When diagnoses disappear from medical manuals, there is always an agenda behind it: Ironically, at nearly the very same moment that sexual addiction began its technology generated escalation in the early 1990s, the American Psychiatric Association (APA) removed the term “sexual addiction” as a diagnostic indicator when publishing the DSM-IV (and later the DSM-IV-TR). Consequently, the past 25 years have wrought a rather anguished, aggressively argued, somewhat personality driven and inconsistent history in the attempts of the psychiatric, addiction, legal and mental health communities to accurately research, label and distinguish the problem of excessive adult consensual sexual behavior. During this period, potentially useful “clinical” diagnostic and treatment models with names such as “Sexual Addiction” (Carnes, 1983; 1991), “Sexual Compulsion” (Coleman, 1990; 2003), “Out-of-Control Sexual Behavior” (Kinsey Institute), and “Sexual Disorder NOS with Addictive Features” (DSM-II, 1968) have been used somewhat interchangeably among informed clinicians, 12-step communities and the general public. But in 2012, without a formal, universally accepted diagnosis, this language has about as much clinical credibility as do “Nymphomania” and “Don Juan-ism,” the terms used to describe similar issues over a century ago. The disorders don't disappear.