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Common Mechanisms of Change in Treating Compulsive Sexual Behavior Disorder: A Delphi Study
Abstract Significant differences in conceptualizing and treating compulsive sexual behavior disorder (CSBD) persist among clinicians and scholars, underscoring a need for evidence-based consensus. This study employed Delphi methodology to explore common mechanisms of change in CSBD treatment based on the knowledge, experience, and models of 22 expert clinicians. The initial round of the study resulted in identifying 120 distinct mechanisms. Subsequent rounds indicated that participants, despite their differences, largely agreed on the relative importance of each mechanism of change. Clinically, integrating both individual and relational mechanisms of change in the context of a safe therapeutic relationship was determined to be extremely important.
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