp. 5-33). Sussex, England: Wiley & Sons.
  11. Brand M., Snagowski J., Laier C. & Maderwald S. (2016). Ventral striatum activity when watching preferred pornographic pictures is correlated with symptoms of Internet pornography addiction. NeuroImage, 129: 224-232. DOI: 10.1016/j.neuroimage.2016.01.033.
  12. Brand M., Young K.S. & Laier C. (2014). Prefrontal control and internet addiction: a
  13. theoretical model and review of neuropsychological and neuroimaging findings. Frontiers in Human Neuroscience, 8: 375. DOI: 10.3389/fnhum.2014.00375.
  14. Brom M., Both S., Laan E., Everaerd W. & Spinhoven P. (2014). The role of conditioning,
  15. learning and dopamine in sexual behavior: a narrative review of animal and human studies. Neuroscience & Biobehavioral Reviews, 38(1): 38-59. DOI: 10.1016/j.neubiorev.2013.10.014.
  16. Brown R.I.F. (1986). Arousal and sensation-seeking components in the general explanation of gambling and gambling addictions. International Journal of the Addictions, 21(9-10): 1001-1016. DOI: 10.3109/10826088609077251.
  17. Buckingham D., Willett R., Bragg S. & Russell R. (2010). Sexualised Goods Aimed at
  18. Children: A Report to the Scottish Parliament Equal Opportunities Committee.
  19. Cantelmi T. e Lambiase E. (2015). Schiavi del sesso. Roma: Alpes.
  20. Carnes P.J. (1983). The Sexual Addiction. Minneapolis, MN: Compcare Publishers (2nd ed. Out of the Shadows: Understanding Sexual Addiction. Minneapolis, MN: Compcare Publishers, 1992).
  21. Carnes P.J. (1989). Contrary to Love: Helping the Sexual Addict. Center city, MN:
  22. Hazelden.
  23. CarnesP.J. (1991). Dont’ Call It Love: Recovery from Sexual Addiction. New York: Bantam Books.
  24. CarnesP.J. (2003). The anatomy of arousal: Three Internet portals. Sexual and Relationship Therapy, 18(3): 309-328. DOI:10.1080/14681990310153937.
  25. Carnes P.J., Green B.A. & Carnes S. (2010). The same yet different: Refocusing the
  26. Sexual Addiction Screening Test (SAST) to reflect orientation and gender. Sexual Addiction & Compulsivity, 17(1): 7-30. DOI: 10.1080/10720161003604087.
  27. Caselli G. & Spada M.M. (2010). Metacognitions in desire thinking: A preliminary
  28. investigation. Behavioural and Cognitive Psychotherapy, 38(05): 629-637. DOI:
  29. 1017/S1352465810000317.
  30. Caselli G. & Spada M.M. (2011). The desire thinking questionnaire: Development and psychometric properties. Addictive Behaviors, 36(11): 1061-1067. DOI:
  31. 1016/j.addbeh.2011.06.013.
  32. Caselli G. & Spada M.M. (2015). Desire thinking: What is it and what drives it? Addictive Behaviors, 44: 71-79. DOI: 10.1016/j.addbeh.2014.07.021.
  33. Chase H.W., Eickhoff S.B., Laird A.R. & Hogarth L. (2011). The neural basis of drug
  34. stimulus processing and craving: an activation likelihood estimation meta-analysis.
  35. Biological psychiatry, 70(8): 785-793. DOI: 10.1016/j.biopsych.2011.05.025.
  36. Day J.J. & Carelli R.M. (2007). The nucleus accumbens and Pavlovian reward learning. Neuroscientist, 13(2): 148-159. DOI: 10.1177/1073858406295854.
  37. Fernie B.A., Caselli G., Giustina L., Donato G., Marcotriggiani A. & Spada M.M. (2014). Desire thinking as a predictor of gambling. Addictive Behaviors, 39(4): 793-796. DOI: 10.1016/j.addbeh.2014.01.010.
  38. Flavell J.H. (1979). Metacognition and cognitive monitoring: A new area of cognitive-developmental inquiry. American Psychologist, 34(10): 906-911. DOI: 10.1037/0003- 066X.34.10.906.
  39. Garrison K.A. & Potenza M.N. (2014). Neuroimaging and biomarkers in addiction treatment. Current Psychiatry Report, 16(12): 513. DOI: 10.1007/s11920-014-0513-5.
  40. Georgiadis J.R. & Kringelbach M.L. (2012). The human sexual response cycle: brain imaging evidence linking sex to other pleasures. Progress in Neurobiology, 98(1): 49-81. DOI: 10.1016/j.pneurobio.2012.05.004.
  41. Gizewski E.R., Krause E., Karama S., Baars A., Senf W. & Forsting M. (2006). There are differences in cerebral activation between females in distinct menstrual phases during viewing of erotic stimuli: A fMRI study. Experimental Brain Research, 174(1): 101-108. DOI: 10.1007/s00221-006-0429-3.
  42. Greenwald A.G., McGhee D.E. & Schwartz J.L.K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74(6): 1464-1480. DOI: 10.1037/0022-3514.74.6.1464.
  43. Hale V.E. & Strassberg D.S. (1990). The role of anxiety on sexual arousal. Archives of Sexual Behavior, 19(6): 569-581. DOI: 10.1007/BF01542466.
  44. Hamann S., Herman R.A., Nolan C.L. & Wallen K. (2004). Men and women differ in amygdala response to visual sexual stimuli. Nature Neuroscience, 7(4): 411-416. DOI: 10.1038/nn1208.
  45. Hoffman H., Goodrich D., Wilson M. & Janssen E. (2014). The Role of Classical Conditioning in Sexual. Compulsivity: A Pilot Study. Sexual Addiction & Compulsivity, 21(2): 75-91. DOI: 10.1080/10720162.2014.895460.
  46. Karama S., Lecours A.R., Leroux J.M., Bourgouin P., Beaudoin G., Joubert S. & Beauregard M. (2002). Areas of brain activation in males and females during viewing of erotic film excerpts. Human Brain Mapping, 16(1): 1-13. DOI: 10.1002/hbm.10014.
  47. Karsay K., Knoll J. & Matthes J. (2018). Sexualizing Media Use and Self-Objectification: A Meta-Analysis. Psychology of Women Quarterly, 42(1): 9-28. (Epub Dec 2017). DOI: 10.1177/0361684317743019.
  48. Kiely E., Ging D., Kitching K. & Leane M. (2015). The Sexualisation and Commercialisation of Children in Ireland: an Exploratory Study. Dublin: Department of Children and Youth Affairs.
  49. Klucken T., Wehrum-Osinsky S., Schweckendiek J., Kruse O. & Stark R. (2016). Altered appetitive conditioning and neural connectivity in subjects with compulsive sexual behavior. Journal of Sexual Medicine, 13(4): 627-636. DOI: 10.1016/j.jsxm.2016.01.013.
  50. Kuehn S. & Gallinat J. (2014). Brain structure and functional connectivity associated with pornography consumption: the brain on porn. JAMA Psychiatry, 71(7): 827-834. DOI: 10.1001/jamapsychiatry.2014.93.
  51. Laier C. & Brand M. (2016). Mood changes after watching pornography on the Internet
  52. are linked to symptoms of Internet-pornography-viewing disorder. Addictive Behaviors Reports, 5: 9-13. DOI: 10.1016/j.abrep.2016.11.003.
  53. Laier C. (2012). “Cybersex Addiction: Craving and Cognitive Processes”. Facoltà di Ingegneria, Dipartimento di Informatica e Scienze Cognitive Applicate, Dipartimento di Psicologia Generale: Cognizione. Università di Duisburg-Essen.
  54. Laier C., Pawlikowski M. & Brand M. (2014). Sexual picture processing interferes with decision-making under ambiguity. Archives of Sexual Behavior, 43(3), 473-482. DOI: 10.1007/s10508-013-0119-8 (Epub 4 giugno 2013).
  55. Laier C., Pawlikowski M., Pekal J., Schulte F.P. & Brand M. (2013). Cybersex addiction:
  56. Experienced sexual arousal when watching pornography and not reallife sexual contacts makes the difference. Journal of Behavioral Addictions, 2(2): 100-107. DOI: 10.1556/JBA.2.2013.002.
  57. Laier C., Pekal. J. & Brand M. (2014). Cybersex Addiction in Heterosexual Female Users of Internet Pornography Can Be Explained by Gratification Hypothesis. Cyberpsychology, Behavior, and Social Networking, 17(8): 505-511. DOI: 10.1089/cyber.2013.0396.
  58. Laier C., Schulte F.P. & Brand M. (2013). Pornographic Picture Processing Interferes with Working Memory Performance. Journal of Sex Research, 50(7): 642-652. DOI: 10.1080/00224499.2012.716873 (Epub 20 novembre 2012).
  59. Marshall L.E. & Marshall W.L. (2007). Sexual Addiction in Incarcerated Sexual Offenders. Sexual Addiction & Compulsivity, 13(4): 377-390. DOI: 10.1080/ 10720160601011281.
  60. Martin-Soelch C., Linthicum J. & Ernst M. (2007). Appetitive conditioning: neural bases and implications for psychopathology. Neuroscience & Biobehavioral Reviews, 31(3): 426-440. DOI: 10.1016/j.neubiorev.2006.11.002.
  61. McPherson S., Clayton S., Wood H., Hiskey S. & Andrews L. (2013). The Role of Childhood Experiences in the Development of Sexual Compulsivity. Sexual Addiction & Compulsivity, 20(4): 259-278. DOI: 10.1080/10720162.2013.803213.
  62. Mechelmans D.J., Irvine M., Banca P., Porter L., Mitchell S., Mole T.B., Lapa T.R., Harrison N.A., Potenza M.N. & Voon V. (2014). Enhanced Attentional Bias towards Sexually Explicit Cues in Individuals with and without Compulsive Sexual Behaviours. PloS One, 9(8): e105476. DOI: 10.1371/journal.pone.0105476.
  63. Miner M.H., Raymond N., Mueller B.A., Lloyd M. & Lim K.O. (2009). Preliminary
  64. investigation of the impulsive and neuroanatomical characteristics of compulsive sexual behavior. Psychiatry Research, 174(2): 146-151. DOI: 10.1016/j.pscychresns.2009.04.008.
  65. Mouras H., Stoleru S., Bittoun J., Glutron D., Pelegrini-Issac M., Paradis A.L. & Burnod Y. (2003). Brain processing of visual sexual stimuli in healthy men: a functional magnetic resonance imaging study. NeuroImage, 20(2): 855-869. DOI: 10.1016/S1053-8119(03)00408-7.
  66. New South Wales. Parliament. Committee on Children and Young People (2016). Sexualisation of children and young people. Report no. 2/56.
  67. Nolen-Hoeksema S. & Morrow J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1): 115-121. DOI: 10.1037/0022-3514.61.1.115.
  68. Oei N.Y., Rombouts S., Soeter R.P., van Gerven J.M. & Both S. (2012). Dopamine modulates reward system activity during subconscious processing of sexual stimuli. Neuropsychopharmacology, 37(7): 1729-1737. DOI: 10.1038/npp.2012.19.
  69. Pachankis J.E., Rendina H.J., Ventuneac A., Grov C. & Parsons J.T. (2014). The Role of Maladaptive Cognitions in Hypersexuality Among Highly Sexually Active Gay and Bisexual Men. Archives of Sexual Behavior, 43(4): 669-83. DOI: 10.1007/s10508-014-0261-y.
  70. Papadopoulos L. (2010). Sexualisation of Young People. Review. Home Office Publication. Online: https://webarchive.nationalarchives.gov.uk/201004081158.35/http://www.homeoffice.gov.uk/documents/Sexualisation-young-people.html.
  71. Pfaus J.G., Kippin T.E. & Centeno S. (2001). Conditioning and sexual behavior: a review. Hormones and Behavior, 40(2): 291-321. DOI: 10.1006/hbeh.2001.1686.
  72. Raylu N. & Oei T.P. (2002). Pathological gambling: A comprehensive review. Clinical
  73. Psychology Review, 22(7): 1009-1061. DOI: 10.1016/S0272-7358(02)00101-0.
  74. Redoute J., Stoleru S., Gregoire M.C., Costes N., Cinotti L., Lavenne F. & Pujol J.F. (2000). Brain processing of visual sexual stimuli in human males. Human Brain Mapping, 11(3): 162-177. DOI: 10.1006/nimg.2001.0794.
  75. Robinson T.E. & Berridge K.C. (1993). The neural basis of drug craving: An incentive-
  76. sensitization theory of addiction. Brain Research Reviews, 18(3): 247-291. DOI: 10.1016/0165-0173(93)90013-P.
  77. Robinson T.E. & Berridge K.C. (2000). The psychology and neurobiology of addiction:
  78. an incentive-sensitization view. Addiction, 95(Suppl. 2): 91-117. DOI:
  79. 1080/09652140050111681.
  80. Robinson T.E. & Berridge K.C. (2001). Incentive-sensitization and addiction. Addiction
  81. (Millenium Issue on Theories of Addiction), 96(1): 103-114. DOI: 10.1080/09652140020016996.
  82. Robinson T.E. & Berridge K.C. (2003). Addiction. Annual Review of Psychology, 54: 25-53. DOI: 10.1146/annurev.psych.54.101601.145237.
  83. Robinson T.E. & Berridge K.C. (2008). Review. The incentive sensitization theory of addiction: Some current issues. Philosophical Transactions of the Royal Society B. 363: 3137-3146. DOI: 10.1098/rstb.2008.0093.
  84. Rosenberg H. (2009). Clinical and laboratory assessment of the subjective experience of drug craving. Clinical Psychology Review, 29(6): 519-534. DOI: 10.1016/j.cpr.2009.06.002.
  85. Rush E. & La Nauze A. (2016a). Corporate Paedophilia. Sexualisation of Children in Australia. The Australia Institute. Discussion Paper Number 90.
  86. Rush E. & La Nauze A. (2016b). Letting Children be Children: Stopping the sexualisation of children in Australia. The Australia Institute. Discussion Paper Number 93.
  87. Schiebener J., Laier C. & Brand M. (2015). Getting stuck with pornography? Overuse or neglect of cybersex cues in a multitasking situation is related to symptoms of cybersex addiction. Journal of Behavioral Addictions, 4(1): 14-21. DOI: 10.1556/JBA.4.2015.1.5.
  88. Seok J.W. & Sohn J.H. (2015). Neural substrates of sexual desire in individuals with problematic hypersexual behavior. Frontiers in Behavioral Neuroscience, 9: e321. DOI: 10.3389/fnbeh.2015.00321.
  89. Snagowski J., Laier C., Duka T. & Brand M. (2016). Subjective Craving for Pornography
  90. and Associative Learning Predict Tendencies Towards Cybersex Addiction in a Sample of Regular Cybersex Users. Sexual Addiction & Compulsivity, 23(4): 342-360. DOI: 10.1080/10720162.2016.1151390.
  91. Snagowski J., Wegmann E., Pekal J., Laier C. & Brand M. (2015). Implicit associations in cybersex addiction: Adaption of an Implicit Association Test with pornographic pictures. Addictive Behaviors, 49: 7-12. DOI: 10.1016/j.addbeh.2015.05.009.
  92. Spada M.M., Caselli G. & Wells A. (2013). A triphasic metacognitive formulation of problem drinking. Clinical Psychology & Psychotherapy, 20(6), 494-500. DOI: 10.1002/cpp.1791.
  93. Spada M.M., Caselli G., Nikčević A.V. & Wells A. (2015). Metacognition in addictive
  94. behaviors. Addictive Behaviors, 44: 9-15. DOI: 10.1016/j.addbeh.2014.08.002.
  95. Spada M.M., Caselli G., Slaifer M., Nikčević A.V. & Sassaroli S. (2014). Desire thinking as a predictor of problematic Internet use. Social Science Computer Review, 32(4): 474-483. DOI: 10.1177/0894439313511318.
  96. Stark R., Schienle A., Girod C., Walter B., Kirsch P., Blecker C. & Vaitl D. (2005). Erotic and disgust-inducing pictures- differences in the hemodynamic responses of the brain. Biological Psychology, 70(1): 19-29. DOI: 10.1016/j.biopsycho.2004.11.014.
  97. Stoléru S., Fonteille V., Cornelis C., Joyal C. & Moulier V. (2012). Functional neuroimaging studies of sexual arousal and orgasm in healthy men and women: a review and meta-analysis. Neuroscience and Biobehavioral Reviews, 36(6): 1481-1509. DOI: 10.1016/j.neubiorev.2012.03.006.
  98. Tiffany S.T. & Wray J.M. (2012). The clinical significance of drug craving. Annals of the New York Academy of Sciences, 1248(1): 1-17. DOI: 10.1111/j.1749-6632.2011.06298.x.
  99. Voon V., Mole T.B., Banca P., Porter L., Morris L., Mitchell S. & Irvine M. (2014) Neural correlates of sexual cue reactivity in individuals with and without compulsive sexual behaviours. PloS One, 9(7): e102419. DOI: 10.1371/journal.pone.0102419.
  100. Ward L.M. (2016): Media and Sexualization: State of Empirical Research, 1995–2015. The Journal of Sex Research, 53(4-5): 560-77. DOI: 10.1080/00224499.2016.1142496.
  101. Ward L.M., Erickson S.E., Lippman J.R. & Giaccardi S. (2016). Sexual Media Content and Effects. Oxford Research Encyclopedias. Critical/Cultural Studies, Media and Communication Policy. (Epub Aug 2016). DOI: 10.1093/acrefore/9780190228613.013.2.
  102. Wehrum S., Klucken T., Kagerer S., Walter B., Hermann A., Vaitl D. & Stark R. (2013).
  103. Gender commonalities and differences in the neural processing of visual sexual stimuli. Journal of Sexual Medicine, 10(5): 1328-1342. DOI: 10.1111/jsm.12096.
  104. Wehrum-Osinsky S., Klucken T., Kagerer S., Walter B., Hermann A. & Stark R. (2014). At the second glance: stability of neural responses toward visual sexual stimuli. Journal of Sexual Medicine, 11(11): 2720-2737. DOI: 10.1111/jsm. 12653.
  105. Wells A. (2009). Metacognitive Therapy for Anxiety and Depression. New York, NY; The Guildford Press.
  106. Winters J., Christoff K. & Gorzalka B.B. (2009). Conscious regulation of sexual arousal in men. Journal of Sex Research, 46(4): 330-343. DOI: 10.1080/00224490902754103.
  107. Zapf J.L., Greiner J., Carroll J. (2008). Attachment Styles and Male Sex Addiction. Sexual Addiction & Compulsivity, 15(2): 158-175. DOI: 10.1080/10720160802035832.

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