Rethinking Sexual Aversion: Disgust Mechanisms and Clinical Pathways

Abstract

Purpose of Review: This review examines sexual aversion, emphasizing its emotional underpinnings, particularly the role of disgust, and explores therapeutic and diagnostic advancements. It addresses the omission of sexual aversion disorder from DSM-5 and its implications for clinical practice and future research. Recent Findings: Disgust, as a primary emotional mechanism in sexual aversion, distinguishes itself from related sexual dysfunctions. Research highlights the effectiveness of hierarchical intensive exposure therapy and cognitive-behavioural interventions in reducing disgust-driven avoidance behaviours. Moreover, tools such as virtual reality therapy are emerging as an innovative tool in this field. Summary: Recognizing disgust’s centrality in sexual aversion underscores the need for tailored interventions and diagnostic refinement. This review/report advocates for the reclassification of sexual aversion as a distinct disorder to enhance clinical attention and outcomes and foster further research.