Aetiology
Coercive Sexual Sadism Disorder (CSSD) is a mental health condition characterized by a pattern of recurrent acts of sexual aggression and humiliation toward another person. It is thought to be caused by a combination of biological, psychological, and social factors. There is evidence to suggest that CSSD is linked to early childhood trauma, dysfunctional family dynamics, and a history of sexual abuse.
Diagnosis
CSSD is typically diagnosed by a mental health professional through a comprehensive assessment of the individual’s history, symptoms, and behavior. The assessment includes a thorough evaluation of the individual’s mental health history, any past or present episodes of sexual aggression or humiliation, and a review of any past or present relationships.
Differential diagnosis
CSSD is distinguished from other mental health conditions by its focus on sexual aggression and humiliation. Other conditions, such as voyeurism, pedophilia, paraphilia, and gender dysphoria, may also involve sexual behaviors but do not include the same patterns of behavior seen in CSSD.
Treatment
Treatment for CSSD typically involves a combination of psychotherapy, medication, and lifestyle changes. Psychotherapy can help the individual understand their condition and develop healthier coping skills. Medication can help to manage any underlying mental health conditions, such as depression or anxiety. Lifestyle changes can help to reduce the risk of engaging in sexual aggression and humiliation.
Prognosis
With treatment, individuals with CSSD can learn healthier ways to express themselves and can develop healthier relationships. However, the condition can be difficult to treat, and relapses are possible.