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My scenario involves a man who has become “addicted” to porn to the point that he watches it on his phone several times a day and on the computer when his significant other is away. He also frequently encourages her to perform porn-level sex acts on a semi-constant basis, leaving her feeling pressured, stressed, and lacking in bed creating a rift and sexual withdrawal on her part. This causes him to stray to other woman and becomes seen as an overall addiction to not only porn but also sex itself with anyone in or out of relationships. Looking at this, you may think there is nothing positive about it. However, if this man was to seek counseling after acknowledging his transgressions and regretting them, he may go on to enjoy a healthy sex-life with a monogamous partner OR discover that he is better suited to a swinger-lifestyle and find a mate who is also into this lifestyle. Studies show that porn addictions can lead to overall decreased sexual satisfaction and decreased libido over time which explains his increased pressure on his partner (Hall, 2018). Although the term addiction is being challenged in upcoming diagnostic codes, it is still likely to be considered an addiction because of the biopsychosocial aspect of the neurological pathways being rewired to create dependency (Hall, 2018). Positive aspects here include an opportunity to examine his true motivations for porn. Studies suggesting that partners feel insecure or betrayed when porn watching behavior is kept secret from them so it would stand to reason that there is a potential for a healthy amount of porn and openness with certain partners. Some couples use porn together as part of a healthy sexual relationship acknowledging its limitations and limiting use to appropriate times. In fact, feelings of depression or anxiety were found to be more closely related to one’s perception of whether t

hey were “addicted” to porn or using it in a healthy way (Grubbs, et. al., 2015). Another study found that contrary to popular belief, some porn viewing from males not seeking treatment for issues actually increased sexual responsiveness rather than contributing to sexual dysfunction (Prause & Pfaus, 2015). This would explain why some couples report increased sexual desire and satisfaction from viewing porn in healthy sexual relationships. All of the articles acknowledge that there is an ongoing discussion and debate regarding what constitutes “addiction” as it applies to sexual behaviors such as viewing online porn. Arguments include time spent watching, other environmental and social factors, and effect on personal relationships. Because of the conflicting results in various studies, they should not be completely generalized. In this situation, the Ethical Principals would apply in several ways. Sexual topics may be uncomfortable to discuss with the opposite sex and bias may exist on the part of the therapist. This is where an open mind is needed and the ability to determine if the client-therapist relationship is appropriate in this case. Confidentiality is also of great importance. References Grubbs, J. B., Stauner, N., Exline, J. J., Pargament, K. I., & Lindberg, M. J. (2015). Perceived addiction to Internet pornography and psychological distress: Examining relationships concurrently and over time. , (4), 1056–1067. https://doi-org.proxy-library.ashford.edu/10.1037/adb0000114 Hall, P. (2018). PORN STOLE MY SEX LIFE: Paula Hall explores the increasingly common problem of porn addiction among men. , (9), 20–23. Retrieved from Prause, N., & Pfaus, J. (2015). Viewing Sexual Stimuli Associated with Greater Sexual Responsiveness, Not Erectile Dysfunction. , (2), 90. https://doi-org.proxy-library.ashford.edu/10.1002/sm2.58 Purchase the answer to view it