Sex

I grew up in a home where alcohol ingestion was done compulsively. I discovered as a child that the drinking compulsion is an equal opportunity phenomenon – both my Mom and Dad were serious imbibers. I also learned that my parents and their friends formed an alcohol-conscious community where successful parties were granted the status of “great” by the quantity imbibed and the consequent sexualization of intimacies.

My parents were trained in drinking by the Canadian Forces during WW2 when service men and women had their pleasures subsidized by the government. I am reminded of this each and every November 11^th and sometimes I stop to tell the “poppy people” why I am not buying their red and black lapel flowers while I stride righteously into the liquor store.

Over the years I have had lots of addicts of various sorts in my practice. I prefer to call them “obsessive fiddlers with states of being” – it sounds less prejudicial than “addicts” though that is what some of them are. These fine folk and friends have been compulsed by all sorts of obsessions: being happy, being right, being perfect, being taken care of, being in love, being admired, and the list goes on. (Perhaps making lists is a compulsion too?) And then they act these ideas out with predictable behaviours: drinking and drugging are common but so is arguing and defending and mean-spirited criticism. I especially dislike it when addicts pretend the moral high ground (e.g. “You are a bad person and I am busy being good or right,” or “I wouldn’t drink if you didn’t criticize me so much.”).

I often hear of sexual addictions as well. These are usually requests for affirmation and attention where the behaviours involve a moving computer image and a few square inches of genital flesh. What these folk want most often is some ordinary passion and some affection directed in their way. At least that is what heals them (mostly men) more than “Just Say No” mouse pads.

Now… I think that there are factors that may increase risk of some kind of addiction. Here are a few for you to consider and I am thinking especially of online compulsions:

♦  Fear of relationships can lead to online compulsions. I mean real relationships not surface social contacts. And a consequential lack of other interests and social isolation – this can lead to compulsive behaviour.
♦  Pre-existing abuse or addiction can easily transfer: for example, online gambling or gaming, cybersex, or online shopping.
♦  Social anxiety or nervousness can make online interactions a very attractive alternative to face-to-face interaction and thus much more compelling.
♦  Low self-esteem, poor body image, or untreated sexual dysfunction can add to obsessions and compulsions.

What fixes this more than anything else is a little reality and a little thoughtfulness. Person-to-person honesty and care, also called empathy, works well. I have found that Cognitive Behavioural Therapy is really good in breaking the power of addictions and compulsions. I recommend people buy “Mind Over Mood: Change How You Feel by Changing the Way You Think” by Dennis Greenberger and Christine Padesky. It is best to work this through with a therapist and I have a copy in my office so that if you choose we can work through the harder parts together.