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Assessment and Treatment of Internet Sexuality Issues

  • INTEGRATING THE PSYCHOSOCIAL (B McCARTHY, RT SEGRAVES, AND AH CLAYTON, SECTION EDITORS)
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Abstract

The pervasive nature of technology has forced couples and families to rethink the role technology plays in their lives. Several notable areas emerging as challenging areas in couples’ lives include Internet infidelity, Internet pornography usage, and cybersex addiction. The increased prevalence of technology-related issues in therapy has challenged clinicians with the task of understanding the distinct differences and commonalities among each Internet-related issue. Two common Internet sexuality issues reported by clinicians are cybersex and Internet infidelity. The purpose of this article is to provide brief descriptions of the most common Internet sexuality issues, provide an overview of common assessment procedures, and outline the most recent development in treatment of these problems.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Hertlein KM, Desruisseaux J. Online Intimacy Problems

  2. Hertlein KM, Piercy F. Essential elements of Internet infidelity treatment. J Marital Fam Ther. 2012;38:257–70.

    Article  PubMed  Google Scholar 

  3. Nelson TS, Piercy F, Sprenkle D. Internet infidelity: a multi-phase study. J Couple Relationsh Ther. 2005;4:173–94.

    Article  Google Scholar 

  4. Parker TS, Wampler KS (2003) How bad is it? Perceptions of the relationship impact of different types of internet sexual activities. 25:415–29

  5. Cravens JD. Social networking infidelity: understanding the impact and exploring the rules and boundaries in intimate partner relationships [dissertation]. Lubbock: Texas Tech University; 2013.

    Google Scholar 

  6. Ross MW, Månsson S, Daneback K. Prevalence, severity, and correlates of problematic sexual internet use in Swedish men and women. Arch Sex Behav. 2012;41:459–66.

    Article  PubMed  Google Scholar 

  7. DeAngelis T. Is the internet real? [Internet]. Washington: American Psychological Association; 2000. [cited 2013 Sep 27]. Available from: http://www.apa.org/monitor/aproo/addiction.html.

    Google Scholar 

  8. Parsons JT, Severino C, Grov C, Bimbi DS, Morgenstern J. Internet use among gay and bisexual men with compulsive sexual behavior. Sex Addict Compulsivity. 2007;14:239–56.

    Article  Google Scholar 

  9. Widyanto L, Griffiths M. ‘Internet addiction’: a critical review. Int J Mental Health Addiction. 2006;4:31–51.

    Article  Google Scholar 

  10. Goodman A. What’s in a name? Terminology for designating a syndrome of driven sexual behavior. Sex Addict Compulsivity. 2001;8(3–4):191–213.

    Article  Google Scholar 

  11. Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, et al. Problematic Internet use: proposed clarification and diagnostic criteria. Depression Anxiety. 2003;17:207–16.

    Article  PubMed  Google Scholar 

  12. Brand M, Laier C, Pawlikowski M, Schähtle U, Schöler T, Altstötter-Gleich C. Watching pornographic pictures on the internet: role of sexual arousal ratings and psychological-psychiatric symptoms for using internet sex sites excessively. CyperPsychol, Behav, Soc Netw. 2011;14(6):371–7.

    Article  Google Scholar 

  13. Paul B, Shim JW. Gender, sexual affect, and motivations for Internet pornography use. Int J Sex Health. 2008;20(3):187–99.

    Article  Google Scholar 

  14. Chaney MP, Dew BJ. Online experiences of sexually compulsive men who have sex with men. Sex Addict Compulsivity. 2003;10:259–74.

    Article  Google Scholar 

  15. Jones K, Hertlein KM. Four key dimensions in distinguishing Internet infidelity from Internet and sex addiction: Concepts and clinical application. Am J Fam Ther. 2012;40(2):115–25.

    Article  Google Scholar 

  16. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

    Google Scholar 

  17. Cooper A, Putnam D, Planchon L, Boies S. Online sexual compulsivity: getting tangled in the net. J Treat Prev. 1999;6(2):70–104.

    Google Scholar 

  18. Carnes PJ, Green BA, Merlo LJ, Polles A, Carnes S, Gold MS. PATHOS a brief screening application for assessing sexual addiction [Internet]. Toms River: Leadem Counseling and Consulting Services; 2012. [cited 2013 Sep 01]. Available from: http://www.leademcounseling.com/wp-content/uploads/PATHOS.pdf.

    Google Scholar 

  19. Carnes PJ. Don’t call it love: recovery from sexual addiction. New York: Bantam Books; 1991.

    Google Scholar 

  20. Young KS. Tangled in the web: understanding cybersex from fantasy to addiction. Authorhouse: Bloomington, In; 2001.

    Google Scholar 

  21. Delmonico DL. Internet Sex screening test [Internet]. Arizona: International Institute for Trauma and Addiction Professionals; 1997. [cited 2003 May 15]. Available from: http://www.sexhelp.com/component/content/article/80-am-i-a-sex-addict/130-internet-sex-screening-iss.

    Google Scholar 

  22. Delmonico DL, Griffin E, Carnes PJ. Treating online compulsive sexual behavior: when cybersex is the drug of choice. In: Cooper A, editor. Sex and the internet: a guidebook for clinicians. New York: Brunner-Routledge; 2002. p. 147–67.

    Google Scholar 

  23. Putnam DE. Online Sexual addiction questionnaire (OSA-Q). [cited 2013 Feb 05]. Available from: http://www.onlinesexaddict.com/osaq.html

  24. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders. 4th edn. revised Arlington (VA), American Psychiatric Publishing

  25. Juhnkle GA, Hagedorn B. Counseling addicted families: an integrated assessment and treatment model. New York: Routledge; 2006.

    Google Scholar 

  26. Carnes S, Carnes PJ (2010) Understanding cybersex in 2010. Family therapy magazine. Jan/Feb:10–17

  27. Hertlein KM, Blumer MLC (2014) The Couple and Family Technology Framework: intimate relationships in a digital age. New York, Routledge. A resource to assist mental health providers to better address clients’ concerns related to technologies (e.g., Internet infidelity, online gaming addiction). The Couple and Family Technology Framework is a multi-theoretical approach that can be applied to clinical work

  28. Maheu MM, Subotnik RB. Infidelity on the internet. Naperville: Sourcebooks; 2001.

    Google Scholar 

  29. Hertlein KM, Piercy F. A theoretical framework for defining, understanding, and treating Internet infidelity. J Couple Relationsh Ther. 2005;4(1):79–91.

    Article  Google Scholar 

  30. Atwood JD, Schwarz L. The new affair treatment considerations. J Couple Relationsh Ther. 2002;1(3):37–56.

    Article  Google Scholar 

  31. Shaw J. Treatment rationale for Internet infidelity. J Sex Educ Ther. 1997;22(1):29–34.

    Google Scholar 

  32. Young KS, Griffin-Shelley E, Cooper A, O’Mara J, Buchanan J. Online infidelity: a new dimension in couple relationships with implications for evaluation and treatment. Sex Addict Compulsivity. 2000;7:59–74.

    Article  Google Scholar 

  33. Hertlein KM, Piercy F. Treatment and assessment of Internet infidelity cases. J Marital Fam Ther. 2008;34(4):481–97.

    Article  PubMed  Google Scholar 

  34. Hertlein KM. Digital dwelling: technology in couple and family relationships. Fam Relat. 2012;61(3):374–87. The article provides a multi-theoretical model to describe the process of how technologies impact couple and family life. The model integrates three theories: the family ecological perspective, structural-functional perspective and interaction-constructionist.

    Article  Google Scholar 

  35. Hawkins BP, Hertelin KM. Treatment strategies for couple problems related to massively multiplayer online games. J Couple Relationsh Ther. 2013;12(2):156–67. The article reviews specific challenges related to massively multiplayer online role playing games, such as challenges related to daily life, individual challenges and threats to intimacy. Specific recommendations to assess and treat are made based on a multi-theoretical model.

    Article  Google Scholar 

  36. Cravens JD, Leckie KR, Whiting JB. Facebook infidelity: when poking becomes problematic. Contemp Fam Ther. 2013;35(1):74–90. data to support Facebook infidelity behaviors have similar impacts for the non-participating partner as both offline and other forms of online infidelity. A process model of discovery is presented based on the experiences of non-participating partners impacted by Facebook infidelity.

    Article  Google Scholar 

  37. Henline BH, Lamke LK (2003) The experience of sexual and emotional online infidelity. Proceedings of the 65th annual conference of the National Council on Family Relations; Nov 19–22, Vancouver, British Columbia, Canada

  38. Weeks G, Gambescia N, Jenkins R. Treating infidelity: therapeutic dilemmas and effective strategies. New York: Guilford; 2003.

    Google Scholar 

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Conflict of Interest

Katherine M. Hertlein and Jaclyn D. Cravens declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Marriage and Family Therapy Program, University of Nevada, Las Vegas, 4505 Maryland Parkway, Box 453045, Las Vegas, NV, 89154-3045, USA

    Katherine M. Hertlein

  2. Alliant International University, San Diego, CA, USA

    Jaclyn D. Cravens

Authors
  1. Katherine M. Hertlein
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  2. Jaclyn D. Cravens
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Corresponding author

Correspondence to Katherine M. Hertlein.

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This article is part of the Topical Collection on Integrating the Psychosocial

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Hertlein, K.M., Cravens, J.D. Assessment and Treatment of Internet Sexuality Issues. Curr Sex Health Rep 6, 56–63 (2014). https://doi.org/10.1007/s11930-013-0011-5

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  • DOI: https://doi.org/10.1007/s11930-013-0011-5

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