Are Unconscious Prejudices or Societal/Religious Factors Interfering with Sex and Love Therapy?
"Jack Morin, in his book Erotic Mind, says it best: “If you go to war with your sexuality you will lose and cause more chaos than you started.”
Doug Harvey Braun, author of Treating Out Of Control Sexual Behaviors: Rethinking Sex Addiction, cautions removing a person’s erotic life in the process of trying to treat their so-called addiction, referring to it as an “eroticectomy.”
In the sex addiction model the client is led to believe that if they return to that sexual behavior they will relapse into sexual compulsivity. So they build a life around avoiding the behaviors and fantasies with strong boundaries rather than accepting and befriending this part of themselves and learning to control it rather than it controlling them.
Encouraging this kind of deprivation and limitation inadvertently contributes to controlling the client rather than helping the client gain mastery over his own sexuality. How often in our own experience have we found that when we are told we must stop some behavior, it makes the behavior seem even more attractive?
Too often we assume that “sick” sexual behaviors—BDSM, cross-dressing, or other atypical sexual interests—have to be ended through a program of renunciation and abstinence, even though the American Psychiatric Association has very clear guidelines in the DSM-5 on the difference between kinks (paraphilias) and the psychological disorders associated with kinks.
I once supervised a therapist who believed that if someone was into spanking, something was wrong because, in her opinion, pain and pleasure should never be combined. This ignores the research that shows that, for some, pleasure and pain combined is and can be normative and erotic.
One sex addiction therapist I knew believed it was wrong for a man to wear woman’s clothing for sexual arousal because, “Why would the man want to humiliate himself in this way?” We now know more about transgender issues and how normative it is for many straight men to enjoy dressing in women’s clothes and underwear, and how it isn’t at all humiliating for them. This therapist was using his own bias or belief system rather than the latest science to treat his client, and needs to expand his understanding and protect the client from his countertransference.
Sex therapist Marty Klein has written, “The mission of sex addiction therapists is to put everyone in the missionary position.” Having come from the inside of the trainings and discussions, I can’t disagree with him.
Nowadays, using the framework of sex addiction is the last thing I might consider when someone comes into my office struggling with out-of-control sexual behaviors. I look for comorbid conditions and diagnoses such as anxiety, depression, post-traumatic stress disorder, or bipolar disorder, to name a few. I don’t zero in on the sexual behavior, and I encourage the client to consider his own values around his sexuality, and to separate himself from the values he has learned elsewhere.
...We as therapists need to self-reflect and evaluate where we stand on working from a sex addiction model, or whatever we believe to be healthy versus non-healthy sexuality, and make sure we are not imposing our beliefs and views onto the client. As well, a therapist needs to explore whether or not the client has been sexually abused or has one of a number of disorders. It’s good to rule out things, but it’s also good not to assume something is happening without consistent supporting evidence.
The important thing that I have realized is it is best to come from a strength-based and sex-positive place and not from pathology and disease."
--Joe Kort, Phd (click photo for full article)