Sexual Addiction, Assessment & Treatment

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©2008 Patrick J. Carnes, PhD /

10 Criteria for Addiction

©2008 Patrick J. Carnes, PhD /

Loss of Control
Clear behavior in which you do more than you intend or want.

©2008 Patrick J. Carnes, PhD /

Compulsive Behavior
A pattern of out of control behavior over time.

©2008 Patrick J. Carnes, PhD /

Efforts to Stop Repeated specific attempts to stop the behavior which fail. PhD / . Carnes. ©2008 Patrick J.

©2008 Patrick J. Carnes.Loss of Time Significant amounts of time lost doing and/or recovering from the behavior. PhD / .

Carnes. ©2008 Patrick J.Preoccupation Obsessing about or because of the behavior. PhD / .

family. ©2008 Patrick J. and friends. Carnes.Inability to Fulfill Obligations The behavior interferes with work. school. PhD / .

physical). Carnes. PhD / . financial. ©2008 Patrick J.Continuation Despite Consequences Failure to stop the behavior even though you have problems because of it (social. legal.

Carnes.Escalation Need to make behavior more intense. more frequent. or more risky. ©2008 Patrick J. PhD / .

limiting. or sacrificing valued parts of life such as hobbies. Carnes. family.Losses Losing. ©2008 Patrick J. relationships. PhD / . and work.

or physical discomfort. restlessness. anxiety.Withdrawal Stopping behavior causes considerable distress. PhD / . Carnes. ©2008 Patrick J. irritability.

The Addictive Cycle Belief System Unmanageability Impaired Thinking Addictive Cycle Preoccupation Shame Despair Guilt Ritualization Compulsive Behavior © 2008 .

The Making of a Sex Addict © 2008 .

D. Ph.Origins of the Ten Types A total of 10 “types” of sexually compulsive behavior emerged in the sex addicts surveyed by Patrick Carnes. © 2008 .

Carnes. PhD / .The Ten Types of Sex Addiction ©2008 Patrick J.

©2008 Patrick J. Carnes. PhD / .Research of the 10 Types In the original research conducted for Don’t Call It Love. A total of 10 “types” of sexually compulsive behavior emerged in the sex addicts surveyed. a series of 114 sexual behaviors was statistically analyzed.

Fantasy Sex Sexually charged fantasies. ©2008 Patrick J. and situations. PhD / . relationships. Carnes. Arousal depends on sexual possibility.

Seductive Role Sex Seduction of partners. Arousal is based on conquest and diminishes rapidly after initial contact. Carnes. ©2008 Patrick J. PhD / .

The use of visual stimulation to escape into obsessive trance. Carnes. PhD / . ©2008 Patrick J.Voyeuristic Sex Visual arousal.

Exhibitionistic Sex Attracting attention to body or sexual parts of the body. PhD / . Carnes. Sexual arousal stems from reaction of viewer whether shock or interest. ©2008 Patrick J.

Arousal is connected to payment for sex.Paying for Sex Purchasing of sexual services. PhD / . and with time the arousal actually becomes connected to the money itself. ©2008 Patrick J. Carnes.

Carnes. PhD / . Arousal is based on gaining control of others by using sex as leverage.Trading Sex Selling or bartering sex for power. ©2008 Patrick J.

Sexual arousal occurs by violating boundaries with no repercussions. ©2008 Patrick J.Intrusive Sex Boundary violation without discovery. PhD / . Carnes.

Arousal involves no seduction or cost and is immediate.Anonymous Sex High-risk sex with unknown persons. ©2008 Patrick J. Carnes. PhD / .

or sadistic hurting or degrading another sexually. ©2008 Patrick J.Pain Exchange Sex Being humiliated or hurt as part of sexual arousal. or both. PhD / . Carnes.

Carnes. Arousal patterns are based on target “types” of vulnerability. ©2008 Patrick J.Exploitive Sex Exploitation of the vulnerable. PhD / .

Carnes. PhD / .Sexual Addiction Assessment ©2008 Patrick J.

SexHelp. Comprised of 45 yes or no questions. and community groups. the SAST-R provides a profile of responses which help to discriminate between addictive and non-addictive behavior. private therapists.com. Developed in cooperation with hospitals.Initial Assessment Sexual Addiction Screening Test – Revised (SAST-R) available on www. treatment programs. Designed to assist in the assessment of sexually compulsive behavior which may indicate the presence of sex addiction. © 2008 .

* Currently only available to CSAT & CSAT Candidate therapists © 2008 .

© 2008 .

SDI-R Categories Outline Demographics Sexual Addiction Screening Test (SAST) The Ten Sexual Addiction Types Scales Consequences Scales     Family/Friends Financial/Business Legal Preoccupation/Loss of Control • Motivation for Change Scale © 2008 .

© 2008 .

© 2008 .

© 2008 .

© 2008 .

E – Score = Ever or historical problem behaviors. © 2008 .SDI-R Scoring C – Score = Current problem behaviors.

Using the Tasks Individual Therapy Group Therapy Twelve Step Meeting Sponsor Steps One through Nine Family Participation Family Recovery Couples Recovery Exercise/Nutrition © 2008 .

2. Closure to shame 13. Grieve losses 12. 4. Cycles of abuse 10. Resolve conflicts 21. Differentiation 28. PhD / . Coupleship 30. Family relationships 24. Primary relationship 29. 7. Restore healthy sexuality 22. 5. Recovery commitment 25. Spiritual life Recovery Zone: Creating Personal Recovery Tasks 19–30 19. Multiple addictions 9.Tasks 1–7 1. Reduce shame 11. Issues with children 26. Exercise and nutrition 19. Lifestyle balance 17. Financial viability 15. Relationship with self 14. 6. Carnes. Family therapy 23. Extended family 27. Building support 18. Primary intimacy Facing the Shadow & Recovery Start Kit Recovery Zone II: Creating Family Recovery ©2008 Patrick J. 3. Break through denial Understand addiction Surrender Limit damage Establish sobriety Physical integrity Culture of support Tasks 8–19 8. Spiritual life 20. Meaningful work 16.

Recovery Start Kit: The Process © 2008 .

#7 © 2008 .Tasks #1 .

Tasks #1 .#7 © 2008 .

© 2008 .

Tasks #1 .#7 © 2008 .

For more information on the tasks or to view all 30 tasks.com or www.gentlepath.amazon. please see Facing the Shadow. Available at www.com © 2008 .

Additional Information © 2008 .

com or call (480) 575-6853 © 2008 . and assessment testing for sexual.International Institute for Trauma & Addiction Professionals (IITAP) IITAP For more on the Certified Sex Addiction Therapist (CSAT) trainings. work and financial issues go to: www. the task-centered approach to addiction recovery.IITAP.com or email Info@IITAP.

Gentle Path Press For books.com or call (800)708-1796 © 2008 . workbooks. CDs & DVDs on the subject of sex addiction and recovery.GentlePath. please visit: www.

Patrick Carnes. links to other resources.SexHelp For additional information about Dr. current topics in research. and popular literature.SexHelp.com © 2008 . go to: www.

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