email page print pageAll Topic Reviews
269 Amazing Sex GamesA History of MarriageA Pocket History of Sex in the Twentieth CenturyActionAll the WayAlways Forever MaybeAmerica UnzippedAmerica UnzippedAmerica's Sexual TransformationAmerican EugenicsAmerican GirlsAmerican HookupAn Interpretation of DesireAnarchism & SexualityAnatomy of a BoyfriendAnatomy of LoveAnthony GoicoleaAnticlimaxArt and HomosexualityArt/PornAssuming a BodyAutoportraitBachelors and BunniesBecoming OrgasmicBehind the Red DoorBest Sex Writing 2005Better Sex Through YogaBetter Sex Through YogaBetter Than EverBetween Mom and JoBeyond Diversity DayBeyond SexualityBeyond SpeechBeyond ToleranceBig Porn IncBill HensonBodies in DoubtBody ImagesBonkBoys Don't CryBreasts - A DocumentaryBrothelBuying SexCase Studies in Communication about SexCase Studies in Sexual DevianceCaught in the WebCelibaciesChildren and SexualityChildren and the Politics of SexualityChildren with Sexual Behavior ProblemsChildren, Sexuality and SexualizationChristy ReportClay's WayClinical Manual of Women's Mental HealthClose toYouClumsyCold HitCollege SexComing of Age in AmericaConfessions of the Other MotherCybersexCyborgasmDare... to Make Love with 2, 3, 4... or MoreDare... to Try BisexualityDating: Philosophy for EveryoneDeadly ButterflyDebating Same-Sex MarriageDeep GossipDeparting from DevianceDesire, Love, and IdentityDigital DiariesDilemmas of DesireDirty MindsDirty StoriesDisorders Of DesireDisorders of Sex Development:Doing ItDoing ItDoing It Down UnderDown and Dirty Sex SecretsDude, You're a FagEarly Embraces IIIEmerald City BluesEmotionally InvolvedEnjoying Guilty PleasuresErotic CapitalErotic InnocenceErotic PassionsEthics, Sexual Orientation, and Choices about ChildrenEveryday PornographyEvolution and Human Sexual BehaviorExploring TranssexualismFade to BlackFagbugFaking ItFamilies Like MineFast GirlsFinal JeopardyFinding H. F.Fire on the Mountain DVDFor Lesbian ParentsFor The Bible Tells Me SoForbiddenFrictionFrom Disgust to HumanityFrom Shame to SinFuckologyGay, Straight, and the Reason WhyGender in the MirrorGender OutlawsGeography ClubGetting OffGetting RealGetting the Love You WantGirls & SexGirls Gone MildGirls Gone SkankGLBTQGoddess WorshipGoing DownGood GirlsGood PornGood Sex IllustratedGreat Answers to Difficult Questions About SexGuide To Getting It OnHandbook New Sexuality StudiesHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHard to GetHardcore from the HeartHear Us Out!HeterosyncraciesHit & MissHomosexualitiesHookedHooking UpHow Sex Became a Civil LibertyHow Sex ChangedHow Sex WorksHow To Be GayHow to Do Things with Pornography How to Give Her Absolute PleasureHow to Have Magnificent SexHow to Make Great Love to a ManHow to Make Great Love to a WomanHow to Make Love Like a Porn StarHow to Think More About SexHypnography for MenHypnography for WomenHysterical MenI'd Rather Eat ChocolateI'll Be Your MirrorIf Men Could TalkImpotenceIn a Queer VoiceIn Praise of the WhipIn the Mood, AgainInsatiable WivesIntense Games DVDInvestigating Young People's Sexual CulturesIt's Perfectly NormalIt's Perfectly NormalItís Your HourJane Sexes It UpJock SturgesJust Between UsKama-Sutra--The Secrets to the Art of LoveKids Gone WildLegalizing ProstitutionLegalizing ProstitutionLet's Get This StraightLets Talk about SexLetters to Penthouse Vol. 50Likely to DieLittle ChicagoLoose GirlLosing Matt ShepardLoveLove and DesireLove and SexLove JunkieLove Lust DesireLove SickLustMad for FoucaultMagical ThinkingMaking American BoysMaking Babies the Hard WayMaking Chastity SexyMaking Peace with PornMaking ScenesMale SexualityMalefemaleMaster BreastsMating in CaptivityMedicalized MasculinitiesMelancholia and MoralismMenMental Health Issues in Lesbian, Gay, Bisexual, and Transgender Communities MiddlesexMoney ShotMoral Panics, Sex PanicsMy Girlfriend Comes to the City and Beats Me UpMy HeartbeatMy Horizontal LifeName All the AnimalsNatural BeautyNerveNerveNew Sex Now DVDNightswimmingNone of the AboveNormalNormalNot GayNot My ShameNot The Marrying KindNot Under My RoofNothing PinkOedipus WreckedOn Being RapedOne Hot SecondOne Hour in ParisOpenOrgasmOrgasm Inc.OrgasmologyOrgasmsOver 100 Truly Astonishing Sex TipsOverexposedPeekPeriod PiecesPervPhilosophizing About Sex Philosophy of Love, Sex, and MarriagePhilosophy of Love, Sex, and Marriage: An IntroductionPin-up GrrrlsPINSPlease Don't Kill the FreshmanPolicing SexualityPolyamory in the 21st CenturyPornPorn NationPorn StudiesPorn UniversityPornifiedPornlandPornographyPornographyPornography, Sex, and FeminismPosition Of The Day PlaybookPray the Gay AwayPredatorsPremarital Sex in AmericaPrinciples and Practice of Sex TherapyPrivate Dicks - Men ExposedPrivate Practices DVDProblem GirlsPrudePsychopathia SexualisQueer PhilosophyRapeRape Is RapeRated X - A Journey Through PornRazmatazRecruiting Young LoveRedefining GirlyRedefining RapeRegulating SexRelax, It's Just SexRethinking Gender and Sexuality in ChildhoodRethinking RapeRunning with ScissorsSatan's Sex BookScreening SexSelling Sex ShortSexSex & Single GirlsSex (Ed)Sex and SpiritSex and the American TeenagerSex and the SoulSex and the Soul, Updated EditionSex and WarSex at DawnSex by NumbersSex DetoxSex Fiends, Perverts, and PedophilesSex in CrisisSex in the World of MythSex ObjectSex OffendersSex on the BrainSex PositionsSex Q & ASex, Family, and the Culture WarsSex, or the UnbearableSex, Therapy, and KidsSex, Time and PowerSextasySexting and Young PeopleSexual ArtSexual Boundary ViolationsSexual DevianceSexual DisordersSexual EcstasySexual EthicsSexual FluiditySexual IntelligenceSexual Orientation and Psychodynamic PsychotherapySexual Orientation and School PolicySexual PleasureSexual PredatorsSexual Teens, Sexual MediaSexuality in AdolescenceSexuationSexyBookShameShamelessShy GirlSlutWalkSmall FavorsSmutSocial Control of Sex OffendersSome Assembly RequiredSplit ScreenStir-FryStraight to JesusStrange BedfellowsStripped BareSurviving Sexual ViolenceSymptoms of Being HumanTalkTalk to Me FirstTechniques of PleasureTestosterone RexThe Anthropology of SexThe BabiesThe Better Sex Guide to the Kama SutraThe Big Book of PornThe Birth of the PillThe Blue Moon Erotic Reader IIIThe BodyThe Breast BookThe Breath of Tantric LoveThe Busy Couple's Guide to Great SexThe Case of the Female OrgasmThe Chemistry Between UsThe Clitoral TruthThe Dangerous Art of Blending InThe Education of SophieThe Emergence of SexualityThe End Of AliceThe End of SexThe Erotic EdgeThe Erotic Lives of WomenThe Essential KamasutraThe Evolution of BeautyThe Fate of GenderThe First Man-Made ManThe First TimeThe Gay Baby BoomThe Good Vibrations Guide to SexThe Happy Hook-UpThe Hite ReportThe Humble Little CondomThe Illustrated Guide to Extended Massive OrgasmThe Illustrated Story of OThe Love CureThe Madness of WomenThe Men They Will BecomeThe Mirror of LoveThe Miseducation of Cameron PostThe Moral Panics of SexualityThe Naked Truth About SexThe Nature of Sexual DesireThe New Erotic PhotographyThe New Gay TeenagerThe Notebook GirlsThe Only Girl in the CarThe Order of the Poison OakThe Origins of SexThe Other HollywoodThe Other PlaceThe Other Side of DesireThe Perils of MasculinityThe Perversion of YouthThe PervertThe Philosophy of PornographyThe Philosophy of Sex: Contemporary ReadingsThe Pleasure's All MineThe Politics Of LustThe Porn TrapThe Pornographer's GriefThe Pornography IndustryThe Praeger Handbook of TranssexualityThe Psychodynamics of Gender and Gender RoleThe Purity MythThe Real Truth About Teens and SexThe Right to Be ParentsThe Secret Lives of GirlsThe Sex Addiction WorkbookThe Sex Lives of TeenagersThe Sex MythThe Shared HeartThe Sleep of ReasonThe Smart Girl's Guide to PornThe State of AffairsThe Story of SexThe SurrenderThe Ten Minute Sexual SolutionThe Tenth CircleThe Transformations of GwenThe Transformations of GwenThe Trauma MythThe Ultimate Guide to Sex and DisabilityThe Vagina MonologuesThe ValleyThe Violence of CareThe Virgin BlueThe Virginity ClubThings Tom LikesThinking KinkThinking XXXToo Hot to HandleTransTransTransgender Children and YouthUltimate JudgementUltimate SexUndoing GenderUnlikelyUntangling the WebUntrue VirginVirgin NationVirgin Sex for GirlsVirgin Sex for GuysVirginity LostWhat Does Consent Really Mean?What Women WantWhat's Happening to My Body? Book for BoysWhat's Happening to My Body? Book for GirlsWhat's Happening to Tom?What's Wrong with Homosexuality?When Jeff Comes HomeWhen Sex Goes to SchoolWhen the Piano StopsWhere Do We Fall When We Fall in Love?Who Has What?Who's Been Sleeping in Your HeadWilhelm ReichWired for IntimacyWomen and Child Sexual AbuseWomen and MadnessWritten in the FleshYou Know Me WellZen Sex
On the cover of The Sex Addiction Workbook, it proclaims "The only scientifically supported treatment method for sex addicts." This book uses a form of self-administered cognitive behavioral therapy (CBT) to treat sexual addiction. The workbook consists of eighteen chapters over about 200 pages, divided into five parts. First, the book starts to help readers identify their problems, and then understand what sorts of solutions are available. Part II focuses on identifying the faulty thinking that accompanies sexual addiction, understanding and changing the planning that goes around sexual activity, and coping with sexual fantasizing. Part III focuses on feelings, guiding the reader through exercises to help with anger, depression, sexual frustration, and leading to self-acceptance and forgiveness. Part IV helps the reader to change behavior in response to specific situations or environments, and Part V addresses the need to achieve a healthy lifestyle balance.
The book uses simple language and divides each chapter into approachable sections. The exercises are easy to understand, and presumably if the reader follows them, he or she will gain a better understanding of his or her problems and how to control them. The authors include both sexual Internet activity, pornography use, visiting sexual places such as strip clubs and sex shows, and sexual behavior with other people. They emphasize the risks of the different forms of behavior and the many ways there are to modify one's self-defeating or dangerous behavior. So the book may well be helpful for those who are committed to changing.
However, the authors' claims that their methods are scientifically proven seem overblown. They provide no direct evidence. In their introduction, they refer to a 1999 article by Grossman, Martis and Fichtner. They summarize this article saying "the majority of the evidence suggests that the cognitive behavioral treatment approaches you are about to learn are effective in significantly reducing the out-of-control sexual actions of some people" (4). However, when one looks up this article, one finds some problems with this claim. First, the article, "Are Sex Offenders Treatable? A Research Overview," is focused on sex offenders, with some emphasis on child molesters, rather than the much wider category of sex addicts. Second, the research was a literature review for work published between 1970 and 1998, so it is unlikely to address issues to do with cybersex and the Internet. Third, the author's endorsement of CBT was far less emphatic than Penix Sbraga and O'Donohue suggest. The article's main conclusion is:
Although some forms of treatment for sex offenders appear promising, little is known definitively about which treatments are most effective, or for which offenders, over what time span, or in what combinations. What emerges from the literature is a strong suggestion that a comprehensive cognitive-behavioral program should involve components that reduce deviant arousal while increasing appropriate arousal and should include cognitive restructuring, social skills training, victim empathy awareness, and relapse prevention. In addition, patients should be considered for antiandrogen medication if they are at high risk of reoffending.
Furthermore, the CBT that was measured in the studies surveyed was most likely to have been administered by a professional therapist, not provided through a self-help book.
Thus, the claim that The Sex Addiction Workbook will actually help readers is completely unsupported by any evidence provided by the authors. It might be more successful when used in conjunction with working with a CBT professional, but even then, there's no evidence that it will be helpful. The authors of the book are experienced clinicians: William T. O’Donohue is the Nicholas Cummings Professor of Organized Behavioral Healthcare Delivery at the University of Nevada, Reno, has published many books, and is an active researcher. Tamara Penix Sbraga is a clinical faculty member at Central Michigan University. So these are reputable clinicians and the approaches used in this workbook certainly fall within the range of standard methods used by CBT. It is possible that since the publication of the book, further studies have been done on the effectiveness of CBT for people with difficulties with controlling their sexual behavior. Nevertheless, readers should not place too much confidence in the methods recommended by this workbook. Rather, they would do better if they took responsibility for their own change, and simply used the book as a possible method to accomplish that change. It's important to realize that ending behavioral addictions is extremely difficult, and that the danger of giving up on the effort to change or relapsing into old habits is very high. It would be foolish to regard a self-help book as a promise of a cure. People who have identified themselves as having a problem with sexual addiction may find The Sex Addiction Workbook helpful, and it is one of the few such books available. However, their struggle is likely to be prolonged and they will need to engage in continual self-education and self-monitoring to prevent themselves from going back to their old ways.
© 2007 Christian Perring. All rights reserved.
Christian Perring, Ph.D., is Academic Chair of the Arts & Humanities Division and Chair of the Philosophy Department at Dowling College, Long Island. He is also editor of Metapsychology Online Reviews. His main research is on philosophical issues in medicine, psychiatry and psychology.