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Sexual Addiction

NYT > Sexual Addiction

Sex addiction is defined as “any sexually related, compulsive behavior which interferes with normal living and causes severe stress on family, friends, loved ones and one’s work environment,” according to Patrick Carnes, the author of the pioneering 1983 book “Out of the Shadows: Understanding Sexual Addiction” and creator of the Web site sexhelp.com. Addicts often vow to stop behaviors such as hours-long sessions with Internet pornography, infidelity or criminal sexual activity, and cannot.

A few mental health professionals, though, still argue that sex addiction is not a real disease. “You cannot be addicted to yourself,” said Roger Libby, a relationship therapist in Seattle. “You have to have a substance external to yourself like alcohol or drugs to be addicted.”

Sex addiction is not listed as a disorder in the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the bible of psychiatric disorders, but it is being considered by a work group on non-substance-related addictions for inclusion in the next edition, the DSM-V due in 2012, said Dr. David Kupfer, chairman of the DSM-V task force with the American Psychiatric Association.

Treatment for the affliction aims not to remove sexual desire but to reconcile a person’s sexual behavior with the positive values the person already holds, said Robert Weiss, the director of sexual integrity services for the CRC Health Group, a nationwide behavioral health provider. Since as much of the brain’s pleasure-causing chemical dopamine is released during orgasm as during the consumption of alcohol, Dr. Carnes said, it is also possible to view sex addiction as a chemical addiction.

Throughout the country, there are sexual recovery 12-step meetings where the real serenity prayer is read and those who believe their behaviors have become unmanageable share experiences. — From “No Sympathy for the Sex Addict,” by Allen Salkin, The Times, Sept. 7, 2008.

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NYT > Sex

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