According to Klein, the term "sexual addiction" was developed as a way to explain the inappropriate sexual behavior of politicians and stars, but it has more to do with impulsivity, compulsion , obsession and dissatisfaction with current choices in which it is too painful to make different decisions; Furthermore, outside of narcissism, hypersexuality only exists in comorbid conditions, and is an effect of the comorbid diagnosis or the medications used to treat the other problems. Klein implies that sexual addiction is an excuse for negative behavior beloved by the media and a push for 12-step programs and advocates. A diagnosis of sexual addiction stems from discomfort with personal sexuality and cultural or religious expectations that leads to repetitive sexual behaviors (Klein). Despite the endless debate over definitions and diagnoses, most professional and medical communities agree that hypersexuality can be bothersome and can negatively affect people's lives..