Pub Date : 2021-04-03DOI: 10.1080/26929953.2021.1986762
H. Pereira, Patrícia Silva
ABSTRACT Introduction This study aimed to assess the prevalence of sexual problems and sex addiction among a sample of middle-aged and older sexual minority men (MAOSMM) and to determine sexual functioning and sexual addiction predictors among this sample. Methods This study recruited 253 MAOSMM living in Portugal, who ranged in age from 40 to 75 years old (Mage = 58.34, SD = 11.02). 74.9% of participants self-identified as gay, and 25.1% self-identified as bisexual. The study recruited participants via websites, e-mail, and social media. The survey included four categories of questions/measurements, encompassing sociodemographic information, the Massachusetts General Hospital-Sexual Functioning Questionnaire, the Bergen-Yale Sex Addiction Scale, and a sexual behavior questionnaire created for the purposes of this study. Results 10.4% of participants reported sexual problems, while 20.5% presented indicators of sex addiction. Self-identified bisexual men displayed higher sexual functioning, but the study found no significant differences between gay and bisexual men regarding sex addiction. Sexual functioning and sex addiction were strongly correlated (r = .303; p < .001). Moreover, multiple regression analyses showed that psychosexual variables explained 26% of sexual functioning and 17% of sex addiction. Regarding sexual functioning, strong predictors included being younger, being bisexual, possessing lower levels of educational attainment, an absence of mental health problems, frequently engaging in sexual activity, and displaying a high degree of sexual identity acceptance. Regarding sex addiction, strong predictors encompassed having physical problems, a high frequency of sexual activity, and engaging in protected receptive anal sex. Conclusion This study contributes to the adoption of positive measures to promote fundamental sexual rights regarding aging and sexuality among middle-aged and older sexual minority men.
{"title":"Prevalence and Psychosexual Determinants of Sexual Functioning and Sex Addiction among Middle-Aged and Older Sexual Minority Men","authors":"H. Pereira, Patrícia Silva","doi":"10.1080/26929953.2021.1986762","DOIUrl":"https://doi.org/10.1080/26929953.2021.1986762","url":null,"abstract":"ABSTRACT Introduction This study aimed to assess the prevalence of sexual problems and sex addiction among a sample of middle-aged and older sexual minority men (MAOSMM) and to determine sexual functioning and sexual addiction predictors among this sample. Methods This study recruited 253 MAOSMM living in Portugal, who ranged in age from 40 to 75 years old (Mage = 58.34, SD = 11.02). 74.9% of participants self-identified as gay, and 25.1% self-identified as bisexual. The study recruited participants via websites, e-mail, and social media. The survey included four categories of questions/measurements, encompassing sociodemographic information, the Massachusetts General Hospital-Sexual Functioning Questionnaire, the Bergen-Yale Sex Addiction Scale, and a sexual behavior questionnaire created for the purposes of this study. Results 10.4% of participants reported sexual problems, while 20.5% presented indicators of sex addiction. Self-identified bisexual men displayed higher sexual functioning, but the study found no significant differences between gay and bisexual men regarding sex addiction. Sexual functioning and sex addiction were strongly correlated (r = .303; p < .001). Moreover, multiple regression analyses showed that psychosexual variables explained 26% of sexual functioning and 17% of sex addiction. Regarding sexual functioning, strong predictors included being younger, being bisexual, possessing lower levels of educational attainment, an absence of mental health problems, frequently engaging in sexual activity, and displaying a high degree of sexual identity acceptance. Regarding sex addiction, strong predictors encompassed having physical problems, a high frequency of sexual activity, and engaging in protected receptive anal sex. Conclusion This study contributes to the adoption of positive measures to promote fundamental sexual rights regarding aging and sexuality among middle-aged and older sexual minority men.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"28 1","pages":"81 - 97"},"PeriodicalIF":0.3,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46817770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/26929953.2021.1973629
Dustin J. Purnell, Simon Nuttgens
ABSTRACT In this research, we used Interpretative Phenomenological Analysis (IPA) to explore how counselors experience and manage ethical tensions in sex addiction counseling. Four certified sex addiction therapists (CSATs) were selected as participants and interviewed about their experiences. Analysis of interview transcripts produced three superordinate themes: preventative strategies, nuanced emotions during ethical tensions, and resolving tensions. Preventative strategies describe the counselors’ efforts to implement practices that prevented negative experiences with ethical tensions. The theme of nuanced emotions refers to the intricate emotional experience the counselors often had when they encountered ethical tensions. Resolving tensions relates how counselors constructed ethical and personally meaningful decision-making processes to resolve their tensions. Findings are discussed in relation to extant literature about sex addiction counseling, including this study’s contributions, implications for practice and future research, and strengths and limitations.
{"title":"Ethical Tensions in Sex Addiction Counseling","authors":"Dustin J. Purnell, Simon Nuttgens","doi":"10.1080/26929953.2021.1973629","DOIUrl":"https://doi.org/10.1080/26929953.2021.1973629","url":null,"abstract":"ABSTRACT In this research, we used Interpretative Phenomenological Analysis (IPA) to explore how counselors experience and manage ethical tensions in sex addiction counseling. Four certified sex addiction therapists (CSATs) were selected as participants and interviewed about their experiences. Analysis of interview transcripts produced three superordinate themes: preventative strategies, nuanced emotions during ethical tensions, and resolving tensions. Preventative strategies describe the counselors’ efforts to implement practices that prevented negative experiences with ethical tensions. The theme of nuanced emotions refers to the intricate emotional experience the counselors often had when they encountered ethical tensions. Resolving tensions relates how counselors constructed ethical and personally meaningful decision-making processes to resolve their tensions. Findings are discussed in relation to extant literature about sex addiction counseling, including this study’s contributions, implications for practice and future research, and strengths and limitations.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"28 1","pages":"98 - 125"},"PeriodicalIF":0.3,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43135129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/26929953.2021.1997842
David P. Fernandez, D. Kuss, M. Griffiths
ABSTRACT Despite the prominence of 12-step recovery as an approach to addressing compulsive sexual behavior (CSB) worldwide, little is known about the phenomenological experiences of recovery from CSB among individuals who participate in 12-step groups for CSB (known as ‘S’ groups). The present qualitative study used in-depth interviews to explore lived experiences of recovery from CSB among 14 members (13 males and one female) of an ‘S’ group, Sex and Love Addicts Anonymous (SLAA). Inductive thematic analysis of the interview data yielded five themes: (i) unmanageability of life as impetus for change, (ii) addiction as a symptom of a deeper problem, (iii) recovery is more than just abstinence, (iv) maintaining a new lifestyle and ongoing work on the self, and (v) the gifts of recovery. Participants typically described their initiation into recovery as being precipitated by the escalating negative consequences of their sexual behavior. Over time in recovery, they came to see their sexual acting out as a manifestation of unresolved underlying issues that would need to be addressed in recovery. They also came to believe that to achieve lasting abstinence from their problematic sexual behaviors, their overarching recovery goal would need to expand beyond just abstinence to the long-term maintenance of the quality of their recovery as a whole. This was achieved primarily through the creation and maintenance of a new lifestyle and engagement in ongoing work on the self. This new way of living was described as resulting in positive changes beyond just the alleviation of CSB symptoms, including personal transformation and improvements in overall quality of life. This qualitative study is the first to analyze recovery experiences of ‘S’ group members using a bottom-up approach and provides insights into how SLAA members describe and make sense of their recovery journeys.
{"title":"Lived Experiences of Recovery from Compulsive Sexual Behavior among Members of Sex and Love Addicts Anonymous: A Qualitative Thematic Analysis","authors":"David P. Fernandez, D. Kuss, M. Griffiths","doi":"10.1080/26929953.2021.1997842","DOIUrl":"https://doi.org/10.1080/26929953.2021.1997842","url":null,"abstract":"ABSTRACT Despite the prominence of 12-step recovery as an approach to addressing compulsive sexual behavior (CSB) worldwide, little is known about the phenomenological experiences of recovery from CSB among individuals who participate in 12-step groups for CSB (known as ‘S’ groups). The present qualitative study used in-depth interviews to explore lived experiences of recovery from CSB among 14 members (13 males and one female) of an ‘S’ group, Sex and Love Addicts Anonymous (SLAA). Inductive thematic analysis of the interview data yielded five themes: (i) unmanageability of life as impetus for change, (ii) addiction as a symptom of a deeper problem, (iii) recovery is more than just abstinence, (iv) maintaining a new lifestyle and ongoing work on the self, and (v) the gifts of recovery. Participants typically described their initiation into recovery as being precipitated by the escalating negative consequences of their sexual behavior. Over time in recovery, they came to see their sexual acting out as a manifestation of unresolved underlying issues that would need to be addressed in recovery. They also came to believe that to achieve lasting abstinence from their problematic sexual behaviors, their overarching recovery goal would need to expand beyond just abstinence to the long-term maintenance of the quality of their recovery as a whole. This was achieved primarily through the creation and maintenance of a new lifestyle and engagement in ongoing work on the self. This new way of living was described as resulting in positive changes beyond just the alleviation of CSB symptoms, including personal transformation and improvements in overall quality of life. This qualitative study is the first to analyze recovery experiences of ‘S’ group members using a bottom-up approach and provides insights into how SLAA members describe and make sense of their recovery journeys.","PeriodicalId":29814,"journal":{"name":"Sexual Health & Compulsivity","volume":"28 1","pages":"47 - 80"},"PeriodicalIF":0.3,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43072360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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