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Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs •SASH Conference 2012 • San Antonio, Texas, September 20, 2012 • Marnie C. Ferree & Linda Hudson Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addicts

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Page 1: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

Making Advances

And You Thought Treating Female Partners

Was Challenging!Treating Male Partners of

FSLAs• SASH Conference 2012• San Antonio, Texas, September 20, 2012

• Marnie C. Ferree & Linda Hudson

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addicts

Page 2: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

MALE PARTNERS - INVISIBLE ONES

• Unique

shame

• Cultural stereotypes

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 3: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

ADDITION IS A FAMILY DISEASE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 4: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

ADDITION IS A FAMILY DISEASE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 5: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

MODELS FOR TREATING PARTNERS

• Strong disagreement about best

approach

• Strong agreement about

commonalities

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 6: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

CHARACTERISTICS OF MALE PARTNERS

• Angry

• Also addicted

• Avoidant

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

PAIN

Page 7: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

SYSTEMS THEORY

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 8: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

SYSTEMS THEORY

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

• Roles

• Rules

• Attachment issues

Sex and love addiction is an intimacy disorder.

Page 9: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

CO-ADDICTION MODEL

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

NOT responsible for addict’s behavior.

IS responsible for own personal and relationship issues.

Page 10: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

CO-ADDICTS HAVE OWN ISSUES OF…

• Trauma

• Unhealthy Coping

• Impaired Intimacy

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 11: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

HISTORY OF ABUSE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Addict Spouse

Sexual 81% 81%

Physical 72% 71%

Emotional 97% 91%

Carnes, P. (1991). Don’t call it love: Recovering from sexual addiction. Minneapolis, MN: Compcare Publishers.

Page 12: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

CO-ADDICT’S COPING STRATEGIES

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Search and seizure

Control Complain Threaten Ignore Rage Focus on kids/

workManipulate

Withdraw/shut down

Become more sexual

Engage in own addiction

Tolerate impaired intimacy

Self-righteousness

Page 13: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

CO-ADDICTION IS…

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Focusing on someone else’s life

Believing you can control people and events outside yourself

An obsession with the possibility

Page 14: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

TRAUMA MODEL

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

• “Partner sensitive” emphasis that focuses on “sexual addition-induced trauma.”

• Partner receives equal clinical attention

Steffens & Means (2009). Your Sexually Addicted Spouse - How Partners Can Cope and Heal

Page 15: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

TRAUMATIC NATURE OF DISCOVERY

OR DISCLOSURE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Creates PTSD-like symptoms (in 70% of a small study)

Page 16: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

TRAUMATIC NATURE OF DISCOVERY

OR DISCLOSURE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 17: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

TRAUMATIC NATURE OF DISCOVERY

OR DISCLOSURE

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Creates PTSD-like symptoms (in 70% of a small study)

Causes constant triggering, reactivity, hypervigilance, panic, anxiety, somatic symptoms

Normal, predictable responses of people who have been deeply betrayed

Page 18: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

PARTNER’S WORK: ATTENDING TO

MULTIPLE TRAUMAS

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Relational betrayal, deception, emotional abuse, marginalization, manipulation

“Gaslighting” by sex addict“Treatment-induced” trauma

Page 19: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

EFFECTIVE TREATMENT

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Dual Track:

Addressing betrayal

Addressing core issues

Page 20: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

EFFECTIVE TREATMENT

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Dual Track:

Addressing betrayal

Addressing core issues

Page 21: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

DISCLOSURE

• Disclosing Secrets

• Surviving Disclosure

by Deborah Corley & Jennifer

Schneider

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 22: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

PARTNER’S SYSTEM

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Belief System

ImpairedThinking

Unmanageability

Distraction Strategies

Crisis

Despair

Partner’sCycle

PreoccupationFantasy

Page 23: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

HEALING

• Boundaries

• Unique Issues/Challenges

Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addictswww.sash.net/makingadvances

Page 24: Making Advances And You Thought Treating Female Partners Was Challenging! Treating Male Partners of FSLAs SASH Conference 2012 San Antonio, Texas, September

Making AdvancesA Comprehensive Guide for

TreatingFemale Sex and Love Addicts

All proceeds benefit the Society for the Advancement of Sexual Health www.sash.net/makingadvances

Edited by Marnie C. Ferree

Writers:Susan J. CamplingRobin CatoM. Deborah CorleyMarnie C. FerreeLinda HudsonAlexandra KatehakisKelly McDanielAnna Valenti-AndersonJill VermeireSonnee Weedn