It’s OK to Have Bad Sex: The Sex Addict’s Difficult Adjustment

Sex addicts tend to be perfectionists.  And this is especially true in their attitude toward sex.  They are known for their all-or-nothing thinking, the tendency to view the world in terms of extremes.  In their sex life with a partner, sex addicts in recovery tend to carry with them an extreme and basically intolerant set of expectations. Just as an aside, there have been a slew of blogs and research survey findings that suggest that we are all having our sexual expectations distorted by the increasing pornification of our culture.  Some in the “feminist porn” movement and elsewhere have attempted to fight the idealized images and expectations shown in mainstream porn and in the “ambient porn” of movies, games, magazines and TV.  See also my journal article the findings of the APA task force on the sexualization of girls in our society.

The over importance of sex and orgasm

Sex addicts have as a core belief that sex is their most important need.  Thus sex addicts place an undue emphasis on sexual arousal and gratification.    Even before the advent of internet porn, sex addicts have always tended to be in a hurry to get to the sex act and to achieve the perfect orgasm.  If this didn’t happen all was lost. Having permission to have “bad sex”, i.e. sex that doesn’t match some perfect ideal, is a way to counteract the desperate need that sex addicts feel.  It can help relieve the pressure and can allow for times when the partners feel less energetic, more sensual etc.  It takes the focus off of “getting my needs met” and places it more on just having a sexual, physical experience with someone you are close to.

Fantasy standards of desirability

Because sex addicts are used to engaging in sex that is excessively loaded with fantasy content, (sex with strangers, cybersex, escorts, strip clubs, and of course pornography) they usually have perfectionistic (fantasy ridden) ideas about how women’s and men’s bodies should look.  This then results in the feeling that any sex with someone who doesn’t measure up to a fantasy standard of beauty or prowess is no good.  Hence the saying that to an addict “sex with a real woman is just bad porn.”

Unrealistic expectations about sexual behavior

Sex in the context of a relationship may seem boring to a sex addict.  In a real situation the addict has to deal with all kinds of awkward, messy and most importantly unpredictable elements.  These will almost certainly burst the addict’s fantasy bubble. In addition, sex addicts are used to fantasy scenarios that may involve all kinds of erotic behavior that their partner may not wish to engage in. We are asking the recovering sex or porn addict to adjust to what they may see as “plain vanilla” sex.

Paradoxically, sex in real life may also be more unpredictable and less boring.  Sex addicts are used to controlling the sexual experience from beginning to end.  In sex addiction, the addict has a preferred scenario or arousal template. This can evolve and escalate into more extreme behaviors, but the addict knows what he or she is going to get.  Real, relational sex is not so predictable.  This means things may end up unusually exciting and passionate or they may end up less so.

Expectations of hyper-arousal and porn induced ED

In addictive sexual acting out, the addict seeks a very extreme form of arousal and often seeks to prolong it.  This level of extreme or hyper-arousal is unlikely to exist in any everyday situation.  Furthermore there is beginning to be evidence that porn addiction in particular can lead men to experience erectile dysfunction when they attempt to have sex with a real person.  This porn induced ED, as it is called, is reversible when the addict abstains from porn use for a period of time.

The use of ED drugs like Viagra is becoming increasingly prevalent, even among younger men and men who don’t need it.  Addicts in particular may have exaggerated ideas about what they need to be able to do to “perform” sexually and may be very anxious in trying to have healthy sex with a partner.  It is normal for men to have a physical response to what is going on around them and sexual “performance” can vary for any number of reasons.  It is unfair, inaccurate and inhumane to see these fluctuations as a sign of something wrong or bad.  In recovery there is often a period of insecurity about sex but this is not a signal to panic and reach for ED drugs.

Sex can be a good thing no matter how it turns out

Sex addicts are so zeroed in on sex as central to life that they don’t realize that it is only one aspect, not the be-all and end-all.  Sex addicts find it hard to fathom the idea that, for many people, sex is great but has its proper place among many other great things in life.  In relationships sex is no doubt very important but it is a source of bonding as well as excitement and gratification.  The behavior of the partners and the level of arousal will exist in a broader spectrum or array of experience.

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

“Honesty is an Aphrodisiac” – But is This True for Sex Addicts?

I heard the saying “honesty is an aphrodisiac” a long time ago and I felt intuitively that it was true.  But does honesty really set the stage for sexual arousal?  If we are talking about a healthy, committed relationship I think the answer is probably yes.

If honesty in a relationship is being yourself with a partner, being open about who you are and what you are feeling at a given moment then honesty undoubtedly brings you closer.  In fact being vulnerable enough to let a partner know what you feel and what you need is one definition of intimacy.

In sexual terms there is no doubt that communicating honestly about what we feel, what we like and don’t like frees us up to experience what is most arousing to us and can increase our enjoyment of sex.  This suggests that if we share our secret sexual wishes with someone we are letting go of any residual shame that we may feel about those thoughts or urges and are allowing ourselves to become more comfortable with ourselves.

For practicing sex addicts honesty doesn’t work

Comfort and vulnerability are not what sex addicts associate with sexual excitement. Practicing sex addicts find powerful sexual excitement in a world of fantasy.  Whether this fantasy is a scenario on a computer screen, a lap dance, online sexual chat, or a hook-up with a prostitute they are “acting out,” and what they are acting out are their fantasies.  The experience is one of hyper-arousal and in fact sexual arousal is thought to be physiologically connected in some ways to fear.  Fear and risk taking can increase our general level of arousal and can amp up our sexual excitement, as can certain drugs.

If the addict has a spouse or partner but is completely lost in fantasy during sex then they are using their partner to act out their addiction, to use their drug.  And if this is the case they are being dishonest and are closing the door to sexual intimacy with that person.

Honesty works better for the addict in recovery

Recovering sex addicts hope to have a sex life that, while it involves some personal erotic fantasies, also involves a real relationship and an ability to become aroused and to be sexually gratified within a partner.

As addicts progress in their recovery, honesty becomes increasingly meaningful in supporting a healthy sex life.

As the addict recovers he or she gains a stronger and more positive sense of who they are.    Sharing our honest feelings and wants with someone is an act of trust.  It means not only that we trust our partner, but that we trust our new found sense of self, we know that we have nothing to be ashamed of.

Being accepted for who we really are not only makes us feel more trusting it makes us feel that it is possible to be loved.  We feel that we are OK in our core we not longer feel that we have to put up a front or an act in order to be acceptable.  This in turn works wonders for intimacy and for sexual fulfillment.

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

Are We Responsible For Our Sexuality?

The two recent articles, “Head case puzzle” (7/15/2012) by Robert M.  Sapolsky (a professor of neuroscience at Stanford University) and “Do pedophiles deserve sympathy?” (6/21/2012) by James Cantor ( of the Department of Psychiatry at the University of Toronto) point the way toward what will undoubtedly become an increasingly well understood science of the way in which brain wiring, injuries to the nervous system both before and after birth, childhood factors affecting brain development and genetics are all interwoven in such a way as to produce a human being who is predisposed to particular sexual acts.

But for those who want to see sex addicts and/or sex offenders as responsible for making the right choices no matter how they are wired, Sapolsky’s Op-Ed piece in the L.A. Times is a shot across the bow.

As Sapolsky points out, “Self-discipline, impulse control, gratification postponement and emotional regulation are all just as much products of biology as anything else that emanates from the brain.  The same types of evidence that allowed us to understand the role for biology in such things as abnormal sexual urges have also demonstrated a role for biology in giving in to those urges.”

Where are we with understanding sexual compulsion?

Some sex offenders and sex addicts seem to have wiring that is so messed up that they are incapable of ever gaining any connection with or empathy for another human being.  And yet we used to claim that people with “character disorders” such as borderline personality disorder were incurable too. But we now know that these “disorders of the self” as they are sometimes called are most often related to neurophysiological  issues that may be a result of early trauma and attachment issues and that they can be treated with a great deal of success.

So is sexual compulsion a disability permanently etched in the brain?

At present I believe we operate on the basis of a kind of implicitly understood continuum of biological permanence, which goes something like this:

sexual orientation  –  paraphilia  –  arousal template  – trauma reaction

In this continuum sexual orientation (gay, straight etc.) is accepted by most if not all people as hard wired in the brain if not the genome.   At the most fluid end of the scale, a trauma reaction or behavior that is in reaction to (or a repetition of) specific traumatic experiences which are often quite amenable to change through treatment.

The middle two categories are where the sex offenders and sex addicts are usually located.  Pedophilia, attraction to children, is a paraphilia like other types of sexual fixations.   It is the object of sexual attraction that is the most or only really sexually arousing person or thing.  These are seen as learned rather than innate for the most part but have been viewed as resistant to treatment.

“Arousal template” is the word used in most sex addiction therapy to refer to the sexual preferences such as dominance and submission, voyeurism and so on, which are the result of childhood experiences, early trauma and conditioning.  They are closer to trauma reactions in that with proper treatment they can be worked through and in many cases the person’s sexual behavior can come to be more “normal.”

If there is a neurophysiologically identifiable cause of the problem, we tend to see the person as less responsible for their behavior regardless of how effectively it can be treated.  Actually, the question should be not how much or little people have control over a given behavior, but how far we have come in being able to treat it.  The question of responsibility is one that the legal and philosophical systems rely on but ultimately it has little to do with the scientific reality of the prospects for treatment and recovery.