By Jesse Singal
The concept of “sex addiction” has become deeply embedded in our culture — people toss the term around pretty easily, and it’s the subject of TV shows, documentaries, and a profitable cottage industry of treatment centers. The problem is, as Science of Us has noted before, the scientific evidence for sex addiction being similar to alcohol or drug addiction is very, very thin, and it may be the case that people who believe or are told they have sex addiction actually have other stuff going on.
And yet, it’s undoubtedly the case that many people show up at therapists’ offices worried about sexual behavior that feels compulsive. How do therapists who are skeptical of the idea of sex addiction deal with these patients? That’s the question at the center of an interesting article in SELF by Zahra Barnes.
Barnes does a good job laying out the strong majority view that “sex addiction” shouldn’t be viewed in the same way as other, more scientifically validated forms of addiction, and she also contrasts the way different sorts of therapists deal with sexually compulsive behavior. As she explains, therapists who hew to the majority view often take a “harm reduction” approach to patients who are complaining of compulsive behavior.
“It’s humanistic, meaning it privileges the subjective experience of a person and doesn’t try to apply some external model on what they’re describing, and it’s culturally libertarian, meaning as long as they’re not hurting anyone, you allow people to behave the way that they want and give them the space to do it,” said Michael Aaron, Ph.D., a sex therapist in New York City and author of Modern Sexuality.]
This method can work for people troubled by their sexual urges and those with compulsive sexual behavior. “Rather than trying to change something, we need to acknowledge it and embrace it,” Aaron says. He offers the example of someone who has fantasies of traumatizing children sexually or being sexually violent toward women: “The harm reduction approach asks, can you play out some of these themes with a consenting partner?” The aim is to satisfy these desires with a willing partner instead of suppressing them, which can just make them stronger, he explains.
Therapists who do believe in the addiction model work differently, and where this difference manifests itself most strongly is in their approach to shame. While Aaron and other harm-reduction researchers try to stay away from shaming their patients, which they say can worsen compulsive behaviors, believers in the sex-addiction model see things differently:
“Sex addicts need to feel some shame about what they’re doing, because they are shameless. When people are shameless, they rape and murder and steal and pillage and get into politics,” [says Alexandra Katehakis, clinical director of the Center for Healthy Sex.]. But this is different from shaming someone, she says. “Shaming in an unprincipled way is out of bounds [for a mental health professional],” she explains. That would include saying or even implying that someone is disgusting based on what they’re doing. Rather, she asks questions designed to make someone reflect on what their actions have wrought, like, “What do you think that feels like for your partner?” It’s helpful, not damaging, she explains, because, “It challenges them to see what they’re doing, and it brings them into the reality of their behavior.”
It seems like one of the key philosophical differences here is the question of the extent to which people can control their most primal sexual urges. The therapists who don’t believe in sex addiction appear to view people’s sexual preferences (for lack of a better term given they probably aren’t preferences) in a holistic context — if people are “acting out” sexually in a way that harms others, it could be because of other stuff going on in their lives. You address the behavior by addressing the root causes. The believers, on the other hand, focus more on the urges and finding ways to address the behavior and urges in and of themselves.
These approaches aren’t fully compatible, so it’s no surprise there’s tension between the majority of sex researchers who don’t believe in the addiction model and the minority who do.
Complete Article http://nymag.com/scienceofus/2017/01/should-shame-be-used-to-treat-sexual-compulsions.html!
1. Sexual play doesn’t have to end in orgasm to be satisfying. Yes, we like climaxing. And we expect to get there most of the time. But we don’t experience what guys refer to as “blue balls”—we don’t have nuts that can be brought to the brink of busting and then abruptly deprived of fulfilling their orgasmic destiny—so there’s no reason to feel bad or subhuman or inadequate if you get off before we do. Don’t expect us to beg you to finish us off like you might want to be in the same situation. We’re just fine curling up and falling asleep, or getting on with our day.
2. If you whine too much about your inability to make us orgasm once in a while even after we explain that sex can be pleasurable regardless, we are bound to start faking orgasms regularly. Faking an orgasm is called for on occasion, but we like to think of it as a last resort since it’s counterproductive to achieving future gratification by way of rewarding ineffective tactics. We don’t want to fake it more than we absolutely have to (for your good, and ours), so don’t make us.
3. We respect and appreciate your willingness to service us 99.9% of the time we want to get busy, but you can’t expect the same from us. We’re biologically programmed and societally conditioned to be more cautious about sex in general because we bear 100% of the physiological burden of getting pregnant and we’re the ones dealing with all the slut shaming. Please do not cite your “accommodating nature” as the reason why you should be able to select from a menu of on-demand sexual services at any time. If you avoid making this argument, we’re far more likely to have sex with you even when we don’t want to.
4. You might think we’re in the mood a lot less often than you are, but the fact is that we function differently. For a lot of women, desire doesn’t necessarily precede arousal. We need to be touched, caressed, and loved in order to crave sex. So instead of whining about how horny you are and how unlikely it seems that you’ll get laid that night because we’re a bit mopey or whatever, sneak up behind us and start rubbing our shoulders and work your way down to our waist, or go in for a boob grab. The key is physical contact, so touch us!
4. Foreplay doesn’t start twenty minutes before penetration. It is an all-day, every day phenomenon. If you want to increase the chances that we’ll mount you on any given night, tell us we’re sexy in the morning as we’re getting ready for work, or send us a text midday just to say you’re thinking about the way our ass looks when we shake it for you.
5. Tell us we’re beautiful without exaggerating. We know we don’t look like Gisele naked, so don’t make outrageous claims about how hot we are. Ridiculous compliments come across as insincere, so they’re ineffectual. We’d rather be appreciated for the way we look, flaws and all. Tell us what turns you on about us specifically, whether it’s something we’ve done or something we’re wearing, and avoid comparing us to other women at all costs. Start with “I love the way your…” or “I love it when you…”
6. We want to get weird with you. Don’t assume you’re special for having so many depraved thoughts. We can get there too, so clue us in to your innermost desires. The more comfortable you are with your sexual aspirations and the more you communicate them openly and honestly, the more likely we are to accompany you on your dirty journey.
7. We won’t necessarily think you’re a misogynistic prick if you want to objectify us in bed. Some of us actually want to be overpowered and/or objectified—as long as the bedroom objectification doesn’t seep into other aspects of our lives together. One of the staunchest feminists I know loves shouting, “I’m a cock hungry slut!” during sex. We’re totally capable of separating what happens during sex from the rest of our waking lives, so give us some credit and tell us what you want before dismissing the possibilities out there.
8. We want you to worship our vaginas just as much as you ache for us to build penis shrines. When you act like you’re eager to go down on us it means a lot, and your visible enthusiasm makes us a lot more psyched to reciprocate the favor. While you’re down there, tell us you love the way our vagina looks, smells, and tastes.
10. We’re aware that the reptilian part of your brain leads you to picture most of the hot young women you encounter naked. Keep this to yourself, no matter how much we claim to trust that you won’t act on those urges, or how often we assure you that we can handle hearing about them. We don’t need to be reminded that your natural instinct is to try to impregnate every hot breathing biped of the opposite sex. It does not make us feel great, plain and simple.
11. At a certain point, every woman realizes that there’s a serious downside to sleeping with hot guys, so stop feeling intimidated by them. The men who’ve gotten laid all their lives without putting much effort into luring a lady into bed pale in comparison to those who’ve had to work for it over the years. We would much rather have sex with a man who knows what he’s doing than an inexperienced Lothario who thinks a clitoris and a g-spot are synonymous.
12. Good-looking guys are nice to look at, but good looks won’t hold our interest for more than a few minutes, anyway. Your face and body are side dishes. The main course is how well you’re able to engage us—to make us feel like we’re the center of your universe, if only for a short stint—which requires self-awareness and self-confidence. We’ll swoon over how you hold yourself, walk, and talk—not how closely you resemble Brad Pitt.
Complete Article HERE!