June 3, 2010 10:35 AM

The Stories Behind Sex Addiction

By
CBSNews
(CBS)  That some people seem to have an addiction to sexual misbehavior may be the oldest story on Earth. But is that reason enough to recognize it as a psychological disorder? It's an open question . . . one reported on by Seth Doane:


An update to a story originally broadcast November 15, 2008.

They are two words that just seem to go together: sex and scandal.

In just this past week: It was widely reported that golfer Tiger Woods checked into a treatment center for sexual addiction; and former presidential candidate John Edwards admitted that, yes, he is indeed the father of his mistress' baby.

But even when we're not scandalized by sex, we seem obsessed by it - whether we're watching it . . . downloading it . . . or, let's be frank, doing it.

Look around . . . sex is everywhere. And as Americans, it seems like addiction is everywhere, too. Lately, my "addiction" seems to be to cappuccino. But, can we be addicted to sex?

Before you dismiss the idea of "sex addiction," consider these two stories: author Susan Cheever, on a journey to understand it; and a man we'll call "Joe" (who's asked us to conceal his identity) …

How did Joe's addiction begin?

"When I was 14 - 13, 14 - I thought I invented masturbation. I thought it was great."

Joe says he's battled sex addiction for decades. With adult magazines, prostitutes, massage parlors, and then Internet porn, "It just got worse and worse, to where, you know, at my previous job I was doin' it two, four hours a day."

"You were looking at pornography at work?" asked Doane.

"Yeah, yeah."

He says it ruled his life, and ruined his two marriages.

"When I'm in the mind frame of wantin' to do pornography, you don't think about anything else. You're focused on getting that high, getting that adrenaline rush."

A rush that seems to be as powerful as it can be difficult to discuss.

"People are embarrassed," Susan Cheever said. "There's a lot of shame around this subject."

Susan Cheever is the daughter of the late writer John Cheever. Her latest book, "Desire: Where Sex Meets Addiction" (Simon & Schuster), is part memoir, part research project. She doesn't call herself a sex addict, not exactly. But on the other hand, well, there WAS the sex …

(CBS)
"Whenever there was a situation in which I was terrified or panicky, I would often find myself sleeping with somebody who appeared to have power over that situation," said Cheever (left).

For example, when her mother was diagnosed with cancer, Cheever said, "I needed to feel better. I needed to feel less helpless."

Doane: "You achieved that by …"

"I thought I was going to achieve, you know, my mother's good health by sleeping with the oncologist and getting special treatment for her, and knowledge for me," she said.

"And indeed, she's still alive!" she laughed.

Cheever believes that it was not sex as much as the desire to fall in love, over and over again, that drove her through three marriages and multiple affairs.

What makes someone a sex addict, Doane asked?

"Well, I think what makes anyone an addict of any kind - sex addict, alcoholic, cocaine addict - is really up to them.

"Addiction starts with a broken promise. In other words, when you say to yourself, 'I am not gonna sleep with him, I am not gonna see him tonight,' and you find that you are doing it anyway, you've entered the land of addiction."

Psychologist Patrick Carnes says there are definite red flags to look for. Carnes first studied (and popularized the term) "sex addiction" in the 1980s, in the book "Out of the Shadows" (Hazeldon).

"There are bad things happening to them," he told Doane. "They're spending money they can't afford. They're putting marriage at risk. They're getting sexually transmitted diseases. There's things that are happening."

Carnes is the executive director of the Gentle Path program at the Pine Grove center in Mississippi - where Tiger Woods has reportedly checked in for treatment.

Business there is brisk: It's been estimated that three to five percent of Americans engage in sexually compulsive behavior.

We found that Carnes, who has studied the subject for decades, still gets emotional when he considers its effects.

"You know, the joke is, 'Well, if sex is an addiction, it's the way I wanna go.' If you sat in my office and you listened to the tales of woe, I mean, sometimes in an evening, I'll come home and, you know, it's hard to even talk."

"Why?"

"Because of just how hurting people are about the problems that they have. And I think for people who are out there who dismiss it as something that's funny, they don't sit in our shoes."

But hold up for a minute: It turns out sex addiction doesn't even exist, if you consult the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV), the Bible of psychiatry. It used to be in here, but was taken out for lack of scientific evidence when the manual was revised 14 years ago.

New York psychiatrist Jack Drescher, who specializes in gender issues, says, "I think it's a made-up diagnosis. I think it's a diagnosis that has a moralizing component to it.

"The problem that I have is like Flip Wilson used to say: 'The devil made me do it.' And so 'My addiction made me do it' is a way to not take in to yourself your own wishes and desires - meaning that you might want to have more sex than the people around you think you should have."

Dr. Drescher believes that, for one thing, no one's ever decided what the proper amount of sex is. He also believes that so-called "sex addiction" is usually a mask covering deep-seated issues, like alcoholism or drug use, or abuse suffered in childhood.
Susan Cheever acknowledges that addictions often come in sets. She's struggled with alcoholism, just like her father.

"What do you say to people who would say, 'Come on, sex addiction? Yeah, just get over it'?" Asked Doane.

"Well, that's what many people think about addiction, period," Cheever said. "So even as people say, 'Why can't you just drink less?' You know, 'Come on, sex addiction. Just get over it.' 'Just don't fall in love again.' They don't understand addiction, that the core of addiction is powerlessness."

(CBS)
Dr. Drew Pinsky (left) has long kept tabs on Americans' attitudes about sex, and addiction. He's been advising radio listeners for almost three decades and is host of the VH-1 show "Celebrity Rehab."

"We send mixed messages about sexuality," Dr. Drew said. "I think we use it. We expose kids to it. We glorify it."

Like many, he worries about the online world, where porn is available to anyone, anytime, often for free.

"We don't even know the full impact of kids having pornography pouring down on them," he said. "By the same token, the rest of mass media, not just the online barrage, the tsunami of online pornography, but what's portrayed in the broadcast media is sex without consequences, sex without a context, sex as just something that's arousing and fun but not something that's part of a deeper human experience - or, by the way, something that has real risk."

When risk crosses the line into possible addiction, there is a vast network of 12-step programs ready to help, many based on the principles of Alcoholics Anonymous.

And, ironically, the Internet - often a great temptation - may turn out to be the salvation for some. Instead of surfing for porn, Joe now uses his computer to get help.

He's signed up for a new online program, which he visits multiple times a day. He read us one of his recent journal entries that shows his continuing struggle.

"Crap, I'm shaking right now. I feel so guilty and discouraged."

Joe says despite set-backs, he's making progress.

"Now, my thought is, 'No, I'm going to have a healthy relationship. I'm going to have a family where I can wake up in the morning and I can be the real me and not wonder, am I going to do pornography today or not?'"

So, in a culture where sex and addiction are both celebrated and condemned, what are we to make of sex addiction? The answer, like sex itself, might not be so simple.

"What people are doing sexually often is a window into their deepest wounding, or their deepest desire, or who they are as a person," said Carnes. "And so our culture needs to see the opportunity in that, and that sex is not the enemy. The enemy is us, and it's what we do with our sexuality."


For information and help:
American Foundation for Addiction Research (AFAR)
Candeo
"Desire: Where Sex Meets Addiction" by Susan Cheever (Simon & Schuster),
susancheever.com
International Service Organization of Sex Addicts Anonymous
"Loveline" with Dr. Drew Pinsky
jackdreschermd.net
"Out of the Shadows" (Hazeldon).
Pine Grove Behavioral Health and Addiction Services
sexhelp.com
Society for the Advancement of Sexual Health (SASH)

Copyright 2010 CBS. All rights reserved.
Add a Comment See all 18 Comments
by SoShootMe February 8, 2010 7:46 PM EST
The delusion that someone has sex addiction is closely related to the guilt that that individual has been made to feel by their religious upbringing or the mores that society has impossed on them concerning sex. This is especially true for females as they don"t want to be label *****,*****, etc. Good girls don"t give it up on the first date.Males on the other hand are not stigmatized as such and they usually use sex addiction as an excuse to save a marriage once they have been caught cheating. Tiger Woods and Steve Phillips. It is perfectly normal to desire sex with multiple partners however once we take marriage vows this practice is no longer socially acceptable or permitted. However judging from the divorce rate we know that what is acceptable and what is practiced is two different things.The prostitution business has flourished since the beginning of time simply because of "sexual addiction" or our attitude toward sex. If you study other civilizations you will find that what was acceptable and normal has changed deeping on the time. Ancient Romans love to go to orgies, prostitution was legal and taxed and sex with children was permitted and encouraged. Fast forward to 2010 and most of this behavior is illegal if not reviled. Has human natured changed that much in 2500 years or has our minds been filled with a lot of religious dogma which has made us feel guilt about the pleasures of the flesh. If you are human ,with emotions that some quack says you should not have you are an addict. The next time some politican,celebrity,or athlete gets caught "cheating on their spouse there is another patient for the sex rehab clinic. Give that couple five minutes with me an I can solve all their problems. I would simply tell them to be honest with themselves first and then to each other no matter how much it hurt.
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by rehabman January 30, 2010 7:59 PM EST
You guys missed the boat on this one. I'm a board certified psychologist with extensive experience working in addicitons and with physical illness. The issue is not whether sex can be an addiction. The issue is should the unhealthy side of a normal behavior be elevated to the status of a disease state. That's because in this country the addiction industry has us on the belief that addiction is a disease that is permanent, progressive, and uncontrollable;only professionals can diagnose and treat it. It is a major reason for the undermining of morals and social responsibility in our time. Instead of Flip Wilson's Geraldine telling us that the devil made her do it, we now have people saying their addiction made them do it. The whole concept of the disease model of treatement is based on a false premisis that does not hold up to the empirical evidence. But zealots and the greedy never let the facts get in the way of their beliefs. You should look at the huge financial incentives the addiciton treatment industry has to market sexual addictions as well as gambling, unhealthy relationships, and eating, to name a few. You should conisder the larger social question of why so many male athletes and celebrities are claiming they have a disease for a compulsive behavior. Finally, you should have contacted a scientist such as the social psychologist Dr. Stanton Peele who has written extensively on addictions and the "diseasing of America."
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by tamarau2 January 28, 2010 10:10 PM EST
Seth Doane, Did you really open your segment with "your addiction is cappuccino's"? Seriously, Seth? I will punch you in your head.
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by mijomar-2009 January 26, 2010 2:17 PM EST
There's fear,love,anger,hunger,happiness,jealousy,and sexual stimulation, and others...all those emotional states are easily recognizable and definable by all of us...like hunger, sexual stimulation is almost an overwhelming physiological response to whatever may have triggered the desire..like hunger it often does not fade to far from our conciousness, represented by the physical sensation created by the hormones coarsing thru our body, until it is satiated.
I suspect that the physiological processes taking place within our histologic system are all totally natural. As in all the other emotions, the intensity of any one of the emotions which are created by our body's physical and mental needs, vary on an individual genetic basis. Some folks are angrier or happier or more fearful then others, some love more intensly and some not. Sexual appetite is an emotion of degree's as are all of our other physio/mental stimulant physical responses.
When it becomes an addiction by definition, is when it interferes with an individuals moderate rational behavior, as would the abuse of any of the other spectrum of human identifiable emotions, as in overeating, excessive paranoid behavior, perverse jealously, depression etc...point being are these excessive responses an addiction? I Think not, although they mimic addictive behavior. An 'Addict' is not able to rationally examine thier abuse of a substance, determine that it is seriously harmful physically and mortally, exercise common sense...and make a long lasting change, as one can do with overeating, jealousy, depression, anger etc...
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by rwsmith29456 January 25, 2010 10:26 PM EST
Further comment - sex addiction is not always caused by overactive libido but often psychological needs.
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by DuckieDeb January 25, 2010 10:47 AM EST
Unless you have personally experienced life as or with an addict and studied the disease, then those who call sex addiction a joke, myth, BS, dream, etc., are only expressing uninformed and baseless opinions. These individuals are disrespecting and maligning thousands of individuals, couples and families whose lives have been devastated by sexual addiction. These comments may also discourage people who truly need help from seeking it. Sex addiction is real; take it from someone who has experienced it's havoc her entire life. Don't just take me at my word, however; confirm this with a legitimate professional, such as Dr. Patrick Carnes, the author of many books on the subject and the founder of a well-respected treatment center. If you think you or your spouse may be addicted to sex, there are treatment programs and support groups that can help you navigate yourself and your relationships back to sexual emotional, mental and spiritual health. You don't have to live your life in isolation and pain. Get help.
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by newsterl January 27, 2010 1:00 AM EST
Bah, BS, theres nothing at all wrong with s3x, its all good, its the religious reich who try to make people feel guilty and bad for wantign pleasure when they are supposed to WORSHIP 24/7 a sky santa.
Good for the bod, keeps the prostate and all cleaned out of old fluids. Old guys get prostate problems and cancers and impotence cause they dont USE IT enough, once a month isnt going to cut it.
by aaomalley January 25, 2010 10:25 AM EST
Being an addiction coulselor I can testify that sex addiction is real and extreamly damaging to its sufferers. People that suffer from sexual compulsion get no pleasure from it, they have to engage in the beahviro, and the minute they do they are consumed with feeling of guilt, shame and self-hate. There is normally some type of childhood sexual abuse that happened to trigger sex as the addiction of choice, but often these people also engeage in the use of drugs or alcohol to numb the feelings of guilt from sex.
If you want to see the true face of sexual addiction watch Dr. Drew's Sex Rehab on VH1. Dr. Drew is often confused with a "pop psychologist" but he is a board certified addictionologist and has written many books on the subject of addiction, including compulsive sex.
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by I_am_me1953 January 25, 2010 1:33 PM EST
And gee whiz, you will only charge me how much $$ for me to come in and talk about my "problem" every week for the rest of my life?

Nice advertisement for your professional fleecing business.
by kamsack50 January 25, 2010 6:59 AM EST
Maybe it was dreamed up by shrinks, but it certainly wasn't dreamed up by puritans. It has trendy liberal written all over it. Also, it has easy money for someone written all over it.
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by cidaia January 25, 2010 2:46 AM EST
WE GLORIFY SEX?

REALLY?

lol Tiger is paying a publicist a LOT of money for this, I'm sure.
Reply to this comment
by door331 January 24, 2010 8:19 PM EST
BBBBBBBBBSSSSSSSSSSSSSSSSSSSSSSSSS
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