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