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Castimonia Purity Podcast Episode 63: Theresstillhope.org –Resources for Sex Addiction Recovery

Doug talks with Mark Denison who is the co-founder, with his wife Beth, of Theresstillhope.org which is a ministry for sex addicts, their spouses, churches, and pastors. He talks about his own personal story and the power of recovery.

Doug and Mark discuss practical tips for dealing with recovery as well as ways for “high profile” people to find support and connection.

Their website is a great resource for addicts as well as spouses, so make sure to check it out. Visit our podcast page for links to his books and other great resources. castimonia.org/podcast

Thank you for listening, and please email us with any needs that you have at

puritypodcast@castimonia.org

And remember that you are not walking alone

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Failing without Falling

You and I are on a great climb. The wall is high, and the stakes are higher. You took your first step the day you confessed Christ as the Son of God. He gave you his harness — the Holy Spirit. In your hands he placed a rope — his Word.

Your first steps were confident and strong, but with the journey came weariness, and with the height came fear. You lost your footing. You lost your focus. You lost your grip, and you fell. For a moment, which seemed like forever, you tumbled wildly. Out of control. Out of self-control. Disoriented. Dislodged. Falling.

But then the rope tightened, and the tumble ceased. You hung in the harness and found it to be strong. You grasped the rope and found it to be true. You looked at your guide and found Jesus securing your soul. With a sheepish confession, you smiled at him and he smiled at you, and the journey resumed.

Now you are wiser. You have learned to go slowly. You are careful. You are cautious, but you are also confident. You trust the rope. You rely on the harness. And though you can’t see your guide, you know him. You know he is strong. You know he is able to keep you from falling.

And you know you are only a few more steps from the top. So whatever you do, don’t quit. Though your falls are great, his strength is greater. You will make it. You will see the summit. You will stand at the top. And when you get there, the first thing you’ll do is join with all the others who have made the climb and sing this verse:

“To him who is able to keep you from falling and to present you before his glorious presence without fault and with great joy — to the only God our Savior be glory, majesty, power and authority, through Jesus Christ our Lord, before all ages, now and forevermore! Amen.” (Jude vv. 24–25 NIV)

Today’s devotional is drawn from Max Lucado’s Next Door Savior.

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Can You Ever Affair-Proof a Relationship?

psychologytoday.com · by Linda and Charlie Bloom

 Can love and good sex “affair-proof” a relationship?

This myth is deeply embedded in our culture and is even held by a fairly large number of marriage counselors. But a lot of people who hold this belief have been deeply disappointed to discover that it’s not necessarily true. While it may seem reasonable to assume that if both partners love each other and have a mutually satisfying sexual relationship, there would simply be no reason for either to stray. Well, that is true: There is no “good reason.” Affairs, however, are generally not motivated by reason or rational thinking, but tend to be matters of the heart, which is the source of passion and desire, and not the mind, which deals with abstraction and logic.

So while it does seem logical to assume that there would be little motivation for partners in a happy relationship to go outside of it to fulfill their most intimate desires, particularly if they’ve made an agreement to be monogamous, it does happen—and more frequently often than most of us realize. A study cited in the Journal of Marital and Family Therapy in 2015 reported that 54 percent of female respondents, and 57 percent of males, stated that they had been unfaithful in their relationship. What may also be surprising: The average length of the affairs was two years.

Still more surprising is that according to relationship and sexuality expert Esther Perel, author of Mating in Captivity, the motivating drive to have an affair is a desire not necessarily for sex, but rather for experiences their relationship is no longer delivering. What they desire, according to Perel, is attention, novelty, adventure, vibrancy, aliveness, and passion. They crave the experience of losing themselves in the intensity, excitement, and stimulation of a new relationship, with the hope of re-invigorating the feelings that occur in the stage of infatuation.

Too often, it seems that couples fail to keep that spark alive after they formalize their commitment, and so they run the risk of weakening the glue that keeps their relationship passionate and healthy. When daily routines and responsibilities dominate their attention, the risk of a violation of their monogamy agreement increases. When either partner feels that they must submerge aspects of themselves to maintain peace or avoid conflict, the risk factor is similarly heightened. The fantasy of being free to be fully authentic, and to experience aspects of oneself with another person that one’s partner disapproves of, is a compelling motivator for anyone who has withheld or concealed aspects of themselves out of fear of judgment, rejection, or punishment.

The expectation that one person can and should meet all of another’s needs, particularly when many of them appear to be at odds with each other—security and adventure, excitement and peace of mind, spirituality and sensuality, tenderness, and strength—can be a setup for disappointment or betrayal. This is not to justify violating anyone’s vows, but rather a warning to be mindful of the dangers of holding a partner responsible for fulfilling a range of needs and desires that may be beyond any one person’s capacity.

The experience of loneliness is also something that can occur even in good relationships. This often comes as a surprise to those who wrongly assume that once they enter into a serious partnership, their lonely days are over. But the experience of loneliness has more to do with our relationship to ourselves than whether we are in relationship, or with whom. It is a function of how comfortable we are in our own skin, whether we relate to ourselves with compassion or criticism, and how much we enjoy our own company. When we mistakenly hold our partner responsible for taking away our loneliness and making us happy, he or she will be likely to feel turned off by our efforts to coerce their attention.

There is a significant difference between desire and neediness: Neediness often feels manipulative and is seen as a turnoff. It can also include a sense of entitlement, or an expectation that one has the right to be taken care of by one’s partner. When we experience a partner’s desire, without their expectation of our reciprocity toward us, it feels pleasurable and attractive.

Sometimes the burden of fulfilling family obligations and responsibilities can feel oppressive, and the desire for relief, even briefly, can be compelling. At these times we are particularly vulnerable to the temptation of affairs. When partners take each other for granted and neglect their relationship, they put it in jeopardy. When unresolved conflicts mount up, resentment, anger, a lack of respect, and even contempt may form conditions that are an accident waiting to happen. Such animosity can become a perfect rationalization to go outside the marriage for intimate contact.

Infidelity can be as brief as a one-night stand, or a secret, years-long affair. Some people try to fulfill their need for attention and validation through sex. Some may rationalize their indiscretions with the justification that there was no intimate physical contact, but like emotional affairs, in which literal sex does not occur, even technical infidelity or virtual affairs can do great damage to one’s primary relationship.

No matter what their cause or nature, every betrayal harms a relationship and requires repair work to restore trust and integrity. Another statistic cited by the Journal of Marital and Family Therapy study was that, of marriages in which an affair was discovered or admitted, 31 percent lasted. The shock of the crisis can expose the source of the unmet needs that the affair was an attempt to fulfill, and in doing so, open the possibility for this breakdown to become a breakthrough, provided both partners do the work that is required to heal the relationship.

Pain can sometimes be a great motivator. It would, of course, be more efficient and less painful to avoid the torturous stages of wounding and healing that accompany unfaithfulness. There are many ways to enhance the quality of your relationship without unnecessary suffering. If you don’t know what they are, ask your partner: It’s likely that he or she will be happy to give you a few ideas. As the saying goes, an ounce of prevention is worth a pound of cure.

Linda and Charlie Bloom are excited to announce the release of their third book, Happily Ever After . . . and 39 Other Myths about Love: Breaking Through to the Relationship of Your Dreams:

“Love experts Linda and Charlie shine a bright light, busting the most common myths about relationships. Using real-life examples, they skillfully, provide effective strategies and tools to create and grow a deeply loving and fulfilling long-term connection.” —Arielle Ford, author of Turn You Mate into Your Soulmate

If you like what you read, click here to visit our website and subscribe to receive our free inspirational newsletters.

psychologytoday.com · by Linda and Charlie Bloom

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Sex Addiction as Affect Dysregulation: An Interview with Alexandra Katehakis, MFT

For an interview on our Purity Podcast with Alexandra Katehakis, please follow this link: https://castimonia.org/resources/castimonia-purity-podcasts/episode-47-interview-with-dr-alexandra-katehakis-certified-sex-addiction-therapist-on-sexuality-in-recovery/

Recently, my colleague Alexandra Katehakis, founder of the Center for Healthy Sex in Los Angeles, published a research-based book entitled Sex Addiction as Affect Dysregulation: A Neurobiologically Informed Holistic Treatment. Her thorough understanding of the neurobiological underpinnings of sexual addiction along with ways to address these underlying issues in the treatment process is impressive. Recently, I was able to speak with her about both her book and her theories on treating sexual addiction. A partial transcript of our conversation is presented below.

Right now there is a lot of debate about what qualifies as “addictive” sex. What are your thoughts on this?

 I conceptualize addictive sexual behavior as adaptive. Sex addiction is an adaptive strategy, because humans are incredibly adaptive. Our brains are highly automatic. If somebody has an experience when they are quite young that relieves some pain or some stress and it is functional for them, it becomes adaptive. So that person will repeat that experience over and over again. Automaticity in that way is a component of dissociation, and that is what we see in sex addicts. So I would say that sexually compulsive or addictive behavior is adaptive, not necessarily a choice as some would argue. It’s a result of the automatic brain. And, as such, it is often a repetition of trauma—not in an attempt to rectify what was done, which is an old definition of trauma repetition, but as a neurobiological construct, a pattern of behavior. And these are patterns of behavior that create stress and problems in people’s lives over time. So what was once pleasurable becomes problematic. Sometimes it remains pleasurable, but it also becomes problematic. Sex addicts report that they cannot stop their behaviors, even though they’re problematic.

So sex addiction is, basically, an adaptive response to early-life relational trauma?

Yes. That’s the aspect of sex addiction that I’m most interested in—what happens when people don’t get proper attunement, usually starting in infancy, so their systems aren’t brought to fruition in the way that the brain and the body are designed to develop and operate optimally. If there’s any kind of chronic unrepaired disruption, you’re going to get distortions in the organism. If you have a mother who is highly depressed or highly anxious, or is under some sort of duress where she’s traumatized, she’s not going to be able to attune to her infant in a way that’s going to bring its systems up optimally, and therein lies the intergenerational transfer of trauma. So it’s not just psychological, it’s biopsychosocial. And it’s all environmental. In other words, part of the environment is the mother’s psychology and another part of the environment is her neurobiology. So you have this problematic attunement, and if there is any sort of trauma after that, whether it’s bullying, beating, sexual, neglect, or anything else, then you are going to have problems.

One of which could be sex addiction.

Yes, because sex addiction is an auto-regulatory strategy. Because the child isn’t getting proper and appropriate co-regulation from its caregivers, the organism itself will find ways to auto-regulate. And as an adult that can manifest as an addiction.

That’s what you’re talking about when you discuss addiction as a chronic brain disorder.

Yes, the brain will adapt. It’s highly malleable. It will organize itself according to what it needs in order to function. The organism is always trying to right itself. It’s always going to try to move toward some kind of healing, so it will adapt and do whatever it needs in order to function.

So a sex addict’s brain looks different and functions differently than a non-sex addict’s (or at least a non-addict’s) brain?

Well, I would say that’s likely, but we’d have to do more research to say that for sure. But there is already some evidence to that effect, and it’s clear that clinically and phenomenologically sex addicts present differently than non-addicts. There are many different examples. Some have to do with perception, some have to do with relatedness. With perception, sex addicts perceive all kinds of distortions because they’re only focused on getting into the sexual experience. That is where their attention is all day, every day.

It’s a little like magic. You see a magician who uses sleight of hand, and the reason that works is because our attention is on one thing that the magician wants us to see, instead of what he’s doing to fool us. We don’t have our attention on other things that the magician is doing. That’s how magic works. For sex addicts, they’re only looking for the sexual experience. If you ask a sex addict how many massage parlors there are in LA, and where they are, they’ll tell you that they’re everywhere. But if you ask a 35 year old soccer mom, she’ll tell you she’s never seen one. It’s an issue with perception.

For evidence of this we might look at the Mechelmans/Voon attentional bias study, which showed that sex addicts are similar with their focus to, say, a cocaine addict. For instance, if you put a cocaine addict in a room with a pile of cocaine on the coffee table, that’s all he will see. He won’t notice the color of the couch, or the carpet, or the walls, or anything else that a normal person would typically notice.

Yes, sex addicts are the same.

In your book you write, “Once addictive sexual behaviors have been arrested, the work of repairing and supporting neurophysiological structures through human relatedness must begin.” Can you explain what you mean by that?

That means that therapy has to be a two person relational system, where the therapist is actually engaging in a real relationship with the client. Historically, psychoanalysis has been more of a symbolic relationship with the client, where the client authentically projects onto the therapist that they’re the mother or the father or some problem figure and the therapist makes interpretations about that. With sex addiction, I believe the addict and the therapist need a real relationship. And together they work through whatever their issues are, so both of their subjectivities are being worked through simultaneously. It’s a coregulatory process where both parties are engaged, both parties are changing. There are ruptures, there are repairs. There’s a slipperiness to the process, but that’s what changes brain structure and function. In the same way, 12 step meetings are enormously valuable. It’s the fellowship, the coffee, the relationship that has addicts starting to trust other human beings again. That’s what starts addicts toward feeling they’re not alone. Twelve step recovery is a come as you are program and all are welcome, so people start to recognize that they can trust other people and they can get their needs met.

So you’re saying these hardwired reactive pathways that we build very early in life need to be rebuilt or worked around with new pathways, and that happens through relatedness?

Yes, we’re rebuilding pathways that were blighted, or that were never formed to begin with. Obviously, with people who are severely dissociated you’re talking about long-term therapy that requires resonance, closeness, safety, and trust between client and therapist so that the client’s uncoupled circuits can recouple. This is the work required for neural integration; this is the process of recovering dissociated self-states. And we really do see profound changes in people over time when they’re working in this way.

I had a guy who came to group last night who’s been in recovery for a long time who has some very serious psychological problems. But he’s worked very hard for years to restore his life. Recently, he lost his job, and he started slipping with pornography, and he felt a tremendous amount of fear about coming into group and talking about it because he didn’t want to be shamed, and he has a hard time with confrontation. To his credit, he came back anyway, and the group was really compassionate with him about what he’s struggling with. I saw a distinct shift in his level of defensiveness and fear, so that he was able to be more compassionate with himself. His pornography use was inconsequential to the group because it was clearly an auto-regulatory coping mechanism and, therefore, a regressed move he made to soothe his many anxieties. What mattered most was the relationship between the men in the group.

He may also have learned that he can come back to group any time he has a problem.

That’s exactly right. When I asked him what he needed from the group, he said, “I need for everyone to tell me that I should keep coming back.” Which is not what he learned in early life, when he was shamed and ostracized. This is exactly the type of relational work that he desperately needs.

How does your PASAT treatment model, as discussed in your book, differ from the cognitive-behavioral approach that most sex addiction therapists rely on in the early stages of treatment? Or does PASAT simply formalize the process of moving, over time, from cognitive-behavioral work to trauma and relational work?

It’s different than the traditional model of using CBT first, and then moving into deeper dynamic therapy, which is a bifurcated model. With PASAT, the actual relational work is happening during the cognitive-behavioral treatment protocol. Sex addiction therapists in general tend to ascribe to Patrick Carnes’ CBT model, which lays out a road map on how to help people get sober. But therapists have to simultaneously be working on the relational aspects. So it’s not just about giving somebody an assignment and processing the assignment with them, it’s about co-regulation—tracking all the nonverbal cues of the client while the therapist is also paying attention to his or her own somatic countertransference, and tracking the client’s affect, gesture, and autonomic cues. So the therapist is in an “experience near” relationship with the addict, meaning both parties have a felt sense of each other, are processing their experience of each other while also processing cognitive material.

So it’s an integration of the relational work with the behavioral work?

Correct. It’s a holistic model. It brings everything in at the same time. Historically we’ve had addiction therapists and then we’ve had psychodynamic therapists, and never the twain shall meet. I’m proposing that we play all those notes at the same time, requiring the therapist to bring all of himself or herself into the mix. When we do this, we’re affecting and changing both parties’ neuropsychobiology. We’re working the left brain and the higher cortical functions, but we’re also working from the body up. It’s a much more integrated model that’s geared toward regulation and integration. We might also call it the affect regulating “cure” for addictive trauma.

Alex Katehakis’ book, Sex Addiction as Affect Dysregulation, is available on Amazon.com at this link.