Wednesday, May 4, 2016

Revenge of the Introvert

I am an introvert.  Always have been.  Always will.  It informs how I act, how I associate with people, how I function in society.  I found this article written by Dr. Laurie Helgoe in the September 2010 issue of Psychology Today.  It was refreshing to read about people like me, and it helped me normalize my life experience.  I am publishing it here on my blog for anyone who likewise might also be an introvert.


There are as many introverts as extraverts, but you'd never know it by looking around. Introverts would rather be entertained by what's going on in their heads than in seeking happiness.  Their big challenge is not to feel like outsiders in their own culture.


After ten years as a psychologist practicing psychodynamic psychotherapy, I reclined on the couch of my own analyst feeling burdened by my chosen work. After a day of seeing patients, I was drained. I had been trained to listen at many levels—words, emotions,unconscious disclosures—and I took all of that in and sorted it out in my mind. I was good at helping others discover and pursue what they wanted out of life. But at day's end I had no resources left to do it for myself.

Then I heard myself say: "I don't like being a therapist." Pause. "I never have." I loved the study of psychology. I didn't love seeing patient after patient. I was perpetually overstimulated, busy decoding everything I took in. Plus, I wondered why I couldn't tolerate the large caseloads my colleagues took on willingly.
Suddenly I felt free, loosed from expectations that never fit. And just as suddenly, I felt I could say no to the demands of others. I could even say no to being a therapist.
As a card-carrying introvert, I am one of the many people whose personality confers on them a preference for the inner world of their own mind rather than the outer world of sociability. Depleted by too much external stimulation, we thrive on reflection and solitude. Our psychic opposites, extraverts, prefer schmoozing and social life because such activities boost their mood. They get bored by too much solitude.
Over the past two decades, scientists have whittled down to five those clusters of cognitions, emotions, motivations, and behaviors that we mean by "personality" factors. Extraversion, and by inference introversion, is chief among them, along with neuroticism, agreeableness, conscientiousness, and openness—psychology's so-called Big Five. Although introverts and extraverts may seem like they come from different planets, introversion and extraversion exist on a continuous dimension that is normally distributed. There are a few extremely extraverted folk, and a few extreme introverts, while most of us share some extravert and some introvert traits.
Although there is no precise dividing line, there are plenty of introverts around. It's just that perceptual biases lead us all to overestimate the number of extraverts among us (they are noisier and hog the spotlight). Often confused with shyness, introversion does not imply social reticence or discomfort. Rather than being averse to social engagement, introverts become overwhelmed by too much of it, which explains why the introvert is ready to leave a party after an hour and the extravert gains steam as the night goes on.
Scientists now know that, while introverts have no special advantage in intelligence, they do seem to process more information than others in any given situation. To digest it, they do best in quiet environments, interacting one on one. Further, their brains are less dependent on external stimuli and rewards to feel good.
As a result, introverts are not driven to seek big hits of positive emotional arousal—they'd rather find meaning than bliss—making them relatively immune to the search for happiness that permeates contemporary American culture. In fact, the cultural emphasis on happiness may actually threaten their mental health. As American life becomes increasingly competitive and aggressive, to say nothing of blindingly fast, the pressures to produce on demand, be a team player, and make snap decisions cut introverts off from their inner power source, leaving them stressed and depleted. Introverts today face one overarching challenge—not to feel like misfits in their own culture.
Introversion in Action
On the surface, introversion looks a lot like shyness. Both limit social interaction, but for differing reasons. The shy want desperately to connect but find socializing difficult, says Bernardo J. Carducci, professor of psychology and director of the Shyness Research Institute at Indiana University Southeast. Introverts seek time alone because they wanttime alone. An introvert and a shy person might be standing against the wall at a party, but the introvert prefers to be there, while the shy individual feels she has no choice.
Introverts don't necessarily hide. Beth Wheatley is very much in the public eye as director of public relations for The Nature Conservancy. Yet she scores squarely as an introvert on personality tests. She was led to her work by her love of nature. She runs daily, not just for the physical exercise but because running allows her time to think through the events of her day. She prefers talking with one person at a time. She usually opts out of after-work social events.
"My number-one strategy is to stay under the radar screen. I stand next to a wall and put an invisible barrier around me so that I'm not bombarded and can think about my next move," she confides.
It's often possible to spot introverts by their conversational style. They're the ones doing the listening. Extraverts are more likely to pepper people with questions. Introverts like to think before responding—many prefer to think out what they want to say in advance—and seek facts before expressing opinions. Extraverts are comfortable thinking as they speak. Introverts prefer slow-paced interactions that allow room for thought. Brainstorming does not work for them. Email does.
Introverts are collectors of thoughts, and solitude is where the collection is curated and rearranged to make sense of the present and future. Introverts can tolerate—and enjoy—projects that require long stretches of solitary activity. Extraverts often have to disciplinethemselves for bouts of solitary work, and then they prefer frequent social breaks.
While extraverts spend more time overall in social activities than introverts do, the two groups do not differ significantly on time spent with family members, romantic partners, or coworkers. Moreover, extraverts and introverts both report a mood boost from the company of others. For introverts, however, the boost may come at a cost. Researchers have found that introverts who act extraverted show slower reaction times on subsequentcognitive tests than those allowed to act introverted. Their cognitive fatigue testifies to the fact that "acting counter-dispositionally is depleting."

Too Fast, Too Loud, Too Much

Like individuals, cultures have different styles. America is a noisy culture, unlike, say, Finland, which values silence. Individualism, dominant in the U.S. and Germany, promotes the direct, fast-paced style of communication associated with extraversion. Collectivistic societies, such as those in East Asia, value privacy and restraint, qualities more characteristic of introverts.
According to the Myers-Briggs Type Indicator personality test administered to two randomized national samples, introverts make up 50 percent of the U.S. population. The MBTI definition of introversion—a preference for solitude, reflection, internal exploration of ideas vs. active engagement and pursuit of rewards in the external/social world—correlates closely with the Big Five description. But the results still surprise; if every other person is an introvert, why doesn't the cultural tone reflect that?
It's not just that we overestimate the numbers of extraverts in our midst because they're more salient. The bias of individuals is reinforced in the media, which emphasize the visual, the talkative, and the sound bite— immediacy over reflection.
"In verbal cultures, remaining silent presents a problem," report Anio Sallinen-Kuparinen, James McCroskey, and Virginia Richmond, who have studied communication styles in the U.S. and Finland. Perceptions of competence tend to be based on verbal behavior. An introvert who is silent in a group may actually be quite engaged—taking in what is said, thinking about it, waiting for a turn to speak—but will be seen in the U.S. as a poor communicator.
When psychologists Catherine Caldwell-Harris and Ayse Ayçiçegi compared U.S. and Turkish samples, they found that having "an orientation inconsistent with societal values" is a risk factor for poor mental health. The findings support what the researchers call the personality-culture clash hypothesis: "Psychological adjustment depends on the degree of match between personality and the values of surrounding society." To the extent that introverts feel the need to explain, apologize, or feel guilty about what works best for them, they feel alienated not only from society but from themselves.
Enough Stimulation Already!
Solitude, quite literally, allows introverts to hear themselves think. In a classic series of studies, researchers mapped brain electrical activity in introverts and extraverts. The introverts all had higher levels of electrical activity—indicating greater cortical arousal—whether in a resting state or engaged in challenging cognitive tasks. The researchers proposed that given their higher level of brain activity and reactivity, introverts limit input from the environment in order to maintain an optimal level of arousal. Extraverts, on the other hand, seek out external stimulation to get their brain juices flowing.
Neuroimaging studies measuring cerebral blood flow reveal that among introverts, the activation is centered in the frontal cortex, responsible for remembering, planning,decision making, and problem solving—the kinds of activities that require inward focus and attention. Introverts' brains also show increased blood flow in Broca's area, a region associated with speech production—likely reflecting the capacity for self-talk.
But extensive internal dialogue, especially in response to negative experiences, can set off a downward spiral of affect. And indeed, anxiety and depression are more common among introverts than extraverts. In general, says Robert McPeek, director of research at the Center for Applications of Psychological Type, introverts are more self-critical than others—but also more realistic in their self-assessments. Call it depressive realism.
The biological difference between introverts and extraverts is most evident in the way they respond to external stimulation, observes Colin DeYoung, assistant professor of psychology at the University of Minnesota. "The levels of stimulation extraverts find rewarding can be overwhelming or annoying for introverts." He cites studies showing that, when learning, introverts do best in quiet conditions and extraverts do better with more noise.
DeYoung traces the differences to brain sensitivity to rewards and positive emotions, which is orchestrated by the neurotransmitter dopamine. In fact, introverts and extraverts can be distinguished by differences in the size of brain structures responsible for sensitivity to rewards, such as the medial orbitofrontal cortex, which codes the reward values of incoming stimuli.
The dopamine-driven search for rewards shows up in characteristic extravert behaviors such as talkativeness, assertiveness, and enthusiasm. Notes DeYoung: Such behaviors are reinforced in American society, where "there certainly seems to be a cult of extraversion."

To Hell With Happiness

In the united states, people rank happiness as their most important goal. That view has a special impact on introverts. Happiness is not always their top priority; they don't need external rewards to keep their brains in high gear. In fact, the pursuit of happiness may represent another personality-culture clash for them.
In a series of studies in which subjects were presented with an effortful task such as taking a test, thinking rationally, or giving a speech, introverts did not choose to invoke happy feelings, reports Boston College psychologist Maya Tamir. They preferred to maintain a neutral emotional state. Happiness, an arousing emotion, may be distracting for introverts during tasks. By contrast, extraverts reported a preference to feel "happy," "up," or "enthusiastic" and to recall happy memories while approaching or completing the tasks.
At this year's meeting of the Society for Personality and Social Psychology, Tamir, along with Iris Mauss of the University of Denver, presented a paper entitled, "Come On, Get Happy: The Ironic Effects of the Pursuit of Happiness." The two did not specifically study introverts or extraverts. What they discovered is that, for all people, the pressure to be happy actually reduces happiness.
"We found that when we prime people to value happiness more, they become more unhappy and depressed," reports Mauss. "Our findings offer an intriguing explanation for the vexing paradox that even in the face of objectively positive life circumstances, nations generally do not become happier."
The priming effect seen in the study parallels the social priming introverts experience in everyday life. Although introverts like pursuing frontal cortex functions associated with the exploration of meaning, "there are cultural pressures that could make one feel guilty for not wanting to be as happy as the culture dictates," says Tamir. As a result, introverts are hit with a double whammy—feeling less happy, then feeling guilty and inadequate for feeling that way.
With a biological makeup that enables them to see positive emotional stimuli as a distraction when they are focused on another task, introverts are good at resisting all distraction. Using functional brain imaging, Stanford biopsychologist Brian W. Haas measured the reaction time for introverts and extraverts when they tried to identify thecolor in which an emotionally provocative word was printed. Introverts proved more able to focus on the task of color identification while disregarding the emotional content and had significantly better reaction times. Concludes Haas: Introverts, who exhibit a higher resting state of arousal, "don't need the same kind of outside entertainment."
Inner Life to External Success
Award-winning Los Angeles architect John Bertram identifies himself as an introvert. "I enjoy solitary activities or those with few people. I am not a joiner and do not meet new people nor make new friends easily. I have trouble making small talk. I have never played on a sportsteam, joined a club, or gotten in a fight." But, he admits, it's not easy being an introvert in L.A.
"Los Angeles, like New York, is full of type A people whose success depends upon their coercive powers and being comfortable with aggression and conflict. Unless I am careful I can easily be manipulated and coerced."
Bertram loves researching, designing, drawing, and producing specifications. "In the practice of architecture, one is rarely called on to develop ideas or solutions on the spot. Conflicts and challenges that arise can typically be dealt with in private at my leisure. I liken it to the difference between speaking extemporaneously and speaking from a prepared text. The former tends to leave me hopelessly confused because I find it difficult to think on my feet and under pressure. I am the person who thinks of a witty retort minutes or hours after the situation has passed."
Many introverts require a wake-up call to see the effects of cultural extraversion on their lives and to become more fully themselves. Some speak of a defining moment that crystallizes what they already know about themselves. PT Blogger Nancy Ancowitz was working on Wall Street as a marketing manager with a top financial organizations. "The culture included back-to-back meetings, many lasting several hours," she recalls. The common approach was to "shout it out, say it again, say it louder—to use verbal sharp elbows to get a point across."
Then the company gave everyone in her department the MBTI. One look at the results helped explain the stress she was feeling. I tend to think first before I share my ideas. Check. I get tired by attending meeting after meeting. Check. I like to dive deeply into topics. Check. Hardest was feeling judged—and judging herself—for how she was wired. Others would nudge her: "Just say what you think." Being reflective was not appreciated or encouraged.
Ancowitz is no longer attending serial meetings. She works for herself as a business communication coach. "I know everything that's coming—no surprises. She frequently gives speeches. "I craft my message in advance, and it's a very efficient use of my energy." She gets up, presents her material to a large group of people, then goes home to take a nap.
Ancowitz is author of Self-Promotion for Introverts, in which she shares what she learned as an introvert in the business world. "Since visibility is often crucial to getting ahead, my goal in writing the book was to help introverts get the opportunities, promotions, and raises they desire. We can do that by using our quiet strengths such as rooting around for competitive intelligence on the Web, reading, writing, and listening attentively—activities that extraverts have less patience for."
As for me, after that pivotal session with my analyst, I started moving in a new direction—which really turned out to be an old direction. I had been writing since I was a child, but I had never explored the possibility of doing it professionally. Five books later, I sometimes feel like a transcriber: I've already written the book in my head. And I teach small-group seminars to help people find the book inside.
While my therapy skills are primarily directed at books, my psychology practice continues to thrive. I have exactly two patients. I've finally discovered the perfect caseload.

Crossed Signals "X" and "I" in dialogue

Conversation between an introvert and an extravert can involve a series of misunderstandings. As the introvert struggles to follow multiple conversational threads and sort out his own thoughts, he remains quiet and appears to be just listening. The extravert reads that as engagement, a cue to keep talking. The introvert struggles with the continuing flow of input and soon starts to shut out the extravert, while nodding or smiling, or even trying to stop the exchange.
Even a simple opener of "Hello, how are you? Hey, I've been meaning to talk to you about X," from anyone can challenge an introvert. Rather than bypassing the first question or interrupting the flow to answer it, the introvert holds onto the question: Hmm, how am I?(An internal dialogue begins, in which the introvert "hears" herself talking internally as the other person speaks.)
Even if the introvert responds, "I'm good," she's probably still reflecting on how she is:Good? That's not quite right. I really have had a pretty crummy day, but there isn't a quick way to explain that. She wants to first work out privately her thoughts and judgment about the day. She also may evaluate the question itself: I hate that we so often just say 'good' because that's the convention. The other person doesn't really want to know. She may even activate memories of how the question has struck her in the past.
While the introvert is evaluating the question on at least two levels (how she is feeling and what she thinks about the question, perhaps also what this says about our society), the speaker is already moving on to sharing something about his day. The introvert must take the incoming message from the speaker and tuck it into working memory until she can get to it, while more information keeps flowing in that demands tracking, sorting, searching, and critical analysis.
The cognitive load becomes increasingly difficult to manage, as the internal talk competes with the external conversation. Moreover, while trying to keep the conversation going, introverts may miss social cues, which can make them appear socially inept. The conversation is also anxiety-provoking, because the introvert feels she has too little time to share a complete thought. She hungers to pull away and give time to the thoughts her brain has generated.—Laurie Helgoe, Ph.D.

What Not to Say to an Introvert

Introverts, those quiet creatures that walk among you, are not as mild-mannered as made out to be. They seethe and even will lash out at those who encroach upon or malign their personal comfort zones. Here are a few emotional buttons to avoid with your introverted companions.
  • "'Why don't you like parties? Don't you like people?' is a common remark introverts hear," says Marti Laney, a psychologist and the author of The Introvert Advantage. "Usually we like people fine," she insists. "We just like them in small doses." Cocktail parties can be deadly. "We're social but it's a different type of socializing."
  • "Surprise, we've decided to bring the family and stay with you for the weekend." Anyone anywhere on the -vert spectrum could find such a declaration objectionable, but it's more likely to bring an introvert to a boil, according to Nancy Ancowitz. Introverts count on their downtime to rejuvenate their resources; an extended presence in their homes robs them of that respite.
  • Don't demand immediate feedback from an introvert. "Extraverts think we have answers but just aren't giving them," Laney says. "They don't understand we need time to formulate them" and often won't talk until a thought is suitably polished.
  • Don't ask introverts why they're not contributing in meetings. If you're holding a brainstorming session, let the introvert prepare, or encourage him to follow up with his contributions afterward.
  • Don't interrupt if an introvert does get to talking. Listen closely. "Being overlooked is a really big issue for introverts," Laney says. Introverts are unlikely to repeat themselves; they will not risk making the same mistake twice.
  • Above all, "we hate people telling us how we can be more extraverted, as if that's the desired state," says Beth Buelow, a life and leadership coach for introverts. Many introverts are happy with the way they are. And if you're not, that's your problem.—Matthew Hutson
  • By Laurie Helgoe Ph.D., published on September 1, 2010 - last reviewed on June 16, 2014

Tuesday, March 29, 2016

The Three Circles

Congratulations!  You have taken the most challenging step in facing your sexually compulsive behaviors by looking at this worksheet (then printing it).  You are courageous to do this, even if your circumstance is that you have been given an ultimatum by your partner. 

What you are attempting to do will be challenging and at times discouraging, but if you persist, it will ultimately be worth the effort! Others have found this worksheet to be very worthwhile.

The next step is to make a commitment to yourself, regardless of any external motivation. Your desire to stop engaging in sexual acting out must come from deep within you.  You cannot rely on external motivations because they will wilt and fail when faced with the heat of sexual craving. Inward motivation will manifest itself in your dedication to do whatever it takes.  You "gottawanna!"

Abstinence from sexually compulsive behavior is completely necessary as you begin your recovery process.  For our purposes here, abstinence is defined as refraining from sexual activities over which you have become powerless, activities which cause you feelings of demoralization, pain, and shame, and which you no longer want in your life.  It is important and necessary for you to initially identify and decide which behaviors are compulsive and from which you want to abstain.

The concept of abstinence or sobriety from sexual acting out, for our purpose here, is based upon a concept of Alcoholics Anonymous (AA) that declares that the "first drink" gets the alcoholic drunk, that it begins a "tsunami of craving," and which can lead to self-destruction.  Sex, in and of itself, does not cause you problems, obviously,  And truthfully, you likely do not want to ignore your sexuality or become celibate (sexual anorexia).  Sobriety involves learning a new approach to sex which isn't compulsive and destructive to you and/or to your partner.  It involves identifying what your "alcohol"is and what triggers you to take that "first drink,"so to speak. 

To that end, I have found the "Three Circles" concept uses by Sex Addicts Anonymous (SAA) to be very helpful in visually identifying your unhealthy sexual behaviors and feelings.  It helps to focus on what triggers those behaviors and feelings and what may constitute "slippery slope" behaviors and feelings that cause you to fall into unhealthiness.  It helps to begin the journey of identifying and developing healthy behaviors and feelings that can lead you to enhance your life and your recovery, and can begin the process of developing a healthy attitude about Sex.  The "Three Circles" can help you to accumulate serious sobriety which will then allow you to focus on the reasons why you likely have an unhealthy attitude toward Sex.

THE INNER CIRCLE

You place in your Inner Circle the compulsive sexual behaviors from which you want to abstain. These need to be off limits to you.  These are your alcohol or drugs that get you "drunk" or "high," and from which not only can make your life much more difficult, but can complicate the life of a loved one.  These are the unhealthy behaviors you have used to self-soothe and to deal with challenges in your life.

These Inner Circle behaviors can include but are not limited to:  masturbation with pornography, massage parlors, phone sex, chat room sexuality, prostitution or anonymous sex,  voyeurism, exhibitionism, manipulative or angry sex within a relationship, cross dressing with masturbation, child sexual abuse, and incest.

Routinely engaging in these behaviors tends to keep you in permanent isolation and fantasy, never really dealing with living and the challenges of everyday life.  They tend to keep you in an extreme black and white world, a world where your sexuality takes over your life.  They tend to keep you and loved ones around you in a constant state of drama.  They cause you to minimize, to lie, to cover up your behavior at any cost, to live a double life.  They cause you to live a life with no internal boundaries, a life of obsessing and rationalizing.

What are the addictive behaviors in your Inner Circle?  Although you may feel shame writing them, this is an important step to get them out in the open.  Identify them and list them below:

________________________________________  ________________________________________

________________________________________  ________________________________________

________________________________________  ________________________________________
                                                                                
THE MIDDLE CIRCLE

There are behavior, attitudes, and feelings that can lead to acting out behaviors,  Engaged in, they can take you to the "point of no return," the point of sexually acting out.  Engaged in, you do not automatically end up in the Inner Circle, but they can lead you there and are certainly not ideal.  They constitute a "slippery slope" that can slide you into your Inner Circle.

Such Middle Circle behaviors include following suggestive pop-ups on the Internet, aimlessly surfing the Internet, watching premium channels late at night (this could be Inner Circle behavior), looking at lingerie catalogs, talking in certain chat rooms, looking at a provocatively dressed person for a long time, cruising an area where there are known massage parlors or where prostitutes frequent, and looking at sports websites that show scantily clad persons.  They can lead you to a "point of no return."

Some Middle Circle activities can also involve circumstances that you are placed in or you place yourself in.  Feeling that you deserve to engage in Inner Circle behaviors, beating yourself up emotionally for having acted out, or feeling shame for merciless perfectionism, can be triggers. Being bored, lonely, anxious, stressed or tired (B-L-A-S-T) can lead to acting out.  Other feelings such as anger, depression, apathy, the need to wallow, guilt, or emotional rejection can take you into the Inner Circle.

If a partner has been affected by your acting out, they often become angry, hyper-vigilant, and want to monitor your every move. External situations like this can also be significant triggers.  And as you attempt to be abstinent and recover, you will discover triggers that you hadn't noticed before or that weren't triggers before.

Behaviors and attitudes in the Middle Circle can be difficult for those who engage in sexually compulsive activity and as such think in a black and white way.  Middle Circle behaviors are gray by nature and present a rationalization challenge.

What are some "slippery slope" behaviors and thinking that you engage in as part of your Middle Circle?  Think about what your triggers have been or currently are, even if they are not of your own creation.  List them below (use the back of the sheet if there aren't enough lines, especially as you continue in recovery and discover more):

_________________________________________  _______________________________________
                                                                             
_________________________________________  _______________________________________

_________________________________________  _______________________________________

_________________________________________  _______________________________________

_________________________________________  _______________________________________

_________________________________________  _______________________________________

_________________________________________  _______________________________________

_________________________________________  _______________________________________


THE OUTER CIRCLE

A saying in the recovery world goes "if the pain of addiction is greater than the pain of recovery, you will seek recovery.  If the pain of recovery is greater than the pain of addiction, you will stay in your addiction."  True recovery begins by filling the vacuum created by the removal of Inner Circle behaviors and replacing them with healthy, coping behaviors. These are behaviors and subsequent attitudes that will enhance your life, your relationships, your spiritual connections, as opposed to Inner Circle activities which are compulsive, addictive, and destructive to you and your partner, These positive behaviors are a way to reduce anxiety, to calm you, to nurture yourself and to treat yourself gently, and ultimately, to reconnect to yourself.  

Routine exercising, developing an interest or hobby, becoming in a healthy activity that was enjoyable before, spending quality time with siblings, children or close friends, doing volunteer work, playing a sport, taking a long bath, praying, reading scripture, reconnecting with people of the same gender, learning to enjoy affectionate, non-sexual touch, taking a class, or calling a sponsor or someone in recovery with you, are all Outer Circle activities.  


Making these a part of your recovery--your new life--is the antithesis of your old addictive life.  They will help you to not isolate which is what you've likely been doing in your addictive past.  They not only fill the void but they will lift your obsessions and compulsions and bring you new found contentment and serenity,  They will help you begin the process of a sane, non-addictive sex life, and will heal you and fill the 'hole in your soul."
Think about what you can do to stop isolating, to start beginning to enjoy life again.  Write below what some of these activities, what these behaviors of your Outer Circle might look like:


 ________________________________________  ________________________________________

 ________________________________________  ________________________________________

 ________________________________________  ________________________________________

________________________________________  ________________________________________

________________________________________  ________________________________________

________________________________________  ________________________________________

________________________________________  ________________________________________

________________________________________  ________________________________________


Print this worksheet and then keep it in a special, private area, ideally where only you can see it every morning (perhaps in your car).  Do not show them to your partner.  Reflect upon what is written and what challenges (triggers) may loom ahead during the day.  This proactive stance will help you to prepare for the day, armed with understanding, and hopefully, enthusiasm and resolve!


Thursday, January 28, 2016

Aloneness

In my work as a therapist, I will occasionally talk about my upbringing to make a point or to share an idea.  Many therapist are hesitant to "self-disclose," but I am not one of them.  I figure that I have had many experiences in my life that either in the moment or as I look to the past, were instructive for me and were given for a reason.  I have concluded that perhaps they were given to me partly so that I could share them now in my profession.

Reflecting upon my early years, I have concluded that I was essentially raised as an only child.  My brother got married right before I turned three years old, and I have no memory of him being at home.  My sister got married when I turned five, and I only have a couple of memories from her time at home.  From five on, I had no siblings to interact with.  For that matter, I don't remember my parents interacting with me very much.  In this regard, I would refer the reader to view my earlier blog posting "A Long Time Ago," from October 29, 2014.

Since being alone was my "normal," I didn't think my lone life was abnormal.  There was no brooding, no "my life really sucks,"  I don't know that I really thought that it was a big deal to not have brothers or sisters at home, even though all of my friends seemed to have siblings at home. I had a few neighborhood friends and knew some kids at school, and it seemed like a pretty typical situation outside of my family. I remember thinking that my parents were a little old but that they loved me, not realizing at the time that they didn't often interact with me. I don't recall feeling very lonely, but then, that was many years ago and I don't recall a lot of things.

One of the results of my fairly solitary life was having a rich inner life.  That is, lacking significant interaction with others, and not having a pet, I would have interactions with myself--in my mind. I believe that I got used to thinking about things, to entertain myself with my thoughts, to basically talk to myself, although I don't recall that I actually had verbal conversations!  I lived in my head.

I need to express that I believe that my nature is to be shy and introverted.  I believe that I came to earth this way.  I also believe that the nurture I am writing about provided ample opportunites to be shy and unsure of myself, even though I learned to be "self-sufficient," to take care of myself, to try to make sense of my experiences.   

But because there was precious little emotional interaction, especially with my parents, I can see now that I was hungry for approval, for some response that I was doing okay. In fact, in retrospect, I wanted to have any interaction at all to break through the "aloneness" and shyness of my life.  In retrospect, I believe that there was a sense of emotional abandonment.  

I wrote in the blog posting referred to above about feelings of emotional abandonment from my father.  But there was an interesting dynamic in my relationship with my mother that likewise produced emotional abandonment, of my own doing to be sure.

My mother developed colon cancer when I was very young and had to have major surgery in which part of her colon was removed.  The result was having to have a colostomy for the rest of her life.  Another result was that my mother experienced a "nervous breakdown," or so I was told.  The surgery altered the appearance of her lower torso, and I deduce that it had a chilling effect on my father. I am not sure that there were not other emotional issues present before this occurred with her, but their relationship was not emotionally fulfilling for her. My father never spoke to me about his relationship with my mother. During my growing up years, if my mother thought that my father was either physically or emotionally attaching to something or someone else, especially a woman, it rocked her world.  She could not handle it.  It made her incredibly needy.

The result of this dynamic back then was that since she was unable to have a normal, healthy emotional connection with my father, she turned her neediness onto the only other person in the home--me.  Her neediness for me at times seemed completely smothering. Because it felt overwhelming as I became a teenager and even after I got married, I pushed back, throwing up an emotional boundary to preserve myself.  As such, I felt the need to retreat back into my "aloneness" because I didn't feel safe.

My adult life has been a journey of looking for attachment.  I have often said in therapy that if we do not deal with and try to resolve our childhood issues, they will play out in our adult lives, to our detriment. It has been a journey of hoping that people can reach through my solitude and connect with me, which is really unfair. It has been a burden I have placed unfairly on my wife, and for which I am deeply sorry.  

Because of my shyness and introversion, I costs me somewhat to reach out through my solitude to connect with others.  I have realized that if I want the dynamic to change that it ultimately is up to me to change it, to reach out.  I am responsible to for my own needs, not my spouse or anyone else.  I am not always successful at this endeavor, but "if it is to be, it is up to me." 

Tuesday, September 15, 2015

What Can Be Expected From Individual and Group Therapy?

In my work as a specialist in sexual addiction therapy, I have participated in various recovery modalities.  Talk therapy, with individuals and with partners, is the one in which I spend much of my counseling time.  Group therapy is another means to recovery, and I have done it both professionally with Lifestar Network and with the Addiction Recovery Program (ARP) of the Mormon Church.  And even though I am not a sexual addict and cannot sit in on Twelve Step program meetings such as Sexaholics Anonymous (SA) or Sex Addicts Anonymous (SAA) because of that fact, I have clients who regularly attend such programs. These support groups can be very important.

However, I want to share my ideas about one-on-one (or one-on-two) talk therapy, and group therapy, and what should be expected from each modality. I have not taken the time frankly to do research on this topic.  I only share here my observations from my seven years of experience intimately involved in both, and how I frame those observations to my clients. 

I believe both personal and group therapies to be beneficial, but they usually serve different purposes for the person attempting to move past sexual addiction, or any other addictive behavior or substance for that matter.  I would recommend that both be considered, for reasons that I will articulate, but admitting that there are plenty of examples of people involved only in personal psychotherapy, and only in group therapy, who achieve recovery.

Group Therapy

Often, people confronted by a partner, or confronting themselves on the nature of their lives as a result of having addictive behaviors, will seek out so-called "recovery groups," such as SA or SAA, or Sex and Love Addicts Anonymous (SLAA).  These organizations grew out of granddaddy of recovery groups, Alcoholics Anonymous (AA).  Sometimes, in rural areas where there are currently no SA, SAA, SLAA, or other less well-known sexual addiction recovery groups, people who wrestle with sexual addictive behaviors will attend AA meetings--usually held just about everywhere.

Almost always, like AA, sexual addiction recovery groups center their "doctrine" or "beliefs" on the Twelve Steps, and as part of those steps, attenders are asked to consider the value of a belief in a "higher power."  These groups are very careful not to describe or mandate what the higher power should be; only that it is an imperative for them to hold some kind of belief in a power larger than itself.  The idea is that they on their own have been unsuccessful in abandoning the addiction.

To offer a very brief summary of the Twelve Steps, the First Step requires that the addict admit his/her powerlessness over the addiction and the subsequent unmanageablility of their life.  Steps Two and Three discuss the need for a Higher Power and the importance of that belief in recovery. Step Four requires a fearless moral written inventory, after which Step Five requires a confession of the addict's "immoral" behavior.  Steps Six and Seven deal with being honest about discovered weaknesses articulated in Step Four, and turning them over to the Higher Power.  Steps Eight and Nine requires that amends be considered then made, or forgiveness offered, to those who have been harmed or who have harmed them.  Step Ten is a daily check in with one's self as to daily recovery. Step 11 adjures the addict to seek spiritual guidance, and Step 12 suggests that the "good news" of the Twelve Steps be shared with others.

The Twelve Steps can be a challenge for some who feel that part of their addictive behaviors have been caused by rigidly religious parental figures, and feel anger toward what they feel is forceful overreaching by those figures. These people now want nothing to do with a higher power.  

When attending a group, one is confronted with real stories of addiction and how the addiction has affected loved ones and others.  Ideally, it is a time of vulnerability and reality, of appreciation and attitude corrections, but most importantly, a time of connection and support from and with other group members.  It can be overwhelming, raw, emotional, affirming, sometimes disgusting, but a respite of time to be among others who share similar experiences and that get addiction.  It is about the group, which at times can feel like church fellowship.

Group members are encouraged to interact with others one-on-one after the meetings, to find a sponsor who is in recovery and has been so for a number of months or years, to read the literature of the group, to attend the particular meeting they are attending plus other meetings--sometimes 30 meetings in 30 days or even 90 meetings in 90 days.  Attending meetings can be very much like attending church services.

Group meetings are meant to be supportive, but not therapeutic.  Some of the group members may be in individual therapy but it is not a requirement of the group.  Done diligently, the work of the Twelve Steps for many can be all that is needed, because while "doing the Twelve Steps," the addict comes to understand the "whys" of his/her addiction; why they acted out sexually, why they sought out solutions in a substance, why they continue to use the addiction.  Regrettably, few actually "do the Steps" which can often happen because usually the groups' emphasis and focus is on sobriety, and members can think that by mere attendance at the group their addiction will go away.

Individual Therapy

The reasons why people engage in addictive behaviors can be complicated or complex. And while support is offered by a group, the particular reasons for the addiction are best understood and dealt with through individual contact with a professional who can dispassionately observe the addictive behavior and offer possible insights--or help the addict to gain his/her own insights.  That is far more challenging to do in the dynamic of a group.  The addict's sponsor, assuming he/she has made the effort to have one and makes contact daily or many times a week, can offer one-on-one insight to the addict.  But again, this mentoring process is not always carried out.

If an addict understands why he/she engages in the addictive behavior, they are on the road to recovery.  Otherwise, they can forever "white knuckle;" or in other words, attempt to use willpower to achieve sobriety.  But sobriety is not recovery.  Certainly, sobriety is needed for recovery--allowing the reasons for the addiction to manifest because the entire focus is no longer on the addiction.  But until the "whys" are identified, willpower will ebb and flow, and the addict will likely never really be able to be free of the addiction.

In the work that I do in my attempt to help clients to achieve long stetches of sobriety, for example, a client can "slip up" or "act out" their addictive behavior(s).  I engage my client, one-on-one, to analyze what he/she did or didn't do that led to the behavior.  I like to put the behavior "under the microscope" so that my client can learn from his/her mistake.  This type of very specific work can best be accomplished through individual therapy, week in and week out.

As the client and I look at what happened, especially if it happens routinely, we begin to notice what core issues were at play that led to the behavior. What did the client do or not do that led up to the behavior.  As a client understands and assimilates what has been occurring, I view this as the beginning of true recovery.  They are in the process of discovering the "why" of the acting out behavior(s). They begin to take control over the addiction as opposed to allowing the addiction to control them.

I believe that most psychotherapists are capable on some level of helping a struggling addict who wants to be rid of an addictive behavior.  However, it has been my experience that we who specialize in addiction recovery, and in my case, sexual addiction recovery, are best qualified to understand the dynamics of addiction and addiction recovery and can best help the addict. In my case, it is my speciality.  It is wonderful for the addict to understand and feel that the therapist really knows what transpires inside their mind and heart.

So there is good to be had from both individual and group therapy.  I encourage clients seeking recovery to avail themselves of both.  Hopefully, this posting helps bring clarity to what can be expected from each.




Friday, August 28, 2015

Getting Back On The Horse

Many begin the process of addiction recovery with high expectations and high hopes. Many have decided that "the pain of addiction is greater than the pain of recovery" and want to take steps to finally rid themselves of their addictive behavior.

(NOTE:  Even though the topic here concerns addiction recovery, the ideas apply to any unwanted behavior)

They may have been been given an ultimatum from their partner.  They may have been advised by someone to seek help.  They may have lost someone very important to them as a result of their addictive tendencies.  They may have tired of the secrecy and double life they have had to live to maintain their addiction.

So they begin to attend a support group.  They begin seeking therapeutic help from a therapist versed in addiction recovery.  They begin reading recovery literature.  They begin regular consultations with an ecclesiastical leader.  They are on the road to sobriety.

In many cases, through sheer willpower, known as "white knuckling," they achieve some sobriety.  Triggers to engage in the addictive behavior may recede for a time.  They may be filling their head with recovery.  This can be a hopeful time. 

But inevitably, something occurs, prompting well known thoughts and feelings to arise. Seemingly, all of the positive expectations melt away under the heat of the desire to return to the addictive behavior.  The positivity is replaced with pessimism and there is a feeling of helplessness.  The once hopeful addiction warrior has fallen off of his/her horse.
Having fallen off the horse, the focus often is placed on the addictive act rather than on what took place before that led up to the act.  The reality is that the addictive act was symptomatic, the final link in a chain of previous thoughts and feelings. Whether due to triggers or due to engaging in "slippery slope" thinking and/or behaviors, there was a specific moment in which the warrior had the thought to engage in the addictive behavior

Nearly all of the literature indicates, and nearly all those who work with people with addictions agree, that most warriors will sooner or later fall off their horse on the road to sobriety and recovery.  It just happens!  But that doesn't mean that all is lost!  It doesn't mean that there is no hope for sobriety!  It certainly doesn't mean the warrior is a loser! All it means is that the warrior fell off the horse!
A difference needs to be made between "slip ups" and "relapses" for the warrior who sincerely wants to put an end to the addictive behaviors and has amassed some sobriety time, however modest.  A "slip up" can happen when he/she willfully but disappointedly engages in the addiction.  A "slip up" can happen when something unexpectedly occurs that prompts him/her to "go to the dark side."  A "slip up" can take place when a loved one says or does something that really hurts, physically or emotionally, and, unable to handle the inner turmoil. the warrior engages in the addiction.  In other words, the "slip up," while unwanted, is a disappointment, but it is part of the sobriety process.  And falling off the horse hurts!


Relapses, however, are tied to hopelessness.  They can occur as the result of repeated failures to achieve some extended sobriety time. The warrior feels like a failure. Relapses can take place when the warrior forgets to focus on the process and only sees their failure to achieve the end result of sobriety.  They happen when instead of focusing on the behavior, they look at themselves--who they are--and see themselves as excrement with the accompanying self-loathing.  Relapses occur when "the pain of recovery is greater than the pain of addiction" and he/she decides that the journey requires too much.  In a relapse, not only has the warrior fallen off of the horse, he/she sees no reason to get back on it! 
In either case, the goal needs to be to get back on the horse and start riding again.  Those who relapse have to decide that it is worth the trouble; whether they want to put themselves through the process again.  It may take time for them to find and regain hope. If the act was viewed as a "slip up," he/she needs to own what has happened and focus on a hopeful, brighter future.

But before mounting the horse again, a careful study must be made to determine what happened in the first place; a "post-mortem" so to speak.  

What event prompted the original thought to engage in the addictive behavior?  What feelings or thoughts came crashing down like a tsunami that overwhelmed the warrior? Were these feelings or thoughts familiar ones from their past, or did they catch the warrior off guard?  What circumstances were present that allowed the behavior to take place?  What precautions were or were not taken to maintain sobriety?  What can be learned from the circumstances of what happened?

Answering these questions might lead to more opportunities to look at in-depth, underlying reasons for the act.  They can lead to seeing unresolved issues from growing up years. They can lead to understanding better what emotional core issues manifested in the act. But dealing with these deeper issues is for another day!  

The important thing to do in the moment is to get back on the horse and begin riding again, accumulating sobriety time and confidence once again, armed with greater understanding as to what happened, and the decision as to what to do if the original thought and circumstances occur again. 

Getting back on the horse takes great courage.  It takes faith in one's self and faith in the process.  It takes being aware of circumstances that can lead to falling off the horse again.  It takes discipline and hard work, but it is very worth it!

Sunday, August 23, 2015

How to Stop Playing the Victim Game

I have written about the Drama Triangle on this Blog.  One of the roles played in the DT is that of a VICTIM.  In this very worthwhile article, published in Psychology Today on April 20, 2013 by Robert Firestone, PhD, he identifies this role, why people choose the victim role including how anger figures in it, and how to choose not to play that role.  I hope it is beneficial to you.
Many people adopt the victim role, albeit unintentionally, because they are afraid of their anger, deny its existence in themselves, project it onto other people, and anticipate aggression or harm from them. With this expectation and a high sensitivity to anger in others, they may even distort other people’s facial expressions, imagining that they have malicious intentions. The anger that they would have experienced in response to frustration or stress is transformed into fear and distrust of others and into feelings of being hurt or wounded.
People who become mired down in feeling victimized tend to view events in their lives as happening to them and feel ineffective and overwhelmed. They also operate on the basic assumption that the world should be fair, which is a child’s way of thinking. They tend to project the circumstances of their early childhood, where they were indeed helpless, onto present-day situations and relationships, and fail to recognize that, as adults, they have far more power than they had as children.
There are ways to shift from the victimized stance, characterized by passivity and behaviors based on negative power, to a more adult stance characterized by active coping and personal power.  People can become aware of and identify specific destructive thoughts – critical inner voices  that promote victimized feelings; and they can take steps to develop more constructive approaches to dealing with their anger.
Identifying Critical Inner Voices that Promote a Victimized Orientation to Life  
To move out of the victimized posture, it is important to identify critical inner voices that focus on injustices, such as “It’s not fair. This shouldn’t be happening to you. What did you ever do to deserve such treatment?” These destructive thoughts encourage passivity and helplessness while discouraging actions that could change an unhappy or untenable situation.
Low-grade anger and distrust are aroused in people whenever they are “listening” to voices telling them that others dislike them or do not care about them or their interests. “They never take your feelings into consideration. Who do they think they are?”  “People just don’t give a damn.
In the work setting, many people have resentful attitudes based on voices telling them that they are being exploited: “Your boss is a real jerk! Nobody sees how much you contribute.” “No one appreciates you.” “Why do they always get all the breaks?  Similarly, voices that advise individuals that they are victims of mistreatment by others contribute to feelings of being disrespected or persecuted, for example, “They’re going to make a fool of you. They don’t respect you.” The feelings generated by these ruminations lead to inward brooding, righteous indignation, and a desire for revenge. Recognizing and challenging negative voices is the major way to overcome a victimized orientation. 
Constructive Approaches for Dealing with Anger
First, it is important to emphasize that anger is a simple, irrational emotional response to frustration and does not require any justification; it is O.K to just feel whatever one feels. The degree of anger is proportional to the degree of frustration rather than to the logic or rationality of the circumstances.  When people attempt to rationalize their anger and then feel victimized, they get stuck in the angry feelings in a way that leads to an unpleasant kind of brooding that alienates others and is dysfunctional.
Therefore, in terms of action, people need to drop certain words from their vocabulary that they may be using to justify their anger, words like "fair," "should," "right," and "wrong." In a relationship, the term “should” often implies obligation. For example, someone who says, “Because we’re together (married), my partner ‘should’ love me, ‘should’ take care of me, ‘should’ make love to me” is operating from a victimized position. When people tie their feelings of frustration to the expectation that someone is obliged to satisfy them, victimized, paranoid feelings inevitably arise.
By challenging these habitual ways of speaking, individuals will discover a different form of communication that involves taking full responsibility for their feelings and actions and yet leaves them free to explore alternatives.  In an intimate relationship, partners can learn to talk about their anger in a non-dramatic tone and admit any feelings of being victimized. This type of communication is less likely to arouse counter-aggression and enables people to deal with their anger in a way that causes the least amount of pain to one another.
It would be constructive for people who typically express their anger in righteous indignation or victimized brooding to relinquish the basic assumption that they are innocent victims of fate. It would also be important for them to give up a sense of entitlement and to recognize that they do not inherently deserve to receive anything in the way of good treatment from others. It is more adaptive to accept the idea that the world does not owe them anything—neither a living or happiness or nice surroundings. Taking the victimized position that one is entitled to something better contributes to feelings of being cheated that, in turn, exacerbate a sense of helplessness and impotent rage.
Taking action to change situations with which one is unhappy directly challenges a victimized orientation. For example, if one feels stuck in a bad relationship or a seemingly untenable work situation, one can explore oneself to determine if one’s passivity has had more to do with the situation than one thought, and then strive to be more proactive and self-assertive. It is also wise to avoid complaining about these unfavorable situations to others in a style that "dumps" the problem on the listener. In one’s interactions, it is crucial to become more aware of the distinction between sympathy and empathy, and to stop asking for or giving sympathy. Expressing sympathy as well as trying to elicit sympathetic responses from another person are damaging in that both reinforce victimized thinking.
In accepting angry emotions in oneself, one is less likely to act them out destructively or to adopt the role of victim.  Ideally, rather than suppress or deny the emotion of anger, one would acknowledge angry responses while clearly distinguishing between feelings and actions.  As people give up victimized attitudes and acknowledge anger as a basic part of their nature, they are able to choose how to express angry feelings in ways that are constructive, ethical, and aligned with their best interests and goals. The self‑limiting, victimized perspective no longer controls them or their lives.


"HOW TO STOP PLAYING THE VICTIM GAME by Robert Firestone, PhD in Psychology Today 4-30-13

Sunday, July 26, 2015

The Imortance of Emotional Connection

In the world of psychotherapy in which I live, my specialty is in dealing with aspects of sexual addiction.  Since I have been living in this sphere for nearly seven years, I have learned a number of truths about its causes, its precursors, its emotions, its lies and deceptions. One truth that makes perfect sense once it is understood and embraced, is the inability for one battling addictive tendencies to be emotionally connected to another.

To be clear, my experience has been almost exclusively, but not entirely, with heterosexual people.  But the truth is neither a homosexual nor a heterosexual issue.  It is about the difficulty of connection, and that spans all orientations.  Such a connection, or lack of such, is a telling sign in sexually addictive behavior.  The lack of emotional connection is not just a problem in the sexual realm either.  Much of what follows is relevant for most any kind of addictive behavior, be it anger, codependency, self-justification...anything!

Sexually addictive behavior is any sexual behavior with self or another that someone has unsuccessfully attempted to stop and which has caused problems with self or another's life. To call someone a full-on "addict" is a high bar for me, and those with whom I work are rarely in that state.  Nearly all who sit in front of me definitely have sexually addictive tendencies, but for the purposes of this discourse, I will call them "addicts."

It has been my experience that early on, for many during puberty, that the addict has some difficulty in connecting with others. There are a multitude of reasons for such difficulty, but the reality is that such an inability to connect with another at its core is an inability to connect with one's self.  

If the addict doesn't know and understand who he or she is, because it hasn't been modeled for them, because they have been raised in variations of rigid or unstructured families, because parental figures or siblings have tried to define them instead of allowing them to define themselves, or because of many other dysfunctional reasons, relationships will be difficult for the addict, either with the same or opposite gender.

If they are too vulnerable, they see people making fun or taking advantage of them.  If they hide behind an emotional wall to protect themselves, they get comfortable there because that place makes them feel safe.  For some, they project the pain onto others and become aggressive to avoid feeling the inner pain, and wall up their feelings.  For others, they turn inward and become isolated, which is often accompanied by anxiety or depression--or both. Relationships become a problem.

When there has been particular physical, emotional, or particularly, sexual abuse, the ability to relate in a healthy way to others is decreased or goes away completely.  They feel they cannot afford to trust anyone and they see the world as a particularly dangerous place filled with dangerous people. 
As a young person who has started to engage in sexually addictive behavior to take care of himself or herself as a means to survive, often in dysfunctional ways. They can easily turn to sex, probably with themselves, and especially if they're not socially adept.  It can make them feel free and good about themselves, if only for a moment.  And it can come through every time, as opposed to messy relationships with parents, siblings, friends, or others.  It becomes a pseudo friend--always reliable, always there, never a hassle.

It becomes much easier to use sex to feel good, to fill the emptiness. And as with other poor coping stategies or behaviors like taking drugs or drinking alcohol, the sexual addict begins to meet with the "friend" more often.  In many cases, what made them originally feel good as they act out, the result of the release of brain chemicals--a "dopamine banquet,"will not make them feel "good enough," and they will require more stimulation--more dopamine. Sometimes, the sexual acting out behaviors can devolve into an addiction.

So what can be done?  One cannot just decide that they are going to be connected tomorrow.

To begin, a person has to realize that there is a problem of sexually addictive behavior, if not full blown addiction.  That can be a terribly scary realization.  Admitting that takes courage.  But it takes even greater courage to face fear and do something about it.  For some, the timing isn't right, or they simply are too comfortable where they are, in spite of how bad their lives have become.  In the addiction recovery world, that reality is expressed thusly:

When the pain of addiction is greater than the pain of recovery, the addict will seek recovery.  But when the pain of recovery is greater than the pain of addiction, the addict will stay in addiction.

Taking a risk to become vulnerable with another takes the greatest courage of all.  It starts with a willingness to be just a little vulnerable, peeking from behind the emotionally safe wall which acts as both protection--keeping people out, and prison--keeping the person in.

It is not an all or nothing vulnerability.  Thinking of vulnerability as being in degrees can be helpful.  In other words, a person can make the choice to be a little vulnerable with a safe someone, not a person or group which has made someone feel badly in the past or with some family or friends where there is a history of emotional tension.

The person attempting to be a little vulnerable must not think of the negative event or situation as being all or nothing. They can realize that the timing may not have been right. They can realize that they may have revealed too much about themselves and may have overwhelmed the other person. They can realize that while a situation may not have produced the desired outcome, they can learn from it, and have hope for the future.  They can realize that they will live to see another day.

As successes occur in safer environments, the next step is to courageously begin to become a little vulnerable with those whom we have considered dangerous.  Again, the challenge is to not get caught up in the catastrophy, the all or nothing thinking.  The challenge is to realize that this is a journey and that events are not always going to turn out the way they had been envisioned.  If it has taken the person X amount of years developing bad connections and bad habits, it is going to take some time for those to begin to disappear.  Learning to when and with whom to be vulnerable takes time.

Another less risky intention can be to begin the process of strengthening, if not finding and nurturing, same gender relationships.  The idea is to stregthen those which may have existed in the past, or to look for places or environments where someone can find same gender possibilities.

Almost always, when as a therapist I ask someone who has sexually addictive behaviors how many same gender friends they currently have in their lives, they will often say none, or perhaps one. This same gender friend cannot be a drinking buddy or casual acquaintance. That they say they have none does not come as a surprise.  If they are in a partner/spousal relationship, they are usually incapable of emotionally connecting with them as well.

Taking time to reconnect with people of the past, or making time to seek out same gender connections in group settings or faith settings, is a safe way to learn better how to connect. In this safe environment that lacks sexual tension, it is easier to begin to be more vulnerable. Hopefully, but not always, the new friend reciprocates, and connection can begin to thrive. It takes an investment of time, and maybe a little money, but it is well worth the investment.
Usually, as a person in emotional connection recovery develops these nourishing and satisfying same gender relationships, the sexual addicting out behaviors begin going away. Why?  Because they are nurturing themselves and their emotions in a safe, even joyful way. The temporary thrill they got from sexually acting out is countered by the long term satisfaction of a healthy relationship.