Is Sex Addiction Treatment Anti Sex?

Those who think that sex addiction treatment is anti-sex are not paying attention.  Some people who say they are “sex positive” claim that sex addiction therapists shame or judge their clients for their sexual behavior.  They go on to conclude that we are “sex negative” and wish to limit people’s sexual choices.

This is a big topic but I want to try to clarify some points about sex addiction treatment and its underlying assumptions.

Sex addiction is largely a self-defined problem

Sex addiction treatment does not label people as having a problem with their sexual behavior.  Rather we try to help people make that determination for themselves.  We do not assume that they are having too much sex or that their unusual sexual activities are unhealthy.

The idea the sex addiction therapists want everybody to have “missionary position” sex with an opposite sex partner in a committed relationship is a complete misrepresentation.  I had a client who got aroused by being choked during sex.  This is unorthodox, maybe even dangerous, and I don’t go out of my way to recommend it, but it wasn’t a problem for her because I thought there was something wrong with it.  Rather she herself decided it was a problem in her life.

How people decide sexual behavior is a problem

The criteria for whether or not someone has a sexual addiction or problem sexual behavior rely on the person’s own report of what is going on in their life.  Among these criteria are the ideas that the behavior has negative consequences in the person’s life.  These include such things as the following.

  • The pattern of sexual behavior is such that it gets in the way of their having or maintaining a kind of relationship that they want.  Often a spouse or partner insists that their behavior is out of control and intolerable.  And often the prospect of losing a loved one makes it clear to the client that they want to change their sexual behavior.  Other times the person’s sexual behavior prevents their being able to establish an intimate relationship with anyone.
  • The behavior causes them significant problems in their life such as getting fired for using pornography at work, getting hurt or arrested due to behaviors like indecent exposure, spending their paycheck on strip clubs and prostitutes or bringing sexually transmitted diseases home to their family.
  • Sometimes the consequences of the behavior have to do with internal discomfort, the feeling “I don’t want to be like this the rest of my life.”  In this case the negative consequence is the fact that the person can no longer ignore the extent to which their sexual compulsiveness or sexual preoccupation goes against their own value system.  I have heard people say “I don’t want to be that old guy sitting home alone watching internet porn for hours” or “I don’t want to keep spending all my time looking into neighbors’ windows hoping to see someone nude.”

In other words, sex addiction therapists don’t go out looking for addicts and trying to convince people that they have a problem.  This just doesn’t happen.  Addicts come to us in pain, often in crisis.

What happens in sex addiction treatment?

An initial period in which the addict abstains from all sex provides a way for the addict’s head to clear; it is not intended as a way of life.  Much as it is impossible to do counseling with someone who is high on drugs or alcohol, it is also hard to deal with a sex addict who is high on his/her drug of choice.  Sex addiction treatment proceeds to:

  • Help the addict define and understand the behavior that is of concern
  • Help the addict understand the origins of the behavior i.e. what drives it and its roots in early life experiences
  • Understand the role of other addictions such as drugs, alcohol, gambling or work as they interact with or support the sexual behavior.
  • Help the addict see that he/she is not alone; connecting with other addicts reduces shame and allows for an honest an open dialogue.

When we do sex addiction treatment in this way we are helping clients develop their own definition of sexual recovery and giving them the tools to get there.

Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Do Happily Married Men Go to Prostitutes?

I’ll go out on a limb and say that a married man who visits prostitutes repeatedly is probably not the happiest kid in the sandbox.  Although the wives of such men may feel the behavior reflects on their desirability, my experience tells me that such a pattern of behavior doesn’t have anything to do with the wife’s attractiveness.  It says something about the man who, most often loves and feels committed to his partner.

Paying for sex on a regular basis is not the norm, even for single men.  And it can be a sexually addictive behavior, in which case it has to do with the man’s emotional problems including his problems dealing with relationships.

Who are these men who pay for sex?

An article published earlier this year called What Kind of Men go to Prostitutes?  reviewed some of the recent research and survey data on men who visit prostitutes.  The studies indicate that between 1 and 3 percent of men in the U.S. have gone to a prostitute in any given year and about 14 % of men have paid for sex at some point in their lives.

The studies also indicate that men who hire prostitutes are only slightly more likely to be single than married.  And furthermore they do not appear to differ much from the general population of men.  The men’s reasons for having hired prostitutes were seen as predictable: wanting more sex, being unhappily married, being insecure about dating, wanting the excitement of risk, and wanting power and control.

An outcome study of men who attended a “John School”, a criminal diversion program for men who are arrested for paying for sex, reported that:

“Johns report a variety of reasons for why they purchase sex including the feeling that buying sex is an addiction. Interviews with “Johns” revealed that 83 percent of participants identified buying sex as an addiction (my italics) (Durchslag & Goswami, 2008).  Additionally, research suggests that men who participate in the commercial sex industry often view women as commodities and feel a sense of entitlement to sex. Interviews revealed that men who did not have a regular sexual partner also legitimized purchasing sex (Monto, 2000).”

The Johns as a group also consisted of married and single men.  Were all the married men paying for sex because they were unhappily married?  This is unlikely, because Johns as a group are characterized as unhappier than other men.  And besides, if they have problems with sexual behavior this could account for their unhappy marriage as much as the other way around.

Unfortunately there is not enough known about the demographics of the John population or the prevalence of psychological problems.  These are still very much being debated.

Paying for sex and sex addiction

I feel on firmer ground talking about the kinds of relationship dynamics that are commonly seen in men who show up for sex addiction treatment where paying for sex is one of their compulsive behaviors.

As with sex addicts in general, men who visit prostitutes most often have other sexually addictive behaviors.  These can include compulsive porn use, cybersex, strip clubs, and sometimes offending behaviors like exhibitionism and others.  Going to prostitutes is thus part of an pattern of sexually addictive acting out behaviors.

The fantasy element in sexually addictive behavior

Whatever the specific behavior, sexual acting out is always largely a fantasy.  It takes place outside of the person’s “real life” and it functions as a drug.  While engaging in the sexually addictive behavior, the addict escapes whatever is painful and achieves a totally gratifying experience on his own terms.  This implies that the man has issues that he cannot resolve, or issues he would rather escape than allow his adult self to face head-on.

The avoidance of intimacy in sexually addictive behavior

Paying for sex is exactly the same as any other sexually compulsive behavior in that it is part of a pattern of intimacy avoidance.  What is the addict escaping from when he is avoiding intimacy with a partner?  It is not that the prostitute has so much more to offer than the spouse.

The sex addict experiences intimate bonds as frightening and overwhelming.  Being with a prostitute is safe, limited and controlled interaction.  The addict can relax and feel safe from the dangers of getting hurt, abandoned, rejected or feeling inadequate.   The sex addict feels unlovable and insecure and meets his needs for sexual abandon in a contrived, compartmentalized way.

Sex addicts feel bad about their addictive behavior afterward but they continue to do it.  If a man who is not an addict visits a prostitute he may feel many things but he will not be driven to repeat the experience.

Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Relapses and Slips in Porn and Sex Addiction

It is accepted among those of us who work with porn and sex addiction that there will be relapses or “slips” at some point in the first year or so of recovery.  Internet pornography in particular is notoriously hard to quit.

Sex addiction is  clever and devious.  It wants to find a way to come out and play.  So even when the addict is totally abstinent from his or her “bottom line” behaviors (behaviors that the addict has identified as the ones that need to be out of bounds) the addict may engage in other watered down kinds of behavior to get a “hit.”  For example, the addict who wants to quit internet pornography may find himself watching movies that have a significant amount of sexual content or looking at YouTube or Facebook videos that are suggestive or outright sexual.

But in early recovery addicts are likely to repeat even their bottom line sexually addictive behavior at some point.  So when is this something to be concerned about? When should it be called a slip and when should it be seen as an out-and-out relapse?

When is it just a slip?

What is counted as a slip is doing the addictive behavior (e.g. going to a strip club, watching porn, engaging in cybersex, having a sexual hook-up with a stranger, or getting together with an old affair partner).  It is not doing the things that lead up to the bottom line behavior but it is actually doing something that is what you have decided not to do any more.  (Slips will usually count as sexual acting out and will mean changing your sobriety date.)  What I believe makes it a “slip” rather than a relapse is:

  • You perform the sexually addictive behavior without planning to.  You did not enter the situation consciously intending to do the behavior.  It “just happened” and you may feel a certain shock at finding yourself in the situation.
  • You do the behavior only once.  You realize immediately what you have done and you get out of the situation before you do it again.  You turn off the computer, you hang up the phone, you get rid of the person’s contact information etc.
  • You talk about it with someone like a sponsor, counselor or recovery partner and you describe it in your regular 12-step meeting right away.  You do not attempt to hide it or minimize it.
  • You figure out what you need to learn from the slip. This means that you use the slip to gain a better understanding of the circumstances that can lead up to you slipping.  Do you have to plan your day or evening more carefully? Should you be more aware of slippery situations like business trips?  You will need to anticipate known stressors or other things that constitute your “relapse scenario” as it is called.
  • You may change your recovery plan in response to the slip.  You might decide to put additional behaviors, people or activities, such as browsing singles ads, into your list of bottom line behaviors so that you see them as relevant to your staying abstinent.   You may also consider whether other addictions such as alcohol or drug use have played a role in your slip and consider addressing them more strenuously.  And you may want to consult with a doctor if appropriate when you believe you may have psychological issues or need medication to stay emotionally stable enough.

Avoiding Relapse

If you respond to the incident of sexual acting out in the way described above you will have gone a long way to avoiding a full on relapse in which you continue the acting out behavior.  Often people have a slip and decide that it is a relapse.  They therefore feel “What the heck! I’ve already blown it; I might as well go all the way.”  This is using the slip as an excuse to keep acting out.  But the fact is a slip does not mean that you have blown your program.  It is an opportunity to make your program better and to learn about yourself.  If you use it.

Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Why Sex Addicts Blame Their Partners

For most sex addicts, blaming a spouse or partner for a pattern of sexual acting out behavior is a predictable part of the denial process .  Even when they are devoted in many ways to their spouse and family, addicts may still feel that their behavior is caused by something in their situation.

Like all denial mechanisms, this is partly a matter of wanting to avoid feelings of shame about the behavior, as well as wanting to explain it away.  This “shame dumping” as it is sometimes called can be conscious or unconscious, overt or covert.  It is like saying “I’m really a good guy; I only do what I do because of such-and such.”

Your own problems and addictions are usually hard to spot and/or admit to.  But it is always easier to see what’s wrong with someone else or what’s wrong with your life.

Feeling abandoned by a partner with the birth of a child

It is very common for an underlying sex addiction in men to really begin to take hold following the birth of a child.  The problems with the addict’s intimacy avoidance, their addiction proneness, or their lack of emotional maturity were most likely there before.  Often they were masked by the newness of the relationship.

The birth of a child takes the mother away to some extent and puts the emphasis on someone other than the addict.  The addict may flee the new demands and seek to escape into acting out.  In this case the addict may feel unconsciously that they have been rejected or abandoned by his wife and thus feel justified in acting out behaviors like going to strip clubs, prostitutes or sexual massage parlors.

Self sacrifice and overwork

Self sacrifice and devotion to their partner may paradoxically be a setup for the addict to begin to feel like indulging the urge for a separate secret life of acting out.  Many sex addicts are prone to work too hard and try to be the hero for their spouse or partner.

Later they come to resent it and feel that they are owed something.  Instead of being able to practice the intimacy skills of stating their needs with their spouse and letting go of being the hero, they take refuge in a very self indulgent secret life which they feel they deserve.  You will sometimes hear addicts in recovery say “I had to shoot my white horse.”

Sexual dissatisfaction

Sex addicts often feel that their sexual acting out whether in porn use, serial affairs, or any other sexual behavior is a direct reaction to something that is missing in their marriage.  They may say that the problem is that they “want more sex than my wife” and their reasoning is that if that is the case then they are justified in going outside the marriage or relationship to get sex.  After all it’s his/her fault.  If their partner were meeting their needs then they wouldn’t have to seek sex elsewhere.   But in reality it’s apples and oranges.  What the addict wants is an addictive high, a dopamine rush that is the result of a secret sexual behavior.  This is not just a case of needing more sex.  And it is certainly not the partner’s fault.

Lack of investment in the relationship

Most sex addicts who have partners and who are active in their addictive behaviors are lacking in the ability to be fully invested in their relationship.  Even if they love their partner very much, they have chosen a relationship and a way of relating to a partner that sets the stage for the compartmentalization and deception that go along with sex addiction.  They often feel that they didn’t really want to get married or commit to the partner in the first place.

All too often sex addicts have no idea what a good devoted primary relationship should look like and they are unable to bond effectively.  They expect little of the relationship and of their partner and so are free to put their eggs in several baskets.  They may think consciously that their partner is just too busy with work or that their partner will be likely to betray them anyway.  But it is not their partner who can’t make the bond happen it is them.  Their addiction (and intimacy dysfunction) is not an effect, it’s a cause.

Being Sexually Triggered vs. Sexually Aroused

Maybe you have heard recovering sex addicts talk about being “triggered” and wondered how it differs from just being aroused or turned on by some stimulus or other. Being triggered is a common term used in sex addiction recovery. It means something different from simply feeling aroused by something or someone.

A triggering experience can be seeing, hearing or doing something that is a precursor to the addict’s sexual acting out behavior. There are sexual images and sexual stimuli to be seen everywhere but certain kinds of perceptions will be more likely to be associated with a particular person’s preferred sexual behavior.

What triggers do

A trigger sets the stage for a sequence of behavior moving toward acting out. An addict whose preferred sexual scenario involves power and exploiting someone weaker, such as that of rescuing a helpless female may be triggered by seeing an attractive woman who is in a difficult situation.

Sex addicts are not always fully aware of why an experience is triggering. It may seem to be unrelated to their sexual acting out behavior and still make them want to go out and do that behavior. An addict who typically finds sexual partners for anonymous sex through the internet may begin to feel an urge to relapse into that behavior when simply looking at Craig’s List ads for someone to play bridge with. The mere fact of online descriptions or photos of people may be enough. In this case the addict is on thin ice, often not realizing it.

The triggering experience need not be sexual and in fact often it is not. For someone who is compulsive with prostitutes or sexual massage parlors, certain parts of town or certain streets may cause the beginning of a chain reaction known as the addict’s “ritual.” An addict who is an exhibitionist or a voyeur will likely become triggered in any situation in which being seen or seeing others undressed is a possibility, such as finding him or herself in a locker room or changing room with little privacy.

In contrast to ordinary arousal, being triggered may involve the beginning of delusional thinking. The addict sees something and either consciously or unconsciously it touches off an association with the addictive behavior on whatever level. At this point, sexual acting out begins to seem more like a viable option even though the addict wants to avoid it like the plague when he has his wits about him.

Identifying “triggery” feelings as useful information

Although addicts may slip into ritual or delusional thinking without realizing it, there are often ways to catch yourself and not move toward a slip or relapse.

  • Feeling triggered can involve a sudden feeling of hyper-arousal, a dopaminergic “burst”, which is different from normal sexual arousal or attraction. It is more sudden and intense and is thus more compelling. To an addict in good recovery it is a warning. Sometimes the triggering involves the blurring of boundaries with other intense feelings like fear or anger which in turn bring on sexually addictive urges.
  • Another way that the addict may identify a trigger is through noticing and examining their own thought processes. Addicts in recovery get progressively better at seeing the ways in which their thinking can go awry. Even though you may not think there was any triggering event, you may still notice that your mind has for some reason begun to distort reality.
  • You may find yourself feeling that there is no harm in doing a particular behavior or you may begin to look for little ways to get a sexual hit.  At this point the addict can get a handle on things by going back and looking at what may have been a triggering experience.
  • Since the sex addict is locked into a pretty set pattern of sexual acting out behavior, it is sometimes the case that the experience of feeling triggered is one of sudden familiarity.  The excitement, the intrigue, whatever it is, feels like where the addict belongs. This is another kind of signal.  In normal arousal there is always some sense of not knowing where it is going.

But remember, they are your triggers and you must manage them. It is never someone else’s fault if you get triggered! Most recovering addicts get very good at identifying what are triggers for them ahead of time and avoiding them. This takes time and experience and is part of what happens in treatment and 12-step work.

Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Is Masturbation OK in Recovery From Sexually Addictive Behaviors?

Masturbation  can present a problem for people with sexually addictive behaviors.

I would not encourage anyone to see masturbation as inherently bad or a problem, and yet there are some people who would see any sexual activity outside of marital sex, even masturbation as wrong.  If you hold such a view on religious or other  grounds, then you may see masturbation as wrong no matter what.

But since I do not hold such a view I distinguish between those situations in which masturbation is harmless and those in which it can complicate things for someone attempting to recover from sex addiction.

When is masturbation counter-productive?

In the early months (or maybe years) of recovery I believe it is a good idea for sex addicts to abstain from masturbation, regardless of whether compulsive masturbation is one of their sexually addictive behaviors or not.  Here are some situations where Masturbation can reinforce addictive patterns.

  • Masturbation can itself be a compulsion, meaning that it is being used to excess and as a drug.  For some sex addicts masturbation is their primary sexually addictive behavior.  Often it is done in conjunction with porn use but sometimes it is done using fantasy alone.  Compulsive masturbation often starts early in life and continues into adulthood.  The addict will often develop a pattern of masturbating numerous times per day.  In order to be free of this compulsion and lead a more normal sex and relationship life in recovery, the addict will need to “kick” the habit and allow their brain chemistry to return to normal functioning.  This means total abstinence for a period of time during treatment and recovery.
  • Masturbation can be part of a pattern of other sexually addictive behaviors.  Masturbation often accompanies other sexually addictive behaviors built around fantasy such as compulsive cybersex, sexual chat,  voyeurism, and exhibitionism.  The masturbation may be done at the time of the other behavior or it may be done later using the stimulus of the memory of the event.  In this case the behavior of masturbating is tied to whatever pattern of addictive acting out behavior exists and provides the sexual gratification for which the other behavior is the stimulus.  At least initially, the addict cannot quit one behavior without quitting both.
  • Masturbation in early recovery can prevent the process of withdrawal and lead to relapse.  Since the addict’s “arousal template” as it is called, is one of addictive sexual acting out of one type or another, it is likely that any form of sexual stimulation, at least in the beginning of recovery, can lead back to cravings and urges for the addict’s preferred sexually addictive behaviors.  Even if the addict has never masturbated compulsively, masturbating in recovery can bring on cravings for other behaviors, behaviors like anonymous sex, prostitutes, etc.   I takes a long time in treatment for the unhealthy urges and fantasies to subside or at least be less powerful.  Instead of allowing the addictive pattern to weaken, masturbation may be like taking small amounts of the drug, thus prolonging the process of withdrawal.

When is masturbation a useful part of recovery?

After a sex addict has established a period of abstinence from all sexually addictive behaviors, it is possible that masturbation can be engaged in in a normal way that does not threaten their sexual sobriety.  This is very much a subjective and individual decision to be arrived at by the addict and their sponsor or counselor.

  • Masturbation can become a more healthy activity that is not a compulsion and is not tied to another sexually addictive behavior.   It may be that the addict will find it a useful way to explore and check in with the fantasies that have driven their addiction and the memories or traumatic events that have shaped their sexuality in the past.
  • Sometimes addicts can actively change the content of their masturbation fantasies to experiment with different and healthier mental stimuli.  Some addicts masturbate while thinking about their spouse or partner.
  • Or addicts may simply be able to enjoy occasional masturbation as a positive, private experience that is different from their relational sex but is not part of a compulsion or an addictive pattern.

But many times masturbation loses it’s charm for sex addicts once they have given up their sexually addictive behaviors and no longer crave the hyper-arousal that their addictive fantasies provided.

 

When Love Addicts Fall for Sex Addicts

As a therapist I have noticed that partners of sex addicts frequently have characteristics of love addicts.  This is not always the case of course.

Partners of sex addicts may be innocent bystanders.  But I think there are some reasons to suggest an affinity between love addicts and sex addicts.

There are underlying similarities between sex addicts and love addicts in terms of brain chemistry, intimacy issues, abandonment fear and co-dependentence.  Both tend to have early childhood trauma and attachment issues.

However, I think it is the separate, distinct characteristics of each that attract them to each other.

Here are my thoughts on how this pairing might come about and what function  it might serve for the addict and the partner

The allure of the sex addict

What sex addicts do is to behave in certain predictable ways that turn out to be an engraved invitation for the love addict.

  • Superficial intensity

Love addicts have the fantasy of being desired and rescued.  As Pia Mellody puts it

“When these individuals get old enough, they begin to form a fantasy in their head of somebody rescuing them from being so alone, of making them matter. The fantasy usually takes the form of being rescued by – it is like Cinderella — a knight in shining armor or a wonder woman, who will take care of them and help them come out of their dilemma of being too alone and worthless and not knowing what to do.”

Sex addicts are themselves very insecure and narcissistic.  They want to be seen as the hero even if it is a façade.  The love addict would like to be permanently swept away.  But intensity is not the same as intimacy; it is a fantasy that cannot be sustained.

  • Dishonesty

Sex addicts can appear to offer unconditional love and acceptance because they lack the ability to be who they really are in a relationship.  The sex addict is often comfortable with saying what the love addict wants to hear since he or she is invested in a whole other, secret sexual life.

This works for the love addict who needs to feel completed in a relationship.  The love addict does not see through the sex addict’s perfect love but merely projects their own fantasy onto it.  They feel safe.

  • Seductiveness

Sex addicts are seductive.  They can manipulate the love addict into feeling that they are perfect, the fairy princess.   The love addict needs to feel perfect in order to feel safe.  If I am perfect you will never leave me.

  • Lack of intention or commitment

Sex addicts substitute the intensity, superficiality and seductiveness for any real investment in the relationship or in the future.  Lacking intimacy skills they don’t confront the partner about anything, don’t negotiate, and often avoid talking about their needs and wants altogether.

The love addict cannot tolerate the requirements of real intimacy either such as being open to confrontation, being willing to admit to being imperfect or wrong, or allowing the addict to be imperfect.  Since the sex addict lacks the ability to be real and work on a relationship, the basic unavailability of the sex addict a good fit. 

As Patrick Carnes has said:

“Love addicts consciously want intimacy, but can’t tolerate healthy closeness, so they must unconsciously choose a partner who cannot be intimate in a healthy way.”

The love addict partner is unconsciously drawn toward a relationship in which there is intense romanticism (at first) but which cannot lead to a stable grown-up relationship.  In the long run, the love addict will be subjected to disappointment, deception and episodes of abandonment by the person they love.  Yet they will often continue to be “hooked” on the fantasy.

Too Good-Looking, Too Smart, or Too Rich (to give up Sexually Addictive Behaviors)

There is an old recovery saying that you can’t get sober if you are too smart, too rich or too good-looking.   Clinicians working with clients who have sexually addictive behaviors know that these attributes can sometimes present challenges.

I’m not saying that looks brains and money lead to sexually addictive behaviors but I can see some of the ways they might operate to prevent the addict getting better.

Narcissism

There is no longer any doubt that success (fame, money adoration) can cause what is known as “acquired situational narcissism.”  Narcissism is a false sense of self worth which can be bolstered and encouraged by massive amounts of positive feedback from others.  This feedback promotes narcissistic self-centeredness, lack of empathy for others and over-entitlement. (See also my blog Narcissism, Sex, Power and Herman Cain.)

Any sex addict can adopt a narcissistic defense system but the process is magnified if the person is rich, beautiful, etc.  The greater the narcissistic self-importance the greater the sense of being exempt from the ordinary rules that govern behavior.

If this superiority is constantly reinforced then the addict has a hard time getting a grip on reality.  His attitude is “I’m special, I’m allowed; even my flaws aren’t flaws.”

Masking shame

Most addicts feel some level of guilt or shame about their sexually addictive behavior.  After engaging in a behavior like repeated visits to prostitutes or sexual massage parlors or the wasting of hours on internet porn and masturbation most addicts go through a period of feeling let down.  They have engaged in an out of control behavior that they must keep secret and they soothe the feelings of self-loathing in any way they can.  Often they use other drugs to numb the feelings.

The problem for the rich successful or beautiful person is that they can use these assets as tools with which to numb or mask their negative emotions and restore their facade of self worth.  The more easily the addict can dodge the feelings of self-hate, the more easily they can avoid coming face to face with their own double life.

Normalizing sexually addictive behavior

Normalizing is one of the defenses invoked by most sex addicts but with the brilliant, beautiful or rich addict it is particularly useful in certain cases.  Take the guy who engages in repeated seduction, predatory flirting, workplace harassment or serial affairs.  If he is successful or good-looking he can much more easily excuse his behavior by saying “I can’t help it, women just come on to me—what am I supposed to do?”

In this case the special attributes can function to keep the addict in denial.  Special levels of status or achievement can be seen as justifying behavior which would be reprehensible in mere mortals.  “Beauty is life’s Easy Pass,” as a New Yorker cartoon put it.  Or in the words of Henry Kissinger, “Power is an aphrodisiac.”

Never hitting bottom

For the very good-looking, smart or rich addict can to a great extent use their special advantages to avoid or greatly minimize the adverse consequences of their behavior.  These attributes give them power and that power allows them to maintain the status quo.  They may never have to confront the reality of what is wrong with their way of life let alone what they have done to others.

The very smart, successful or powerful addict will have a hard time accepting the basic fact of his or her powerlessness over the addiction.  The very smart addict is used to relying on his ability to think his way out of a problem.  There is nothing he can’t solve.  Therefore he doesn’t need to rely on others, doesn’t need to take direction or work a program.  He’s got the answers, or so he believes.

Those around the addict face a dilemma

Attractive high-achieving people often do have many strengths.  Their intelligence, attractiveness and resources can be used in a positive way to help them overcome sexually addictive behaviors.  But as a therapist—or even as a friend, colleague or partner it is  important to notice when these traits are being used in the service of self-delusion and be prepared to confront the addict directly about it.

Adult Children of Sex Addicts: What are the Residual Effects?

Growing up with a sex addict will leave its mark.  These are my thoughts based on my own life experiences and my observations over many decades about the results of having a sex addict for a parent.

As I watched the recently publicized exchange of tweets between Mylie Cyrus and her father I saw a myriad of familiar patterns.  I am not saying that Billie Ray Cyrus is in any way a sex addict.  And I am no doubt reading into the situation, but it seemed to me that there were key elements in their relationship that rang a bell.

There are many different ways for a young person to experience the sex addiction of a parent that are covert and unconscious both on the part of the addict and the child.  My own father was a sex addict (and an actor) and I experienced his addiction indirectly in the subtle objectification of me as well as in his “girlfriend-izing” me and implicitly using me to triangulate with my mother.

Sex addicts place undue emphasis on sex.  Thus sex addicts can communicate the over importance of sex to the child in a myriad of ways. Here are some of the dynamics that play out in such families.

  • Sexualizing the child or young person by making comments about their body or their sexual desirability or even their prospects for sexual relationships later in life.  This can include taking a personal “interest” in the young child’s underwear purchases, “compliments” on their appearance which are sexually toned and so on.
  • Giving added importance to sex by making it totally taboo.  The hiding of sexuality, the refusal to acknowledge it as something to be talked about at all can convey that sex is not only dangerous but more powerful than it really is or needs to be in the young person’s mind.
  • Sexual duplicity is engrained in the child when there is a total denial of whatever is going on sexually and a repressive atmosphere around sex.  The message is that one must lead a double life, compartmentalizing sex and keeping it secret.  This means that the child and family are engaged in a collective form of denial in which there is a façade of normality and “healthiness” with a whole secret life going on.
  • Early exposure to sex either directly or by observation can be traumatic to a child who is not yet developmentally ready to make sense of this information.  At least it can be confusing and troubling and takes away a level of safety that the child needs.
  • Infidelity, whether it is explicitly seen or just going on behind the scenes can place the growing child and adolescent in a number of binds.  The child may be caught in the middle, may be made into a confidante or used as a weapon.  All these things violate the child’s generational boundaries.  The parents are supposed to be the grown-ups who take care of the child, not the other way around.

When I learned of the idea of Mylie and her father “working on” their relationship it reminded me that although this sounds reasonable, the generational boundaries can become blurred in this kind of set-up and lead to serious confusion for the adult child.

I believe the best things that adult children of sex addicts can do are:

  • Realize that your experience growing up was dysfunctional in subtle or overt ways and that this will have an impact on you.  Everyone’s childhood has its own problems, nobody’s early life is flawless.
  • Learn about sex addiction if you want to but don’t become obsessed with your parent’s problems.  If you have insecurities about yourself, your worth, your attractiveness or doubts about ever having a healthy relationship these are things you can work on in your own growth and development.
  • Don’t become over-involved with your parent’s treatment or recovery.  This is their journey and you have your own life to live.  If you get drawn in you are just continuing to re-enact the early inappropriate family patterns.
  • Be open to new models of relationship and intimacy.  What you observed in your parents as a child may have been a distorted role model built to hide, rationalize or adapt to dysfunctional relating.

Notice that your parents may have grown and changed through therapy and treatment.    If your parent seems to have pulled away from you this may just be because they are learning how to play a more appropriate, less enmeshed role with their children.  Understanding this allows you to shuffle the deck in your own life and have some faith that things can work out well for you; that healthy, happy relationships are possible.

Intimacy Disorder: An Addictive Relationship Self-Test

Intimacy disorder and addiction are most often two aspects of the same problem.  While it is true that any addiction can cause relationships to deteriorate, it is also true that sex addicts tend to end up in unhealthy and unsatisfying relationships.

Even sex addicts in good recovery may have many residual problems in approaching intimacy and relationships.  See also my article “Intimacy 101”.

What I am calling addictive relationships are relationships that are usually part of a pattern of negativity, turmoil and alienation.  The majority of the addicts I’ve worked with have grown up in families where their parents were not consistently loving, contented or appropriate with each other or their children.  Often they had addictions of their own.  This dysfunctional model may be all the addict has ever known.

Below is a self-test designed to get you thinking about the intimacy disorder aspect of sex or love addiction.  It is not scientific but it is based on my experience working with addicts.  It is adapted from my recent book Relationships in Recovery: A Guide for Sex Addicts who are Starting Over.

  1. My relationships typically start with intense sexual attraction and rapid involvement.
  2. I find it easy to start relationships, but they always get complicated.
  3. I sometimes stay in a relationship because I am afraid of being on my own.
  4. I sometimes placate or manipulate my partner to avoid confronting things.
  5. I find it easy to get into thinking that my partner is to blame.
  6. My partner and I don’t talk about our feelings about the relationship.
  7. Either I feel superior to my partner, or I feel my partner is superior to me.
  8. I am dishonest with my partner at times to avoid upsetting him/her.
  9. When I am in a relationship, my partner and I don’t socialize with friends as a couple very much.
  10. I feel that having a good relationship is hopeless.

You will see that some of these items are characteristic of dysfunctional relationships in general.  But sex addicts will have experienced at least half of them when they have attempted to sustain an intimate bond with a partner.

The intimacy avoidance characteristic of sex and love addicts means that they can’t get close; they are afraid of intimate, honest relating and expect it to bring pain and shame.  They also can’t let go.  They often put up with a bad situation due to their fear of feeling abandoned and inadequate.  Thus addictive relationships are characterized by ambivalence and feeling stuck and hopeless.

The fears, insecurities and low self worth that characterize addicts predictably lead to relationships that are intimacy avoidant.  Addicts growing up did not experience intimate bonds as supportive, validating or safe.

In recovery from sex addiction the addict who is ready to try for a healthier kind of relating will have to do three things:

  • Examine his/her relationship history in detail
  • Come to understand their past relationship style and how it supported the addiction
  • Write a plan for the future which puts rules and boundaries in place for healthier relating

In addition, the recovery from intimacy disorder will involve making an attempt to envision and outline the kind of relationship the sex addict wants for the future.  This vision may be totally new to the addict.  It will involve:

  • Living together in integrity and harmony
  • Giving and providing safety and support
  • Sharing all the parts of oneself including intellectual, social and sexual life
  • Being able to commit and developing a capacity for devotion
  • Willingness to be hurt as part of healthy vulnerability
  • Putting energy into the relationship but being willing to be alone if things don’t work out

In emerging from an intimacy disorder the good news is that relationships can be the most meaningful and enjoyable aspect of your life.  You can continue to grow as you enjoy the fruits of recovery.