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Out of Control Sexual Behavior - Porn, Risk, Ruined Relationships

Out of Control Sexual Behavior - Porn, Risk, Ruined Relationships

SOUTHERN MARYLAND - 1/14/2008

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By Staff Writer Heather Bartlett

 Maryland Department of Mental Hygiene has no numbers or statistics to share regarding sexual addiction. If untreated, out of control sexual behavior can ruin relationships, spread illness and even cause financial and legal trouble.

 
Photos by H. Bartlett for The Bay Net

 In recent years the concept of sexual addiction has received increasing attention, perhaps in part due to technology.  Today's information technology has created an environment where pornography and sexual chat can be found at the click of a button.  In an age where clandestine rendezvous can be easily arranged via cell phones, instant messaging and chat rooms it might be more difficult for those who easily succumb to temptation to resist risky and destructive sexual behavior.

 There is a dearth of formal statistical information about sexual addiction not only from Maryland but from the National Institute of Mental Health and the Centers for Disease Control as well as the American Psychiatric Association.  This may be in part due to the fact that there is not an official diagnosis of "sexual addiction" in what is referred to as the DSM-IV, which is the Diagnostic and Statistical Manual of Mental Disorders  published by the American Psychiatric Association.  The manual is the official source for disorders used to diagnose mental illness.

 Dr. John Bancroft, former Director of the Kinsey Institute for Research in Sex, Gender, and Reproduction is now a Senior Research Fellow for the institute.  The Kinsey Institute is an undisputed leader in the field of sexual research.

 In an interview with The Bay Net, Dr. Bancroft stated, "I prefer the term 'out of control' sexual behavior. In a minority of cases, such behavior can be considered as 'compulsive' in the psychiatric sense, and the concept of 'behavioral addiction' may be relevant in some others. But at this stage the best we can say is that there is no single explanation for 'out of control' sexual behavior."

 A paper written by Dr. Bancroft and Dr. Zoran Vukadinovic reports that there may be a link between mood disorders and out of control sexual behavior.  The paper states:

 "Some evidence exists that the relationship between negative mood and sexuality is paradoxical in some individuals, with increased sexual interest occurring in association with negative mood (Angst, 1998; Mathew & Weinman, 1982; Nofzinger et al., 1993)."

 Researchers are paying attention to the fact that mood elevating drugs such as selective serotonin reuptake inhibitors (SSRIs) can reduce out of control sexual behavior.

 The Maryland Department of Health's Director of Mental Hygiene, Dr. Brian Hepburn, spoke to The Bay Net regarding the controversy.

 "The controversy in the field is between professionals say that this is behavior that is under the control of the individual.  The question is what are we evaluating, the hyper sexuality or is the definition an individual who has normal sexual drive but they are attracted to multiple partners or seek out multiple sexual partners?"

 Dr. Hepburn explained that some people feel that calling it an addiction gives the individual an excuse rather than making them control their behavior.

 He described an addiction as something that is extremely difficult to resist and creates an anxiety within the individual when attempting to resist the behavior.

 Often people who suffer from out of control sexual behavior don't present that way when entering a facility for assistance.  Instead, they often present with symptoms of anxiety or depression.  During the session it may be discovered that they are suffering from an addiction or abnormal or destructive sexual behavior.

 
 
Behavior that negatively affects a relationship such as masturbating or using pornography when it has a clear negative impact on the partner could be a matter of simple selfish behavior.

 "If it is selfish behavior and they are putting their needs ahead of the partner's needs, that's something that is very difficult to deal with in therapy because the partner doesn't want to change and is just doing something they want to do."

 However, if the behavior is something that an individual wants to change but cannot seem to get it under control, they may be suffering from a compulsion.

 "If it is obsessive compulsiveness and it's something you want to change and you have this anxiety created if you don't do it. That is something you could seek therapy for."

 How To Get Help

 Mike Luginbill is the Manager of the Core Service Agency of the Public Mental Health Network which is funded by the Mental Hygiene division of Maryland.  The agency is in charge of Charles County's mental health services.  Luginbill explained that couples treatment has a good success rate.

 The agency is putting together a website that will hook up the three counties of St. Mary's, Charles and Calvert to provide resources and information to all three.

 There are several ways to get help, such as seeking a counsellor right out of the Yellow Pages or consulting The Untied Way's human services directory.  There is no one person in the county who receives all of the mental health referrals.

 For those who don't qualify for Medicaid, there is a program for people on the fringe.  Individuals with very low incomes could take advantage of the Maryland Primary Adult Care (PAC) program through the health department.  PAC covers primary health care as well as certain outpatient mental health services. For application requirements visit their website.

 If you are above the income guidelines for PAC, Luginbill said that there are many professionals and clinics that have a sliding scale.

 One method of treatment Luginbill described was Cognitive Behavioral Therapy (CGT) which is behaviorally oriented and targets symptoms.

 "We are working on a here and now kind of a treatment – not the last 25 years of the manifestation of the problem."

 Luginbill had some words of encouragement for those who are struggling:

 "It's not a hopeless situation.  You are talking about people who are highly functional in a lot of other ways so you have a lot to build on."


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Heather Bartlett is TheBayNet.com’s Waldorf and Arts Correspondent. 
In her other life, she’s an
artist , co-creator of the political group blog Charles County Café.
To contact her about this article, Waldorf issues or Arts events comment below or email
bartlett@thebaynet.com.

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