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Tuesday, March 16, 2010
Sexual addiction
Sexual addiction
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Sexual addiction refers to the phenomenon in which individuals report being unable to manage their sexual behavior. It has also been called "sexual dependency," and "sexual compulsivity." The existence of the condition is not universally accepted by sexologists and its etiology, nature, and validity have been debated.
Proponents of the concept have offered varying descriptions, each according to their favored model of the putative phenomenon. Proponents of an addiction model of the phenomenon refer to it as "sexual addiction" and offer definitions based on substance addictions; proponents of lack-of-control models refer to it as "sexual compulsivity" and offer definitions based on obsessive-compulsive disorder (OCD); etc. Skeptics believe that it is a myth that the phenomenon exists as a disease or disorder at all and is instead a by-product of cultural and other influences.
Contents
[hide]
* 1 Definition
o 1.1 Terminology
o 1.2 Official status
* 2 Symptoms and proposed diagnostic criteria
o 2.1 Proposals based on addictions models
+ 2.1.1 Carnes
+ 2.1.2 Goodman
o 2.2 Proposals based on obsessive/compulsive models
* 3 Epidemiology
* 4 Etiology
o 4.1 Neurochemical theories
o 4.2 Psychological distress theories
o 4.3 Addiction theories
* 5 Treatment
* 6 See also
* 7 References
* 8 Further reading
[edit] Definition
Sexologists have not reached any consensus regarding whether sexual addiction exists or, if it does, how to describe the phenomenon.[1][2] Some experts[who?] believe that sexual addiction is literally an addiction, directly analogous to alcohol and drug addictions. Other experts believe that sexual addiction is actually a form of obsessive compulsive disorder and refer to it as sexual compulsivity.[3] Still other experts believe that sex addiction is itself a myth, a by-product of cultural and other influences.[4][5]
[edit] Terminology
"Nymphomania" and "satyriasis" are not listed as disorders in the DSM-IV, though they remain a part of ICD-10, each listed as a subtype of "hypersexuality."[6]
[edit] Official status
The American Psychiatric Association publishes and periodically updates the Diagnostic and Statistical Manual of Mental Disorders (DSM), a widely recognized compendium of acknowledged mental disorders and their diagnostic criteria. The most recent version of that manual, DSM-IV-TR, was published in 2000 and does not recognize sexual addiction as a diagnosis.[7] Although some authors had expressed that excluding sexual addiction from the DSM represents a problem,[8] the proposed diagnosis was rejected for consideration for inclusion in the DSM5.[9] Darrel Regier, vice-chair of the DSM-5 task force, said that "[A]lthough 'hypersexuality' is a proposed new addition...[the phenomenon] was not at the point where we were ready to call it an addiction."
The DSM-IV-TR does, however, include a miscellaneous diagnosis called Sexual Disorders Not Otherwise Specified, and includes as one of the examples of it: "distress about a pattern of repeated sexual relationships involving a succession of lovers who are experienced by the individual only as things to be used." Other examples include: compulsive fixation on an unattainable partner, compulsive masturbation, compulsive love relationships, and compulsive sexuality in a relationship.[7] Hypersexuality, by itself, is a criterion symptom of hypomania and mania in bipolar disorder and mania in schizoaffective disorder as they are currently defined in the DSM.
The World Health Organization produces the International Classification of Diseases (ICD), which is used globally and is not limited to mental disorders. The most recent version of that document, ICD-10, includes "Excessive sexual drive" as a diagnosis (code F52.7), subdividing it into satyriasis (for males) and nymphomania (for females).[6]
[edit] Symptoms and proposed diagnostic criteria
[edit] Proposals based on addictions models
Irons and Schneider have noted that "Addictive sexual disorders that do not fit into standard DSM-IV categories can best be diagnosed using an adaptation of the DSM-IV criteria for substance dependence."[8] Similarly, Lowinson and colleagues use the addiction model and define sexual addiction as a condition in which some form of sexual behaviour is employed in a pattern that is characterized at least by two key features: recurrent failure to control the behaviour and continuation of the behaviour despite harmful consequences.[10] Patrick Carnes, another proponent of the addiction model of sexual addiction, argued that most professionals in the field agree with the World Health Organization's definition of addiction.[11]
[edit] Carnes
Patrick Carnes, a proponent of the idea of sexual addiction, proposed using:[12]
1. Recurrent failure (pattern) to resist impulses to engage in extreme acts of lewd sex.
2. Frequently engaging in those behaviors to a greater extent or over a longer period of time than intended.
3. Persistent desire or unsuccessful efforts to stop, reduce, or control those behaviors.
4. Inordinate amount of time spent in obtaining sex, being sexual, or recovering from sexual experience.
5. Preoccupation with the behavior or preparatory activities.
6. Frequently engaging in violent sexual behavior when expected to fulfill occupational, academic, domestic, or social obligations.
7. Continuation of the behavior despite knowledge of having a persistent or recurrent social, academic, financial, psychological, or physical problem that is caused or exacerbated by the behavior.
8. Need to increase the intensity, frequency, number, or risk of behaviors to achieve the desired effect, or diminished effect with continued behaviors at the same level of intensity, frequency, number, or risk.
9. Giving up or limiting social, occupational, or recreational activities because of the behavior.
10. Resorting to distress, anxiety, restlessness, or violence if unable to engage in the behavior at times relating to SRD (Sexual Rage Disorder).
[edit] Goodman
Goodman proposed:[13]
A maladaptive pattern of behavior, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:
1. tolerance, as defined by either of the following:
1. a need for markedly increased amount or intensity of the behavior to achieve the desired effect
2. markedly diminished effect with continued involvement in the behavior at the same level or intensity
2. withdrawal, as manifested by either of the following:
1. characteristic psychophysiological withdrawal syndrome of physiologically described changes and/or psychologically described changes upon discontinuation of the behavior
2. the same (or a closely related) behavior is engaged in to relieve or avoid withdrawal symptoms
3. the behavior is often engaged in over a longer period, in greater quantity, or at a higher intensity than was intended
4. there is a persistent desire or unsuccessful efforts to cut down or control the behavior
5. a great deal of time spent in activities necessary to prepare for the behavior, to engage in the behavior, or to recover from its effects
6. important social, occupational, or recreational activities are given up or reduced because of the behavior
7. the behavior continues despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the behavior
[edit] Proposals based on obsessive/compulsive models
Schneider identified three indicators of sexual addiction: compulsivity, continuation despite consequences, and obsession.[14]
1. Compulsivity: This is the loss of the ability to choose freely whether to stop or continue a behavior.[15]
2. Continuation despite consequences: When addicts take their addiction too far, it can cause negative effects in their lives. They may start withdrawing from family life to pursue sexual activity. This withdrawal may cause them to neglect their children or cause their partners to leave them. Addicts risk money, marriage, family and career in order to satisfy their sexual desires.[16] Despite all of these consequences, they continue indulging in excessive sexual activity.
3. Obsession: This is when people cannot help themselves from thinking a particular thought. Sex addicts spend whole days consumed by sexual thoughts. They develop elaborate fantasies, find new ways of obtaining sex and mentally revisit past experiences. Because their minds are so preoccupied by these thoughts, other areas of their lives that they could be thinking about are neglected.
Eli Coleman proposed:[17]
1. involves recurrent and intense normophilic (nonparaphilic) sexually arousing fantasies, sexual urges, and behaviors that cause clinically significant distress in social, occupational, or other important areas of functioning; and
2. is not due simply to another medical condition, substance use disorder, or a developmental disorder
[edit] Epidemiology
Sexual addiction is hypothesized to be (but is not always) associated with obsessive-compulsive disorder (OCD), narcissistic personality disorder,[18][19] and manic-depression.[20] There are those who suffer from more than one condition simultaneously (co-occurring disorder), but traits of addiction are often confused with those of these disorders, often due to most clinicians not being adequately trained in diagnosis and characteristics of addictions, and many clinicians tending to avoid use of the diagnosis at all.[1][21][22]
Specialists in obsessive-compulsive disorder and addictions use the same terms to refer to different symptoms. In addictions, obsession is progressive and pervasive, and develops along with denial; the person usually does not see themselves as preoccupied, and simultaneously makes excuses, justifies and blames. Compulsion is present only while the addict is physically dependent on the activity for physiological stasis. Constant repetition of the activity creates a chemically dependent state. If the addict acts out when not in this state, it is seen as being spurred by the obsession only. Some addicts do have OCD as well as addiction, and the symptoms will interact.[21]
Addicts often display narcissistic traits, which often clear as sobriety is achieved. Others do exhibit the full personality disorder even after successful addiction treatment.[18]
[edit] Etiology
See also: Pornography addiction
Proponents of the concept have described sufferers as repeatedly and compulsively attempting to escape emotional or physical discomfort by using ritualized, sexualized behaviors such as masturbation, pornography, including obsessive thoughts. Some individuals try to connect with others through highly impersonal intimate behaviors: empty affairs, frequent visits to prostitutes, voyeurism, exhibitionism, frotteurism, cybersex, Zoophilia, and the like.
[edit] Neurochemical theories
Earle has argued that neurochemical changes, similar to an adrenaline rush in the brain, temporarily reduce the discomfort an individual experiences with urges and cravings for sexualized behaviors that can be achieved through obsessive, highly ritualized patterns of sexual behavior.[23]
[edit] Psychological distress theories
Patrick Carnes (2001, p.40) argues that when children are growing up, they develop “core beliefs” through the way that their family functions and treats them. A child brought up in a family that takes proper care of them has good chances of growing up well, having faith in other people, and having self worth. On the other hand, a child who grows up in a family that neglects them will develop unhealthy and negative core beliefs. They grow up to believe that people in the world do not care about them. Later in life, the person has trouble keeping stable relationships and feels isolated. Generally, addicts do not perceive themselves as worthwhile human beings (Carnes, Delmonico and Griffin, 2001, p. 40). They cope with these feelings of isolation and weakness by engaging in excessive sex (Poudat, 2005, p.121).
[edit] Addiction theories
According to Patrick Carnes the cycle begins with the "Core Beliefs" that sex addicts hold:[24]
1. "I am basically a bad, unworthy person."
2. "No one would love me as I am."
3. "My needs are never going to be met if I have to depend on others."
4. "Sex is my most important need."
These beliefs drive the addiction on its progressive and destructive course:[24]
* Pain agent — First a pain agent is triggered / emotional discomfort (e.g. shame, anger, unresolved conflict). A sex addict is not able to take care of the pain agent in a healthy way.
* Dissociation — Prior to acting out sexually, the sex addict goes through a period of mental preoccupation or obsession. Sex addict begins to dissociate (moves away from his or her feelings). A separation begins to take place between his or her mind and his or her emotional self.
* Altered state of consciousness / a trance state / bubble of euphoric fantasized experience — Sex addict is emotionally disconnected and is pre-occupied with acting out behaviours. The reality becomes blocked out/distorted.
* Preoccupation or "sexual pressure" — This involves obsessing about being sexual or romantic. Fantasy is an obsession that serves in some way to avoid life. The addict's thoughts focus on reaching a mood-altering high without actually acting-out sexually. They think about sex to produce a trance-like state of arousal to eliminate the pain of reality. Thinking about sex and planning out how to reach orgasm can continue for minutes or hours before they move to the next stage of the cycle.
* Ritualization or "acting out." — These obsessions are intensified by ritualization or acting out. A sex addict first cruises, then goes to a strip show to heighten arousal until they are beyond the point of saying no. Ritualization helps distance reality from sexual obsession. Rituals induce trance and further separate the addict from reality. Once the addict begins the ritual, the chances of stopping that cycle diminish greatly. They give into the pull of the compelling sex act.
* Sexual compulsivity — The next phase of the cycle is sexual compulsivity or "sex act". The tensions the addict feels are reduced by acting on their sexual feelings. They feel better for the moment, thanks to the release that occurs. Compulsivity simply means that addicts regularly get to the point where sex becomes inevitable, no matter what the circumstances or the consequences. The compulsive act, which normally ends in orgasm, is perhaps the starkest reminder of the degradation involved in the addiction as the person realizes they are a slave to the addiction.
* Despair — Almost immediately reality sets in, and the addict begins to feel ashamed. This point of the cycle is a painful place where the Addict has been many, many times. The last time the Addict was at this low point, they probably promised to never do it again. Yet once again, they act out and that leads to despair. They may feel they have betrayed spiritual beliefs, possibly a partner, and his or her own sense of integrity. At a superficial level, the addict hopes that this is the last battle.
According to Mr.Carnes, for many addicts, this dark emotion brings on depression and feelings of hopelessness. One easy way to cure feelings of despair is to start obsessing all over again. The cycle then perpetuates itself.[25]
[edit] Treatment
Numerous professional therapists and counsellors offer treatment for sexual addiction.
In addition, self-help groups such as Sex Addicts Anonymous, Sexaholics Anonymous, Sexual Compulsives Anonymous and Sex and Love Addicts Anonymous are popular with proponents of the sexual addiction concept. These are large groups based on the 12-step system of Alcoholics Anonymous. There are various online support forums for these groups as well as meetings in metropolitan areas.
Help may also be available through an out-patient or in-patient program or private counselor.
[edit] See also
* Addiction
* Sex and Love Addiction
* Antisexualism
* Bipolar Disorder
* Cybersex
* Disease model of addiction
* Involuntary celibacy
* Obsessive-compulsive disorder
* Pornography addiction
* Self-help groups / programs: 12 steps:
o Sexaholics Anonymous
o Sex and Love Addicts Anonymous
o Sexual Compulsives Anonymous
o Sex Addicts Anonymous
* Sex Rehab with Dr. Drew
* Sexual obsessions
[edit] References
1. ^ a b Francoeur, R. T. (1994). Taking sides: Clashing views on controversial issues in human sexuality, p. 25. Dushkin Pub. Group.
2. ^ Kingston, D. A., & Firestone, P. (2008). Problematic hypersexuality: A review of conceptualization and diagnosis. Sexual Addiction and Compulsivity, 15, 284-310.
3. ^ Mayo Clinic Website
4. ^ Levine, M. P., & Troiden, R. R. (1988). The myth of sexual compulsivity. Journal of Sex Research, 25, 347-363.
5. ^ Giles, J. (2006). No such thing as excessive levels of sexual behavior. Archives of Sexual Behavior, 35, 641-642.
6. ^ a b International Classification of Diseases, version 2007.
7. ^ a b American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (fourth edition, text revision). Washington, DC: Author.
8. ^ a b Irons, R., & Schneider, J. P. (1996). Differential diagnosis of addictive sexual disorders using the DSM-IV. Sexual Addiction & Compulsivity, 3, 7-21.
9. ^ Psychiatry's bible: Autism, binge-eating updates proposed for 'DSM' USA Today.
10. ^ Lowinson, J. H., Ruiz, P., Millman, R. B., & Langrod, J. G. (2004). Substance abuse. Lippincott Williams & Wilkins.
11. ^ Carnes, P., & Adams, K. M. (2002). Clinical management of sex addiction. Psychology Press.
12. ^ Patrick Carnes; David Delmonico, Elizabeth Griffin (2001). In the Shadows of the Net. p. 31.
13. ^ (Goodman, 2001, pp. 195-196)
14. ^ (1994, p.19-44)
15. ^ (Carnes, Delmonico, & Griffin, 2001, p. 18)
16. ^ Arterburn, 1991, p.123
17. ^ Coleman, E. (2003). Compulsive sexual behavior: What to call it, how to treat it? SIECUS Report, 31(5), 12.
18. ^ a b Ulman, Richard B.; Harry Paul (2006). The Self Psychology of Addiction and Its Treatment. Psychology Press.
19. ^ Lonely All the Time: Recognizing, Understanding, and Overcoming Sex Addiction, for Addicts and Co-dependents. 1989. p. 57.
20. ^ Williams, Terrie M. (2008). Black Pain: It Just Looks Like We're Not Hurting. Simon & Schuster. p. 114. "[..]diagnosed as bipolar or manic-depressive, but his depression first started manifesting itself as sexual addiction."
21. ^ a b Hollander, Eric; Dan J. Stein (1997). Obsessive-compulsive Disorders. Informa Health Care. p. 212.
22. ^ Couples Therapy. Haworth Clinical Practice Press. 2001. p. 375. "They found that sexual narcissism is more common among men ... These characteristics are also central to the person with a sexual addiction"
23. ^ Earle, R., Crow, G. M., & Osborn, K. (1989). Lonely all the time: Recognizing, understanding, and overcoming sex addiction, for addicts and co-dependents. Simon & Schuster.
24. ^ a b Patrick Carnes, Out of the Shadows
25. ^ Patrick Carnes (2006) Facing the Shadow
[edit] Further reading
Sexual Addiction and Compulsivity: The Journal of Treatment and Prevention, a journal in which proponents explore the topic, has devoted an entire issue to AIDS and sex addiction as a worldwide problem.
* Carnes, P. (2005) "Facing the Shadow: Second Edition." Carefree, AZ: Gentle Path Press ISBN 9780977440009
* Carnes, S. (2008) "Mending a Shattered Heart." Carefree, AZ: Gentle Path Press ISBN 9780977440061
* McDaniel, K. (2008) "Ready to Heal: Women Facing Love, Sex, and Relationship Addiction. Second Edition" Carefree, AZ: Gentle Path Press ISBN 9780977440030
* Carnes, P. (2007) "Recovery Start Kit." Carefree, AZ: Gentle Path Press ISBN 9780977440023
* Feeney, Judith and Patricia Noller. Adult Attachment. Thousand Oaks, CA: Sage Publications, 1996.
* Kasl, Charlotte Davis. Women, Sex, and Power: A Search for Love and Power. New York, NY: Harper and Row, 1990.
* Schaumburg, Harry W. False Intimacy: Understanding the Struggle of Sexual Addiction. Colorado Springs, CO: NavPress 1997.
* Kort, Joe 10 Smart Things Gay Men Can Do To Improve Their Lives (chapter on sexual addiction relating to gay men) ISBN 1555837824
Alyson, 2003
* Earle, Ralph and Crow, Gregory Lonely All The Time: Recognizing, Understanding and Overcoming Sex Addiction, for Addicts and Co-Dependents New York, New York: Pocket Books 1989
* Sterry, David Henry I Was a Poster Boy for Sex Addicts. nthWORD Magazine Spring/Summer 2009
Science based (research based) books on sexual addiction:
* Carnes, S. (2008) "Mending a Shattered Heart." Carefree, AZ: Gentle Path Press ISBN 9780977440061
* McDaniel, K. (2008) "Ready to Heal: Women Facing Love, Sex, and Relationship Addiction. Second Edition" Carefree, AZ: Gentle Path Press ISBN 9780977440030
* Carnes, P. (2007) "Recovery Start Kit." Carefree, AZ: Gentle Path Press ISBN 9780977440023
* Carnes, P. (2005) "Facing the Shadow: Second Edition." Carefree, AZ: Gentle Path Press ISBN 9780977440009
* Sexual Addiction: an integrated approach, AVIEL GOODMAN, Madison, CT, International *Universities Press, Inc. 1998,ISBN 0 8236 6063
* Carnes, P. (1983). Out of the shadows: Understanding sexual addiction. Minneapolis, MN: CompCare.
* Carnes, P. ( 1991). Don't call it love: Recovery from sexual addiction. New York: Bantam Books.
* Carnes P., Kenneth M. Adams (2002). Clinical Management of Sex Addiction.
* Cooper, PhD, Al Cybersex: The Dark Side of The Force A Special Issue of Sexual Addiction & Compulsivity.
* Cooper, PhD, Al Sex and the Internet: A Guidebook for Clinicians
* Earle, Ralph, and Marcus Earle Sex Addiction: Case Studies and Management New York: Brunner Mazel, 1995.
* Jennifer Schneider, M.D., Ph.D. and Robert Weiss, M.S.W., C.A.S. Cybersex Exposed.
* Milkman. H., & Sunderwirth, S. (1987). Craving for ecstasy: The consciousness and chemistry of escape. New York: Lexington Books.
* Schaeffer, Brenda Is It Love or is it Addiction? Second Edition Center City, MN: Hazelden, 1997.
Articles in scientific journals:
* Treating the Sexually Addicted Client: Establishing a Need for Increased Counselor Awareness
* W Bryce Hagedorn, Gerald A Juhnke. Journal of Addictions & Offender Counseling. Alexandria: Apr 2005.Vol.25, Iss. 2; pg. 66.
* Boredom Proneness, Social Connectedness, and Sexual Addiction Among Men Who Have Sex With Male Internet Users
* Michael P Chaney, Andrew C Blalock. Journal of Addictions & Offender Counseling. Alexandria: Apr 2006.Vol.26, Iss. 2; pg. 111, 12 pgs
* SEXUAL ADDICTION AND MARRIAGE AND FAMILY THERAPY: FACILITATING INDIVIDUAL AND RELATIONSHIP HEALING THROUGH COUPLE THERAPY, Mark H Bird. Journal of Marital and Family Therapy. Upland: Jul 2006.Vol.32, Iss. 3; pg. 297, 13 pgs
* 'The snake and the seraph'--Sexual addiction and religious behaviour. Thaddeus Birchard. Counselling Psychology Quarterly. Abingdon: Mar 2004. Vol. 17, Iss. 1; p. 81
* Sexual Addiction, Sexual Compulsivity, Sexual Impulsivity, or What? Toward a Theoretical Model John Bancroft, Zoran Vukadinovic. The Journal of Sex Research. New York: Aug 2004.Vol.41, Iss. 3; pg. 225, 10 pgs
* Addictions without substance series part II: Sexual addiction, Thaddeus Birchard. Drugs and Alcohol Today. Brighton: Jul 2006.Vol.6, Iss. 2; pg. 32, 3 pgs
* Understanding sexual addiction, Patrick Carnes. SIECUS (Sex Information and Education Council of the U.S.) Report. New York: Jun/Jul 2003.Vol.31, Iss. 5; pg. 5
* Carnes, P., Nonemaker, D., & Skilling, N. (1991). Gender differences in normal and sexually addicted populations. American Journal of Preventive Psychiatry and Neurology, 3, 16-23.
* Cooper, A. (1998). Sexuality and the Internet: Surfing into the new millennium. CyberPsychology and Behavior, I, 187194.
* Cooper, A, Delmonico, D., & Burg, R. (2000). Cybersex users, abusers, and compulsives: New findings and implications. Sexual Addiction and Compulsivity, 7(1-2), 5-29.
* Cooper, A., Scherer, C., Boies, S., & Gordon, B. (1999). Sexuality on the Internet: From sexual exploration to pathological expression. Professional Psychology: Research and Practice, 30, 154-164.
* Corley, M., & Schneider, J. (2002). Disclosing secrets: Guidelines for therapists working with sex addicts and co-addicts. Sexual Addiction and Compulsivity, 9, 43-67.
* Delmonico, D., & Carnes, P. (1999). Virtual sex addiction: When cybersex becomes the drug of choice. CyberPsychology and Behavior, 2, 457-463.
* Dodge, B., Reece, M., Cole, S., & Sandfort, T. (2004). Sexual compulsivity among heterosexual college students. Journal of Sex Research, 41, 343-350.
* Eisenman, R., Dantzker, M., & Ellis, L. (2004). Self-ratings of dependency/addiction regarding drugs, sex, love, and food: Male and college female students. Sexual Addiction and Compulsivity, 11, 115-127.
* Griffiths, M. (2001). Sex on the Internet: Observations and implications for Internet sex addiction. Journal of Sex Research, 38, 333-342.
* Kafka, M., & Hennen, J. (1999). The paraphilia-related disorders: An empirical investigation of nonparaphilic hypersexuality disorders in outpatient males. Journal of Sex and Marital Therapy, 25, 305-319.
* Kafka M., & Prentky R. (1992). A comparative study of nonparaphilic sexual addictions and paraphilias in men. Journal of Clinical Psychiatry, 53, 345-350.
* Kalichman, S., & Cain, D. (2004). The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic. Journal of Sex Research, 41, 235-241.
* Kort, Joe (2004). Covert Cultural Sexual Abuse of Gay Male Teenagers Contributing to Etiology of Sexual Addiction, Sexual Addiction and Compulsivity, Vol 11, 287-300.
* Quadland, M. ( 1985). Compulsive sexual behavior: Definition of a problem and an approach to treatment. Journal of Sex and Marital Therapy, II, 121-132.
* Raviv, M. (1993). Personality characteristics of sexual addicts and pathological gamblers. Journal of Gambling Studies, 9, 17-31.
* Reece, M., & Dodge, B. (2004). Exploring indicators of sexual Compulsivity among men who cruise for sex on campus. Sexual Addiction and Compulsivity, II, 87-113.
* Ross, C. (1996). A qualitative study of sexually addicted women. Sexual Addiction and Compulsivity, 3, 43-53.
* Schneider, J. (2000a). A qualitative study of cybersex participants: Gender differences, recovery issues, and implications for therapists. Sexual Addiction and Compulsivity, 7, 249-278.
* Schneider, J. (2000b). Effects of cybersex addiction on the family: Results of a survey. Sexual Addiction and Compulsivity, 7, 31-58.
* Schneider, J., & Schneider, B. (1990b). Marital satisfaction during recovery from self-identified sexual addiction among bisexual men and their wives. Journal of Sex and Marital Therapy, 16, 230-250.
* Schneider, J., & Schneider, B. (1996). Couple recovery from sexual addiction/co-addiction: Results of a survey of 88 marriages. Sexual Addiction and Compulsivity, 3, 111-126.
* Schwartz, S., & Abramowitz, J. (2003). Are nonparaphilic sexual addictions a variant of obsessive-compulsive disorder? A pilot study. Cognitive and Behavioral Practice, 10, 372-377.
* Sprenkle, D. (1987). Treating a sex addict through marital sex therapy. Family Relations: Journal of Applied Family and Child Studies, 36, 11-14.
* Swisher. S (1995). Therapeutic interventions recommended for treatment of sexual addiction/compulsivity. Sexual Addiction and Compulsivity, 2, 31-39.
* Wan, M., Finlayson, R., & Rowles, A. (2000). Sexual dependency treatment outcome study. Sexual Addiction and Compulsivity, 7, 177-196.
* Weiss, D. (2004). The prevalence of depression in male sex addicts residing in the United States. Sexual Addiction and Compulsivity, II, 57-69.
* Young, K., Griffin-Shelley, E., Cooper, A., O'Mara, J., & Buchanan, J. (2000). Online infidelity: A new dimension in couple relationships with implications for evaluation and treatment. Sexual Addiction and Compulsivity, 7, 59-74.
* Yoder, V., Virden, T, & Amin, K. (2005). Internet pornography and loneliness: An association? Sexual Addiction and Compulsivity, 12, 19-44.
* Kreuger, R. B., & Kaplan, M. S. (January 2002). "Treatment resources for the paraphilic and hypersexual disorders". Journal of Psychiatric Practice 8 (1): 59. doi:10.1097/00131746-200201000-00010.
* Krueger, R. B., & Kaplan, M. S. (Oct-December 2005). "Book Review: Clinical Management of Sex Addiction". Journal of Sex & Marital Therapy 31 (5): 448–450. doi:10.1080/00926230500189307.
* Laaser, M. R. (1996). "Recovery for couples". Sexual Addiction & Compulsivity 3 (2): 97–109. doi:10.1080/10720169608400105.
* Nunez, J. (January 2003). "Outpatient treatment of the sexually compulsive ephebophile". Sexual Addiction & Compulsivity 10 (1): 23–51. doi:10.1080/10720160309047.
* Parker, J., & Guest, D. (January 2003). "Individualized sexual addiction treatment: A developmental perspective". Sexual Addiction & Compulsivity 10 (1): 13–22. doi:10.1080/10720160309044.
* Schneider, J. P., & Schneider, B. H. (1996). "Couple recovery from sexual addiction/coaddiction: Results of a survey of 88 marriages". Sexual Addiction & Compulsivity 3 (2): 111–126. doi:10.1080/10720169608400106
Why does some people relate this with religion is beyond me.
Thursday, March 11, 2010
Philip Tan's Hawkman
Wednesday, February 24, 2010
Friday, February 19, 2010
Justice League: Crisis on Two Earths: Executive Producer Bruce Timm offers New Insights on “Justice League: Crisis on Two Earths” and “The Spectre”
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Today at 8:25am
Executive producer Bruce Timm offers new perspective on the creation of “Justice League: Crisis on Two Earths,” the latest entry in the ongoing series of DC Universe animated original movies, and “The Spectre,” the inaugural DC Showcase animated short, in an all-new Q&A with the guru of super hero animation.
Batman attempts to save the Earth, er, Earths as he faces off with his evil doppleganger Owlman.
Warner Home Video will distribute the full-length animated Justice League: Crisis on Two Earths on February 23 as a Special Edition 2-disc version on DVD and Blu-Ray™ Hi-Def, as well as single disc DVD, and On Demand and Download.
Timm, the executive producer on “Justice League: Crisis on Two Earths,” has been the creative force behind many of Warner Bros. Animation’s modern-day successes, elevating DC Comics’ canon of super heroes to new heights of animated popularity and introducing generations of new fans to the characters via landmark television series and made-for-DVD films. The latter task includes the creation of the current series of DC Universe animated original movies, which have drawn critical acclaim and further whetted the public’s appetite for comic book entertainment. “Justice League: Crisis on Two Earths” is the seventh film in the ongoing DC Universe series.
And here’s what Mr. Timm had to say …
Question:
What excites you about Juctice League: Crisis on Two Earths?
Bruce Timm:
In a weird kind of way, this is a return to my favorite show Justice League Unlimited. The original script was intended to be the bridge story between Justice League and Justice League Unlimited to explain how we went from seven heroes to more than 50 super heroes. We loved the story and the script, and it floated around here for years while we tried to figure out what to do with it – it was considered for a comic, but fortunately that got shot down. Then we took a look at it and, with just a few slight tweaks, we jumped at the chance to make it a DC Universe movie.
Question:
What sets it apart from the TV version of Justice League?
Bruce Timm:
It’s a very satisfying, grand scale adventure movie with a big cast of interesting, quirky characters. It’s amazing how much it feels like a great episode of Justice League Unlimited as a big, epic film with slightly different visual stylings. That’s a good thing.
Question:
Did this film present challenges that the first six DC Universe movies did not?
Bruce Timm:
The biggest challenge, and this is kind of esoteric, was that we had to find the line between the original source material and making it feel like a stand-alone movie so anyone that didn’t watch JLU could follow it. We really didn’t have to tweak the script too much – I think about 95 percent remains untouched. In terms of visual styling, we also wanted it to stand on its own and not necessarily as a continuation of the old show. We have this brilliant character designer – Phil Bourassa – who draws in a style similar to my own in terms of simplicity, but slightly different. So it doesn’t look 180 degrees away from the old show, but it definitely feels unique.
Question:
What are the benefits of having two directors on the same film?
The positive for Sam and Lauren is that having two directors lightens the workload, because it’s a big movie. They have similar strengths, and they’re both very good at what they do. They’re both all around talented in terms of understanding story, acting, the emotional core of the story, and they’re both really good at directing big crazy action scenes. But they’re methodology is different. Sam thinks a lot, he’s very analytical. Lauren is more intuitive about everything. I just kind of stayed out of it when they had disagreements – fortunately I never had to be the tiebreaker, They just worked things out between the two of them.
Question:
What are Dwayne McDuffie’s strengths?
Bruce Timm:
Dwayne is really well-rounded as a writer – he knows comics inside and out, he understands the lore, he knows what makes a good super hero story, and at the same time he’s really good with character dynamics and conflict. Plus he’s one of the best dialogue writers in the business.
Question:
Of this fairly huge casdt, do you have a favorite character?
Bruce Timm:
In this story, it’s probably Owlman. He’s a fascinating character himself, but the dynamic with Superwoman is so messed up as a couple, and yet really appealing in a weird kind of way. It’s a little similar to JLU’s relationship between The Question and Huntress. Superwoman is this badass hot chick, and he’s the quiet, brainy, nerd guy. They’re an interesting, odd couple. Plus I loved both James’ (Woods) and Gina’s (Torres) performances – they were spot-on. The amazing thing is we like to get all the actors to record as an ensemble, but in this case it wasn’t feasible, So they never met or performed together, but they totally mesh. It’s such an interesting chemistry considering they’ve never even met.
Owlman explains his nefarious plot to destroy all Earths with a devastating weapon.
Question:
You’ve brought another all-star cast to this film. Anything fans don’t know about the casting choices this time around?
Bruce Timm:
There’s an interesting side note in that Vanessa Marshall, who plays Wonder Woman, came this close to playing the role in Justice League. We were down to the final two choices, and they were neck and neck. The thing about Vanessa is that she sounded perfect for Wonder Woman – exactly what she should sound like. But Susan Eisenberg had this vulnerability. We thought it would be interesting to not play her to type, which ultimately played really well. When it came to casting for this movie, we thought, “What if we go down the road not taken?” So we opted for Vanessa in a full-length movie and she is great.
Question:
“Justice League: Crisis on Two Earths” includes the premiere of the first DC Showcase animation short, “The Spectre.” How have the DC Showcase shorts changed your work day?
Bruce Timm:
The DC Showcase is fun because it gives us an opportunity to play with characters that maybe don’t have a broad enough marquee value to support their own movie. As much as I like Batman, Superman, etc., the more lower tier, offbeat characters are really fascinating to me. It’s fun to mess around with others characters in the DC Universe. Super heroes are great, but it’s nice to do a change of pace, and that’s a lot of what we’ve done here. “The Spectre” is a supernatural thriller,; “Jonah Hex” is a western, and so on. So the Showcase is giving us a chance to stretch different muscles.
The Justice League makes its pitch to stand and fight the Crime Syndicate to an alternate Earth’s President Wilson.
Question:
After taking a break from episodic TV for the past several years, are you enjoying a return to the short-form with the DC Showcase?
Bruce Timm:
The interesting thing is these are really short form – they’re half as long as a half-hour TV episode. So the story has to be really tight and condensed – you have to cut away the fat, but it can’t be just wall-to-wall action. It still has to be a story. Fortunately we’re working with some really great writers, and because of that, every time we roll tape on these shorts, they feel like you’ve watched a whole episode of something. There’s a clear beginning, middle and end – a full story. So mission accomplished.
Question:
What made Steve Niles the right guy to write “The Spectre,” and how did you lure him into writing an animated short?
Bruce Timm:
I’ve admired Steve Niles’ work for a long time and, honestly, it would have never occurred to me to approach him. That was Todd Casey’s suggestion. He contacted Steve, and Steve was thrilled to get the assignment. He’s a big Michael Fleisher/Jim Aparo fan, and a big fan of “The Spectre” – especially that 1970s era of the character. Steve is very into crime fiction and horror, so he was the perfect writer for it.
Question:
Does “The Spectre” hold any special significance for you?
“The Spectre” was one of my favorite characters back in the 70s. Even by today’s standards, those comics are pretty hard core, and they were written in 1974, I don’t know how they got some of that stuff past the comic code. It was so different from any other comic on the stands. It’s really dark, really nasty. The character is pretty easy to understand – he’s the dark avenger of the night, even more so than Batman. He punishes bad guys in horrible, horrible ways. He’s like the benign Freddie Krueger. I’ve wanted to use “The Spectre” for a long, long time and we never had a opportunity to do it, and this was our chance to go hog wild with him.
For more information, images and updates, please visit the film’s official website at http://www.JUSTICELEAGUECRISIS.com
Tuesday, February 9, 2010
Martial Law?
I got this blog from Ellen Tordisillas, it's an interesting read because in our current society, we have no room for this. Militarism should be stopped.
Raid!
by Michael Tan
Philippine Daily Inquirer
I know some of you are expecting a column about yesterday’s Inquirer forum at UP with the presidential candidates. I have a lot to share about that event, but I have to postpone that article because I want to write about a very urgent issue, one which has implications for the elections.
I’m referring to the raid conducted last Saturday on a health workers’ training seminar organized by an NGO, the Council for Health and Development (CHD), resulting in the arrest of 42 of the workshop participants. That included two physicians, one nurse and one midwife. All the others were community health workers, most of whom were poor farmers or workers who have been trained as paramedics and health educators. The 42 were brought to Camp Panopio in Tanay, Rizal.
The media reports have mostly featured the military’s claims that the workshop participants were rebels and they were being trained to make bombs. There has been little from the detainees themselves because the mass media have been denied access to the prisoners.
My column today mainly uses information from Dr. Delen de la Paz, vice president of Health Action for Human Rights, and press statements from CHD.
The workshop was being held on private property, a farm/resort owned by Dr. Melecia Velmonte, a retired 71-year-old professor emeritus at the UP College of Medicine who often lets health NGOs use her place for such training activities.
Not since martial law have I heard of a military raid on this scale. Dr. Velmonte has been quoted as saying there were at least a hundred soldiers involved when they raided the farm at 6:30 a.m. Many remained in the perimeter of the farm even after the health workers had been hauled off. The military says they had a proper search warrant; CHD says they had none.
What makes the whole incident even more disturbing is that no one was allowed to visit the detainees over the weekend. A few relatives were given permission on Monday and they say that the detainees have been maltreated, with one claiming he was subjected to electric shock during interrogation. Human rights groups are helping relatives and have filed for a writ of habeas corpus with the Supreme Court, which means the military may have to produce the detainees soon.
Escalation?
Until that happens, friends and relatives, as well as many health NGOs, are understandably agitated. Are we seeing a replay of the Marcos dictatorship, where health workers serving the poor are suspected of being subversives? Or is this an escalation of Arroyo-style repression and the regime’s vow to crush the NPA before her term is up?
We tend to associate raids with the police swooping down on prostitution dens, or shabu manufacturers and distributors. But during the Marcos dictatorship, raids were also frequently directed against political dissidents. When martial law was first declared, the military conducted raids throughout the country, arresting people from all walks of life who had been vocal in criticizing Ferdinand Marcos.
The more prominent dissidents at least had some protection because of media coverage and access to lawyers. Soldiers were known to even apologize as they entered homes of such luminaries. Raids in urban poor communities and rural areas were much less civil, soldiers or police storming through the homes (or entire villages) and the military looking for evidence of “subversive” activity, which could be anything from books by Marx to acupuncture needles (because the NPA was known to use alternative forms of medicine). If the military could not find materials, they would often end up “planting” them.
Raids almost always resulted in arrests, and much anxiety on the part of families. After a few months of martial law, it was becoming clear that the military was using torture during interrogation, or worse. This was the time when “salvaging” came into use, a mutation in the meaning of the English word, from “saving” to “executing” or “killing.” Relatives considered themselves lucky if the bodies were found. Others were literally “disappeared,” never to be seen again.
The first few years of martial law were the worst, but with time, organized groups of lawyers, the religious, educators and even doctors began to fight back, pressuring the Marcos government to observe international agreements on human rights.
NGOs were particularly vulnerable to these raids and staff members were trained about their rights, and what moves to make after a raid or arrests. It was not easy defending human rights. I remember that initially to dare to even mention “human rights” was itself considered subversive. Eventually though, “human rights” would enter the language of mainstream Philippine society so that today even government officials use the term.
Elections
Raids on NGOs continued after the dictatorship fell but a democratic regime meant more safeguards. Under the Arroyo administration, the raids stepped up again, together with other human rights violations. These repressive acts became so widespread that the European Union sent in an investigating team who did confirm a pattern of political repression. A government investigation commission headed by Jose Melo (now Comelec chair) was less conclusive, but did acknowledge there were human rights abuses.
Delen de la Paz tells me that when she went around asking for help from government officials, the standard reply she got was: “But they were NPA.” Now even if these workers were NPA, which I doubt, the raids and arrests have to be governed by legal processes. Those who were arrested should have been given immediate access to relatives, as well as to legal and medical support.
In the years after the Marcos dictatorship, I have not heard of a raid on this scale, with so many arrests and with such brazen violation of the rights of detainees. This raid does not augur well for the election campaign. Many candidates will be outspoken in criticizing the government and incumbent government officials. If arbitrariness and impunity are allowed to rule, those in power can easily use the “NPA” tag on anyone who disagrees with them, and can have the military round them up in raids.
We have to pin our candidates down on their positions about human rights. So far, I have only read of statements from Bayan representatives, Makati Mayor Jejomar Binay and Sen. Pia Cayetano, all decrying the raid. Will our presidential candidates, all potential commanders in chief of the Armed Forces, be ready to walk their talk about defending human rights?
Sunday, February 7, 2010
Habang nakikinig sa forum ng mga gustong maging Presidente
Yung pagtatanong ay maganda, liban lang, sana debate talaga sila. As it is there was no rebuttal. Parang interview ang nangyari. Jamby and Dick swiped Villar to no end. Noynoy was asked about the separation of state and religion. Yung iba forgettable talaga. I just found out that J.C. Delos Reyes' children goes to public school. That's good. My son also goes to public school. No choice and we must adjust. My daughter malamang next school year lilipat na rin.
Eddie Villanueva still doesn't make sense and really sounds like a pious and self righteous man. Sayang di tinanong kung san galing pondo nya. Or the fact na yung church fund and ginamit nya sa kampanya.
All in all, it really lacked the comedic element which Erap could have provided. Although my mind's already made up on who to vote, we need these kinds of forums to better know who these presidentiables are and what their respective platforms can do.
Good pm.
Friday, February 5, 2010
A new Superman movie
I'm waiting for Warner to put out a new Superman movie. I really feel it's time to do their follow up to Superman Returns.I think WB has wasted enough time already. And also, finding the actor to play the role proved to be very difficult for them so why not use who they got?
Anyway, that's just me......
Plot wise, I think there should be a level of xenophobia among the populace of Metropolis. Before hailing themselves a hero they should at least trust him more. Also, the Lois-Clark interaction should be more utilized. Plus please don't make Clark into a nerdy geek again. Please make him more like the George Reeves version. Tough as nail but still mild mannered.
Ha, my weekend has started....LOL
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- KatarHol5
- I'm a comic and movie buff. I love superhero stuffs and anime. I got 2 lovable kids.
