Compulsive Sexual Behavior Disorder as Incentive-Salience Wrong Attractor: The Wanting-Liking Dissociation, Loss-of-Control Architecture, and the Return to Integrated Sexuality

Compulsive sexual behavior disorder (CSBD; ICD-11 6C72) — characterized by inability to control intense, repetitive sexual impulses with distress and functional impairment — is a wrong attractor W_csbd in which the sexual behavior system is captured in incentive-salience dysregulation. We apply the Displacement Framework to formalize CSBD. The integrated sexuality ground state S0_sex is defined via Bancroft's dual control model at equilibrium: values-consistent, autonomous, contextually responsive desire.

W_csbd arises through three interlocking mechanisms: the wanting-liking dissociation (Robinson & Berridge 1993 — mesolimbic dopamine drives wanting without proportionate hedonic return), cue-reactivity as displacement forcing (Voon et al. 2014 fMRI), and the shame-secrecy amplification loop (Grubbs et al. 2018 moral incongruence). Nine formal propositions cover: S0_sex as integrated sexuality (P1), W_csbd as incentive-salience wrong attractor with ICD-11 mapping (P2), the wanting-liking dissociation as primary neurobiological engine (P3), cue-reactivity and attentional bias as displacement forcing (P4), loss-of-control architecture via hot-cool system dysregulation (P5), internet pornography as supernormal-stimulus variant amplified by Cooper's triple-A engine (P6), shame-secrecy amplification loop and moral incongruence (P7), cumulative Phi_csbd across five coupled domains (P8), and return paths including CBT, ACT, MBRP, pharmacotherapy (naltrexone, SSRIs), and relational repair (P9).