Complicate Male Sexuality

March 13, 2017

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  1. Mark Demos says:

    Great article Lee. The simplistic matras of well meaning but intellectually defeicient mental health profesionals and feminists have never helped anyone. Eventhough I disagree with much of who Camille Pagllia is, she is one of the few feminists who seems to have a clue about male sexuality. I agree with what I believe is your view of a rejection of the ideas of porn and sex addiction. Attraction, visualization and deep desire are gifts to be used and cared for not external substances that form a chemical abnormablity to diminish impulse control.
    I look forward to reading more of your ideas and articles.

  2. I applaud your articulated celebration of the complexity of male sexuality. It is as diverse and complex as the milieu of the human family.

    You are correct in stating that urge is a component of sexuality. As both a recovering sex addict and a licensed therapist credentialed in sex addiction treatment, I can attest to the complexity of the urge component. When men (and women) experience chronic affect dysregulation and, at some point, they sexualize their anxiety, the neuropathways of this response can lead to chronic problematic behavior. Numerous reputable studies and ongoing research continues to point to a pattern or process that mimics substance addiction. None of this is based on moralism.

    Such clients report clinically significant distress or impairment in social, work, or other relationships and they have wanted to stop, tried to stop, and been unable to stop their behavior. Up to 94% of these clients have been found to have a history of trauma, not necessarily sexual trauma, that has led to their inability to regulate their mood and has resulted in sexualized anxiety.

    Sexuality is complex and sexual addiction is not about moralism nor is it about how much sex someone is having—it is about problematic behavior that is caused by affect dysregulation.

    Though there are some in the behavioral health field that do not recognize or accept sex addiction or its treatment, the science and research is currently tilting the meter in the direction of seeing this process addiction as something both real and complex. This is not unlike our previous history when the American Medical Association did not accept alcoholism as a disease but merely a moral weakness.

    I look forward to your future blogs and to discussing this fascinating complexity of our human experience.

  3. Thank you, Mark. I understand the critique of male sexuality from women. Male sexuality seems to be the driver of pain and suffering for many, mostly women. But I think that pathologizing impulse actually increases the likelihood that sexuality will “come out sideways” in hurtful and destructive ways. I also look forward to discussing these ideas with you!

  4. Thanks for your comment, Gary. I think the ongoing discussion surrounding compulsive sexual behavior and the pain it causes is both important and interesting. I agree that sexuality is often hijacked by other psychological processes that can be problematic and difficult to control. But I am not alone in critiquing the science behind sex “addiction”. It really all depends on how you define addiction.

    As I mentioned in my blog, the American Association for Sex Educators, Counselors, and Therapists issued a statement recently saying that they are skeptical of the science behind sex addiction noting that it is often based on moral ideas about sex. Even more so, the treatment associated with sex addiction is decidedly sex-negative, often based in old, moral ideas about sex, and heavily promoted and offered by religious groups who, unfortunately, have a long history of demonizing all forms of sexual expression. When rewriting the Diagnostic and Statistical Manual of Mental Disorders, the APA committee came to a similar albeit less articulated conclusion; they would not include Sex Addiction in the DSM-V due to lack of valid research.

    I will address my critiques of sex addiction as a scientific construct in later blogs. I do not believe that these critiques of sex addiction delegitimizes the work of therapists like yourself; nor do I think it suggests that people, also like yourself, who struggle with compulsive and problematic sexual behavior are morally weak. I think it’s the opposite. As I will discuss throughout this blog series, sexuality is, by its nature, compelling enough to be considered compulsive if we’re looking at and experiencing it through a certain, moral lens. If we accept this urge as natural, then maybe we can weave it into our lives in a way that promotes healthy expressions of sexuality. So many of the sex addiction treatment protocols call for further repression, further restriction, abstinence, etc. which I consider to be a recipe for failure, confusion, and sex negativity, because they pathologize sexuality’s natural state – a boundary pushing urge.

    I believe that your work and that of other sex addiction therapists is important and valid. Sometimes, I will disagree with the conceptualization of the problem and the implementation of treatment, but I work with sex addiction counselors all the time. And I respect you and them. But I work from a staunch, dare I say, radical form of humanism, and I am wary of things that could easily be interpreted as delegitimizing the natural, human experience.

    I am excited that we work in a living field of study that is constantly moving and upgrading and learning. And I look forward to our discussions about how we can best help the people who are struggling to integrate sexuality as a natural, normal, healthy force of nature.

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