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  1. SEXUAL ADDICTION 101 Stacey Baughman, MAPC, LPC, CSAT Candidate Victoria Muñoz, MC, LPC, SEP

  2. Sex Addiction Definition “A pathological relationship with a mood altering experience”

  3. 10 Criteria for Sexual Addiction

  4. Loss of Control Clear behavior in which you do more than you intend or want.

  5. Compulsive behavior A pattern of out of control behavior over time

  6. Efforts to Stop Repeated specific attempts to stop the behavior which fail.

  7. Loss of Time Significant amounts of time lost doing and/or recovering from the behavior

  8. Preoccupation Obsessing about or because of the behavior.

  9. Inability to Fulfill Obligations The behavior interferes with work, school, family, friends, hobbies, and spirituality.

  10. Continuation Despite Consequences Failure to stop the behavior even though you have problems because of it (social, legal, emotional, financial, and physical).

  11. Escalation Need to make behavior more intense, more frequent, or more risky.

  12. Losses Losing, limiting, or sacrificing valued parts of life such as hobbies, family, relationships, and work.

  13. Withdrawal Stopping behavior causes considerable distress, anxiety, restlessness, irritability, or physical discomfort.

  14. The Making of a Sex Addict

  15. The Ten Types of Sex Addiction

  16. Fantasy Sex • Sexually charged fantasies, relationships, and situations, • Arousal depends on sexual possibility.

  17. Seductive Role Sex • Seduction of partners. • Arousal is based on conquest and diminishes rapidly after initial contact.

  18. Voyeuristic Sex • Visual arousal. • The use of visual stimulation to escape into obsessive trance.

  19. Exhibitionistic Sex • Attracting attention to body or sexual parts of the body. • Sexual arousal stems from reaction of viewer whether shock or interest.

  20. Paying for Sex • Purchasing of sexual services. • Arousal is connected to payment for sex, and with time the arousal actually becomes connected to the money itself.

  21. Trading Sex • Selling or bartering sex for power. • Arousal is based on gaining control of others by using sex as leverage.

  22. Intrusive Sex • Boundary violation without discovery. • Sexual arousal occurs by violating boundaries with no repercussions.

  23. Anonymous Sex • High-risk sex with unknown persons. • Arousal involves no seduction or cost and is immediate.

  24. Pain Exchange Sex • Being humiliated or hurt as part of sexual arousal; or sadistic hurting or degrading another sexually, or both.

  25. Exploitive Sex • Exploitation of the vulnerable. • Arousal patterns are based on target “types” of vulnerability.

  26. Cybersex

  27. What is Cybersex? • Accessing online pornography and audio, video, and text stories. • Real time with a fantasy partner. • Other cybersex venues (social networking sites, and portable devices as in a Blackberries and iPhones). • Multimedia software.

  28. US Adult Internet User Demographic - Age

  29. US Adult Internet User – Demographics - Income •

  30. Internet Pornography Statistics • A total of 4.2 million websites contain pornography. That is 12 percent of the total number of websites. There are 100,000 websites that offer pornography and 1 in 7 youths report being solicited for sex on the internet.

  31. Why Sex on the Net?

  32. The Four A’s • Accessibility • Anonymity • Accountability • Affordability

  33. Ten Criteria for Problematic Online Sexual Behavior • Preoccupation with sex on the Internet. • Frequently engaging in sex on the Internet more often or for longer periods of time than intended. • Repeated unsuccessful efforts to control, cut back on, or stop engaging in sex on the Internet • Restlessness or irritability when attempting to limit or stop engaging in sex on the Internet. • Committing illegal sexual acts online (ex: sending or downloading child pornography).

  34. Ten Criteria cont. • Jeopardizing or losing a significant relationship, job, or educational or career opportunity because of online sexual behavior. • Incurring significant financial consequences as a result of engaging in online sexual behavior. • Using sex on the Internet as a way of escaping from problems or relieving feelings such as helplessness, guilt, anxiety, or depression. • Returning to sex on the Internet day after day in search of a more intense or higher-risk sexual experience. • Lying to family members, therapists, or others to conceal involvement with sex on the Internet.

  35. Addiction Cycles and Template

  36. Nature of Sexual Aversion302.79 Sexual Aversion Disorder • Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contract with a sexual partner. • The disturbance causes marked distress or interpersonal difficulty. • The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction).

  37. Criteria for Sexual Addicton vs. Sexual Aversion • Sexual Aversion • Compulsive Behaviors • Excessive Control • Efforts to Avoid • Ridged, Judgmental Attitudes • Preoccupation • Effects Obligations • Extreme Shame • Avoidance of Intimacy and Relationships • Distress, Anxiety, Irritability and Despair • Sexual Addiction • Compulsive Behaviors • Loss of Control • Efforts to Stop • Loss of Time • Preoccupation • Effects Obligations • Continuation Despite Consequences • Escalation • Social, Occupational, Recreational Losses • Restlessness • Distress, Anxiety, Irritability and Despair

  38. Arousal Template One’s psychosexual history that establish patterns and connections which have formed neurochemical and emotional templates related to sexuality.

  39. Arousal Templates cont. • Biology: Some of our desired parameters are simply given by genetic encoding. • Family: Parental interaction with child and the parents with each other has a profound effect. • Early sexual experiences: Child abuse can have a profound effect on the template. Adults who were trauma victims often repeat their abuse because the abuse has become eroticized. • Sexual history: Personal experiences that shape one’s sexual beliefs and behaviors. • Sexual Addiction History: Acting out behaviors that become obsessive.

  40. Components of the Arousal Templates • Feelings • Personality types • Objects • Processes • Patterns or situations • Body types • Characteristics • Vulnerability

  41. Treatment Plan

  42. Intervention and Plan • Break through denial • Understand the nature of the illness • Become willing to surrender to the process • Limit damage from behavior • Establish sobriety • Ensure physical integrity • Participate in a culture of support • Shame reduction work • Greif work • Acknowledge cycles of abuse • Commit to recovery for each family member