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Clinical testimony: modern online pornography fuels compulsive sexual behavior disorder and harms youth development, expert says

North Dakota Legislative Management Study Committee on Criminal Conduct Against Children and Human Trafficking · September 30, 2025
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Summary

A clinical expert testified that modern online pornography acts as a potent, rapid-learning stimulus that increases risk of compulsive sexual behavior disorder, alters brain development and raises public-health concerns for children and relationships; she recommended strengthened age verification and expanded treatment access.

A licensed marriage-and-family therapist told the Legislative Management Study Committee on Sept. 30 that modern, internet-delivered pornography differs from earlier eras in its accessibility, anonymity and neurological impact and should be treated as a public-health issue.

Dr. Jill Manning, a clinician who testified remotely, summarized peer-reviewed studies and international diagnostic updates. She said compulsive sexual behavior disorder (CSBD) is now recognized in the World Health Organization's ICD-11 and that recent U.S.…

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