Incorporating a 12-step philosophy (and inserting religiosity without client’s consent) into therapy can make sexual compulsivity worse because of increasing shame and colluding with a power imbalance between therapist & client

The religious disguise in “sex addiction” therapy. Silva Neves. Sexual and Relationship Therapy, Nov 26 2021. https://doi.org/10.1080/14681994.2021.2008344

Abstract: In this essay I will discuss the conceptualisation of “sex addiction” programmes and treatments in relation to its religious positions. Both the official book of Sex Addicts Anonymous and “sex addiction” experts proclaim to offer a non-religious solution suitable for all people suffering from “sexual addiction” however a brief overview of some current texts reveals strong religiosity. In popular discourse, the USA is often perceived as more religious than the UK because of its puritan past. Whilst the UK is perceived to be more “sex positive,” I will demonstrate that religiosity amongst “sex addiction” experts in the UK is also strong, and perhaps more covert. This essay covers the problematic use of the integration of 12-step programmes in therapeutic treatments for sexual compulsivity. I will challenge the conceptualisation of “sex addiction,” primarily how experts promote support groups such as SAA and SLAA. The philosophy of these support groups is in direct contradiction with the knowledge of sexology and some basic psychotherapy principles. I argue that incorporating a 12-step philosophy (and inserting religiosity without client’s consent) into therapy can make sexual compulsivity worse because of increasing shame and colluding with a power imbalance between therapist and client. I propose that it is not possible to be both “sex positive” and promoting the conceptualisation of “sex addiction.”

Keywords: Compulsive sexual behaviourssexual compulsivitysex addiction12-step programmesaddictionreligiosity