Depathologizing Porn: Why Can't It Be Just an Acceptable Diversion?

Usually this site is only about straight men who have sex with men. However, I have an article featured in a national psychotherapy magazine and I thought it would be of interest to readers of this blog.

It focuses on a heterosexual couple where the husband is caught using pornography by his wife. I illustrate how I work with the couple. The way in which I treat this couple is similar to how I would work with couples entering my office for the men who are caught viewing online male on male pornography.



Depathologizing Porn
Why Can't It Be Just an Acceptable Diversion?

by Joe Kort

In more than 25 years of practice, I've heard hundreds of stories of how pornography use can damage people's sex lives profoundly and ruin their marriages. I've personally had many couples describe the shame and secretiveness of one partner's involvement with porn. Time and again, I've treated people for whom viewing porn has become a compulsion and who've come to prefer it to being with a partner. Yet I've worked with many for whom porn isn't destructive to their relationship, but, in their view, offers a source of excitement and satisfaction they wouldn't otherwise experience.

Of course, these days, it's impossible to grasp the impact of pornography on relationships without considering the role of the Internet. Years ago, finding new and titillating erotica was a time-consuming chore.In the last couple of decades, though, the range of graphic material available online has exponentially accelerated the appeal and use of porn. Trying to explain the effect of the Internet on porn consumption, sex researcher Al Cooper has written that the driving force is the "Triple-A engine of Access, Affordability, and Anonymity." While it may take alcohol 30 years to ruin an alcoholic's health, only a year's worth of heavy cocaine use can lead to a total mental and physical collapse. Now, for some porn users, the Internet has become a kind of virtual cocaine.

Yet, despite the undeniable harm that porn can do, we therapists need to bear in mind a fundamental fact: the overwhelming majority of people exposed to it don't become addicts. Patrick Carnes's research shows that sexual addiction affects three to five percent of adults, suggesting that porn use isn't about to turn us into a country of addicts glued to their computer screens. Further, assuming that porn inevitably leads to addiction can blind us to understanding its nonpathological appeal to so many people—most of them men who are quite normal in every other way.

It can make it harder for us to accept that, in many relationships, porn use may satisfy needs that have nothing to do with psychological pathology or sexual dysfunction. In fact, noted sex researcher Helen Fisher argues that the brain-inhibiting effects of antidepressants pose a much graver threat to couples' sexuality than porn. She even advises couples to go on the Internet and look at porn as a kind of hormone booster, arguing that porn "drives up dopamine levels, which drives up your testosterone."

To be sure, porn use is permeated with a sense of the forbidden that triggers intense emotion, but as therapists, we need to understand it on a case-by-case basis and be careful to separate our own biases from our clients' needs. To begin to see porn in a more normalizing light, it can be helpful to understand the ways in which porn can be incorporated into a relationship without secretiveness or shame.

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