Archives for Diagnosis

Diagnosis

5 Ways Sex Addiction Recovery Can Get Derailed

I have heard this story of treatment failure from many couples who come in to see me about sex addiction. One partner was discovered to have sexually addictive behavior(s) such as porn addiction, voyeurism, hook-ups, paying for sex etc. After an initial upheaval the couple found help for the addict. The addict went into a program which may have included residential or intensive outpatient treatment, individual therapy, couple counseling, or some combination of these.

At some point the addict felt that he or she had seen the light and was able to refrain from the compulsive behavior for a period of months or years. Then seemingly out of the blue, the addict starts secretly acting out again.
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Diagnosis

Voyeurism: What it is and What it isn’t

Most sex addicts, no matter what their behaviors consist in (prostitutes, anonymous sex, serial seductions, pornography etc.) will tend to sexualize other people they look at. You might say that sex addicts view the world through sex colored glasses. But this does not mean that they are voyeurs.

Voyeurism is a distinct category of behavior that characterizes certain sex addicts.  And although most people who identify as sex addicts have more than one type of behavior, research by Patrick Carnes and others found that there were 10 distinguishable types or clusters of addictive behavior of which voyeurism was one.

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Diagnosis

5 Signs you are Involved with a Narcissist

Basically you can’t get close to a narcissist.  A relationship with a narcissist will be a problem, and the more narcissistic they are the more it becomes impossible.

Sex addicts and addicts generally are often described as narcissistic, but many non-addicts are narcissists as well.  Trying to have a relationship with a true narcissist can be an extremely tortuous and confusing experience.

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Diagnosis

The Myth of the “Normal” Childhood: Why are you a Sex Addict?

It is not unusual for sex addicts to ask “How did I get this way? I had such an ordinary childhood.”

Nobody survives childhood unwounded.  And many kinds of stressful or frightening experiences can become sexualized along the way, leading to problems later on.  And yet whether or not there is lasting damage depends on a myriad of factors such as the age of the child, their temperament, the presence or absence of support outside and inside the family, birth order, and the particular traits of the caregivers and many others.

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Diagnosis

Self-Destructive Behavior in Addiction Prone People

Self destructive behavior is often hard to fathom.  A person who habitually cuts him/herself, a person who has risky sex with a stranger in a park at night, a person who eats to the point of being sick; such behaviors make no sense to the average person.

Such behavior can be seen psychologically as an escape, a coping strategy, a survival skill, or a way to restore emotional equilibrium.

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Diagnosis

Should Sex Addicts Ever Hold Public Office?

Currently everyone seems to form some kind of impression about Anthony Weiner’s  or Bob Filner's sexual behavior and what it means.  But what do people really know?  Clinical evaluation of someone’s sexual behavior involves a thorough interview and testing and consideration of how much or what kind of treatment they might need for the anticipated outcome. The person watching the events play out in the media doesn’t have all the information or expertise.

So how can the average voter know how to evaluate a candidate’s sexual indiscretions?

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cross addiction

Don’t Call it Hypersexuality: Why we Need the Term Sex Addiction

What does it mean to say that sex addiction "exists" or "doesn't exist" apart from the fact that denying it's existence or rebutting the denials can get you your 15 minutes of fame.

A diagnostic term is always a provisional construct, a tool for organizing information about phenomena we are trying to understand and work with.  A construct will be “correct” as long as it is optimally useful.

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