Sanctuary for the Abused

Saturday, September 09, 2006



The New ‘Elephant in the Living Room’: Effects of
Compulsive Cybersex Behaviors on the Spouse

By Jennifer P. Schneider

A chapter published in the book Sex and the Internet, 2002

In addiction treatment, the ‘elephant is the living room’ refers to a situation in which the addictive use of alcohol (or other drug) by a family member significantly impacts the remainder of the family, yet no one talks about it. The apparent blindness to the presence of a behavior which adversely affects the user and the family results from a variable combination of true unawareness by the spouse and/or children, along with some element of denial, disbelief, and/or covering up by the family. Effective family treatment of addictive disorders includes bringing to light the dysfunctional behaviors of both the addict and family members, addressing the associated shame, and developing strategies (1) for the addict to stop addictive use of the substance (alcohol, cocaine, etc.) or behavior (gambling, sex, risk-taking, etc.), and (2) for spouses or partners to focus on their own needs rather than on the addict’s behavior and to become empowered to set boundaries for what is acceptable in the home and in the relationship.

With the increasing presence of computers in the home, a growing number of users neglect family, social, and work obligations, as well as their own health and wellbeing, in order to spend many hours per week viewing the computer screen in search of sexual gratification. As Cooper and his colleagues (Cooper et al, 1999; Cooper, Delmonico, & Burg, 2000) have shown, most people who access the Internet for sex are "recreational users," analogous to recreational drinkers or gamblers, yet at the same time a significant proportion have pre-existing sexual compulsions and addictions which are now finding a new outlet. For others, with no such history, cybersex is the first expression of an addictive sexual disorder, one that lends itself to rapid progression, similar to the effect of crack cocaine on the previously occasional cocaine user. Regardless of the user’s diagnosis, when cybersex begins to take precedence over a committed relationship, the partner suffers. 0

The internet has several characteristics which make it the ideal medium for sexual involvement (Cooper, 1999). It is widely accessible, inexpensive, legal, available in the privacy of one's own home, anonymous, and does not put the user at direct risk of contracting a sexually-transmitted disease. It is also particularly suited for hiding the activities from others because it does not leave obvious evidence of the sexual encounter. It often takes some computer knowledge on the part of the spouse to retrace the user's online adventures.

There is still some disagreement in the fields of psychiatry and addiction medicine about appropriate terminology for this disorder. Carnes (1983) was the first to apply the addiction paradigm to out-of-control sexual disorders. In this chapter the terms sexual addiction and compulsive sexual behaviors will be used interchangeably. However, I prefer the term sexual addiction because compulsive cybersex use fits the criteria formulated by Schneider & Irons (1996) for all addictions: The compulsive cybersex user experiences (1) loss of control (2) continuation despite adverse consequences, and (3) preoccupation or obsession with obtaining and using the substance or behavior. These criteria were adapted from the Diagnostic and Statistical Manual of Mental Disorders , 4th Edition (1996). Although some clients who are compulsively sexual have been successfully treated with a developmental and psychotherapeutic approach, in the author’s experience and research, many persons have not been able to stop their behaviors until they approached the problem from an addiction paradigm. Addiction-model treatment, which includes cognitive-behavioral relapse prevention strategies along with attendance at self-help groups modeled after AA and its offshoot, Al-Anon, is also helpful for cybersex addicts and their partners (Schneider, 2000a; Hecht-Orzack & Ross, 2000; Schneider & Weiss,2001; Carnes, Delmonico, & Griffin, 2001).

Compulsive cybersex use, like all addictive sexual disorders, significantly impacts the couple relationship (Schneider, 2000a; Schneider, 2000b). Children may also be adversely affected (Freeman-Longo, 2000). Early involvement of the family in treatment of compulsive sexual behavior is an important ingredient to a successful treatment outcome. (Carnes, personal communication). Unfortunately, in the treatment of cybersex-related problems, the effect on the spouse or partner is all too often ignored, as attention is focused solely on the user.

To summarize the types of behaviors involved, the viewing of pornography while masturbating is nearly universal among male cybersex addicts, and also found among some female cybersex users, although women often prefer relational activities such as chat rooms to strictly visual activities (Schneider, 2000b, Cooper et al., 2000). Other behaviors are reading and writing sexually explicit letters and stories, e-mailing to set up personal meetings with someone, placing ads to meet sexual partners, visiting sexually oriented chat rooms, and engaging in interactive online affairs with same- or opposite-sex people, which may include real-time viewing of each other's bodies using electronic cameras connected to the computer. Related activities include phone-sex with people met online, and online affairs that progress to skin-to-skin sex.. A preliminary study suggests that a higher percentage of women cybersex addicts (80%, versus 30% of men) progress to offline sexual encounters (Schneider, 2000b). Some cybersex users participate in illegal or paraphilic online activities such as sadomasochism and domination/bondage, bestiality, viewing child pornography and pornographic pictures of teenagers , and having sex with underage persons.

To assist the clinician in formulating a treatment approach that includes the significant other, this chapter will describe the reactions of the partner to discovery of the compulsive cybersex use, the stages of “pre-recovery” of the partner, and elements of an effective therapeutic plan.

One Woman’s Story
When no offline sexual interactions have occurred, therapists may underestimate the impact on the partner, likening it to having a spouse who enjoys perusing “Playboy” or “Penthouse.” The following description may make the distinction clearer. A 38-year old woman, now in the process of ending her 15-year marriage , wrote,

I knew my husband was masturbating all the time, but I thought it was my fault. He would blame me when I would catch him masturbating at the computer. He would not do any chores when I was out. When I returned, he would quickly clear the computer screen. He’d keep looking at his pants to see if I could tell he had an erection. He would run out of the bedroom like he was just changing. At other times he would call me and say he was coming right home at 4 o’clock, and not show up until three hours later. He’d say he was working really hard and not to give him a hard time.

I knew he’d be masturbating if I left the house. I never said no to sex unless I was not feeling well, or I was working. I believed if I had sex more often, or if I were better at sex, he would not masturbate as much. I surveyed my friends to see if they'd caught their husbands masturbating, to see how often they thought it was normal to masturbate, to see what kind of sex they had with their husbands and how often.

I thought I was not good enough because I did not look like the girls in the pictures. I thought if I dressed and looked good it would keep him interested. I gave up competing with his masturbating and chose not to have sex with him

If the kids and I were coming home from somewhere and his car was there, I would run into the house first and be loud so the kids wouldn’t walk in on him. I found semen on my office chair and lubricant next to the keyboard. I stopped making dinner because I would not know when he'd be coming home. I tried to talk with him about masturbation and how often he wanted to have sex.

My husband does not believe he has an addiction. He doesn't think it's a big deal because he says he was never with anyone else. He thinks all he needs is a more loving wife.

One man’s story
A 44 year old man had been married for 24 years when his wife became hooked on the Internet (Schneider, 2001). He explained that she wrote and read erotic stories and e-mails, participated in sexually-oriented chat rooms, became involved in a dominance/submission, sadomasochism (BDSM) online community, and participated in both online and real-life sexual encounters with various men. She spent thousands of dollars on airplane tickets and phone calls, and eventually lost her job because of her online activities. She stopped paying bills or doing housework. She stopped going on family outings, locked the kids out of her room, and ignored them.

The whole family is still suffering the consequences of my wife’s sex addiction. The kids are still hurting, and one of them is being treated for depression. I’ve been depressed too, and am still on medication. She exposed me to sexually transmitted diseases.

I began to doubt my masculinity. At first we had sex more than ever as I desperately tried to prove myself. Then the sex with her made me sick – I’d get strong pictures in my head of what she did and lusted after, and I’d feel repelled and bad. When we were making love, she was thinking of her online partners. She reported all our personal sexual activities to her online partners. I used to see sex as a very intimate loving thing. Now I can’t be intimate or vulnerable – sex now is more recreational or just out of need.

Why am I still with her? I feel if I divorce her she will end up dead in a hotel room somewhere or bring perverted people into my children’s lives. I’m still very codependent and I feel I have to protect her. I also don’t want anyone to find out about her.

With this introduction to the feelings of the partner, we will turn to a broad overview of the stages partners go through when living with ‘the elephant in the living room.’ This will be followed by discussion of specific aspects of the relationship which are of interest to therapists: the effects of cybersex on the partner and the relationship –and specifically on the couple’s sexual relationship; partners’ perceptions of what constitutes ‘adultery’; specific issues for male partners of female cybersex addicts; gay relationships; and finally, various implications for therapists.

The stages of prerecovery of the cybersex user’s partner
Addictionists speak of ‘recovery’ as the process of healing from addictive disorders, both for users and for family members. Recovery begins with recognition that one needs help for oneself. Partners of cybersex addicts go through a sequence of responses to the user’s ongoing involvement with online sex (Schneider, 2000a)

Stage 1: Ignorance/denial
In contrast to the more traditional forms of sexual acting out, cybersex use happens in the user’s own home. Paradoxically, it is therefore easier to conceal. There are no telltale receipts, lipstick stains, or unaccounted-for absences. Instead , the user is simply “working at the computer” in the home office or study. When the user withdraws emotionally and/or physically from the marriage, the partner recognizes there is a problem in the relationship, but is unaware of the contribution of cybersex to the problem. The partner believes the user's denials, explanations, and promises. She (or he –we will use the female pronoun for simplicity) tends to ignore and explain away her own concerns, and may blame herself for sexual problems that are commonly present. The compulsive cybersex user is often uninterested in marital sex; in response the partner may try to enhance her own attractiveness to him/her.

Stage 2: Shock/Discovery of the cybersex activities
At some point the partner learns of the cybersex user's activities, either accidentally (because the partner comes upon the activities in progress, or turns on the computer and discovers a cache of pornographic pictures), or as a result of deliberate investigations. In either case, the partner's ignorance and denial are over.

Discovery often results in shock, betrayal, anger, pain, hopelessness, confusion, and shame. Because the pull of the computer is so strong and its availability in the home and at work is so great, there is a great tendency for the user to return to cybersex activities even after discovery by the spouse, no matter how sincere the initial intention to quit. A common result is a cycle of discoveries, promises made and broken, and additional discoveries and promises.

Feelings of shame, self-blame, and embarrassment often accompany the early days of dealing with a partner's cybersex addiction. The cybersex user often minimizes the significance of the behavior (“What’s the big deal –I’m not cheating after all”) and may even suggest that the real problem is the partner’s anti-pornography attitude (“All men like to look at pictures -- you’re just too uptight about these things.”) The partner may wonder if indeed she might be the only problem. These feelings may prevent the partner from talking with others and appealing for help, and the resultant isolation worsens the situation.

Covering up for the user is part of this stage:
We have only told our therapists about this problem. It's so hard to go to family events where everyone thinks we're doing great. I don't want to tell them because I don't want this to be all that they think of when they think of my husband. And we don't feel like we can trust any of our friends with our "secret." So we're dealing with this alone and that hurts. [25-year old woman, married 2 years, just recently discovered the cybersex addiction.]

Stage 3: Problem-solving attempts
The partner now begins to take action to resolve the problem, which is perceived as the cybersex behaviors. If real-life sexual activities have in fact occurred in addition to online sex, then the spouse’s feelings and behaviors will be familiar to therapists who have counseled couples regarding a traditional affair. However, when the behaviors have been limited to the computer, the reaction is likely to be somewhat different: The computer has become such a staple in many homes that the partner is more likely to try to control the addict’s use rather than eliminate it. This would be analogous to the alcoholic’s wife who believes that if the alcoholic drinks only under her direct supervision at home, the problem would disappear.

At this stage behaviors typical of “codependency” peak -- snooping, bargaining, controlling access to the computer, giving ultimatums, asking for full disclosure after every episode, obtaining information for the user on sex addiction and addiction recovery, and (early in this stage) increasing the frequency and repertory of sexual activities with the user in hopes of decreasing his desire for cybersex.

A sexual solution to the sexual problem seems to make sense in this stage. Partners may agree to sexual practices with which they are not comfortable, have sex even when tired, and think about improving their appearance by undergoing breast enhancement surgery or liposuction. For the cybersex user, none of these methods are likely to diminish the lure of the internet.

The partner at this stage believes that additional information will enhance her or his ability to manage the situation. This leads to snooping or "detective" behaviors. Partners who are computer-savvy learn how to trace the user's activities, and in some cases may even try to entice him by logging on into the same chat rooms themselves under false names.

The couple often comes to some agreement to try to limit the addict's use of the computer. This may consist simply of promises not to use it, or to restrict usage to legitimate needs. The partner or the couple may purchase filtering software (e.g. CyberPatrol or Net Nanny) which prevents access to sexually-oriented sites. Often, the partner, with the user's agreement or at least knowledge, assumes control of the access. This type of agreement rarely works for long. It provides a measure of comfort for the wife to know what is going on and gives her the illusion of control. But the result is to establish a parent-child dynamic between the couple and engenders resentment in the cybersex user The user will begin or increase cybersex activities on the work computer, or find ways to defeat blocking software at home, and will simply become more skilled at deception. Until the user is motivated to stop the cybersex activities, relying on external controls via the spouse or partner is effective at best temporarily.

In describing the phases of prerecovery of partners of sex addicts (coaddicts) in the pre-cybersex era, Milrad (1999) found the end of the prerecovery phase and the beginning of recovery to be an awareness that they are in crisis and need help. Similarly, partners of cybersex addicts enter the crisis stage when they realize that their problem-solving efforts have been unsuccessful and when the costs of remaining in the status quo become intolerable - depressive symptoms, isolation, loss of libido, a "dead" marriage, their own dysfunctional behaviors in some cases (affairs, excessive drinking, violence), as well as awareness of the effects on the children of the family dysfunction. This is the stage when the partner seeks help for herself/himself rather than in order to “fix” the cybersex user. Once the partner is in therapy and getting help, the equilibrium of the system is disrupted, forcing some type of real change. Either the problematic behavior will change as the cybersex user too becomes engaged in treatment , or the relationship will end.

Effect of cybersex on the partner and the relationship
Some of the most troubling effects of a person's compulsive cybersex involvement result from the large amount of time spent on the computer. Cooper et al (1999) reported that compulsive sex use on the internet occupies an average of 11 hours/week, time which clearly decreases the user's availability to the family. Partners of compulsive cybersex users feel lonely, ignored, unimportant, neglected, or angry as a result of the user’s spending so much time on the net.

However, there are additional consequences for the partner which result specifically from the sexual content of the user's internet addiction. When the partner perceives that the user prefers a computer construct to the real-life committed partner, her self-esteem often suffers and she feels she cannot compete with the fantasy person on the computer. Most partners experience some combination of devastation, hurt, betrayal, loss of self-esteem, abandonment, mistrust, suspicion, fear, and a decreased level of intimacy in their primary relationship. Some partners, including females, become physically abusive to their spouses. Some men and women engage in extramarital affairs or encounters, either to shore up their own self-esteem or else to get revenge on their cybersex-using spouses. Other reactions include feeling sexually inadequate, unattractive; doubting one's judgment and even sanity; severe depression, and in extreme cases attempting suicide. The loss of trust felt by most partners is at least as harmful to the relationship as the sexual activities themselves. Despite the user's promises, the behaviors and the lies often continue, which leads to further erosion of trust.

Compulsive cybersex use elicits partners' deepest insecurities about their ability to measure up to the fantasy online men and women. The need to compete with interactive sex online pressures them into unwanted sexual activities. A 34 year old woman, married 14 years to a minister, said,

He's never been physically unfaithful, but nonetheless I feel cheated. I never know who or what he is thinking of when we are intimate. How can I compete with hundreds of anonymous others who are now in our bed, in his head? When he says something sexual to me in bed, I wonder if he has said it to others, or if it is even his original thought. Now our bed is crowded with countless faceless strangers, where once we were intimate. With all this deception, how do I know he has quit, or isn't moving into other behaviors?

On the internet it is possible to find groups of people who are interested in all kinds of unusual, paraphilic, and/or degrading sexual practices. Interacting with these people online desensitizes the cybersex user to such activities and "normalizes" them. Some cybersex users eventually come to blame their partners for being unwilling to engage in these behaviors.

The therapist who treats a cybersex user’s spouse can validate the client’s sense of betrayal resulting from her spouse’s cybersex activities and can support her feelings as typical of others who have had similar experiences. In working with such couples, the therapist can help cybersex users become more empathetic to their spouse’s feelings by reviewing with the users how they felt about the same activities before beginning to view them online. Another useful approach is to consider unusual or deviant sexual practices which the cybersex user has not viewed and normalized to himself, and ask him to imagine his reaction if his spouse were to pressure him to engage in these activities.

The significant consequences of cybersex on the partner and the relationship can be summarized as follows:

Many users lie repeatedly about the sexual activities; in response, their partners feel distrust and betrayal.

The devastating emotional impact of a cybersex affair is described by many partners as similar if not the same as that of a real affair. The partner's self-esteem may be damaged; strong feelings of hurt, betrayal, abandonment, devastation, loneliness, shame, isolation, humiliation, and jealousy are evoked.

The couple's sexual relationship suffers, not only generally because the user spends so much time alone on the computer, , but specifically because the spouse (and often the user) compares her body and her sexual performance to that of the on-line women, and believes she can't measure up.

Online sexual activities may be followed by physical contact with others; rather than confronting the behavior directly, withdrawing, or becoming depressed, the partner may retaliate or seek solace in extramarital affairs.

Effect on the sexual relationship
Compulsive cybersex use by one member of a couple usually has significant adverse effects on the conjugal sexual relationship. Sexual and other energies taken away from the relationship cheat both partners of addressing issues of self-development and deepening their sexual and relational connection. In the author’s study of partners of cybersex addicts (Schneider, 2000a), two-thirds of the 94 respondents (68%) described sexual problems in the couple relationship, usually coinciding with the beginning of the cybersex activities. Fifty-two percent of the cybersex users had decreased interest in relational sex, as had one-third of the spouses. In some of these cases (18%), both partners had a decreased interest. In only 32 percent of the couples were both partners still interested in sex with each other.

Spouses who lose interest in sex with the cybersex user report being repulsed by the user’s sexual activities with cybersex, phone sex, live encounters, etc.. This generally does not cause a problem for the cybersex user, who has already substituted cybersex for sex with spouse. On the other hand, when it is the user who loses interest in sex with spouse, this is definitely a problem for the spouse, who feels angry, hurt, rejected, and often sexually unfulfilled.

Recurrent themes among such couples are:
The user makes excuses to avoid sex with partner (not in the mood, too tired, working too hard, has already climaxed and doesn't want sex, the children might hear, his back hurts too much).

The partner feels hurt, angry, sexually rejected, inadequate, and unable to compete with computer images and sexy online women (or men) who are willing to do “anything.”

During relational sex, the cybersex user appears distant, emotionally detached, and interested only in his/her own pleasure

The partner ends up doing most or all of the initiating, either to get her/his own needs met, or else in an attempt to get the user to decrease the online activities.

The user blames the partner for their sexual problems.

The user wants the partner to participate in sexual activities which she/he finds objectionable.

A 33-year man, partner of a male cybersex user wrote,
e.Currently we have sex once every three months, usually only after I blow my stack and I suppose he feels obligated. Although I know that I am bright and attractive, emotionally I feel ugly, worthless, and unwanted by him or anybody else. For me the issue has not been the difference between him having e-mail sex or actual physical contact, it is that someone else is receiving his attention and I am not. I do many mental gymnastics in order to cope with this. In order to prevent becoming irritated with my partner because he rejects my sexual advances, I masturbate daily with the hope that it will prevent me from becoming "horny." Sometimes it works. I would not care at all if he masturbated online with a host of others, as long as I was an active part of his sex life.

In a small minority of cases (16% in Schneider’s [2000a] study), the cybersex user maintains his/her desire for sex with the partner, but the partner is less interested. In some cases the partner refuses to have sex; in others, the partner doesn't want to, but continues out of fear of driving the user further into online activities. Major themes in such relationships are:

The partner initially increases the sexual activities in order to "win back" the addict. This early response is only temporary.

The partner feels repelled and disgusted by the addict's online or real sexual activities and no longer wants to have relationship sex.

The partner can no longer tolerate the addict's detachment and lack of emotional connection during sex.

The partner's anger over the addict's denial of the problem interferes with her/his sexual interest.

In reply to pressure or requests by the addict to dress in certain ways or perform new sexual acts, the partner feels angry, repelled, used, objectified, or like a prostitute.

The partner fears catching a disease from the user, or already caught one.

Comparison with online sexual partners
The knowledge that the addict's head is full of cybersex images inevitably produces in the partner a comparison between the spouse and the fantasy woman in terms of appearance, desirability, and repertory of sexual behaviors. The partner feels she/he is competing with the computer images and people. ("If only I was perfect like his porn, then he would want the real thing and love me.") The result is often confusion -- on the one hand, desire to emulate and better the computer woman (or man), on the other revulsion at the lack of intimacy and mechanical nature of the sex. Some people vacillate between these two polarities:

His cybersex activities made me angry. They made me want to be more sexy and desirable, then at other times made me not want to have anything to do with him. It made me feel that when we were having sex and he closed his eyes, he was viewing some other person's body and therefore was not really "with" me. [48 year old woman, married 4 years]

What Constitutes Adultery?
When one partner has some sexual involvement outside the marriage, there is often disagreement by the couple on what constitutes adultery. The reason is that there is still disagreement about what constitutes sexual relations. For example, in a study reported in 1999 [Sanders & Reinisch, 1999], 59 percent of college students surveyed believed that oral sex does not constitute “having sex,” and 19 percent believed that even penile penetration of the anus did not constitutes “having sex.” There is now a similar disagreement about the meaning of the varieties of computer sex. When the cybersex user engages in real-time online sex with another person, most partners react as though skin-to-skin adultery has taken place. According to one distraught woman,

My husband is using sexual energy that should be used with me. The person on the other end of that computer is live and is participating in a sexual activity with him. They are doing it together and are responding to each other. It is one thing to masturbate to a two-dimensional screen image. But to engage in an interactive sexual encounter means that you are being sexual with another person, and that is cheating.

To effectively counsel partners of cybersex addicts, therapists must understand and be able to validate the intensity of their feelings that this is indeed a significant betrayal of the relationship. The main reasons reported by partners include:

Having interactive sex with another person is adultery, whether or not they have skin-to-skin contact.

Cybersex results in lying, hiding one's activities, and covering up, and the lies are often the most painful part of an affair.

The spouse feels betrayed, devalued, deceived, "less than," abandoned --- same as with a real affair.

Cybersex takes away from the sexual relationship of the couple. As one woman wrote, "I may not be getting a disease from him, but I'm not getting anything else either!"

A real-life person cannot compete with fantasy. The cybersex addict loses interest in his spouse because he has "ideal" relationships where there is no hassle.

Cybersex takes the addict away from his partner --in terms of time and emotions. It results in emotional detachment from the marriage.

Implications for Therapists

Online addiction in general vs. cybersex addiction
Although some of the most troubling effects of a person's compulsive cybersex involvement result from the large amount of time spent on the computer, the sexual content of the material can have an huge impact on the person and the partner. Accordingly, it would be a mistake to focus in therapy primarily on the time element of computer use without specifically considering the sexual content of the activities. It is crucial to spend enough time getting a thorough sexual history of the client and of the couple’s sexual relationship, as well as details of the computer user’s activities online (and by extension, offline).

Sexual anorexia and cybersex addiction/compulsivity
Some compulsive cybersex users and/or their partners have erroneously been labeled by their therapists as suffering “ sexual anorexia” or a sexual aversion disorder (DSMIV, 1994, p. 499). It is a mistake to apply this label to person simply because he or she is uninterested in sex in one particular context (e.g. within the couple relationship). Cybersex addicts do not avoid sex; on the contrary, they engage in sex compulsively. However, they often redirect their sexual interest away from the spouse and towards the computer. It is crucial for the therapist to get a thorough sexual history, and, especially, to inquire at length about the presence of online sexual activity in the life of a client who appears not to be interested in sex with the partner. Similarly, the cybersex user’s partner who feels unconnected, ignored, and betrayed and who therefore loses sexual interest in the cybersex addict, is not suffering from sexual anorexia, but rather may be reacting with integrity and autonomy to a situation in which (s)he does not feel valued. As Schnarch, (1997, p. 127) wrote, “Healthy people don’t want sex when it’s not worth wanting.”

Understanding sexual compulsivity

Schneider (2000a and 2000b) reported that several people in her study consulted counselors or psychotherapists who apparently failed to obtain an adequate history and therefore missed the diagnosis of sexual compulsivity. Some counselors urged the partner to initiate sex more frequently. Some had never heard of sexual addiction/compulsivity, or failed to understand how a person could be threatened by the use of a computer or other inanimate object. Others were so committed to being nonjudgmental that they missed the big picture: One young woman reported that her pastor had dismissed her concerns about her fiance’s online preference for young girls, telling her that “once we were married, my husband's curiosity would be filled by me. Now that we are married, and I find that he has continued his acting out, and lied to me so much, I am afraid of what could happen if we have children and one is a girl.”

A client's complaints about her spouse's cybersex use may simply reflect her own discomfort with pornography, but it also may be a sign of a significant cybersex problem in the family; each of these requires a different treatment approach. Therapists who wish to treat cybersex problems effectively need a basic understanding of addictive sexual disorders so that they can determine if this problem exists in the client and, if so, institute appropriate treatment or refer out. Compulsive behavior is by definition out of control. Suggesting to the client that he access cybersex only 1 hour per day instead of 4 is likely to be as effective as suggesting to an alcoholic to cut down his consumption of alcoholic beverages from 15 to 4 per day.

Mistakes to avoid
Where compulsive cybersex use is in fact present, potential mistakes by the uninformed counselor are:

to underestimate the adverse consequences of the behavior, for both the user and the family

to fail to make it a priority for the cybersex addict to stop illegal or dangerous behaviors

to omit the partner or spouse, if one exists, from the treatment process

to diagnose the couple's problem as poor communication, the partner’s frigidity, or a need by the partner of greater acceptance of the internet user's activities,

to diagnose the compulsive user's problem or that of his partner as sexual anorexia, and

to recommend that the cybersex user limit the time devoted to cybersex activities to some predetermined number of hours, or to have the partner join in the addict's cybersex activities.

How to avoid mistakes: Begin with a thorough assessment
The first step for the counselor is to gather information, preferably from both partners. Ask specific questions -- what is a typical day in the life of each partner, hour by hour? Are there large chunks of time that are unaccounted for? Have there been changes in the couple's sexual relationship? In the amount of time the family spends together? In the time spent with children? Is there evidence of cybersex involvement? Is there a history of other compulsive sexual behaviors? Ask about the partner’s beliefs regarding sex, pornography, and masturbation. Obtain a thorough sexual history from both partners, and a history of their sexual relationship with each other.

If cybersex addiction is indeed present, some psychotherapists report success using cognitive-behavioral and developmental approaches. Many patients are best helped using the same principles of treatment of any other form of sex addiction or compulsivity: Initially, the user needs to be helped to break through the denial that a problem exists and to recognize the impact of the behaviors on the partner and family; to stop the behaviors and associated lying; to stop blaming the partner; to learn problem-solving in ways other than escape through cybersex activities; to develop strategies for dealing with sexual urges, Support through membership in 12-step programs such as Sex Addicts Anonymous (SAA), Sexaholics Anonymous (SA), or Sex and Love Addicts Anonymous (SLAA) is as useful as with any other addiction. Strategies specific to the computer are discussed in other chapters in this book and include limitations on use of the computer, acquisition of blocking software, and avoidance of the internet.

Treating the cybersex user’s partner: begin with validation
For the spouse or partner, the negative consequences detailed in this chapter constitute a lengthy list of issues to explore in therapy. Early on, partners need validation of their belief that a real problem does exist, and of their perception that cybersex addiction can be as damaging to the relationship as more traditional sexual affairs. They need to feel "heard" by the counselor, and encouraged to state their needs. Other early goals of therapy are to help clients accept that they did not cause the problem, cannot control it, and cannot cure it, and that the belief that having enough information will allow control of the situation is an illusion. The focus needs to be moved from fixing the other person to working on oneself, especially one's damaged self-esteem, and learning to pay attention to one's own needs and desires. Education about appropriate boundaries is useful, along with development of appropriate boundaries regarding the presence of the computer in the home and conditions for its use. Except perhaps very temporarily, however, it is not useful to have the partner be the "keeper" of the computer or to control the cybersex user’s involvement with it; this is better left to the user's therapist or 12-step sponsor. Like the cybersex addict, the partner can be greatly helped and supported by membership in a 12-step program such as S-Anon, COSA, or Al-Anon.

Male partners of cybersex addicts
There is very little written thus far in the professional literature about male partners of cybersex addicts. Gay men often have sexually inclusive relationships, and monogamy is less of an issue than in heterosexual relationships. However,

isolated first-person accounts (Schneider,2000a,2000b) suggest that themes of loss of esteem and feelings of abandonment and betrayal are common to both male and female partners. Like most women, one gay man felt very hurt by his partner’s loss of interest in relational sex with him, but unlike most women, he claimed not to be bothered by his partner’s involvement with other men online. Whether the relationship is heterosexual or homosexual, compulsive sexual energy takes away from one’s relationship with oneself and would be a relational problem as well.

An earlier study of husbands of women sex addicts, written before cybersex existed (Schneider & Schneider, 1990) found that husbands who were not themselves recovering from chemical or behavioral addictions had difficulty accepting that their wives’ behavior was an addiction, were more likely than women to react with rage and wishes to dispatch the “other man,” experienced more shame than did women, and were less willing to get involved in treatment or self-help groups which focused on themselves rather than on “fixing” their spouses. They tended to excuse the wife’s behavior as a symptom of illness or stress, and were very ready to believe that the problem had solved itself at the first sign of progress.

Research in the marriage and family therapy literature (Glass [need reference] about extramarital affairs shows that men are more upset than women when there has been actual sexual contact without loving feelings, whereas women are more upset than men when there has been a strong emotional connection but no sexual contact. One may hypothesize that in the case of cybersex activities where there has not been offline sexual contact, men would be more likely than women to minimize the significance of the activities. More research is clearly needed in this area.

Conclusions
When recreational cybersex use becomes compulsive, therapists need to consider the impact on the partner. Rather than simply encouraging the partner to be more understanding and more supportive of the user’s enjoyment of the internet, therapists need to understand and validate the partner’s distress and the impact of the compulsive cybersex use on the partner’s emotions and self-esteem, as well as on the couple’s sexual relationship, level of emotional intimacy, and family time together. Therapy with the partner includes

1) validating the partner’s feelings,

2) helping the partner understand that it is futile to try to compete with fantasy online sex partners,

3) empowering the partner so that (s)he is in a position to make real choices regarding the relationship,

4) helping the partner to set appropriate boundaries for herself or himself regarding the user’s sexual behavior online and off (for example, “I can’t control what you do all day, but is too painful for me to have this going on in my home; the computer has got to go,” or “I am not comfortable having sexual relations with you if you are having real-time sex with women online,”) and

5) informing the partner about the availability of support groups where (s)he can share experiences, feelings, and solutions with others who have lived through similar situations.

As with other issues affecting couples, the prognosis is better if both members of the couple recognize that there is a problem and are willing to work to resolve it.
shared by Barbara at 1:42 AM


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