Online Counselling or Face to Face Consultations in Sydney, Australia

Ash Rehn QindsmI’m Ash Rehn, counsellor, coach and Medicare Provider. Take a look around to find out more about my in-person and online services.

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Sex and Performance Anxiety: Listening to the Body to Quieten the Brain

Muscled man in tiny briefsErectile dysfunction. Body Dysmorphia. Sex and Porn Addiction. The common factor is they all involve a man’s relationship with his body. Sensations in our bodies can tell us not only what we are experiencing but what we need to do to feel comfortable. The trouble comes when we forget to listen to them, or don’t know how to respond to them.

By the time a man has made an appointment with me to discuss erectile dysfunction, he’s often already convinced he has a testosterone deficiency or some other organic problem. Yet while low hormone levels certainly can affect erections, it’s usually a question of confidence or performance anxiety that is the cause of penile problems with these men, particularly those in their 20s, 30s and 40s. If in doubt, I will refer them to a sympathetic GP where they can have their testosterone levels checked. Sometimes a drug like Viagra or Cialis or Levitra is prescribed and can assist with confidence. Then they can get back in touch with me and return for an honest and non-judgemental conversation about sex.

When the Body Hasn’t Caught Up with the Brain during Sex

Technology is driving both improvements in health care and the way we communicate with others. Sure, it’s changing the world in positive ways, but I’d question whether these changes are always for the better. So called geosocial networking apps like Grindr and Blendr now make it possible to organise sex with someone without ever having met them in person. But how does the body catch up with what the brain is thinking? Short answer, it doesn’t always catch up!

In a world where we are simultaneously told ‘sex is dirty’ and ‘save it for the one you love’, organising sex-dates on a smartphone is developing into a cultural norm. Young men are encouraged to be alpha-males whose social standing derives in part from sexual performance and in part from relative youth. Is it any wonder that both sexually inexperienced and mature guys get performance anxiety when it comes to sex? The body just isn’t always ready or comfortable with what the brain is telling it to do. And why is that so shameful? Are we not also our bodies, our sensations and emotions, as well as the thoughts that drive us to use an app like Blendr or Grindr?

For some men, the difficult relationship to the body extends beyond an antagonistic approach to his penis (it’s not doing what I want it to do!) but also to his general appearance or size. This can be a kind of anger with the body (body, you aren’t what you should be!). For some, ‘not enough’ becomes a kind of private mantra. This isn’t just appreciating the results of working out regularly at the gym, being active or playing sports but the preoccupation with something that seems like a defect even though others don’t really notice it. It could be size, weight or proportions. For men it often appears as enduring dissatisfaction with muscle mass to the point they stop participating in social activities or intimate relationships because they don’t feel ‘big enough’. Others bulk up as a form of protection from anxious thoughts.

Anxiety and Disconnection from the Body

What guys term porn addiction, as well as the compulsive use of sex venues or erotic massage despite wanting to stop, can derive from an uncomfortable relationship to the body however these circumstances are diverse and vary a lot between men. Usually guys contact me because they want to stop looking at porn or for some reason, often what they describe as wasting time with porn. But what I’ve noticed for most is that, once a guy starts getting back in touch with how his body actually feels – the sensations he is experiencing – often the behaviour that concerns him ceases itself.

Disconnection from the body is often also present for those who have experienced sexual abuse. Some guys will keep persisting in sex that feels uncomfortable which in turn shapes their relationship with their partner. They can end up depressed or suffering other mental health problems.

All of these issues – sexual compulsion, unwanted porn use, body dysmorphia and psychologically based erectile dysfunction – are both expressions of and responses to anxiety. The treatment is fairly simple but benefits from regular therapeutic conversation to keep on track. Talk therapy for men can offer a breakthrough. Many guys suffer from comparing themselves to others. But every time you have sex, with yourself or someone else, how are you relating to your own body? Are you comfortable with what you are doing? Can you speak up, verbally or non-verbally, about what you would prefer? Can you practice this speaking up?

Do you really need Viagra or steroids or porn for your body to feel good during sex? Knowing what is actually happening in the body, what the body is telling you, takes some effort as well. It involves quieting of the brain and being receptive to the sensations you are experiencing. A partner who is committed to healing can help as well. When you’re completely absorbed in the present, that’s when you really feel what is happening.

If you would like to chat about your relationship with your body, contact me. It can be worth a conversation. Problems dissolve in dialogue and solutions present themselves when there is space made for honesty.

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How do I Know if I have Depression, Anxiety or Mental Illness?

man holding two masks with different moodsIf you are asking this question, it’s a sign that you could benefit from speaking with a mental health professional. October is Mental Health Month with 10 October being World Mental Health day. Here are some tips on how to take care of your mental health and where to get help.

Warning Signs of Depression or Anxiety

Difficulty concentrating, feelings of worthlessness, insomnia, fatigue, irritability, loss of libido, pessimistic outlook, restlessness and agitation, feelings of panic, unusually suspicious, muscle tension without a cause, catastrophising…

It’s not necessarily that you are in the grips of a severe mental illness, but you’re probably getting the warning signs that your mental health is deteriorating. And just as you should pay attention to physical well-being, maintaining your psychological health is wiser than letting it go. As the proverb goes, prevention is better than cure.

Linked here is a quick mental health checklist you can do. If the results page recommends you see a GP or mental health professional (mental health social worker or psychologist), you can get help through Beyond Blue or contact me to make an appointment. If you are in Sydney Australia, I can provide you with the details of doctors who can assist you with a mental health care plan and you can receive a Medicare rebate if you choose to consult me or find another Medicare provider of focussed psychological strategies. If you are elsewhere, find out about online therapy.

The Power of Dialogue for Mental Health

Mental health apps and self-help books might be useful but they are not the same as having a conversation with a real person or being in the presence of someone who cares. At the same time, I know it can be hard to find a therapist, to make contact and turn up for an appointment the first time. It’s quite common that people leave it up to 6 months between reading my website and contacting me. And then it’s often another 6 months or more before they manage to book a session. So if you are putting off doing something about persistent worries or low mood, make a promise to yourself to do something during Mental Health Month.

Psychological problems can be quite debilitating if left untreated. A therapist I admire, Harlene Anderson, talks about the power of conversations to dissolve problems. That’s one reason I started offering online counselling. Appointments over webcam or through email exchange can feel easier to attend and I also offer phone sessions for those who prefer to be heard but not seen. Many who have met me online have made an in-person consultation in Sydney or elsewhere once they have felt more at ease. For others, those who live in remote places or are expats in non-English speaking countries, Internet based sessions mean they can still talk about what might be affecting their mental health when there are no professionals close at hand.

The foundations of good mental health are:

1. Getting enough sleep
2. Eating nutritious food regularly
3. Sufficient exercise
4. A balance of work, rest and play
5. Talking about your problems

Mental health counselling is an example of the fifth point and often assists in recovering the fourth. What might be helpful for you, right now?

Skills and Strategies for Recovering Mental Health

As an Accredited Mental Health Social Worker, I’m qualified to assess and provide focussed psychological strategies for anxiety, depression, relationship problems, adjustment issues, suicidal thoughts, life crises and trauma as well as a range of other presentations. A course of treatment can involve mindfulness practices, cognitive behaviour therapy, relaxation techniques, problem solving, developing skills for managing feelings and increasing capacity to interact with others. Previous experiences of therapy or counselling must be taken into account as well. So if you’ve had a bad experience with a psychologist or psychotherapist we can try to ensure that doesn’t happen again by looking at what went wrong or using a different therapeutic approach.

It’s worth keeping in mind that prevalent attitudes to mental ill health start from the perspective that the person is deficient, defective or disordered in some way or comparisons with what is ‘normal’. I question that. It is important that we also consider how ‘healthy’ behaviour has been constructed by our culture and upbringing. For example, many of the ideas we have about sex or masculinity have been passed down by religious traditions or parental conditioning. Feeling ashamed of your body or mannerisms or guilty about your sexual desires doesn’t necessarily mean there is anything ‘wrong’ with you. It might just reflect conditioning by family, schooling or unpleasant experiences.

Contact me now to find out more about my services or make an appointment.

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I wish you good mental health for October and beyond!

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Alpha Males, Pick Up Artists, Red Pill, Game: Reflections on Masculinity and Sexual Relations Between Men and Women

Pick Up Artist PUARecently I visited Devils at Cradle, a sanctuary for Tasmanian devils (Sarcophilus harisii). These Tassie devils are carnivorous scavengers of the food-chain, feeding on dead and injured wildlife including the carcasses of their own. They’ll even eat smaller devils when hungry enough. To watch them snarling, screaming and fighting over food and sex is both fascinating and disturbing. Like many species that relate through pecking orders, dominance is displayed by fighting and physical size. Males fight other males over access to females. Females fight off males and males forcibly subdue females during sex. As devils age, their bodies amass the wounds and scars of these battles. They appear damaged quite quickly in their short 5-6 year lives.

‘Damaged’ is a word some men use when they are speak to me about their relationships with women. They tell me they have struggled to meet, and even to talk to, women and say they feel disappointed, sometimes ashamed, even confused about their identity or sexuality. Men who want to be ‘more masculine’ are not a minority either. By most accounts, masculinity is a sought after quality despite it being subject to vastly different interpretations. With current fashion, appearing masculine can have men sculpting their abs or grooming a beard. Others indicate it is a performance: acting and talking tough, aggression or violence, the epitome of not caring. Still other men relate it to the capacity to ‘get a woman’, as if women are objects of sexual gratification, status symbols of masculinity, rather than other human beings.

At the devil sanctuary, I felt somewhat jarred when I heard the guide referring to dominant animals as the ‘alpha-males’. That’s because I’ve read lots of stuff on the Internet that extends the ‘alpha-male’ concept to human behaviour. According to particular web commentators, all men can be divided into either ‘alphas’ and ‘betas’. Alphas are described as the dominant variation, men who achieve their choice of partner by behaving in certain ways including competing with other men. It’s evolutionary biology they say. The underlying theory behind their argument is the oft quoted but vastly misunderstood ‘survival of the fittest’.

Many of these bloggers – if you are interested, you can find their articles by Googling ‘Manosphere’ – claim it’s men’s genetic programming to find a female mate and attempt to procreate. They preach a creed of biological fundamentalism that positions human beings on par with, or at least not barely different to, other animals when it comes to sexuality and relationships. And they use this to justify antagonistic attitudes towards women and their ways of relating to women and other men. But how therapeutic is it for men who think of themselves as damaged or deficient to be striving to be ‘alpha-males’?

The Alpha-Male ‘Helpfulness Test’ For Unhappy Men

The ‘alpha-male’ model might provide some useful explanations for devil behaviour but I reckon it gets clunky when applied to relations between men and women. Let’s start with the question of how helpful it is. I’m very used to undertaking therapy over webcam and in-person with unhappy and disturbed men as they confide in me about their anxiety, depression and other mental health concerns. And in my professional experience I’d say that splitting guys into these two categories and then instructing them they must choose between ‘the red pill’ or ‘the blue pill’ tends to do a lot more harm than good. This is despite claims of manosphere bloggers who often hide behind pen-names (that doesn’t seem so alpha does it?). Some insist men will not be happy unless they participate in their supposed ‘natural role’ or they promise happiness to men who do. So making a conquest of one’s relationship with a woman becomes the entire point of associating with her. I’ve seen men who start following these ideas set themselves completely in opposition to women. And then, like the Tassie devils, we have a battle going on. Someone is going to get injured.

Self-Reflection and Cognitive Capacity: The Difference Between Humans and Devils

Watching devil behaviour it might be easy to imagine their existence parallels that of humans albeit at a very primitive level. They forage, they fight, they fornicate. Then they fall asleep. But, according to the guide at the sanctuary, female devils are actually the dominant creatures in mixed-sex groupings. This shakes up the assumption that dominance is a male trait. The complexity of nature is not such that it is possible to explain either animal or human behaviour in terms that are limited to dominance and submission. Try Googling ‘dominance in female animals’ if you want some evidence.

And the Manosphere authors tend to be skip over a few important differences between humans and animals. Take human ethics for instance. Some might say it’s the human capacity to self-reflect that sets us apart from other animals. And the extension of that capacity for self-reflection is that we create values and make moral choices. We are driven, or not driven, by ethics as well as whatever descends through us down genetic lines. Our cognitive capacity might be said to be a product of our evolution but whether or not we choose to use it, or to consider and be guided by particular ethics, is up to us. It’s what separates a rational male from an instinctive one. By the way, when I refer to ethics or morality I’m not referring to the passed down, unquestioned dogma of a church, government or even one’s parents. Most people are in a bit of a mess about what they really believe and it doesn’t work so well to blindly follow what someone else says is right. I’d say testing it out with your own experience and checking in with your gut-feeling are important too.

Pseudo-Science: Finding Evidence for What you Want to Believe

Simply explaining heterosexual relations through a frame of competitive evolutionary biology doesn’t make for a scientific argument. There are plenty of instances of animal behaviour that demonstrates co-operation, collective care, harmony, equality and egalitarianism between males and females as well as between same sex mates. But you won’t discover these examples if you start out Googling ‘alpha-males’ or ‘biological reasons for sexual behaviour’, you will only find what you are looking for! Science happens when we look for evidence to try to prove an idea false. Simply going after evidence to confirm an idea is known as pseudoscience.

Men who are struggling to meet up with popular expectations of manhood and masculinity, not to mention the human desire for intimacy and companionship, are often won over by what seem to be convincing arguments supposedly based on science.

Pick Up Artists, Game and Sexual Manipulation

Some of the most convoluted pseudo-science around alpha-males’ and men’s relationships with women is coming out of the Pick Up Artist (PUA) movement. It produces books and runs courses advocating manipulation of women, aspects of which are known as ‘Game’: the techniques of picking up women. Those running PUA courses purport to be helping men to learn strategies and tactics, develop self-esteem and feel better about themselves as men. Others say PUA is basically  a scheme to profit from men who view themselves as somehow deficient when it comes to engaging with women. From what I have seen and heard, men who get involved in Game end up more confused, with a heightened sense of conflict around what is ethically right for them. They also seem to become dependent on the dogma of the movement to continue to feel good about themselves. One of the most extreme cases is Elliot Rodger who cites his frustration over not being able to find a girlfriend and his hatred of women to justify taking a murderous course of revenge.

Let me offer a question, particularly to anyone reading this who might be at least partly convinced by ramblings from the Manosphere and starting to try out Game on women. What would you think about your sister, or your niece, your daughter or even your mother being on the receiving end of the tricks and tactics of Pick Up Artists?

Such a question often has men in a double-take. Guys who start exploring Game and the PUA movement are often thinking only short-term about their ‘success’. They might be focussed on convincing a woman to accept a date, have sex with them or on ‘getting’ a girlfriend. But they aren’t necessarily considering how living this ideology might affect them in the longer term. What happens for the man who becomes a successful Pick-Up Artist? How does he proceed with his life if in the future, for instance, he becomes interested in living with someone or raising children? How does the PUA and Game dogma affect him when transitioning into new and different roles as a man: as an uncle, a partner or a father, for example? Or does he become trapped in Game, contained by the identity of ‘seducer’ he has tried so hard to construct?

I also wonder what happens to our relationships with other men when we judge masculinity primarily through the alpha male-beta male model of evolutionary biology in the animal world. For a start, it doesn’t leave much space for closeness or intimacy between men, including that which is fraternal rather than sexual. Do we really want our relations with other men to be limited to those that are competitive?

Red Pill or Blue Pill? Or Some Heart to Heart?

It strikes me that, if you want to meet women, it probably won’t happen reading books or absorbing ideas while on your computer in your bedroom. It’s more likely to happen if you physically put yourself in environments where there a relatively large number of women. In other words, not places where there are a few women and a relatively large number of men competitively ‘hunting’ for them (I’m aware that this is a chilling concept for many people but it is the language that is used by Game and the so-called Pick-up Artist Movement, not something I endorse in any way).

The fact that many men are convinced they must compete with other men for the attention of women has me wondering what is more important to them: their relationships with women or how they are perceived by other men. Or perhaps how their masculinity is perceived by other men. Do you think you are less masculine in a yoga or pilates class full of women, for example? If so, isn’t that ironic?

It’s said that Tasmanian devils differ hugely in personality. They aren’t all as much into fighting or motivated by food or sex as each other either. When we consider animals or humans simply as species without taking account of individual diversity or difference, it’s likely we will overlook aspects that might be quite important. Some devils make a lot of noise to bluff and intimidate their peers and some will sustain more damage than others. Like people, their personalities depend on whether they have been frightened or hurt in the past and how they have been raised. But, unlike people, devils don’t reflect on their experiences and rationally choose to become more manipulative towards their mates.

I’ve no doubt those from the PUA movement may dismiss my article as ‘Beta Game’. But whatever line the so called dating-coaches and ‘seduction artists’ are pushing, no man should have to compromise his integrity and exercise power over another human being just because he feels frustrated. It’s quite human to want to experience intimacy, companionship and a sense of well-being. Start by sharing what you want for your life and talking over your fears with a person you can trust. Learn to relax in unfamiliar environments. Practise being true to yourself and your own ideals rather than trying to live up to the man someone else says you should be. That’s a much better strategy for the long term.

© Ash Rehn, 2015.

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Are You Man Enough? Does Masculinity Therapy Work for Porn Addiction, Anger and Violence?

man lying on bedPorn Addiction recovery groups for men sound like a good idea. Telling your story to a supportive audience has been demonstrated as an effective way to gain more influence over your life. But what about challenging men to be more manly? Is this kind of ‘masculinity therapy’ really in the interests of men trapped by gender expectations and ever-tighter definitions of what it means to be a man?

Therapy Groups for Porn Addiction: Promises and Possibilities

Less than two weeks ago I read a newspaper article promoting peer support workshops for men struggling with their use of pornography. Workshops are an interesting addition to the landscape of therapeutic responses out there. Some men have tried, and abandoned 12-step groups like SLAA and SAA because being labelled an ‘addict’ was not so helpful to their recovery or because the dogma of the group did not fit with their personal experience. So if men get to discuss their own relationship with pornography in more open ways, it could only be a good thing, right?

A couple of aspects concerned me. This program was obviously not neutral towards, but decidedly anti-, porn. Of course this begs the question of the definition of porn, but in any case it seemed there was no room for men in the groups to negotiate their use of erotic imagery or literature. If you are told what you must think about porn, does it leave space for you to make up your own mind?

“They feel their natural libido return and feel more alive, more masculine, more in touch with their natural sexuality and they notice how women feel that.”

– taken from the pornography workshop group website

Secondly, I always wonder about the ethics of promises for such programs. ‘We will transform your life’ sounds to me like an impressive claim. Can therapists make that promise to a person? The other thing I noted were remarks about natural sexuality. What is that? How possible is it to experience sexuality outside the influences of culture? And who decides what is ‘natural’ and what isn’t?

How to Be More of a Man: Commitment or Con-job?

What about men who are not particularly interested in feeling more masculine or being drawn further into the gender binary? And what about gay men? According to the group promotion, these pornography use problems all come from our wounded child and yet the program still challenges us to be man enough. How often did you hear the following questions when you were growing up?

  • Are you man enough?
  • Are you a real man?
  • Are you a man or a girl?

If you poke around the Internet you will find many articles and websites addressing men’s loss of masculinity and even the crisis in masculinity. Of the crises that come to mind, ebola and the spread of religious fundamentalism through terrorism would be at the top of my list, but I am not sure what to make of a supposed crisis in masculinity. I’ve had quite a lot of men contact me reporting they don’t feel masculine or manly enough, but is the answer simply to boost masculinity?

After seeing this article, I heard about another violent attack at Sydney’s Bondi Beach where a man was hit with a ‘coward punch’. Apparently this is the preferred term to ‘king-hit’ these days, yet it suggests that using more than one strike or to have a ‘proper fight’ is somehow more honourable. The same weekend, one of the games of the Super League Grand Final at Manchester was interrupted when one of the players held down another on the field, repeatedly punching him in the eye. Then there was a report from Sayreville in New Jersey that a number of high school students had allegedly been sexually assaulted and anally raped, with objects and fingers, by older players on the school football team.

Are you man enough?

Back in Australia, we had the government Finance Minister refer to the leader of the opposition as a ‘girly-man’.

Aren’t you a real man?

To this, another politician made the observation: If we use ‘girly’ as an insult, what are we telling men & boys about being a girl? Isn’t it suggesting they are less confident or weak?

Toxic Masculinity and Competing Masculinities

What do all these stories of violence and abuse by and towards men have in common? Well someone (most likely a man from the mythopoetic mens movement) coined a term for the kind of masculinity that involves aggressively competing against and dominating others: Toxic Masculinity. What strikes me most is that the usual response to men not feeling masculine enough and the claims of crisis in masculinity is just to offer up competing brands of masculinity. And this seems to be the point of the pornography addiction workshops as well: return men to their natural sexuality make them feel more masculine and everything will be okay again.

The light in this dark week was an opinion piece by the English actor, comedian and writer Robert Webb of Peep Show fame.

Nobody ever told me: you don’t have to waste years trying to figure out how to be a “man” because the whole concept is horseshit.

– Robert Webb

Webb describes the orgy of make believe violence that was his childhood, learning to be a real man.

If you have time and it is still online, read the article in the New Statesman. Unlike the blurb for the porn addiction workshop, I can’t promise it will transform your life, but it might point you in the direction of an alternative.

Notions of gender pointlessly separate men from women, but also mothers from daughters and fathers from sons. The whole thing is – at best – just a stupefying waste of everyone’s time.

– Robert Webb

Undefining Masculinity, Recovering Humanity

Resorting to calls to be more of a man seems pointless, especially when these competing definitions of masculinity are what trap men into violent ways of being in the first place. Perhaps the competition between masculinities is toxic too. It would be inspiring to see less about being a man and more about being a human. That doesn’t minimise the principle of taking responsibility for your actions, it just suggests that perhaps it isn’t so important to obsessively define yourself in relation to women or the gender performances associated with women.

As for groups for men concerned about pornography use, I think they are a great idea but how about a workshop program which does not simply problematize porn use or require men to live up to new standards of masculinity. The Australian men’s mental health initiative softenthefckup argues…

We don’t need to redefine masculinity, we need to undefine it.

That makes a lot of sense to me. If you want to have a private conversation about being a man, your masculinity, your porn use or being more human, send me an email. I won’t tell you to stop what you are doing or expect you to be manly. You are welcome to be yourself and let me know what you want out of our time together.

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Treatment for Pornography: From Disease Model to a Response by Men

Young couple in the couch having conflict problemTreatment for Pornography Addiction often focusses on the act of watching pornography and assistance to try to reduce the ‘behaviour’. But if such an approach doesn’t work, what are the alternatives and why don’t we hear more about them?

I’ve been working with concerns about addiction to pornography for a number of years now. When men started to contact me seeking help (and it was mostly, although not always, men who wanted help with porn use) many of them came to me equipped with a glossary of terms from 12-Step programmes like SAA (Sex Addicts Anonymous), SLAA (Sex and Love Addicts Anonymous), SCA (Sexual Compulsives Anonymous) and SA (Sexaholics Anonymous). They spoke of concepts like ‘sobriety’, ‘healthy sexuality‘ and ‘bottom-line behaviours’.

Alternative Treatment to 12 Step Programmes

Some of these men had invested quite a lot of time reading about these models of addiction, understanding the group concepts and attending groups. At the same time, they were consulting me because the groups and 12-step programmes had not completely worked for them: they were still using pornography or were dissatisfied with the amount or type of pornography that they were viewing. Ironically, most of the men who had turned to the 12-step model seemed to want to continue to use the terms and concepts the programme had taught them, despite deciding it hadn’t worked.

It is not always possible to continue to view our actions through the same lenses to which we are accustomed, particularly when those lenses fail to provide us with clarity or vision. One of the difficulties of trying to develop what I call ‘self-agency’ when working within a 12-step model is that the model itself tells the person he is powerless. So it is kind of at odds with the idea of gaining more influence over one’s own life and actions.

The ‘brain chemistry’ model supports a sense of powerlessness as well. If we don’t understand the chemistry of the brain – and perhaps even if we do – we are at its mercy. But dialogue can create meaning. Do we really need to pretend pornography use is all about complex science only specialist medical doctors understand?

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Brain Chemistry or Sobriety? Both are Disease Models of Porn Addiction

Both of these approaches assume that pornography use is a disease. And many people are surprised to find out that there is no diagnosis of pornography addiction according to the major disease classifications,  I realised quite early on that simply accepting that addiction to pornography was a disease would spin off a number of assumptions about a person’s use of pornography that might go unquestioned. So instead of looking at what was the same for these men who were consulting me, I started exploring what might be different for them. And I found many differences. In fact, every man who contacted me had a unique story. While there were some common threads, failing to approach their stories as unique narratives of porn use clearly meant I was missing crucial details about what was significant in each man’s history and the way porn had found its way into his life.

I believe it is disrespectful and fundamentally flawed to use a ‘colour-by-numbers’ approach to concerns about porn use. We need to look beyond the act of a man looking at pornography and instead consider the ways in which that act might be a response. And to what it might be a response. Focusing on porn use as a problem rather than as a response is like simply focussing on cars as the cause of traffic accidents without ever considering transport needs. People watch porn for many different reasons. What I offer is a chance to explore those reasons and investigate how pornography has taken such a place in a man’s life.

But there is another point to be made here. It’s not my place to judge a person’s porn use. The medical model suggests we give ourselves up to the doctor or psychotherapist who presumably knows best. The risk is that the patient or client becomes more or less a helpless victim. When men contact me, I’m interested in their concerns and why they are finding their porn use a problem. I don’t start with an agenda that I know best. So these therapeutic meetings are dialogical: they happen through conversation. They aren’t about instructing men what to do or passing judgement on their actions. Instead we explore the topic brought to the session and develop meaning around it together, in dialogue. That is the way to new understanding and more influence over the choices made in life.

You can contact me if you would like to make an online appointment or meet with me in-person.

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