Background & Objective: Masturbation is a method of satisfying sexual desire this act by motivating and stimulating a person's sexual limb by him/herself or by machine tools that make the same situation of sexual intercourse. In addition to sexual pleasure, masturbation is performed to escape sexual tensions, especially when a sex partner is unavailable. It usually continues until the orgasm. In teenagers, sometimes it is done with the curiosity of the genitalia. It is sometimes used to prevent transmissible sexual diseases (STDs) or pregnancies. A doctor in some of the sexual dysfunctions sometimes prescribes masturbation. Obsessive masturbation is a type of abnormality associated in which a person becomes socially or professionally problem due to masturbation. The psychological complications related to this may include disorders like anxiety, rush or drug abuse. Obligate masturbation (addiction to masturbation) can be a secret subject for a person and can cause isolation from society. For man or woman, the behaviors associated with compulsory masturbation can be different from another with or without the use of exciting sexual or pornographic content. In this case, masturbation may be accompanied by spent hours to watch pornographic content or fantasy. In compulsory masturbation, usually, there are not any intimate relationships with others; therefore, it can lead to much embarrassment. Like other compulsive behaviors, compulsive masturbation is also an indication of an emotional problem and mental health professionals may need to be treated it. Similar to other neurological habits, it is important to consider the cause of this compulsive behavior instead of suppressing activity. In recent decades, researchers have believed the structure of their compassion as an adaptive form of interpersonal communication. Self–compassion consists of the importance and compassion toward self–perceived hardship or inefficiencies. Naim et al. have defined his compassion as a structure composed of three main elements: self–esteem against self–judgment, the commonality of human beings against isolation and self–reliance against extreme identification. When one has compassion, he confronts himself with warmth and unconscious understanding when faced with pain, inefficiency or failure instead of hurting his suffering and blaming himself. This process also involves understanding that incompleteness, confusion, and dealing with life problems are part of a shared human experience, something that happens to every human being, not just something that happened. Self–compassion also requires a balanced distance from negative experiences. In this case, negative emotions are neither suppressed nor magnified. A person who cannot relate to his feelings is sympathetic; his feelings are suppressed and ignored. In contrast, compassion involves maintaining a proper distance with emotions, as it is fully experienced. This study aimed to investigate the effectiveness of psychotherapy based on the component of self–compassion on the subscale of self–esteem of a teenager with obsessive masturbation behavior.
Methods: The present study was a quasi–experimental design with the experimental group without a control group. The pre–test, intervention and post–test evaluated. The research population consists of adolescents in Kashan city (Isfahan province, the centre of Iran), among ten adolescents who had obsessive masturbation. For assessment of self–esteem, Cooper Smit questionnaire was used. Data were analyzed using SPSS–22 software, and descriptive statistics, including frequency, mean and standard deviation and inferential statistics, including paired t–test or dependent t–test, were used to examine the difference between pre–test and post–test mean.
Results: Results of t-test showed the mean of self–esteem after treatment was significantly increased (p<0.01). Among the components of self–esteem, the mean of family self–esteem did not change, and the mean of total self–esteem and the mean elements of self–esteem, social and occupational–education in posttest significantly increased (p<0.001).
Conclusion: Self–compassion–based intervention could increase self–esteem of adolescent with obsessive masturbation behavior.