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Better understanding... better therapy

IMPORTANT DEFINITIONS

Thoroughly understanding the basics of sexual addiction and sexual annorexia is the first step towards better therapy.

Additional information on sexual addiction, sexual anorexia and recovery can be found at our SexHelp website.

WHAT IS SEXUAL ADDICTION?

Sexual 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.

Sexual addiction has been called sexual dependency and sexual compulsivity. By any name, it is a compulsive behavior that completely dominates the addict's life. Sexual addicts make sex a priority more important than family, friends, and work. Sex becomes the organizing principle of addict's lives. They are willing to sacrifice what they cherish most in order to preserve and continue their unhealthy behavior.

No single behavior pattern defines sexual addiction. These behaviors, when they have taken control of addicts' lives and become unmanageable, include: compulsive masturbation, compulsive heterosexual and homosexual relationships, pornography, prostitution, exhibitionism, voyeurism, indecent phone calls, child molesting, incest, rape and violence. Even the healthiest forms of human sexual expression can turn into self-defeating behaviors.

WHAT IS SEXUAL ANOREXIA?

Sexual anorexia is an obsessive state in which the physical, mental, and emotional task of avoiding sex dominates one's life. Like self-starvation with food or compulsive dieting or hoarding with money, deprivation with sex can make one feel powerful and defended against all hurts.

As with any other altered state of consciousness, such as those brought on by chemical use, compulsive gambling or eating, or any other addiction process, the preoccupation with the avoidance of sex can seem to obliterate one's life problems. The obsession can then become a way to cope with all stress and all life difficulties. Yet, as with other addictions and compulsions, the costs are great. In this case, sex becomes a furtive enemy to be continually kept at bay, even at the price of annihilating a part of oneself.

Specialists in sexual medicine have long noted the close parallels between food disorders and sexual disorders. Many professionals have observed how food anorexia and sexual anorexia share common characteristics. In both cases, the sufferers starve themselves in the midst of plenty. Both types of anorexia feature the essential loss of self, the same distortions of thought, and the agonizing struggle for control over the self and others. Both share the same extreme self-hatred and sense of profound alienation. But while the food anorexic is obsessed with the self-denial of physical nourishment, the sexual anorexic focuses his or her anxiety on sex. As a result, the sexual anorexic will typically experience the following:

  • A dread of sexual pleasure
  • A morbid and persistent fear of sexual contact
  • Obsession and hyper vigilance around sexual matters
  • Avoidance of anything connected with sex
  • Preoccupation with others being sexual
  • Distortions of body appearance
  • Extreme loathing of body functions
  • Obsessional self-doubt about sexual adequacy
  • Rigid, judgmental attitudes about sex
  • Excessive fear and preoccupation with sexual diseases
  • Obsessive concern or worry about the sexual activity of others
  • Shame and self-loathing over sexual experiences
  • Depression about sexual adequacy and functioning
  • Self-destructive behavior to limit, stop, or avoid sex

Sexual anorexics can be men as well as women. Their personal histories often include sexual exploitation or some form of severely traumatic sexual rejection-or both.

Experiences of childhood sexual abuse are common with sexual anorexics, often accompanied by other forms of childhood abuse and neglect. As a result of these traumas, they may tend to carry dark secrets and maintain seemingly insane loyalties that have never been disclosed. In fact, sexual anorexics are for the most part not conscious of the hidden dynamics driving them.

Dr. Carnes' book, Sexual Anorexia, focuses on the suffering of the sexual anorexic. Sexual anorexia is as destructive as the illnesses that often accompany it, and behind which it often hides, such as alcoholism, drug addiction, sexual addiction, and compulsive eating. It resides in emotion so raw that most sufferers would wish to keep it buried forever were it not so painful to live this way. Sexual anorexia feeds on betrayal, violence, and rejection. It gathers strength from a culture that makes sexual satisfaction both an unreachable goal and a nonnegotiable demand. Our media focus almost exclusively on sensational sexual problems such as rape, child abuse, sexual harassment, or extramarital affairs. When people have problems being sexual, we are likely to interpret the difficulty as a need for a new technique or a matter of misinformation. For those who suffer from sexual anorexia, technique and information are not remotely enough. Help comes only through an intentional, planned effort to break the bonds of obsession that keep anorexics stuck.

This book is intended as a guide to support that effort. The early chapters help the reader understand sexual anorexia: how it starts, and how it gathers such strength. The last twelve chapters present a clinically tested and proven plan for achieving a healthy sexuality. This program has worked for many, many people. It is safe. It is practical. It works if the sufferer follows the guidelines and has the appropriate outside support. It will not be easy because the obsession was created in the first place by intimate violations and shattered trust. Yet step by step, healing can be effected so that the sufferer can learn to trust the self as well as others.

Additional information on sexual addiction, sexual anorexia and recovery can be found at our SexHelp website.

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