Are You a Sex Addict (Part 1)?

Are you a sex addict?

Probably.

I seem to be.

Via Dr. Marty Klein’s excellent Sexual Intelligence blog comes news of this Sexual Addiction Screening Test from SexHelp.com, a site designed “to help those affected by sexual addiction and compulsivity.” The site was created by Dr. Patrick Carnes: inventor of the term “sex addiction,” founder and designer of multiple treatment programs for sex addiction, and author of several books on sex addiction.

According to Dr. Klein, Dr. Carnes admits he has no training in human sexuality. But let’s not focus on that just now.

Because according to this test, I have a problem.

Which is a bit odd. My life is good; my sex life is great. Things in my life are stable and flourishing, and sex is a happy part of that.

So I don’t actually think I have a problem.

I think this test has a problem.

I think this test has several problems. I think this test represents an extremely narrow, rigid view of what can constitute a happy sex life. It pathologizes any kind of sex that’s unconventional. It pathologizes any kind of sex that other people are shocked or upset by — regardless of whether they have any right to be, or whether their sexual sensibilities are reasonable. And it pathologizes anyone who makes sex a high priority in their life.

And I think this is the problem with the way sex addiction commonly gets treated. In fact, I think it’s the problem with the whole “sex addiction” theory in the first place. I don’t deny that some people behave compulsively around sex, self-destructively and destructively of others. I’d be an idiot to deny that. I just don’t think “addiction” is the right word — or the right concept — for that problem.

And I think this shows up in this test: and in the way that unconventional sex, sex that defies conservative sexual mores, or making sex a high priority in one’s life, are all seen as signs of sex addiction.

But maybe I’m in denial. Maybe I’m one of those addicts who can’t admit they’re an addict. Let’s take a look at the test, and at all the questions I answered “Yes” to . . . and let’s see.

Do you often find yourself preoccupied with sexual thoughts?

You betcha.

Sexual thoughts are how I keep myself entertained during the duller parts of my life. On the bus; waiting in line at the grocery store; when I’m doing the more mechanical parts of my job that don’t really require thought . . . I think about sex. Sex is important to me, and I think about it a lot.

Pathologizing people for whom sex is a high priority? Check.

Do you feel that your sexual behavior is not normal?

Normal by whose standards?

Lots of what I do sexually isn’t done by the majority of people on this planet. Or even in San Francisco. Sadomasochism; writing porn; even bisexuality: none of this is technically normal. It isn’t what most people do.

But why should normality be a measure of sexual health? If someone is aroused by, say, the sight of bald women in Spock ears and combat boots — an abnormal sexual desire — why is that inherently less healthy than the more normal arousal by the sight of blonde women in high heels and lingerie?

Pathologizing unconventional sex? Check. Pretty much your dictionary definition of it.

Has your sexual behavior ever created problems for you and your family?

For me? Not so much. Unless you count the usual run of bad relationships and dumb decisions. Otherwise known as “youth.”

But for my family? Sure. When I was a teenager, my mother hated the fact that I was having sex at all. And many members of my family still have problems with the fact that I write porn.

And I’m one of the lucky ones. My family is both progressive and non-religious. If you come from a family that’s conservative about sex — and especially if you come from a deeply religious family with strict sexual taboos — then you might have to answer “Yes” to this question just for being gay, or using birth control, or having sex before marriage.

Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check.

Has anyone been hurt emotionally because of your sexual behavior?

Probably. See above, re: family.

And I’ve had sexual differences with partners that they weren’t happy with. There was my boyfriend in college, for instance, who unilaterally instigated a non-monogamous arrangement — and acted on it frequently — but got deeply hurt when I wanted to have sex with a friend of his. And there were women I dated in my “casual sex” days, who I told ahead of time that I wasn’t looking for a relationship but who got hurt anyway when they realized that I meant it.

Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check.

Are any of your sexual activities against the law?

In what state? And in what country?

This is a textbook example of “pathologizing unconventional sex.” In Texas, owning more than five dildos is against the law. SM porn is illegal in Canada. Until recently, gay sex was against the law in many states in the U.S . . .. and if I’m not mistaken, in many states adultery still is. And in countries around the world, both gay and extra-marital sex are not only illegal, but punishable by death.

So yes. Some of my sexual activities are against the law — or they would be, if I didn’t live in California.

Do we really want to use the laws about sex as guideposts for sexual health?

Pathologizing unconventional sex? Check.

Do you hide some of your sexual behaviors from others?

Honestly? I do this less than almost anyone I know. But yes: strange as it may seem to people who read my blog, I have sexual practices that I keep private. And no, I’m not going to tell you what they are. They’re private.

I truly don’t know what category to put this in. On what planet is having a private sex life that you don’t talk to people about considered a sign of sex addiction? This is in a category all its own: the “completely wacky, flatly stupid” category.

Has sex (or romantic fantasies) been a way for you to escape your problems?

Well, if you consider “boredom” a problem, then yes. See above, re: using sex fantasies to kill time.

More seriously: Sure. There have been times when I’ve been sad or upset, and I’ve had sex (or masturbated) to help me feel better. I’ve done it to feel loved and connected; to remind myself of the possibility of joy in sad times; even just to relax when I’m stressed and can’t sleep.

And this is bad because . . . ?

Pathologizing people for whom sex is a high priority? Check.

Have you purchased services online for erotic purposes (sites for dating, pornography, fantasy and friend finder)?

Sure. I live in the 21st century. If I’m going to buy porn or answer personal ads, I’m going to do it online.

In other words, here’s what this question really is asking: Have you ever bought porn, or placed or answered personal ads?

Sure.

And again, this is bad because . . . ?

Half my friends have played the personals at one point or another. I just went to a wedding last month of a couple who met through the personals. Online personals, even.

More about porn in a moment.

Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check.

Have people in my life been upset about my sexual activities online?

Yes. There are members of my family who aren’t thrilled about the fact that I blog about sex.

Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check.

Have you subscribed to or regularly purchased or rented sexually explicit materials (magazines, videos, books or online pornography)?

Yes. I buy porn on a somewhat regular basis. I probably wouldn’t buy it as much if I weren’t a porn critic . . . but then, I’m a porn critic largely because I like porn.

So what we have here is the assumption that the regular use of porn is inherently unhealthy. No question about whether your porn use is interfering with your life; no question about whether you’re spending more on porn than you can afford, or whether it’s giving you unrealistic expectations of your sex partners. If you like porn and enjoy it on a regular basis — no matter how well you incorporate it into a happy sex life — that’s a sign that you’re a sex addict.

Pathologizing people for whom sex is a high priority? Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check, and check again.

Have you engaged prostitutes and escorts to satisfy your sexual needs?

Technically, no. She was a professional submissive, not a prostitute. But I’m going to answer in the spirit of the question, not the letter; and I’m going to answer, “Yes.”

And I’d do it again if I could afford it. (I’ve written about the experience, in fact; the essay will appear in the upcoming “Best Sex Writing 2008″ anthology.)

And as I’ve written before in this blog, I don’t consider the mere fact of hiring sex workers to be unhealthy. I know it’s scorned and condemned by our culture; but unless hiring sex workers is getting in the way of your pursuit of romantic relationships (that is, assuming you want a romantic relationship), or unless you’re spending more on sex workers than you can afford, I don’t see why this is automatically a sign that you have a problem. In fact, I think it can be a sign of a very healthy attitude towards sex: it shows the ability to know what you want, and to openly and unashamedly seek it out from someone who’s willing to give it to you.

We’ve hit the trifecta here, folks. Pathologizing unconventional sex? Pathologizing people who make sex a high priority? Pathologizing sex that shocks or upsets other people, regardless of whether they have a right to be? Check, double check, and triple check.

(This is a two-part piece. You can find part 2 here.)

This entry was posted on Thursday, 6 December 2007 at 12:00 am and is filed under Culture. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.


8 Comments so far

  1. […] Are You A Sex Addict (Part 2)? In last week’s column, we were discussing this Sexual Addiction Screening Test created by Dr. Patrick Carnes, inventor of the term “sex addiction.” We saw a noticeable pattern in this test: the pathologization of unconventional sex; the pathologization of sex that other people are shocked or upset by — regardless of whether they have any right to be; and the pathologization of people who make sex a high priority in their lives. (Thanks to Dr. Marty Klein’s Sexual Intelligence blog for the tip). Today we continue going through the test, looking at all the questions that a sexually healthy person might answer “Yes” to . . . and examining what exactly is troubling about this test and the model of sexual dysfunction it represents. […]

  2. Greta,

    Nice read. I took the test. Scored a “9.” A 9? An observation to back up the whackiness of this test: there is no option to evaluate why other people are shocked & dismayed by one’s sexual behavior. Maybe, just maybe they have have issues? It would seem that the test is biased to find the test-taker to be a sex-addict. I might be wrong, but I don’t think sex-addiction is listed in the DSM-V.

    bob

  3. Greta,

    I had another thought. The test presumes that in a conflict of opinion about my sexual preferences between myself and persons in my immediate environment — family, friends, parents, etc. — that the “other” is always right and that I am always wrong. If they are always right to be shocked & dismayed at my sexual preferences & activities, then I am always wrong to get off however it is that I get off.

    What this means is that sex, sexuality, sexual desire & the like are a diminution of my autonomy and freedom. In the context of that test, sexual desire can never be a means to empowerment and liberation.

    But consider the phenomenon of falling in love. It is a staple of romantic comedies that possession of one’s beloved (= establishing a ‘relationship’) is the quintessence of asserting one’s individuality. The question of fulfillment brings a difficult question: is it the desire itself that brings the realization of individuality OR is it the type of romantic love object that brings fulfillment independent of motivating desire? A hint: We Westerners who invented romantic love do not practice arranged marriage.

    Once sexuality is wedded to autonomy and individuality, it really is hard not to snicker at tests like the one you discuss. Or in more serious moods to be really offended at the naive hatred of sensuality that created such a travesty of psychological testing.

  4. Bob: In both East and West, romantic love has always been viewed as something “chaotic”, hazardous to public order. Consider Pyramus and Thisbe (later Romeo and Juliet), Tristan and Isolde, and so on. Even Tevye’s daughters in “Fiddler on the Roof” represent the same theme. The difference is that the West is somewhat more willing to yield on the point — for example, I can’t think of a classical Western myth where a father killed his child rather than let them marry “improperly”. For that, you need the (originally) Eastern theme that “the other world is more important than this one”, which was the poison that corrupted Christianity.

  5. I scored an 8. Here is the text summary of my scoring:

    “We have compared your answers with people who have been diagnosed with sex addiction. Your answers HAVE MET a score on basis of six the criteria that indicate sex addiction is present. To help you understand, the graphic below plots your score in relation to the scores of others.”

    As I was taking this test, I thought, this is not a test by someone who understands what it means to be an *addict.* The author of this test appears to think that anyone for whom sex is a major hobby must be an *addict,* and so anyone with a high libido and the will and means to do something about it is going to score as an addict. I also agree with you that they wrongly conflate “abnormal” sexual behavior with addictive behavior. I wonder if the author of the test has even cracked open the latest expert books on human sexuality.

    FYI: I took the test before reading your answers. A little background - I have a lot of queer friends, queer acquaintances and a queer close relative, and at one point I considered myself bisexual (not so much now). I have had friends who were addicts of various kinds, including food, drugs, and sex. So I am aware not only of the wide variety of sexual behavior that people can have, but I know what addiction looks like, and I think I can successfully distinguish among sex addiction, being queer, and simply being really into sex.

    I have never paid for sex or purchased porn. I’m not a porn consumer, but I’ve seen it, read it, etc. Yes, I have been stupid and stayed in relationships I shouldn’t have. Yes, I have been sucked into non-relationships with people I fell for emotionally, and I was used. Yes, that caused problems for me - it made me extremely depressed and I had to seek therapy. So fucking what. It has no bearing on whether I’m addicted to anything. So basically, I’m pretty vanilla and while I’ve had, for most people, a lot of partners (less than 20 but way more than 10), I’m also 40 and single, and all except one of those partners were long term relationships and not fuckbuddies (that one lasted two weeks and was an experiment). If *I* scored easily within the range of possibly being a sex addict, this should tell you that this test is deeply, deeply flawed. I am addicted to coffee, not sex.

  6. I scored a 3, but was told I had a pattern common to sexually compulsive women! Just because I’ve been polyamorous, surfed online porn, and been involved in BDSM. Oh, and occasionally purchase erotica. Puhleeze! I think sex occupies my thoughts less than many people, but I do have a happy and healthy sex life. I may have been a bit compulsive as a teen, but since hitting 20 I’ve calmed a bit. 9 partners in the past 17 years. This doctor who wrote the test strikes me as very sex-negative, and against any alternative sexuality.

  7. […] Greta Christina’s blog, and article (part 1 / part 2) on the same test. She also elaborates on the questions she answered Yes and shows how exactly the test pathologizes non-normative sexual behavior (and thoughts). She also looks at the test’s inability to collect any useful data. Plus, there’s quite a bit of background information. Very good stuff over there, by her and her commenters. (By the way, I only read her text when I was already done writing mine. We seem to think along the same lines.) […]

  8. I agree with what you said at the top - that the test has a problem. Because sex addiction is VERY real, very hurtful, and incredibly destructive. It has taken over my life.

    To determine if you’re an addict, I think that you have to think about your sexuality from as unbiased a viewpoint as possible. In my case, it’s about compulsivity and shamefulness. For instance, it’s one thing to post a few ads, or reply to a few ads. For me, in the past, it has been every day. Hundreds of ads, dozens of email correspondence, sending and receiving pictures, setting up dates and times with anonymous partners, paying for sex when I wasn’t getting it for free or it was convenient, half the time unprotected and certainly unsafe, having money stolen then calling in another because I didn’t get a fix. It was (and still is, actually) absolutely out of control. When you start to feel terrible all the time about your behaviors, but powerless to control and stop them, that’s when it’s an addiction. Anyway who claims otherwise simply doesn’t know because they haven’t experienced it first hand.

    I’m all up for whatever sexual lifestyles a person wants. Bisexuality? great. S&M? No problem. To each their own. But if the behaviors make you consistently feel remorseful and regularly hurt those around you, it becomes a problem. And for me it is a huge, shameful problem that has taken over my life.

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