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Archives for November, 2012

Hypersexual Disorders

Sex Addiction, Paraphilias, and Offending… Oh My!

What the Heck is a Paraphiliac?

Within the therapeutic community there is considerable confusion as to what constitutes sexual addiction, what constitutes paraphilic behavior, and what constitutes sexual offending. In part this is caused by our collective inability as sexual addiction professionals, sex therapists, and sex offender treatment providers to engage in useful, integrated discourse, perform research, create conferences, and most of all to work together. Complicating matters is the APA's lamentable inability/unwillingness (so far)...
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Intimacy & Fidelity

Men in Power and Sexual Misbehavior: The Ongoing Saga

Amidst revelations of an affair between CIA Director General David Petraeus and his biographer, Paula Broadwell, not to mention the alleged inappropriate communications between Petraeus' successor in Afghanistan, General John Allen, and Petraeus family friend Jill Kelley, one can't help but wonder: What were these men thinking? Of course, we asked the same question with Tiger Woods, Anthony Wiener, Eliot Spitzer, and a whole bunch of other sexually misbehaving public figures.
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Neurochemistry, Escalation, and the Process Addictions

The Neurochemical Quagmire

As is the case with substance addictions, process (behavioral) addictions induce a neurochemical pleasure response comprised of dopamine (pleasure), adrenaline (anxiety, energy), oxytocin (love, jealousy), serotonin (mood stability), and endorphins (mild euphoria). But unlike the substance abuser, those with sexual and other behavioral addictions don't need to ingest a substance to evoke a neurochemical high. Essentially, individuals who struggle with underlying emotional or psychological issues such as early-life emotional trauma, social...
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Sexual Addiction and the Power of Denial

Eyes Wide Shut

Sex addicts - men and women who obsess about and compulsively abuse sexual and romantic behaviors to the point of self-harm and/or harm to others - frequently appear to be quite functional in other areas of their lives. Unfortunately, as with most active addicts, these individuals are often out of touch with the unforeseen costs of their addictive behavior patterns until a related crisis emerges for which they seek help. Ignoring signs...
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