No, that is not the message from the MAC at all! The comment from the MAC supports keeping the CSBD designation _because_ it shows strong similarities to addiction that need further research and elucidation. It seems to me that neurobiological research is building consensus that porn/masturbation acts on the mesolimbic dopamine pathway, same as substances of abuse and that for a subset of the population, this becomes problematic. Chronic porn use can also show the same elevation in biomarkers, like delta-fosB, as addictive substances. Not everyone responds the same, of course, just like not everyone who drinks becomes an alcoholic. But the brain biochemistry of some chronic porn users may indeed change in near identical ways to substance addicts.

I also disagree wholeheartedly that "religiosity" is the primary explanatory variable of why men with CSBD, or porn addiction, feel distress. More often the distress arises because the behavior starts having a detrimental effect on their lives. Missed work, lack of sleep from late night "binges", withdrawal from social connections, escalation of porn genres used into more deviant and alarming forms, inattention to other areas of one´s life in preference of porn, etc. Addiction may also be a better describer than "disorder" when there are very real withdrawal symptoms when quitting porn. And for many people, there are.

That said, and believing there is a very strong biological basis that some people can develop a true sex addiction, at least with porn, I would agree with the cautionary tone of the article that just because someone frequently masturbates to porn and feels bad about it, that does not in itself indicate a true psychological disorder, at all. If you otherwise function normally and only feel bad because you have negative conceptions about porn in general, you´re not an addict or even have CSBD.