¶ … Sex Addiction Counseling
The Story
Jim (50) and Mary (48) have been in a relationship for 27 years. They are married with four children. Jim was a victim of childhood sexual abuse at age 13, and, after that, began significant involvement with pornography and regular masturbation. His sexual experience prior to marriage included a single failed experience, but since being married he has continued to use pornography and has used escorts and prostitutes. He has made full disclosure of his activities to Mary after she discovered his activity, and they began counseling 6 months after recovery. Mary is also the victim of childhood abuse, including sexual abuse for which she never received treatment or counseling, and reports disgust at Jim's behavior. Jim is no longer sleeping in the marital bed. Jim has been committed to recovery, is involved in a 12-step group, and has invested significant time money into a recovery materials. The couple attended a sexual addiction recovery workshop, though Mary identifies Jim as the one with the problem and is furious with him. Jim currently reports not having any sexual desire, and rejected Mary's sexual advances shortly following the discovery of his affairs. Jim believes that his rejection of Mary is fueling her anger.
Summary
The counseling approach selected is based upon the Iceberg Model. The model begins by looking at coping strategies, examining feelings, looking at the decisions one makes about feelings, internal messaging, expectations, yearnings, and reclaiming. This model will be used as the background for considering the relevant articles. Furthermore, rather than focusing primarly on Jim and his compulsive sexual behavior, the approach will focus on Jim as an individual, Mary as an individual, and the two as a couple.
According to Steffens and Rennie, a spouse's disclosure of sexual addiction can be a very traumatic period for...
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