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The Theory of Sexual Addiction PDF

422 Pages·2010·4.16 MB·English
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Middlesex University Research Repository An open access repository of Middlesex University research http://eprints.mdx.ac.uk Birchard, Thaddeus (2004) Sexual addiction: a psychotherapeutic approach. DProf thesis, Middlesex University. [Thesis] This version is available at: https://eprints.mdx.ac.uk/6461/ Copyright: MiddlesexUniversityResearchRepositorymakestheUniversity’sresearchavailableelectronically. Copyright and moral rights to this work are retained by the author and/or other copyright owners unlessotherwisestated. Theworkissuppliedontheunderstandingthatanyuseforcommercialgain is strictly forbidden. A copy may be downloaded for personal, non-commercial, research or study without prior permission and without charge. Works, including theses and research projects, may not be reproduced in any format or medium, or extensive quotations taken from them, or their content changed in any way, without first obtaining permissioninwritingfromthecopyrightholder(s). Theymaynotbesoldorexploitedcommerciallyin any format or medium without the prior written permission of the copyright holder(s). Full bibliographic details must be given when referring to, or quoting from full items including the author’s name, the title of the work, publication details where relevant (place, publisher, date), pag- ination, and for theses or dissertations the awarding institution, the degree type awarded, and the date of the award. If you believe that any material held in the repository infringes copyright law, please contact the Repository Team at Middlesex University via the following email address: [email protected] The item will be removed from the repository while any claim is being investigated. See also repository copyright: re-use policy: http://eprints.mdx.ac.uk/policies.html#copy MX 0500671 6 Sexual Addiction: A Psychotherapeutic Approach A project submitted to the Middlesex University in collaboration with Metanoia Institute in partial fulfilment of the requirement for the degree of Doctor in Psychotherapy by Professional Studies Thaddeus Birchard BA DipTh MSc National Centre for Work Based Learning Partnerships Middlesex University Metanoia Institute February 2004 AMDG i Sito MIDDLESEX UNIVERSITY T? LIBRARY AAcccceessssiioonn MMoo.. CCllaassss NNoo.. S pecie 1 (/ Collection Figures Fig. 1 Shame and the Addictive Cycle p60 Fig. 2 The Theory of Sexual Addiction: p63 Diagrammatic Inter-connections Fig. 3 Stages of Recovery p104 Fig. 4 Stages of Recovery p104 Fig. 5 Sample Treatment Plan p125 Fig. 6 Suicide Matrix p128 Fig. 7 Products of the Doctoral Project Built on a Foundation of a Theory of Sexual Addiction p157 ii Abstract This research project contains a first proposai, a second proposai, and an examination of the décision to change from the first to the second, and four producís of the research. This was an aborted interview-intensive qualitative research initiative with paedophile sexual offenders. The second was the development of a treatment and training programme for sexual addiction. The change from the first to the second was caused by the secondary trauma that followed exposure to the primary trauma of others. The four products principally cover the following subjects: 1] narcissistic damage, sexual addiction and religious behaviour 2] causation issues in sexual abuse in the church 3] researching sensitive and distressing topics 4] treatment and training issues in sexual addiction. The fourth product was preceded by a quantitative research project. The whole of the above is anchored in the story of a personal joumey and includes an analysis of the theory of sexual addiction. This work is dedicated to Julie Norman Friend, benefactor and fellow traveller iv Table of Contents Introduction p2 Chapter 1 Journey to the Doctorate p7 Chapter 2 The Theory of Sexual Addiction p40 Chapter 3 Literatur« on Sexual Addiction p97 Chapter 4 Lrterature Critteal of Sexual Addiction p135 Chapter 5 Quantitative Research Project p143 Chapter 6 Introduction to the Products of the Project p 157 Chapter 7 Overview and Conclusion p165 References p184 1 Introduction The Review of Previous Learning, the first stage of this doctoral project, was submitted in the winter of 2000. It finished with thèse penultimate words, The project that I plan anead, and the académie work that I propose to do, is cleaiiy a combination of personal history, académie work and application; cross-referenced, synthesised and brought forward in tandem. This project, which is now completed, has been that combination: a synthesis of personal history, académie work and application. It is the outworking of the original académie, professional and clinical intention. This project began with the intention of researching the relationship between sexual and religious behaviour especially as it contributes to off ender behaviour. I found this research so distressing that l applied for, and was given, permission to change my proposai to the création of a sexual addiction treatment and training programme for psychotherapists and other health care Professionals. The following document relates to the first and second proposai and the décision to change from one proposai to another. It contains the following material: The Journey to the Doctórate— sets forth a personal narrative, 'a narrative of the self [Richardson, 1994, p521], It begins with the reasons for the journey, describes the journey up to and during the doctoral project, évaluâtes the programme of specialist seminars, comments on some of the Level Five 2 Descriptors and lists some of the contributions to the profession of psychotherapy made by the doctoral project. The Theory of Sexual Addiction—This chapter is concerned with the theory of sexual addiction and concepts related to the theory of sexual addiction. It is divided into eight sections: sources of conceptual data, components of the theory sexual addiction, locating the theory of sexual addiction in a wider context, treatment and methodology, a discussion of nomenclature, case studies and réfections on the limitations of the theoretical material. Treatment and methodology are considered in this section because of their close association with the development of theory. In addition to définitions and descriptions, at the core of the chapter, there are the principal conceptual components of a theory of sexual addiction, among them: • Narcissistic Damage • Sexualization • Shame: the Principal Driver • Addiction and the Régulation of Affect Also in this chapter there has been an emphasis on demonstrating in the text and by diagram ail the interconnections between the theoretical components. The overall aim of this chapter is to explain the theoretical and conceptual basis that lies behind the project and the products of the project. Literature Review / Sexual Addiction —This is a review of the sexual addiction literature and limits itself only to that literature. This chapter is dominated by the work of Patrick Carnes, Aviel Goodman, and Charlotte Kasl. The latter part of the chapter concentrâtes on the literature on Internet sexual 3

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that, in their view, are compulsive, harmful and seemingly unstoppable. described as pathological sexuality does exist, in the form of paraphilias.
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