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The Sexually Addicted Couple
Published in Len Sperry, Katherine Helm, Jon Carlson, The Disordered Couple, 2019
Sexual addiction generally indicates excessive or uncontrolled sexual behavior. Sexual cognitions that lead to subjective distress, social or occupational impairment, and legal and financial consequences are additional markers for potential sexual addiction (Black, Kehrber, Flumerfelt, & Schlosser, 1997). Although sex addiction and pornography addiction are related, they can also be separate issues, as an individual who is addicted to sex usually acts out this addiction with others, while an individual who is addicted to pornography may compulsively view porn online or in other formats. There are a variety of behaviors that fall into the category of sex addiction: (1) multiple affairs; (2) excessive viewing of pornography; (3) online relationships; (4) use of sex workers; (5) masturbation with or without visual stimulation; or (6) frequent visiting of clubs where anonymous or recreational forms of sex are available (Cohn, 2014). Some research literature hypothesizes likely mechanisms of compulsive sexual behavior as a means for anxiety reduction and mood regulation, but these are based on clinical impression (Bancroft & Vukandinovic, 2004) and not empirical study.
Internet Pornography: Addiction or Sexual Dysfunction?
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
The patient may present in a number of ways: Acknowledging a clear connection between pornography and their loss of libido, erectile dysfunction, delayed ejaculationWith overt concerns about sexual or pornography addictionUnaware of any connection at all
Addictions
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
See answers on page 671. Which of the following are features of a substance use disorder? Substance is taken in larger amounts over longer periods than planned.Withdrawal from normal activities and hobbies.Continued use despite knowledge of psychological or physical health consequences.Person requires increased dose or experiences decreased effect from substance.All of the above.Which of these are listed as official conditions in the DSM-5? Internet dependence Gambling disorder Pornography addiction Compulsive shopping disorder Social media addiction Medication is effective in reducing the severity of behavioural addiction. True False
The Short Version of the Problematic Pornography Consumption Scale (PPCS-6): A Reliable and Valid Measure in General and Treatment-Seeking Populations
Published in The Journal of Sex Research, 2021
Beáta Bőthe, István Tóth-Király, Zsolt Demetrovics, Gábor Orosz
Studies examining the prevalence rates of pornography use frequency and problematic pornography use often apply only one item assessing the subjective feeling of “pornography addiction” without further indicators of problems related to it (e.g., Rissel et al., 2017). These results might be prone to biases due to moral incongruence regarding pornography use (Grubbs, Perry, et al., 2019). Although individuals with religious beliefs may oppose pornography use, they tend to engage in this activity, potentially leading to moral incongruence and reporting of lower levels of pornography use. In addition, they may attribute any amount of pornography use to control problems, and they may interpret it as an “addiction” to pornography use (Grubbs, Perry, et al., 2019; Kraus & Sweeney, 2019).
Do thinking styles play a role in whether people pathologise their pornography use?
Published in Sexual and Relationship Therapy, 2019
Athena Duffy, David L Dawson, Nima G Moghaddam, Roshan das Nair
“Pornography addiction” has not been accepted and classified as a psychological disorder, although research continues to investigate the effects of pornography use as a distinct sexual behaviour (Kafka, 2010). However, given there is no agreed diagnostic category for pornography addiction, there is disagreement amongst researchers regarding its definition, and a plethora of terms are used in this area,1 such as compulsive viewing (Cooper, Delmonico, Griffin-Shelley, & Mathy, 2004; Young, 2005), impulsive viewing (Shapira et al., 2003), excessive viewing (Pyle & Bridges, 2012), dependence (Cavaglion, 2009), and hypersexual disorder (Kafka, 2010; Kaplan & Krueger, 2010; Reid, Li, Gilliland, Stein, & Fong, 2011). How pornography addiction is operationalised, therefore, often varies between studies, and this influences the conclusions made about the impact of pornography addiction and about whether it actually exists at all. Indeed, a recent systematic literature review revealed stark disparities between the operational definitions of pornography addiction in different studies (Duffy, Dawson, & das Nair, 2016.). Broadly, definitions related to “excessive” use and negative consequences of use, yet arbitrary indices of “excessive”, were often utilised. The variables used to operationalise pornography addiction and its impact were also found to be inadequate and simplistic, and as a result, the conclusions made in the studies were often misleading.
Moral Incongruence and Pornography Use: A Critical Review and Integration
Published in The Journal of Sex Research, 2019
Joshua B. Grubbs, Samuel L. Perry
In clinical settings, our findings suggest that understanding the full etiology of a client’s self-identified pornography addiction is likely an important venture. Although we would hope that such holistic considerations are natural to most therapists, there is some evidence of variability in how therapists approach sexual issues. For example, past research has found that more religious therapists are more likely to diagnose sexual addiction (Hecker, Trepper, Wetchler, & Fontaine, 1995) in clientele presenting with reports of excessive sexual behaviors. Similarly, religious therapists are more likely to label online sexual activity an addiction (Hertlein & Piercy, 2008). In short, therapist religiousness and morality seem to influence how clients’ sexual behaviors are interpreted. This is particularly concerning, given that perceived moral judgments from clinicians may reduce client willingness to continue in therapy (Harris & Darby, 2009). As such, given the findings of the present work, thoroughness and caution are imperative.