Getting Real about Sex Addiction

This groundbreaking, engaging clinical resource for psychotherapists, sex therapists, and related clinicians is replete with rich and empathetic case material and offers a practical, powerful argument for using psychodynamic approaches when working with sex addicts and their partners to achieve long-lasting relational results.

Graeme Daniels, Joseph P. Farley

Table of Contents Preface Joe Farley, MFT Introduction: What are we wearing? Graeme Daniels, MFT Chapter One: Trends and Norms in Sex Addiction Treatment Graeme Daniels Case Illustration: Rick and Anne Where Sex Addiction Fits in the Mental Health Industry Motivational Interviewing, 12-Step Programs, and Initial Assessment Money, Time, and Shame: Three Indices of Assessment Female Sex and Love Addiction: The Under-Researched and Under-Treated Sex Addiction, Personality and Attachment Disorder Splitting, "Excuses", and Keys to Therapy Case Illustration: Not Thinking (Mr. A) A Comment on Psychoanalytic Approaches to Treating Sex Addiction Chapter Two: Sex and Intersectionality Graeme Daniels Sex Addiction: A Cultural Controversy Sex Addiction and Social Class Sex Addiction and Gender Mythological Perspectives: The Swine, Virginity, and Scopophilia Case illustration: Voyeurism (Mr. B) Hate, Objectification, Exploitation, and Male Sacrifice Case Illustration: Jill and Ray Chapter Three: Individual Therapy with the Sex Addict Joe Farley A Psychodynamic Approach Efficacy of Psychodynamic Approaches Revisiting the Definition of Sex Addiction Patients Mandated for Treatment Legal Issues Standardized Treatment Models Discovery Developing a Therapeutic Alliance Therapeutic Neutrality States of Mind Implicit Memory Procedural Memory Case illustration: Tony Therapeutic Frame Unconscious Process Empathy and Empathic Failures Countertransference Reactions Early Attachment Issues Chapter Four: Treatment of an Impacted Partner Graeme Daniels Co-Addict, Relational Trauma, and Psychoanalytic Models of Trauma Trauma Profile and the Reconfigured Environment: Labels, Boundary Agreements, and "Full Disclosure" Alternative Profiles of Impacted Partners The Anti-honeymoon Forgiveness, Mindreading, and Rebuilding Trust Case illustration: The Return of Anne Chapter Five: Sex Addiction and Group Therapy Graeme Daniels A Problem of Thinking: Internal Process and Defenses in Group Therapy Group Needs, Community Virtues Group Therapy Versus 12-Step Participation Groups Discussing Sexual Fantasy, Sexual Abuse, and Violence A Sex Addiction Superego: Group Conscience and Purpose Case Illustration: A Women's Group Experience Groups as Microcosms of Commitment and Conflict Resolution Case Illustration: Eric, Stu, and a few supportive men Chapter Six: Collaborative approaches: working with a treatment team Joe Farley Splitting of the Treatment Team Splitting in Everyday Life Competition Among Therapists Case illustration: Kevork and Shannon The Blind Men and the Elephant Physician Heal Thyself Professional Burnout 12-Step Programs and a Higher Power Freud's Views of God and Religion Chapter Seven: Couples and Family therapy Joe Farley Providing a Non-judgmental Therapeutic Experience for Both Addict and Partner Case Illustration: Dan and Vickie Therapist Neutrality in the Face of Pressure to Take Sides Countertransference Reactions of the Couples Therapist Case Illustration: Mary and Stan, a Therapeutic Failure Case Illustration: Dan and Vickie (continued) Helping each partner understand the other by supporting the emergence of real selves in a relationship