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Out of the Shadows

Out of the Shadows

Understanding Sexual Addiction
by Patrick Carnes PhD 2009 148 pages
4.09
1k+ ratings
Psychology
Self Help
Sexuality
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Key Takeaways

1. Sexual addiction is a pathological relationship with mood-altering experiences

Sexual addiction is parallel. The addict substitutes a sick relationship to an event or a process for a healthy relationship with others.

Defining sexual addiction. Sexual addiction is characterized by a compulsive engagement in sexual activities, despite negative consequences. It's not about the frequency or type of sexual behavior, but rather the individual's relationship with sexuality. Key features include:

  • Inability to control or stop sexual behaviors
  • Continuation despite adverse consequences
  • Preoccupation with sexual thoughts and activities
  • Using sex to cope with stress, anxiety, or other emotional issues
  • Escalation of behaviors over time to achieve the same "high"

Sexual addicts often lead double lives, maintaining a facade of normalcy while engaging in secret, compulsive behaviors. This duality creates intense shame, isolation, and self-loathing, further fueling the addiction cycle.

2. The addiction cycle: Preoccupation, ritualization, compulsive behavior, and despair

The pain the addicts feel at the end of the cycle can be numbed or obscured by sexual preoccupation that reengages the addiction cycle.

Understanding the cycle. The sexual addiction cycle consists of four stages that reinforce each other:

  1. Preoccupation: Obsessive sexual thoughts and fantasies
  2. Ritualization: Routines and behaviors leading up to the sexual act
  3. Compulsive sexual behavior: The actual sexual act
  4. Despair: Feelings of shame, guilt, and hopelessness after the act

This cycle creates a powerful neurochemical and emotional roller coaster. The highs of sexual arousal and release are followed by intense lows, leading the addict to seek relief through re-engaging in the cycle. Breaking this pattern requires addressing all components of the cycle and developing healthy coping mechanisms.

3. Levels of sexual addiction: From "normal" behaviors to criminal acts

Deviant behavior does not necessarily indicate the presence of addiction.

Spectrum of behaviors. Sexual addiction manifests in a wide range of behaviors, categorized into three levels:

Level One (culturally acceptable):

  • Compulsive masturbation
  • Pornography use
  • Multiple affairs
  • Frequent use of prostitutes

Level Two (nuisance offenses):

  • Exhibitionism
  • Voyeurism
  • Indecent phone calls

Level Three (serious criminal offenses):

  • Child molestation
  • Rape
  • Incest

It's crucial to note that the presence of these behaviors alone doesn't indicate addiction. The key factors are compulsivity, lack of control, and negative consequences. Many sex addicts engage in behaviors across multiple levels, and the addiction often escalates over time.

4. Cybersex: The great accelerator of sexual addiction

Cybersex creates a danger of relapse for those in recovery from sex addiction. The Internet allows addicts an opportunity to break down previous boundaries.

Impact of technology. The internet has dramatically changed the landscape of sexual addiction:

  • Accessibility: Pornography and sexual content available 24/7
  • Affordability: Much sexual content is free or low-cost
  • Anonymity: Reduced fear of discovery or consequences

Cybersex addiction often leads to:

  • Rapid escalation of behaviors
  • Increased time spent on sexual activities
  • Neglect of real-life relationships and responsibilities
  • Exposure to more extreme content
  • Higher risk of engaging in illegal activities

The internet's role in sexual addiction highlights the need for digital literacy and boundary-setting in recovery programs.

5. Family dynamics and coaddiction in sexual addiction

Coaddicts will go to extreme lengths to preserve the exterior world of the addict. By their actions they enter the insanity of their own interior coaddictive world.

Understanding coaddiction. Sexual addiction affects the entire family system. Coaddicts, often partners or family members, become enmeshed in the addict's behaviors:

  • Enabling: Covering up for the addict, making excuses
  • Controlling: Attempting to manage the addict's behavior
  • Denial: Refusing to acknowledge the severity of the problem
  • Codependency: Deriving self-worth from "helping" the addict

Coaddicts often develop their own dysfunctional coping mechanisms and beliefs. Recovery requires addressing both the addict's and coaddict's behaviors and belief systems. Family therapy and support groups for partners and family members are crucial components of comprehensive treatment.

6. Core beliefs that fuel sexual addiction and coaddiction

Addicts progressively go through stages in which they retreat further from the reality of friends, family, and work. Their secret lives become more real than their public lives.

Identifying faulty beliefs. Four core beliefs drive sexual addiction and coaddiction:

  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 upon others."
  4. "Sex is my most important need" (addicts) or "Sex is the most important sign of love" (coaddicts)

These beliefs often stem from childhood experiences of abandonment, abuse, or neglect. They create a foundation for shame, isolation, and compulsive behaviors. Recovery involves challenging and reframing these core beliefs through therapy, support groups, and personal growth work.

7. The role of cultural beliefs in shaping sexual addiction

Our society creates psychic war within the two sexes and so perpetuates the war between them.

Cultural influences. Societal attitudes about sexuality contribute to the development and maintenance of sexual addiction:

  • Gender roles: Expectations of male dominance and female submission
  • Objectification: Reducing individuals to sexual objects
  • Shame and secrecy: Taboos around discussing sexuality openly
  • Pornification: Normalization of pornographic imagery in mainstream media

These cultural factors interact with individual vulnerabilities to create an environment conducive to addiction. Recovery often involves critically examining and challenging these cultural beliefs, as well as developing a healthier, more balanced view of sexuality and relationships.

8. Twelve Steps as a path to recovery from sexual addiction

To recover, addicts accept an invitation to live a discipline, a collected wisdom, a way of life—the Twelve Steps.

Recovery framework. The Twelve Steps, adapted from Alcoholics Anonymous, provide a structured approach to recovery from sexual addiction:

  1. Admit powerlessness over the addiction
  2. Believe in a Higher Power that can restore sanity
  3. Turn will and life over to the care of God (as understood)
  4. Make a searching and fearless moral inventory
  5. Admit to God, self, and another human being the exact nature of wrongs
  6. Be entirely ready to have God remove all defects of character
  7. Humbly ask God to remove shortcomings
  8. Make a list of persons harmed and be willing to make amends
  9. Make direct amends wherever possible
  10. Continue to take personal inventory and promptly admit wrongs
  11. Seek through prayer and meditation to improve conscious contact with God
  12. Carry the message to other addicts and practice these principles in all affairs

The Twelve Steps provide a framework for personal growth, accountability, and spiritual development. They address the core beliefs and behaviors that fuel addiction, offering a path to lasting recovery and healthier relationships.

Last updated:

Review Summary

4.09 out of 5
Average of 1k+ ratings from Goodreads and Amazon.

Out of the Shadows receives mostly positive reviews, with readers praising its insights into sexual addiction. Many find it eye-opening and helpful for understanding the complexities of addiction. The book is commended for its candid approach and explanation of the addict's struggle. Some criticize outdated language and lack of research citations. Readers appreciate the book's exploration of childhood trauma's role in addiction development. While some find certain passages explicit or uncomfortable, many consider it a valuable resource for addicts, partners, and professionals working in the field.

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About the Author

Patrick J. Carnes, Ph.D., is a renowned expert on addiction and recovery. He has authored over 20 books, including the bestseller "Out of the Shadows: Understanding Sexual Addiction." Dr. Carnes' research has significantly influenced addiction treatment, developing the widely-used "task model" approach. He founded the International Institute for Trauma and Addiction Professionals (IITAP), which provides training and certification for addiction professionals. Dr. Carnes currently serves as a Senior Fellow and Executive Director for the Gentle Path Program at The Meadows in Arizona. His work has been instrumental in advancing understanding and treatment of sexual addiction and related issues.

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