Wednesday, November 30, 2011

The Sex Addiction Hype

The Newsweek cover model’s bare shoulders and protruding clavicles seem to signal weakness, vulnerability, illness. She’s captured turning away from the camera and a pull-quote is stamped across her head: “I lost two marriages and a job. I ended up homeless. I was totally out of control.” The all-caps headline dramatically spells out her troubles: “THE SEX ADDICTION EPIDEMIC.”

The sexy alarmism of Newsweek’s latest cover story is irresistible — but it should be viewed with extreme skepticism. Mental health experts haven’t come to the consensus that sex addiction even exists, let alone that it’s an epidemic. The cultural phenomenon of sex addiction, which I first wrote about in 2009, is just that: A cultural phenomenon, not a legitimate medical diagnosis, and the release this week of the much buzzed-about “Shame,” a sex-addiction drama starring Michael Fassbender, further secures the concept’s place in the zeitgeist. Never mind that it was rejected from the upcoming revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM), psychiatry’s bible.

Supporters of the sex-addiction paradigm will point to the current umbrella category of “Sexual Disorder Not Otherwise Specified,” which recognizes “distress about a pattern of repeated sexual relationships involving a succession of lovers” — but the term “sex addiction” is unscientifically applied to a vastly greater range of behaviors, including subjectively excessive masturbation and porn-viewing. An entry on “hypersexual disorder” is being considered for the DSM revision — for the appendix — but it’s important to note that the concept of sex addiction is but one approach to conceptualizing and treating hypersexuality.

In the interest of countering the Newsweek narrative, I gave clinical psychologist David Ley a call. I figured he might have a thing or two to say on the topic, given that for the past year he’s been working on the upcoming book “The Myth of Sex Addiction” — and did he ever.

by Tracy Clark-Florey, Salon |  Continue reading:
Photo:  Newsweek/Salon