Pornography addiction is an addiction model of compulsive sexual activity with concurrent use of pornographic material, despite negative consequences to one's physical, mental, social, or financial well-being. Universally accepted diagnostic criteria do not exist for pornography addiction or problematic pornography viewing. The rewarding and reinforcing (i.e., addictive) properties of cybersex have been evidenced using cue reactivity experiments with pornographic cues in humans, which supports the classification of cybersex addiction as a true behavioral addiction.
Problematic internet pornography viewing is viewing of Internet pornography that is problematic for an individual due to personal or social reasons, including excessive time spent viewing pornography instead of interacting with others. Individuals may report depression, social isolation, career loss, decreased productivity, or financial consequences as a result of their excessive Internet pornography viewing impeding on their social life.
Video Pornography addiction
Symptoms and diagnosis
Universally accepted diagnostic criteria do not exist for pornography addiction or problematic pornography viewing. Pornography addiction is often defined operationally by the frequency of pornography viewing and negative consequences. The only diagnostic criteria for a behavioral addiction in the current Diagnostic and Statistical Manual of Mental Disorders are for pathological gambling, and they are similar to those for substance abuse and dependence, such as preoccupation with the behavior, diminished ability to control the behavior, tolerance, withdrawal, and adverse psychosocial consequences. Diagnostic criteria have been proposed for other behavioral addictions, and these are usually also based on established diagnoses for substance abuse and dependence.
A proposed diagnosis for hypersexual disorder includes pornography as a sub-type of this disorder. It included such criteria as time consumed by sexual activity interfering with obligations, repetitive engagement in sexual activity in response to stress, repeated failed attempts to reduce these behaviors, and distress or impairment of life functioning. A study on problematic Internet pornography viewing used the criteria of viewing Internet pornography more than three times a week during some weeks, and viewing causing difficulty in general life functioning.
According to the American Society of Addiction Medicine, some psychological and behavioral changes characteristic of addiction brain changes include addictive cravings, impulsiveness, weakened executive function, desensitization, and dysphoria, and there is evidence that such changes can occur in internet porn addicts.
Diagnostic status
The status of pornography addiction as an addictive disorder, rather than simply a compulsivity, has been hotly contested.
In November 2016, the American Association of Sexuality Educators, Counselors and Therapists (AASECT) issued a position statement on sex / porn addiction which states that AASECT "does not find sufficient empirical evidence to support the classification of sex addiction or porn addiction as a mental health disorder, and does not find the sexual addiction training and treatment methods and educational pedagogies to be adequately informed by accurate human sexuality knowledge. Therefore, it is the position of AASECT that linking problems related to sexual urges, thoughts or behaviors to a porn/sexual addiction process cannot be advanced by AASECT as a standard of practice for sexuality education delivery, counseling or therapy."
The current Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes a new section for behavioral addictions, but includes only one disorder: pathological gambling. One other behavioral addiction, Internet gaming disorder, appears in the conditions proposed for further study in DSM-5. Psychiatrists cited a lack of research support for refusing to include other behavioral disorders at this time, however, a 2015 review of the neuroscience/neuropsych studies on pornography users now calls for internet addiction to be included in the DSM with internet pornography addiction as a subtype.
Porn addiction is not a diagnosis in DSM-5 (or any previous version). "Viewing pornography online" is mentioned verbatim inside DSM-5, but it is not considered a mental disorder either.
When the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was being drafted, experts considered a proposed diagnostic addiction called hypersexual disorder, which also included a pornography subtype. But in the end, reviewers determined that there wasn't enough evidence to include hypersexual disorder or its subtypes in the 2013 edition.
Richard Krueger, DSM-5 work-group member (Sexual and Gender Identity Disorders) and associate clinical professor of psychiatry at Columbia University's College of Physicians and Surgeons, has said that he "has little doubt porn addiction is real and will eventually garner enough attention to be recognized as a mental illness" by the DSM, though he also suggested that "most people would do it and it won't become a problem."
In 2011, the American Society of Addiction Medicine published a definition of addiction that for the first time stated that addiction includes pathological pursuit of all kinds of external rewards and not just substance dependence. However, this definition does not explicitly include porn addiction. Instead ASAM uses the phrase, "sexual behavior addiction".
A number of studies have found neurological markers of addiction in internet porn users., which is consistent with a large body of research finding similar markers in other kinds of problematic internet users. According to addiction researcher Todd Love: ""There's a growing consensus among the top addiction neuroscientists worldwide that internet porn use alters some users' brains in some of the same ways substance abuse does, and that these brain changes are consistent with the established addiction model."
Maps Pornography addiction
Treatment
Cognitive-behavioral therapy has been suggested as a possible effective treatment for pornography addiction based on its success with Internet addicts, though no clinical trials have been performed to assess effectiveness among pornography addicts as of 2012. Acceptance and commitment therapy has also been shown to be a potentially effective treatment for problematic Internet pornography viewing.
Online pornography
Some clinicians and support organizations recommend voluntary use of Internet content-control software, Internet monitoring, or both, to manage online pornography use.
Sex researcher Alvin Cooper and colleagues suggested several reasons for using filters as a therapeutic measure, including curbing accessibility that facilitates problematic behavior and encouraging clients to develop coping and relapse prevention strategies. Cognitive therapist Mary Anne Layden suggested that filters may be useful in maintaining environmental control. Internet behavior researcher David Delmonico stated that, despite their limitations, filters may serve as a "frontline of protection."
Medications
Studies of those with non-paraphillic expressions of hypersexuality have hypothesized that various mood disorders, as defined in the DSM, may occur more frequently in sexually compulsive men.
Prognosis
Epidemiology
Most studies of rates use a convenience sample. One study of a convenience sample of 9,265 people found that 1% of Internet users are clearly addicted to cybersex and 17% of users meet criteria for problematic sexual compulsivity, meaning they score above one standard deviation of the mean on the Kalichman Sexual Compulsivity Scale. A survey of 84 college-age males found that 20-60% of a sample of college-age males who use pornography found it to be problematic. Research on Internet addiction disorder indicates rates may range from 1.5 to 8.2% in Europeans and Americans. Internet pornography users are included in Internet users, and Internet pornography has been shown to be the Internet activity most likely to lead to compulsive disorders.
Society and culture
Support groups
NoFap is an online community founded in 2011. It serves as a support group for those who wish to avoid the use of pornography, masturbation, and/or sexual intercourse.
Covenant Eyes is a Christian company founded in 2000 whose accountability software is designed to help users overcome porn addiction by monitoring their online activity and sending a report to a trusted friend who holds them accountable for their online choices.
Political motivation
According to E.T.M. Laan, a sexologist working for the Academic Medical Center, it is usually the religious right which claims the existence of pornography addiction and such claims are rare among sexologists.
See also
References
Further reading
- Stafford, Duncan E (2010). Turned On: Intimacy in a Pornized Society (ISBN 978-0-9564987-1-7). Witting Press, Cambridge
- Cooper, Al (2002). Sex and the Internet: A Guidebook for Clinicians (ISBN 1-58391-355-6) Routledge
- Patrick Carnes (1991). Don't Call It Love: Recovery from Sexual Addiction (ISBN 978-0-553-35138-5) Bantam
- P. Williamson, S. Kisser (1989). Answers In the Heart: Daily Meditations for Men and Women Recovering from Sex Addiction (ISBN 978-0-89486-568-8) Hazelden
- Patrick Carnes (2007). In the Shadows of the Net: Breaking Free of Compulsive Online Sexual Behavior (ISBN 978-1-59285-478-3) Hazelden
- Patrick Carnes (2001). Out of the Shadows: Understanding Sexual Addiction (ISBN 978-1-56838-621-8) Hazelden
- Sex Addicts Anonymous (ISBN 0-9768313-1-7)
External links
- Pornography addiction at Curlie (based on DMOZ)
Source of article : Wikipedia
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