Now controversially spans all sorts of behaviours


 | New Scientist | 14 September 2019



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46
 | New Scientist | 14 September 2019
felt – all of which chimes with Ian’s 
descriptions of gaming. The image of an 
addict’s world shrinking is not just a metaphor; 
their field of vision literally narrows, until 
their addiction is all they can see.
Before gambling and gaming disorder were 
accepted as behavioural addictions by the 
WHO, they were included under a different 
category, impulse control disorders. Last 
June, a new impulse control disorder was 
added to the list: compulsive sexual behaviour. 
According to Valerie Voon, a psychiatrist 
and neuroscientist at the University of 
Cambridge who researches sex addiction, 
it is just a matter of time before there is 
enough evidence for its inclusion in the 
behavioural addiction category.
She and her colleagues designed a study 
to see what happens in the brains of possible 
sex addicts when they watch pornography. 
Nineteen heterosexual men with a diagnosis 
of compulsive sexual behaviour and 19 men 
with no history of addiction were shown 
pornographic and less sexually arousing 
videos while having their brain activity 
scanned using functional MRI.
In earlier studies, when people addicted to 
substances were exposed to the cue for their 
addiction, be it cigarettes, alcohol or drugs, 
brain scans showed activity in three specific 
regions: the amygdala, the ventral striatum 
and the anterior cingulate cortex, areas 
associated with the reward system. 
In the study Voon led, there was an increase 
in activity in those same three regions in 
the brains of the participants with signs 
of addiction to sex when they watched the 
pornographic videos and not in those of the 
Somewhere between 15 and 
20 per cent of us would develop 
an addiction if we were exposed 

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