Abstract
The widespread application of an addiction model to pornography viewing and sexual behavior (henceforth “sex addiction”) is inaccurate, misleading, and likely harmful to patients. Although it has become increasingly popular for academics, professionals, and lay people to describe sexual behaviors as “addictive,” basic science has falsified core predictions of the “sex addiction” model. Better models for understanding sexual shame, including socio-historical and cultural contexts, are discussed. Various socially unacceptable sexualities, including homosexuality, followed a similar sociological trajectory attempting to reframe personal and religious values as a public health threat. Mental health practitioners perpetuate these myths due to a longstanding resistance to use research-supported treatments that challenge their current profit model. Finally, the intentional adoption of neuroscience jargon for widespread political manipulation and social control is characterized.
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References
Adam, B. D. (2003). The defense of marriage act and American exceptionalism: The “gay marriage” panic in the United States. Journal of the History of Sexuality, 12, 259–276.
Allen, S. (2015, October 20). “Porn kills love”: Mormons’ anti-smut crusade. Retrieved April 19, 2018, from https://www.thedailybeast.com/articles/2015/10/20/porn-kills-love-mormons-anti-smut-crusade
American Counseling Association. (2014). Code of ethics. Alexandria, VA: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, D.C.: American Psychiatric Pub.
Anderson, R. M. (2013). Positive sexuality and its impact on overall well-being. Bundesgesundheitsblatt, 56, 208–214. https://doi.org/10.1007/s00103-012-1607-z
Berman, J. S., & Norton, N. C. (1985). Does professional training make a therapist more effective? Psychological Bulletin, 98, 401–407. https://doi.org/10.1037/0033-2909.98.2.401
Bernal, G., & Scharro-del-Rio, M. R. (2001). Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research. Cultural Diversity & Ethnic Minority Psychology, 7(4), 328–342.
Bhugra, D., Popelyuk, D., & McMullen, I. (2010). Paraphilias across cultures: Contexts and controversies. Journal of Sex Research, 47, 242–256. https://doi.org/10.1080/00224491003699833
Bik, H. M., & Goldstein, M. C. (2013). An introduction to social media for scientists. PLoS Biology, 11(4), e1001535.
Bullough, V. L. (1976). Sexual variance in society and history. Chicago, IL: University of Chicago Press.
Cacioppo, J. (2007). Psychology is a hub science. APS Observer, 20(8).
Cacioppo, J. T. (2002). Social neuroscience: Understanding the pieces fosters understanding the whole and vice versa. The American Psychologist, 57(11), 819–831.
Campbell, A. (2018, February 8). Kansas senate uses fake science to declare porn a public health crisis. Retrieved April 19, 2018, from https://www.huffingtonpost.com/entry/kansas-senate-porn-resolution_us_5a7c5bc9e4b0c6726e101d66
Carnes, P. (1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.
Carnes, P. (2013). Don’t call it love: Recovery from sexual addiction. New York, NY: Bantam.
Carnes, S., & Love, T. (2017). Separating models obscures the scientific underpinnings of sex addiction as a disorder. Archives of Sexual Behavior, 46(8), 2253–2256.
Connell, C., & Elliott, S. (2009). Beyond the birds and the bees: Learning inequality through sexuality education. American Journal of Sexuality Education, 4, 83–102. https://doi.org/10.1080/15546120903001332
Conrad, P., & Schneider, J. W. (1992). Deviance and medicalization: From badness to sickness. Philadelphia, PA: Temple University Press.
Council on Social Work Education (CSWE). (2008). Educational policy and educational standards. Alexandria, VA: Author.
Council on Social Work Education (CSWE). (2015). Final 2015 educational policy (EP). Alexandria, VA: Author.
Crane, D. R., Wampler, K. S., Sprenkle, D. H., Sandberg, J. G., & Hovestadt, A. J. (2002). The scientist-practitioner model in marriage and family therapy doctoral programs: Current status. Journal of Marital and Family Therapy, 28(1), 75–83.
Dattilio, F. M., Piercy, F. P., & Davis, S. D. (2013). The divide between “evidenced-based” approaches and practitioners of traditional theories of family therapy. Journal of Marital and Family Therapy, 40(1), 5–16.
De Block, A., & Adriaens, P. R. (2013). Pathologizing sexual deviance: A history. Journal of Sex Research, 50, 276–298. https://doi.org/10.1080/00224499.2012.738259
Deckman, M., & McTague, J. (2014). Did the “war on women” work? Women, men, and the birth control mandate in the 2012 presidential election. American Politics Research, 43, 3–26. https://doi.org/10.1177/1532673X14535240
Dermer, S., & Bachenberg, M. (2015). The importance of training marital, couple, and family therapists in sexual health. Australian and New Zealand Journal of Family Therapy, 36(4), 492–503.
Diamond, L. M., & Huebner, D. M. (2012). Is sex good for you? Rethinking sexuality and health. Social and Personality Psychology Compass, 6, 54–69. https://doi.org/10.1111/j.1751-9004.2011.00408.x
Dunkle, J. H., & Friedlander, M. L. (1996). Contribution of therapist experience and personal characteristics to the working alliance. Journal of Counseling Psychology, 43, 456.
Edwards, W. M., & Coleman, E. (2004). Defining sexual health: A descriptive overview. Archives of Sexual Behavior, 33, 189–195.
Elmore, A. (2016). Empirically supported treatments: Precept or percept? Professional Psychology, Research and Practice, 47(3), 198–205.
Epstein, S. (2006). The new attack on sexuality research: Morality and the politics of knowledge production. Sexuality Research and Social Policy Journal of NSRC, 3, 1–12. https://doi.org/10.1525/srsp.2006.3.1.01
Erekson, D. M., Janis, R., Bailey, R. J., Cattani, K., & Pedersen, T. R. (2017). A longitudinal investigation of the impact of psychotherapist training: Does training improve client outcomes? Journal of Counseling Psychology, 64(5), 514–524.
Goldberg, S. B., Rousmaniere, T., Miller, S. D., Whipple, J., Nielsen, S. L., Hoyt, W. T., et al. (2016). Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting. Journal of Counseling Psychology, 63(1), 1–11.
Goodman, A. (2001). What’s in a name? Terminology for designating a syndrome of driven sexual behavior. Sexual Addiction and Compulsivity, 8(3–4), 191–213.
Grant, J. E., Atmaca, M., Fineberg, N. A., Fontenelle, L. F., Matsunaga, H., Reddy, Y. C. J., et al. (2014). Impulse control disorders and “behavioural addictions” in the ICD-11. World Psychiatry: Official Journal of the World Psychiatric Association, 13(2), 125–127.
Grubbs, J. B., Exline, J. J., Paragament, K. I., Hook, J. N., & Carlisle, R. D. (2015). Transgression as addiction: Religiosity and moral disapproval as predictors of perceived addiction to pornography. Archives of Sexual Behavior, 44, 125–136. https://doi.org/10.1007/s10508-013-0257-z
Grubbs, J. B., & Perry, S. L. (2018). Moral incongruence and pornography use: A critical review and integration. Journal of Sex Research (online first). https://doi.org/10.1080/00224499.2018.1427204
Guttmacher Institute. (2012). State policies in brief: Sex and HIV education. New York, NY: Author.
Gyani, A., Shafran, R., Rose, S., & Lee, M. J. (2015). A qualitative investigation of therapists’ attitudes towards research: Horses for courses? Behavioural and Cognitive Psychotherapy, 43, 436–448.
Hammack, P. L., Mayers, L., & Windell, E. P. (2013). Narrative, psychology and the politics of sexual identity in the United States: From “sickness” to “species” to “subject”. Psychology and Sexuality, 4, 219–243. https://doi.org/10.1080/19419899.2011.621131
Hansson, S. O. (2018). Dealing with climate science denialism: Experiences from confrontations with other forms of pseudoscience. Climate Policy, 1, 1–9.
Harrison, T. (2005). Availability of emergency contraception: A survey of hospital emergency department staff. Annals of Emergency Medicine, 46(2), 105–110. https://doi.org/10.1016/j.annemergmed.2005.01.017
Hasin, D. S., O’Brien, C. P., Auriacombe, M., Borges, G., Bucholz, K., Budney, A., et al. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale. The American Journal of Psychiatry, 170(8), 834–851.
Hayes, S., & Carpenter, B. (2012). Out of time: The moral temporality of sex, crime, and taboo. Critical Criminology, 20, 141–152. https://doi.org/10.1007/s10612-011-9130-3
Hertlein, K. M., & Lambert-Shute, J. (2007). Factors influencing student selection of marriage and family therapy graduate programs. Journal of Marital and Family Therapy, 33(1), 18–34.
Hobaica, S., & Kwon, P. (2018). “This is how you hetero:” sexual minorities in heteronormative sex education. American Journal of Sexuality Education, 12, 423–450. https://doi.org/10.1080/15546128.2017.1399491
Hoefer, S. E., & Hoefer, R. (2017). Worth the wait? The consequences of abstinence-only sex education for marginalized students. American Journal of Sexuality Education, 12, 257–276. https://doi.org/10.1080/15546128.2017.1359802
Hook, C. J., & Farah, M. J. (2013). Look again: Effects of brain images and mind-brain dualism on lay evaluations of research. Journal of Cognitive Neuroscience, 25(9), 1397–1405.
Huebner, D. M., Rebchook, G. M., & Kegeles, S. M. (2004). Experiences of harassment, discrimination, and physical violence among young gay and bisexual men. American Journal of Public Health, 94, 1200–1203. https://doi.org/10.2105/AJPH.94.7.1200
Iantaffi, A., Wilkerson, J. M., Grey, J. A., & Rosser, B. R. (2015). Acceptability of sexually explicit images in HIV prevention messages targeting men who have sex with men. Journal of Homosexuality, 62, 1345–1358. https://doi.org/10.1080/00918369.2015.1060066
IITAPllc. (2014, February 21). Dr. Don Hilton speaking about the neuroscience of pornography #addiction. #IITAPSymposium. Retrieved from https://twitter.com/iitapllc/status/436897536075239424
Ikeda, K., Kitagami, S., Takahashi, T., Hattori, Y., & Ito, Y. (2013). Neuroscientific information bias in metacomprehension: The effect of brain images on metacomprehension judgment of neuroscience research. Psychonomic Bulletin & Review, 20(6), 1357–1363.
Irvine, J. M. (1995). Reinventing perversion: Sex addiction and cultural anxieties. Journal of the History of Sexuality, 5, 429–450.
Joannides, P. (2012). The challenging landscape of problematic sexual behaviors, including “sexual addiction” and “hypersexuality”. In P. Kleinplatz (Ed.), New directions in sex therapy: Innovations and alternatives (pp. 69–84). New York, NY: Routledge.
Karila, L., Wéry, A., Weinstein, A., Cottencin, O., Petit, A., Reynaud, M., & Billieux, J. (2014). Sexual addiction or hypersexual disorder: different terms for the same problem? A review of the literature. Current pharmaceutical design, 20(25), 4012–4020.
Kirby, D. (2007). Abstinence, sex, and STD/HIV education programs for teens: Their impact on sexual behavior, pregnancy, and sexually transmitted disease. Annual Review of Sex Research, XVIII, 143–177.
KonkolÿThege, B., Woodin, E. M., Hodgins, D. C., & Williams, R. J. (2015). Natural course of behavioral addictions: A 5-year longitudinal study. BMC Psychiatry, 15, 4.
Koob, G. F., & Le Moal, M. (2008). Review. Neurobiological mechanisms for opponent motivational processes in addiction. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 363(1507), 3113–3123.
Le Bodic, C. (2009). Masturbation and therapy: The example of treatment for perpetrators of sexual abuse. Sexologies, 18, 255–258. https://doi.org/10.1016/j.sexol.2009.09.003
Lewandowsky, S., & Bishop, D. (2016). Research integrity: Don’t let transparency damage science. Nature, 529(7587), 459–461.
Ley, D. (2012). The myth of sex addiction. Lanham, MD: Rowman & Littlefield.
Ley, D. (2018). The pseudoscience behind public health crisis legislation. Porn Studies (online first). https://doi.org/10.1080/23268743.2018.1435400
Ley, D., Prause, N., & Finn, P. (2014). The emperor has no clothes: A review of the “pornography addiction” model. Current Sexual Health Reports, 6, 94–105. https://doi.org/10.1007/s11930-014-0016-8
Malan, M. K., & Bullough, V. (2005). Historical development of new masturbation attitudes in Mormon culture: Silence, secular conformity, counterrevolution, and emerging reform. Sexuality and Culture, 9(4), 80–127.
McCabe, D. P., & Castel, A. D. (2008). Seeing is believing: The effect of brain images on judgments of scientific reasoning. Cognition, 107(1), 343–352.
McFall, R. M. (1991). Manifesto for a science of clinical psychology. The Clinical Psychologist, 44(6), 75–88.
Meehl, P. E. (1957). When shall we use our heads instead of the formula? Journal of Counseling Psychology, 4(4), 268–273.
Miller, D. J., Spengler, E. S., & Spengler, P. M. (2015). A meta-analysis of confidence and judgment accuracy in clinical decision making. Journal of Counseling Psychology, 62(4), 553–567.
National Institute for Public Health and the Environment. (2017). Groupthink in Sex and Pornography “Addiction”: Sex-Negativity, Theoretical Impotence, and Political Manipulation. In H. de Graaf Ciel Wijsen, (Ed.), Sexual health in the Netherlands. New York: Springer.
Ortmann, D. M., & Sprott, R. (2012). Sexual outsiders: Understanding BDSM sexualities and communities. Lanham, MD: Rowman & Littlefield.
Parker, E. O., Chang, J., & Thomas, V. (2016). A content analysis of quantitative research in journal of marital and family therapy: A 10-year review. Journal of Marital and Family Therapy, 42(1), 3–18.
Perkins, A., Ridler, J., Browes, D., Peryer, G., Notley, C., & Hackmann, C. (2018). Experiencing mental health diagnosis: A systematic review of service user, clinician, and carer perspectives across clinical settings. The Lancet Psychiatry. https://doi.org/10.1016/s2215-0366(18)30095-6
Popescu, M., Thompson, R. B., Gayton, W., & Markowski, V. (2016). A reexamination of the neurorealism effect: The role of context. Journal of Science Communication, 15(6), A01.
Popovic, M. (2006). Psychosexual diversity as the best representation of human normality across cultures. Sexual and Relationship Therapy, 21, 171–186. https://doi.org/10.1080/14681990500358469
Prause, N. (2017). Evaluate models of high-frequency sexual behaviors already. Archives of Sexual Behavior, 46(8), 2269–2274.
Prause, N., & Fong, T. (2015). The science and politics of sex addiction research. In L. Comella & S. Tarrant (Eds.), New views on pornography: Sexuality, politics, and the law. Santa Barbara, CA: Praeger.
Prause, N., Janssen, E., Georgiadis, J., Finn, P., & Pfaus, J. (2017). Data do not support sex as addictive. The Lancet Psychiatry, 4(12), 899.
Prause, N., Steele, V. R., Staley, C., Sabatinelli, D., & Hajcak, G. (2016). Prause et al. (2015) the latest falsification of addiction predictions. Biological Psychology, 120, 159–161.
Prior, E. E., Williams, D. J., Zavala, T., & Milford, J. (2016). What do(n’t) American undergraduate social work students learn about sex? A content analysis of sex positivity. University of Windsor, http://www1.uwindsor.ca/criticalsocialwork/HBSEtextbooks
Pullum, A. (2017). Foul Weather Friends: Enabling Movement Alliance through an Intentionally Limited Coalition. Social Currents, 5(3), 228–243. https://doi.org/10.1177/2329496517725329
Racine, E., Sattler, S., & Escande, A. (2017). Free will and the brain disease model of addiction: The not so seductive allure of neuroscience and its modest impact on the attribution of free will to people with an addiction. Frontiers in Psychology, 8, 1850.
Reay, B., Attwood, N., & Gooder, C. (2013). Inventing sex: The short history of sex addiction. Sexuality and Culture, 17, 1–19. https://doi.org/10.1007/s12119-012-9136-3
Robinson, T. E., & Berridge, K. C. (2000). The psychology and neurobiology of addiction: An incentive–sensitization view. Addiction, 95(8), 91–117.
Rodda, S. N., Booth, N., Vacaru, M., Knaebe, B., & Hodgins, D. C. (2018). Behaviour change strategies for internet, pornography and gaming addiction: A taxonomy and content analysis of professional and consumer websites. Computers in Human Behavior, 84, 467–476.
Rosen, G. M., & Davison, G. C. (2003). Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages. Behavior Modification, 27(3), 300–312.
Rubin, G. (1984). Thinking sex: Notes for a radical theory of the politics of sexuality. In C. Vance (Ed.), Exploring female sexuality (pp. 267–319). Boston, MA: Routledge.
Satcher, D., Hook III, E. W., & Coleman, E. (2015). Sexual health in America: Improving patient care and public health. JAMA, 314, 765–766.
Schultz, W., Stauffer, W. R., & Lak, A. (2017). The phasic dopamine signal maturing: From reward via behavioural activation to formal economic utility. Current Opinion in Neurobiology, 43, 139–148.
Schweitzer, N. J., Baker, D. A., & Risko, E. F. (2013). Fooled by the brain: Re-examining the influence of neuroimages. Cognition, 129(3), 501–511.
Scott, J. (1998). Changing attitudes toward sexual morality: A cross-national comparison. Sociology, 32, 815–845.
Sloman, S. A., & Rabb, N. (2016). Your understanding is my understanding: Evidence for a community of knowledge. Psychological Science, 27(11), 1451–1460.
StaciSprout. (2017, September 24). Technology gives us dopamine...highly addictive! Retrieved from https://twitter.com/Stacisprout/status/912173274599014400
Thomas, J. N. (2013). Outsourcing moral authority: The internal secularization of evangelicals’ anti-pornography narratives. Journal for the Scientific Study of Religion, 52, 182–206. https://doi.org/10.1111/jssr.12052
Thomas, J. N. (2016). The development and deployment of the idea of pornography addiction within American evangelicalism. Sexual Addiction and Compulsivity, 23, 182–195. https://doi.org/10.1080/10720162.2016.1140603
Thomas, J. N., Alper, B. A., & Gleason, S. A. (2017). Anti-pornography narratives as self-fulfilling prophecies: Religious variation in the effect that pornography viewing has on the marital happiness of husbands. Review of Religious Research, 59, 471–497. https://doi.org/10.1007/s13644-107-0301-x
Van Rooij, A., & Prause, N. (2014). A critical review of “internet addiction” criteria with suggestions for the future. Journal of Behavioral Addictions, 3(4), 203–213.
Voros, F. (2009). The invention of addiction to pornography. Sexologies, 18, 243–246. https://doi.org/10.1016/j.sexol.2009.09.007
Waller, G., & Turner, H. (2016). Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track. Behaviour Research and Therapy, 77, 129–137.
Walton, M. T., Cantor, J. M., Bhullar, N., & Lykins, A. D. (2017). Hypersexuality: A critical review and introduction for the “sexhavior cycle”. Archives of Sexual Behavior, 46, 2231–2251. https://doi.org/10.1007/s10508-017-0091-8
Whittier, N. (2014). Rethinking coalitions: Anti-pornography feminists, conservatives, and relationships between collaborative adversarial movements. Social Problems, 61(2), 175–193.
Williams, D. J. (2017). The framing of frequent sexual behavior and/or pornography viewing as addiction: Some concerns for social work. Journal of Social Work, 17, 616–623. https://doi.org/10.1177/1468017316644701
Williams, D. J., Christensen, M. C., & Capous-Desyllas, M. (2016). Social work practice and sexuality: Applying a positive sexuality model to enhance diversity and resolve problems. Families in Society, 97, 287–294. https://doi.org/10.1606/1044-3894.2016.97.35
Williams, D. J., Thomas, J. N., & Prior, E. E. (2015). Moving full-speed ahead in the wrong direction? A critical examination of US sex offender policy from a positive sexuality model. Critical Criminology, 23, 277–294. https://doi.org/10.1007/s10612-015-9270-y
Williams, D. J., Thomas, J. N., Prior, E. E., Wright, S., Sprott, R., et al. (2017). Sex and pornography “addiction”: An official position statement of the Center for Positive Sexuality (CPS), National Coalition for sexual freedom (NCSF), and the alternative sexualities Health Research Alliance (TASHRA). Journal of Positive Sexuality, 3, 40–43.
Wilson, G. (2018, March 9). Sex releases the highest levels of dopamine naturally available, equal to morphine & nicotine. Sex & addictive drugs (meth, cocaine) activate the same reward center neurons, which differ from other natural rewards. He should read Hilton’s article. Retrieved from https://twitter.com/YourBrainOnPorn/status/972119573502701568
Withers, M. C., Reynolds, J. E., Reed, K., & Holtrop, K. (2017). Dissemination and implementation research in marriage and family therapy: An introduction and call to the field. Journal of Marital and Family Therapy, 43(2), 183–197.
Zamboni, B. D., & Zaid, S. J. (2017). Human sexuality education in marriage and family therapy graduate programs. Journal of Marital and Family Therapy, 43(4), 605–616.
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Prause, N., Williams, D.J. (2020). Groupthink in Sex and Pornography “Addiction”: Sex-Negativity, Theoretical Impotence, and Political Manipulation. In: Allen, D.M., Howell, J.W. (eds) Groupthink in Science. Springer, Cham. https://doi.org/10.1007/978-3-030-36822-7_16
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