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Comment cannot be longer than characters. We found nine relevant research papers. Three of these studies indicate increased ventral striatal reactivity for erotic stimuli, which is consistent with IST and does not support predictions based on RDS. Therefore, the current state of this data suggest that CSB is related to increased ventral striatal reactivity during the anticipation of erotic stimuli.

The most commonly reported symptoms of CSB concern time spent viewing pornography mainly on the Internet and excessive masturbation 5 — 7. Other reported types of behaviors include risky casual sexual relations, anonymous sex, and use of paid sexual services 8. According to proposed criteria very similar to those previously proposed 3 mb free famely porn video Kafka 6we may recognize CSB Disorder if following symptoms are observed over a period of at least 6 months:.

Excessive time spent on sexual fantasies, urges, or behaviors repeatedly interferes with other important non-sexual goals, activities, and obligations, i. The subject engages repeatedly in these sexual activities in response to dysphoric emotional states, i. Despite repeated attempts, the subject fails to control or significantly 3 mb free famely porn video these sexual activities, i.

The subject continues these sexual activities despite the risk of physical or emotional harm to self or to others, i. The frequency and intensity of these sexual activities lead to clinically significant personal distress or dysfunction in important aspects of life and do not result from exogenous substance use e. One of the crucial brain circuits involved in addiction is the reward system connecting such brain structures as the ventral tegmental area one of the principal dopamine-producing areas in the brain with the ventral striatum, mesocortical pathways, and cerebral cortex, especially the overwatch porno and mediofrontal cortex 13 — Anatomically, the ventral striatum in humans 3 mb free famely porn video non-human primates includes the nucleus accumbens, the region between the caudate nucleus and ventral putamen to rostral internal capsule, the olfactory tubercle, and the rostrolateral portion of the anterior perforated space adjacent to the lateral olfactory tract 17innocent mmorpg sex game girl fuck video However, human connectivity studies suggest that the ventral striatum includes the nucleus accumbens and a larger region of the medial caudate nucleus and flashthatass video putamen The ventral striatum receives cortical input from the orbital frontal cortex and anterior cingulate cortex in addition to dopaminergic input from the midbrain.

The same region projects output to the ventral pallidum and 3 mb free famely porn video the ventral tegmental area, which project output back to the prefrontal cortex through the medial dorsal nucleus of porn game free no sign up needed thalamus. This circuit is an integral part of the cortico-basal ganglia system Different nodes of this network play different roles in such aspects of reward processing as motivation and hedonic pleasure 20 The ventral striatum especially the nucleus accumbens is probably the most extensively studied brain region in the context of reward processing 2223demonstrating activation during the anticipation and receipt of different types of anjalinajoly secx 24 Of the many addiction theories which are of monster girl hentai, here, we would like to focus on two which allow for very clear predictions about ventral striatal activation and its link to addictive behaviors: Studies on substance and gambling addiction show that learned conditional stimuli so called cues related to addiction evoke increased responses in the ventral striatum as well as increased motivated behavior manifested with shorter reaction times among addicted individuals, while responses to the reward itself remain unchanged or undergo blunting over time 26 The Reward Deficiency Syndrome theory 2930 posits that individuals with addictive behaviors have a general deficit in recruiting brain reward pathways, resulting in chronic hypoactivation of these circuits and supposedly reduced pleasurable experience from justin bieber porno. Addictive behaviors, such as substance use or gambling, are consequently initiated to compensate for this reward deficiency and to stimulate the brain's reward circuitry According to RDS, if a group of individuals with CSB is similar to subjects with substance and gambling addictions, than we should see decreased ventral striatal activations in the CSB group in response to the cue and during reward processing when compared to healthy controls.

Before discussing the results of published studies, 3 mb free famely porn video is worth mentioning that according to our understanding, IST and RDS are not contradictory, but rather complementary, approaches. But for the sake of better understanding, we need to take the origins of both frameworks into account. RDS describes an inborn, genetically-determined tendency for hypoactivation of reward circuits. The 3 mb free famely porn video framework relates this innate trait to specific gene mutations, except for in the case of addictions, in which this tendency is related to non-specific mutations 2030 On the other hand, IST assumes that incentive salience of some types of cues can be acquired through the regular conditioning and learning processes; however, in the case of individuals with a specific phenotype [for example, sign-trackers: Therefore, we can imagine that some individuals with the phenotype described by RDS 3 mb free famely porn video generalized hypoactivation for any type of rewards and their associated cues, and present with lower activations of the ventral striatum when compared to the general population.

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However, at the same time, these same individuals have learned bm some types of stimuli or substances provide them with greater pleasure—thusly, all cues associated with these greater pleasure-inducing stimuli acquire high incentive salience, per conditioning as described in IST. For these specific cues, this group's ventral striatum 3 mb free famely porn video be more activated than when compared to the general population and when compared to different types of lois griffin hentai porn.

With this prediction, we aim to review available 3 mb free famely porn video data on ventral striatal activations in CSB. If CSB is more related only to IST, then we should find more studies showing increased ventral striatal activations during expectation for erotic stimuli among individuals with CSB as compared to healthy controls.

If CSB is more related to the RDS, then we should see more studies which demonstrate decreased ventral striatal 3 mb free famely porn video for any type of rewards among Famelh subjects when compared to fdee controls, and possibly decreased reactivity of the ventral striatum during the expectation of the reward, as well. For the purpose of this review, we searched Google Scholar, Video sex hentai3d, and EBSCO databases for scientific papers published in peer-reviewed journals excluding conference abstracts between January 1, and February 22, We only included publications which utilized functional magnetic resonance imaging fMRIas we are interested in the BOLD response of the ventral striatum and included keywords such as compulsive sexual behavior, pornography, sex addiction, ,b, hypersexual disorder, problematic pornography use, and internet pornography addiction.

The search was viedo on February 22 and February 25, Again, Internet pornography use frequency correlated with low sexual desire in high school seniors [ 29 ].

Two studies deserve fere consideration here. The first study claimed to be the first nationally-representative study on married couples to assess the effects 3 mb free famely porn video pornography use with longitudinal data.

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The marriages most negatively affected were those of men who were viewing pornography at the highest frequencies once a day or more. Assessing multiple variables, the 3 mb free famely porn video of pornography use in was the second strongest predictor of poor marital quality in [ 47 ].

The second study claimed to be the only study to directly investigate the relationships between sexual dysfunctions in men and problematic involvement in Game porn zoo android online sexual activities.

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This survey of men reported that lower overall sexual satisfaction and lower erectile function were associated with problematic Internet pornography use [ 44 ]. Finally, a significant percentage of the participants Our game of thrones xxx also included two papers claiming that Internet pornography use is unrelated to rising sexual difficulties in young men.

However, such claims appear to be premature on closer examination of these papers and related formal 3 mb free famely porn video. The first paper contains useful insights about the potential role of sexual conditioning in youthful ED [ 50 ].

However, this publication has come under 3 mb free famely porn video for www xnxx com discrepancies, omissions and methodological flaws. For example, it provides no statistical results for the erectile function outcome measure in relation to Internet pornography use.

Additionally, the researchers investigated only hours of Internet pornography use fwmely the last month. A better ponr is subjective sexual arousal ratings while watching Internet pornography cue reactivityan established correlate of frwe behavior in all addictions [ 525354 ].

There is also increasing evidence that the amount of time spent videp Internet video-gaming does not predict addictive behavior. A second paper reported little correlation between frequency of Internet pornography use in the last year and ED rates in sexually active men from Norway, Portugal and Croatia [ 6 ]. Yet, based on a statistical comparison, the authors conclude that Internet pornography use does not seem to mn a significant risk factor for youthful ED.

This paper has been formally criticized for failing to employ comprehensive models able to encompass both direct and indirect relationships between variables known or hypothesized to be at work [ 3 mb free famely porn video ]. Incidentally, in a related paper on problematic low parasites porn desire involving many of the same survey participants from Portugal, Croatia and Norway, the men were asked which 3 mb free famely porn video numerous factors they believed contributed to their problematic lack of sexual interest.

Again, intervention studies would be the most instructive. However, with respect to correlation studies, it is likely that a complex set of variables needs to be investigated in order to elucidate fajely risk fameoy at work in unprecedented youthful sexual difficulties. First, it may be that low sexual desire, difficulty orgasming with a partner and erectile problems are part of the same spectrum of Internet pornography-related effects, and that all of these difficulties should be combined when investigating potentially illuminating correlations with Internet pornography use.

While m studies are easier to conduct, the difficulty in isolating the precise variables at podn in the unprecedented rise of vidso dysfunction in men under 40 suggests that intervention studies in which subjects removed the variable of Internet pornography use would better establish whether there is a connection between its use and sexual difficulties.

The following clinical reports demonstrate how asking patients with diverse and otherwise unexplained dysfunctions to eradicate Internet pornography use helps to isolate its effects on sexual difficulties. Below we report on three active duty servicemen. Two 3 mb free famely porn video a physician porno android game their non-organic erectile dysfunction, low sexual desire, and unexplained difficulty in achieving orgasm with partners.

The first mentioned variables 16 and pornnlisted in the preceding paragraph. The second mentioned 6 and 7. Both midna comic xxx free of mental health diagnoses. We also report a third active duty serviceman who saw a physician for mental health reasons.

He mentioned variable 6. A year por active duty enlisted Caucasian serviceman presented with difficulties achieving orgasm during intercourse for the previous six months. It first happened while he was deployed overseas.

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He was pussystreaching for about 3 mb free famely porn video hour without an orgasm, and his penis went flaccid. His difficulties maintaining erection and achieving orgasm continued throughout his deployment. He could achieve an erection but could not vidfo, and after 10—15 min he would lose his erection, which was not the case prior to his having ED issues.

He endorsed viewing Internet pornography for stimulation. Since he gained access to high-speed Internet, he relied solely on Internet pornography.

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However, gradually he needed more graphic or fetish material to orgasm. He reported opening multiple videos simultaneously and watching the most stimulating parts.

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When preparing for deployment 3 mb free famely porn video a year ago, he was worried about being vodeo from partnered sex. This device was initially so game naruto online porn that he reached orgasm within minutes. However, as was the case viddo Internet pornography, with increased use, he needed longer and longer to ejaculate, and eventually he was unable to orgasm at all.

Since returning from deployment, he reported continued masturbation one or more times per day using both Internet pornography and toy. He denied any other relationship issues. She was starting to think that he was no longer attracted to her.

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Medically, he had no history of major illness, surgery, or mental health diagnoses. He was not taking any medications or supplements. He denied using tobacco products but drank a few drinks at parties once or twice a month. He had never blacked out 3 mb free famely porn video alcohol intoxication. He denied a history of sexually transmitted diseases. On physical examination, his vital signs were all normal, and his genital exam was normal appearing without lesions or masses.

At the conclusion of the visit, it was explained to him that use of a sex toy had potentially desensitized his penile nerves and watching hardcore 3 mb free famely porn video pornography had altered his threshold for sexual stimulation.

He was advised to stop using the toy and lesbian porn simulators hardcore Internet pornography. He was referred to urology for further evaluation.

By the time he was seen by the urologist a few weeks later, he had cut deer porn furry on Internet pornography use significantly, although he said he could not completely stop. He ceased using the toy. A year old African American enlisted serviceman with 17 years of continuous active duty presented with difficulty achieving erections for the previous three months.

He reported that when he attempted to have sexual intercourse with his wife, he had difficulty achieving an erection and difficulty maintaining it long enough to orgasm. Ever since their youngest child left for college, six months earlier, he had found himself masturbating more often due to increased privacy.

He formerly masturbated every other week on average, but that increased to two to three times per week. He had always used Internet pornography, but the more 3 mb free famely porn video he used it, the longer it took to orgasm with his usual material.

This led to him using more graphic 3 mb free famely porn video. He denied ever having these issues earlier in the seven years of their marriage. He was having marital issues because his wife suspected he was having an affair, which he adamantly denied. His medical history was only significant for hypertension, which was diagnosed more than two years earlier and had been well controlled with a diuretic: He took no other medications or supplements.

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His only surgery was an appendectomy performed three years prior. He had no sexually transmitted diseases or mental health diagnoses. He endorsed smoking three packs of cigarettes per week for over ten years and drinking one to two drinks per week.

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Physical exam revealed vital signs within normal ranges, normal cardiovascular exam, and normal appearing genitals without lesions or masses. At the end of the exam, his issues were attributed to heightened sexual stimulation threshold from exposure to hardcore Internet pornography and frequent masturbation. He was advised to stop watching hardcore Internet pornography and decrease masturbation frequency. He said whenever he was home alone, he found himself watching Internet pornography, which would eventually lead to 3 mb free famely porn video.

He was offered a referral to sex behavioral therapy, but he fuck fight sex. He wanted to try to work on his behavior on his own.

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A year old junior Enlisted Sailor was admitted to the inpatient mental health unit after a suicide attempt by overdose. During his evaluation and treatment he admitted to 3 mb free famely porn video alcohol even though he was advised to not use alcohol while being treated with antidepressant medications.

His history and increasing tolerance were consistent with mild Alcohol Use Disorder due to his use while taking antidepressants. As part of the addictions portion of his history he was asked about gambling, Internet gaming and pornography addiction.

1. Introduction

He also realized that he had diminished sexual interest in his wife, manifested by his inability to maintain sustained erections, preferring to 3 mb free famely porn video pornography where he had no erectile issues. When he became aware of his excessive use of pornography, he stopped viewing it 3 mb free famely porn video, telling his interviewer he was afraid that if he viewed it to any extent he would find himself overusing it again.

He reported that after he ceased using pornography his erectile dysfunction disappeared. In summary, intervention studies designed femboy porn hentai reveal causation by removing the variable of Internet pornography use are much needed to investigate unexplained sexual difficulties in Internet pornography users under While male sexual response is complex, several key brain regions are critical for achieving and maintaining erections [ 61 ].

Hypothalamic nuclei play an important role in regulating sexual behavior and erections by acting as an integration center for brain naruto baise omoi porno peripheral input [ 62 ]. The hypothalamic nuclei that facilitate erections receive pro-erectile input from the mesolimbic dopamine pathway, which comprises the ventral tegmental area VTA and the nucleus accumbens NAc [ 62 ].

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Erections are dependent upon activation of dopaminergic neurons in VTA and dopamine receptors in the NAc [ 6566 ]. Excitatory glutamate 3 mb free famely porn video from other limbic structures amygdala, hippocampus and the prefrontal cortex facilitate dopaminergic activity in the VTA and NAc [ 62 ].

Reward responsive dopamine neurons also project into the midna comic xxx striatum, a region activated during sexual arousal and podn tumescence [ 67 ].

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Dopamine agonists, such as apomorphine, have been shown to 3 mb free famely porn video erection in men with both normal and impaired erectile function [ 68 ].

Thus, dopamine signaling in the reward system and hypothalamus plays a central role in sexual arousal, sexual motivation and penile erections [ 656669 ]. We propose that chronic Internet pornography use resulted in erectile dysfunction and delayed ejaculation in our servicemen reported above. We hypothesize an etiology arising in part from Internet pornography-induced alterations in the circuits governing sexual desire and penile erections. These two brain changes are consistent with chronic overconsumption of both natural rewards and drugs of abuse, and are mediated by dopamine surges in the reward system [ 70 3 mb free famely porn video, 7172 ].

Arguably, the most important development in the field of problematic sexual behavior is game adult mod apk android way in which the Internet is influencing and facilitating compulsive sexual behavior [ 73 ].

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