Developing contemporary models for understanding and treating sex addiction in the digital age

Reckless-Hall, Paula (2021) Developing contemporary models for understanding and treating sex addiction in the digital age. [Doctorate by Public Works]

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Abstract

Sex addiction has been a highly contentious and controversial label since its conception in the early 80’s and debates continue between academics, therapists and sexologists. This context statement is a reflexive audit of the conception and evolution of public works that have been influenced by, and address these arguments. These public works, on which I base my doctoral claim, have broadened the understanding and treatment of sex and porn addiction for the counselling and therapeutic communities, other health professionals and the general public.

A critical reflection of the development and evolution of five pan-theoretical models is presented that conceptualise, assess and treat sex and porn addiction. The rationale and background research for each of these models is described along with how each can be used in clinical practice. A reflective critique of my personal and professional development is also provided to explain the context to this work and my role within it.

A significant contribution of the public works is that they bridge the divide between psychodynamic, psychosexual and addiction disciplines and provide new ways to understand and treat, what is still, a relatively new problem. They also encapsulate the complexity of case formulation and treatment and encourage a sex positive approach that addresses relapse prevention and concurrent psychological and relational issues. This doctoral claim is supported by an evidence section that details how the models have been shared with both professionals and the general public through extensive writing, including four books published by Routledge, teaching and public speaking and the development of the CPCAB level 5 accredited diploma in sex addiction counselling.

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