Thank you for this article. There are aspects that seem well-supported and others we might discuss further, which is probably a good sign of striving for balance.

I just wanted to add the recent information the World Health Organization posted on the ICD-11 online. They believe it is important to distinguish that they did not support sex/porn as "addictive" and that compulsivity is a very different model. They described:
"materials related to the ICD-11 make very clear that CSBD is not intended to be interchangeable with sex addiction, but rather is a substancially different diagnostic framework"
"although the term 'sex addiction' has been taken up by the popular media, the Working Group concluded that available evidence did not support this conceptualization"

Thank you.