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I will describe a few cases and then explore clinical aspects of the problem in this brief paper.
She is confused and scared about what this porn viewing suggests about Frank's sexuality and about the future of her relationship.She would like help sorting her feelings out and developing a plan about dealing with this with Frank.Clinical Aspects: The scenarios above are recent cases in my practice where the compulsion to view pornographic images on the internet is a crucial aspect of the presenting problem.He acknowledges that his compulsion has hurt his relationship and his sex life.He is extremely ambivalent about his relationship but has not talked about his feelings openly with Dora.He has not begun drinking but is again "medicating" his anxiety by spending large chunks of time watching cyber-porn.
He presented to treatment after becoming increasingly more agitated, depressed, ashamed and "fed-up" with himself.There are powerful feelings of shock, fear, loss, and worry on the part of the spouse who discovers her partner's predilection.As such, it poses a significant threat to the relationship.In my experience there are deeper causative factors which form the "fertile soil" of this addiction.Sometimes it is a history of sexual abuse or pre-mature entry into sexuality (prior to mid-adolescence).He has been avoiding sexual contact with Dora as well as having difficulty getting himself to the gym and other outside interests and activities.