Date of Award
2022
Document Type
Doctoral Research Paper
Degree Name
Psy.D.
Organizational Unit
Graduate School of Professional Psychology
First Advisor
Laurie Ivey
Second Advisor
Joseph de Lappe
Third Advisor
Jennifer Tippett
Copyright Statement / License for Reuse
This work is licensed under a Creative Commons Attribution 4.0 International License.
Keywords
Asexuality, Demisexuality, FSIAD, MHSDD, Sexual orientation, Identity, Parametric
Abstract
This paper considers demisexuality as an identity and sexual orientation for use by psychologists using historical, sociological, and psychological perspectives. It discusses the clinical implications of demisexuality as an identity and orientation distinct from asexuality. The paper discusses applications and limitations of defining and identifying demisexuality in a clinical population and it's social, scientific, and contextual significance. The paper compares what can be observed with existing diagnostic guidelines present in the DSM-5 for the identification of Female Sexual Interest/Arousal Disorder (FSIAD) and Male Hypoactive Sexual Desire Disorder (MHSDD). The paper proposes guidelines for the diagnosis and the ethical clinical treatment of demisexuals.
These goals were achieved by conducting a literature review of asexual studies, historical understandings of sexual expression, studies of psychological outcomes in under-represented identities, and accepted diagnostic approaches. The data collected was analyzed using a parametric analysis of human sexuality. The data and analysis can be used to aid psychological treatment and diagnostic assessment of demisexual and clinical populations. It is a novel approach for conceptualizing human sexuality that digresses from existing assessments.
The analysis found significant evidence that demisexuality is distinct from asexuality and warrants a sufficiently adapted approach to psychotherapeutic treatment. The current diagnostic criteria of the DSM-5 for FSIAD/MHSDD were found to be insufficient to treat demisexuals. It further suggested that demisexuality should be ruled out for FSIAD/MHSDD diagnosis, as is currently the case for asexuality. The findings identified demisexuality as an area of study which requires further psychological research.
Publication Statement
Copyright is held by the author. User is responsible for all copyright compliance.
Extent
70 pgs
Recommended Citation
Fiorini, Michael Scott, "Asexuality and Demisexuality: Clinical Implications of Sexual Identity" (2022). Graduate School of Professional Psychology: Doctoral Papers and Masters Projects. 469.
https://digitalcommons.du.edu/capstone_masters/469