Assessment of Webinar Organizer Sexual and Cyber Sex Addiction Mis Storie, MS, NCC Director of Training & Presented by: Professional Development Don P. Osborn, PhD, LCAC, LMHC, LMFT, LCSW NAADAC, the Associa on for Addic on Professionals September 16, 2014 mis @naadac.org
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Obtaining CE Credit Objectives
§ The educa on delivered in this webinar is FREE to all professionals. 1) differen ate diagnos c considera ons for sexual § 1 CE is FREE to NAADAC members or subscribers of AccuCare who a end this webinar. Non-members of NAADAC and non-subscribers of AccuCare receive 1 addic on; CE for $15. 2) iden fy behaviors of the sexually addicted; § If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar) 3) comprehend the consequences and treatment ì www.naadac.org/assessment-of-sexual-and-cyber-sex-addic on considera ons of sexual addic on; and ì www.naadac.org/webinars § A CE cer ficate will be emailed to you within 21 days of submi ng the quiz and 4) assess counselor prepara on for working with the payment (if applicable) – usually sooner. sexually addicted. § Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer ficate.
1 Understanding and Diagnosing Sex Presenter Addictions
ì Sexual Addic on or any addic on is not in the DSM- Don P. Osborn, PhD, IV TR. LCAC, LMHC, LMFT, LCSW ì However, you can extrapolate a framework from Director & Professor of Graduate DSM Dx category for substance abuse Addic ons Counseling Indiana Wesleyan University, Marion Indiana [email protected]
When Diagnosing Rule Out the Audience Polling Following ì Direct physical effect of some medical condi on Question #1 ì Effect of substance abuse, medica on, or toxin ì Presence of psychosis, bipolar illness, or other Axis I disorder Regarding my knowledge and ì Presence of Axis II personality disorder (e.g. An - clinical skill level with sexual social) addiction, I consider myself to have…
Behavior can be viewed as an addiction Healthy Sex vs. Addictive Sexual if characterized by: Behaviors
ì Loss of control ì Does behavior agree with the persons values? ì Is it safe? ì Con nua on despite significant adverse consequence ì Is it respec ul of self and others? ì Obsession or preoccupa on ì Is it honest? ì Does it increase in macy? ì Are both partners free to choose?
(Hunter, 1992)
2 Characteristics of Sex Addiction Addictive Sexual Behavior Patterns
ì Level One – Normal, acceptable, tolerable ì Fantasy Sex: an obsessive sexual fantasy life • Masturba on, pornography, pros tu on, mul ple affairs ì Seduc ve Role Sex: seduc ve behavior for ì Level Two – Alleged behavior that is vic mizing of nuisance crimes conquest • Exhibi onism, voyeurism, obscene phone call ì Voyeuris c Sex: visual arousal ì Level Three – Illegal behavior that is grave for vic m, legal consequences for offender ì Exhibi onis c Sex: a rac ng a en on to • Rape, incest, abuse body or sexual parts of the body (Carnes, 1983)
Addictive Sexual Behavior Patterns Addictive Sexual Behavior Patterns continued… continued…
ì Anonymous Sex: high risk sex with ì Intrusive Sex: boundary viola ons unknown people ì Pain Exchange Sex: causing or receiving ì Paying for Sex: purchase of sexual services pain or humilia on to enhance sexual pleasure ì Trading Sex: selling or bartering sex for ì Exploita ve Sex: exploita on of the power vulnerable
Cybersex Audience Polling ì Any form of sexual expression accessed through the computer Question #2 • Widely accessible • Inexpensive • Legal (except for child pornography) • Privacy of home In the past year I have • Anonymous • No STD’s worked with… • Recrea onal
3 Consequences of Cybersex Addiction Loss of Interest with/in Sexual Partner
ì Defined: at least 11 hours per week on computer sex ì Sex becomes boring
ì When: evening, night, weekends ì Males unable to have sex a er computer session ì Loss of me ì 68% of cybersex addicts, regarding couples one or ì Become isolated both lost interest in sex ì Loss of sleep
ì Job performance
(Cooper, Putnam, Planehm, & Boies, 1999) (J.P. Schneider, 2000)
Normalization of Illegal or Deviant Core Beliefs of the Sexual Co-Addict Sexual Activities
ì 6% of popula on have pre-exis ng sexual ì I am not a worthwhile person. compulsions • Child sex, pornography ì No one would love me for myself. • Bondage/sadomasochism ì I can control other people’s behavior. • Urina on • Defeca on ì Sex is the most important sign of love. • Bes ality
• Choking (J.P. Schneider, 2001)
Counselor Preparation for Working with Personal Qualities of the Counselor Sexually Addicted Clients
ì Concepts of power, boundaries, ethics, ì The ability to tolerate your own discomfort and even counselor-pa ent rela onships disbelief (at mes) to the content and informa on being presented ì Factors that increase a counselor’s risk for sexual misconduct ì The willingness to avoid openly judging and shaming a client for their sexual choices ì Maintain appropriate non-sexual boundaries in the office ì The courage to confront and challenge clients’ exis ng ì Maintaining appropriate sexual boundaries in belief system, even in the face of client disapproval or anger the office
4 Personal Qualities continued… Starting the Counseling Process
ì Ini al Contact: phone call to intake ì The clarity to organize a clear set of treatment guidelines with the client and hold them ì Screening accountable to those commitments ì The First Session • Most are in an emo onal crisis • Plan for two hours ì The consistency to maintain guidelines of treatment despite client manipula on and despite your own ì Assessment • Biopsychosocialspiritual history, Tes ng feeling (posi ve or nega ve) about the client • Mul ple addic ons ì Treatment Planning (Weiss, 2000) • Immediate presen ng concerns
Definition Poor Candidates for Treatment
ì Violent offenders ì Sexual Offender: any sexual behavior carried out ì Sexual offenders who are: without the full consent of the sexual object or partner • Highly impulsive & random • Resistant or unmo vated ì Child sexual offenders ì Violent Sexual Offender: obtaining a non-consensual sexual experience by means of violence ì Narcissis c
ì Deep Depression
Sexual Disclosure To Partner To Be Considered
ì Partner is suspect and asking ques ons ì The researchers & clinicians vary ì Partner at risk for STD’s
ì Total, par al, not at all, how much? ì Informa on will be revealed by another person or en ty
ì Ethical concerns ì Rela onship has adversely been affected
ì Addicts recovery is affected by dishonesty
5 Defer Disclosure If… Sexual Addiction Treatment Tasks
ì 12 step a endance ì Addict is disclosing out of anger to hurt partner ì Wri en sobriety plan ì Addict is disclosing out of exhibi onism ì Read books and ar cles ì Comple on of sexual inventory ì The addict wants to “dump” or “bomb” to ì Psychoeduca onal assuage guilt • Understanding the sexual addic on process • Issues underlying sexual addic on ì The partner is vulnerable • Relapse preven on
Issues of Treatment Focus Audience Polling ì Pain-consequences, prophesy, Question #3 challenge cogni ve distor ons and defenses
ì Core Beliefs I consider sexual addiction to be…
Support Contact References
Sexual Addicts Anonymous Sexaholics Anonymous ì Carnes, P.J. (1983). Out of the shadows, understanding sexual addic ons. Minneapolis, MN: CompCare. P.O. Box 70949 P.O. Box 111910 Nashville, TN 37222 Houston, TX 77270 ì Carnes, P.J., & Adams, K.M. (2002). Clinical management of sex 615-331-6230 addic on. New York, New York: Brunner Routledge. 713-869-4902 Fax: 615-331-6901 ì Combs, R. H. (2004). Handbook of addic ve disorders: A prac cal guide to diagnosis and treatment. Hoboken, New Jersey: Wiley. The Augus ne Fellowship Codependents of Sex Addicts P.O. Box 650010 P.O. Box 14537 ì Cooper, D.C., Delmonico, D.L., & Bury, R. (2000). Cybersex users, Minneapolis, MN 55414 abusers and compulsives: New findings and implica ons. Sexual West Newton, MA 02165-0010 612-537-6904 Addic on & Compulsivity: Journal of Treatment & Preven on, 7, 781-255-8825 5-30.
6 References continued… NAADAC
NAADACorg
1001 N. Fairfax Street., Ste. 201 ì Alexandria, VA 22314 Cooper, A.L. (2002). Sex and the internet: A guidebook for clinicians. New Naadac York, New York: Routledge. phone: 703.741.7686/800.548.0497 fax: 703.741.7698/800.377.1136 Don P. Osborn ì Earle, R.H. & Earle, M.R. (1995). Sex addic ons case studies and mis @naadac.org [email protected] management. New York, New York: Brunner Mazel. [email protected] www.naadac.org/educa on
ì Schneider, J.P. (2000x). Effect of cybersex addic on on the family: Results of a survey. Sexual Addic on and Compulsivity: Journal of Treatment and Preven on, 7, 31-58.
ì Schneider, J.P. (2001). Back from betrayal: Recovering from his affairs (2nd ed.) Tucson, AZ: Recovery Resource Press. Thank you for
ì Weiss, R. (2000). Cyber addic on checklist available from h p://sexualrecovery.com/sri_docs/cyber.htm. participating!
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7 Obtaining CE Credit NAADAC
NAADACorg
1001 N. Fairfax Street., Ste. 201 § The educa on delivered in this webinar is FREE to all professionals. Alexandria, VA 22314 Naadac phone: 703.741.7686/800.548.0497 § 1 CE is FREE to NAADAC members or subscribers of AccuCare who a end this fax: 703.741.7698/800.377.1136 webinar. Non-members of NAADAC and non-subscribers of AccuCare receive 1 Don P. Osborn mis @naadac.org [email protected] CE for $15. [email protected] www.naadac.org/educa on
§ If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar) ì www.naadac.org/assessment-of-sexual-and-cyber-sex-addic on ì www.naadac.org/webinars § A CE cer ficate will be emailed to you within 21 days of submi ng the quiz and Thank you for payment (if applicable) – usually sooner. § Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer ficate. participating!
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