Diagnosis

The War on Sex Addiction

In the world of science denial, the attempt to deny the existence of sex and porn addiction occupies a special place. Although a large and growing body of science demonstrates the reality of porn and sex addiction, the barrage of assaults continues in the form of weaponized research and ideological demonization.

Even among many who accept the reality of behavioral addictions generally, such as food, shopping, exercise and gambling, the idea of sex...

General

Lovers or Sex Buddies?

Many sex addicts don't know how to date. They crave a normal relationship but do not have a realistic picture of what a good relationship might look like - or how to get there. By the same token, they may think they are dating you when what they are actually doing is using their time with you as one of their acting out behaviors.

Even for non-addicts the term "dating" is ambiguous and increasingly hard...

General

Does “Yes” Mean “Yes”? Sexual Consent, Manipulation and Gaslighting

Revelations in recent years as to the extent of sexual assault on campuses, in the military and in other institutional settings has lead to some changes in the idea of what constitutes "consent" to a sexual act. There is increasing recognition that simply failing to say the word "no" does not automatically imply consent in the sense of actual willingness to do the act in question. Hence the new standard that only "yes"...

General

Why Sex Addiction Treatment Works When Therapy Doesn’t


Many people manage to get free of their addictions or mature out of them on their own, but other people require help. And for those who require help, psychotherapy alone is often insufficient. On the most basic level, it is simply not possible to conduct a counseling session with a person who is using drugs as a primary coping mechanism....

Gay-Straight

New Report: What’s Popular in Pornography?

Reading the statistics on what kinds of pornography people are watching is a little like the proverbial can't-look-away-from-the-car-crash. It is appalling yet fascinating at the same time. It's not recommended reading for the recovering sex addict, but I'll attempt to summarize some of the more interesting bits.

, which is happy to say it is the number 1 porn site in the world, published this exhaustive review of worldwide porn use for 2014.


General

4 Stages of Denial of Sex Addiction

As with any addiction, the denial of sex addiction is a powerful obstacle to recovery.  Sex addiction recovery has been described as a grief process. When we let go of an addictive drug or behavior we are letting go of a coping skill that has served us well in the past. This is a major loss. The addiction is like an old friend, often one we have relied on our whole life to deal...

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...

General

Risk Factors in Recovery From Sexual Betrayal

At the recent CSAT convention in February the emphasis was on partners and couples recovering from the posttraumatic stress of sex addiction. The numerous lectures covered a wide range of topics, but several things stood out to me.

What follows are some snippets I gleaned which are by no means meant to address betrayal trauma as a whole or the many issues involved in disclosure, assessment and treatment.   Rather they are suggestions regarding some...

General

New Study on Porn and Erectile Dysfunction is a Wax Banana

I chose the metaphor of fake fruit to describe the recent article by Prause and Pfaus entitled Viewing Sexual Stimuli Associated with Greater Sexual Responsiveness, Not Erectile Dysfunction. I did this not because of any phallic symbolism with bananas but because the authors present fake conclusions. Published in the online journal Sexual Medicine (04/2015; DOI: ) this article appears to offer a synthesis of...