Two Clinical Cases of Compulsive Sexual Behavior and Illegal Voyeurism: Report and Discussion
10.4306/jknpa.2026.65.1.50
- Author:
Seon Young PARK
1
;
Ung Gu KANG
;
Jaehyun KIM
;
Myung Je SUNG
Author Information
1. National Center for Mental Health, Seoul Korea
- Publication Type:CASE REPORT
- From:Journal of Korean Neuropsychiatric Association
2026;65(1):50-57
- CountryRepublic of Korea
- Language:English
-
Abstract:
This paper reports two clinical cases of men in their twenties who presented with compulsive sexual behaviors characterized by excessive pornography use and illegal voyeuristic activities. Although both individuals maintained otherwise adequate social and academic functioning, they experienced psychological distress and faced legal consequences stemming from their inability to control their sexual impulses. Pharmacological treatment with naltrexone and fluoxetine was associated with a reduction in their compulsive urges. Compulsive sexual behavior disorder (CSBD) has not yet been formally included in the Diagnostic and Statistical Manual of Mental Disorders (DSM), and its status as a potential behavioral addiction remains under debate. Voyeuristic behavior is classified within paraphilic disorders, which are considered diagnostically separate from CSBD despite substantial clinical overlap. These cases contribute to the ongoing discussions regarding the conceptualization of CSBD and highlight the importance of recognizing and expanding the therapeutic approaches for individuals struggling with impaired sexual impulse control.
