Sex, Drugs, and No Control

Sex as Addiction and the Treatment Thereof

There is much controversy around the use of the term "sex addiction." This article gives a brief overview of the arguments against this term, and then shows some of the aspects as to why sex may indeed be an addiction and how it may be treated. There is certainly a need for further research in this area before anything definitive can be proclaimed, but perhaps the study of behaviours that present as addiction can give us further insight and understanding of exogenous addictions.

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According to the DSM-V Sex Addiction is not a diagnosable condition. Sexual addiction was mentioned in the DSM-III-R, but disappeared in the DSM-IV, threatened a come-back in the DSM-V but has now been discarded. Sex, however, has long been described as addictive. In the late 1800s Freud described masturbation as the “original addiction.” Rado in the 20’s described addiction as “compulsive” and made the reward/pleasure/sex link. We saw words such as nymphomania (Ellis) and the clumsy “Don Juanism”(Stoller). In the 70’s Mac Dougall spoke of “addictive sexuality”. It was originally proposed that sex be included under the heading of addiction in the DSM-5, and then that was discarded and the idea of hyper-sexuality was introduced as a possibility. Eventually none of these proposals was accepted, and so sexual addiction has ceased to exist, according to the DSM, that is.

Obsessive Compulsive Disorder

A brief overview of Obsessive Compulsive Disorder for addictions counsellors

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When you attempt to eliminate risk from your life, you eliminate along with it, your ability to function.

- Fred Penzel

I once watched a man attempt to cross Belgravia Road. He approached the traffic light, turned away. He approached it again, and again he turned away. He repeated this process at least six times. Eventually he reached out to touch the button that would activate the pedestrian crossing light. Then he withdrew his hand, wiped it vigorously on his shirt and attempted to do it again. Again he withdrew. The next time he covered his figure with his shirt, but still he could not touch the button. The car behind me hooted, and I was forced to pull off. I was not convinced that this man would ever make it across the road. Such is the nature of OCD – obsessive, compulsive and utterly debilitating.