Sunday, September 22, 2013

Cyber Porn Addiction: My interview with Wendy Maltz LCSW


What’s Wrong with Porn?
My interview with Wendy Maltz LCSW

I recently had the opportunity to interview Wendy Maltz LCSW, co-author (with her husband Larry Maltz LCSW) of The Porn Trap: The Essential Guide to Overcoming Problems Caused by Pornography, one of the most informative and thought-provoking books I have read on the topic of pornography. Over the past year, I have given considerable thought to creating a curriculum for teens that would provide an open and honest appraisal of the risks and rewards or cost and benefits of exposure to online or cyber pornography.

Since 2005 I have worked with adult sex addicts and through this work it is clear to me cyber pornography creates more problems than any other behavior, including sex with prostitutes, exhibitionism, voyeurism, and sex with multiple/anonymous partners. Cyber pornography is accessible 24 hours a day, seven days a week (home, work, or any place with Wi-Fi connection) and can be accessed without any financial cost. When combined with compulsive masturbation, cyber pornography can produce serious and long term problems in psychological, physical, and spiritual well-being. As would follow, the relapse rate with cyber porn addicts far exceeds the relapse rate related to any other sexually compulsive behavior.

In my clinical work with adult cyber porn addicts a consistent story emerged: exposure to pornography began as early as childhood and certainly by adolescence. The vast majority of my clients said they believe their addiction began with their first exposure to pornography, particularly if that first exposure was online. The intensity and variety of online pornography provides a degree of sexual stimulation that is simply impossible to match in any other sexual context.

As a result of my work with adult sex addicts, it became clear to me that there should be cyber porn education, prevention, and treatment for teens. With this topic in mind, I asked Wendy Maltz how she would construct a sex education curriculum for teens that specifically addressed cyber pornography. I began the interview by asking Wendy what parents should do to help protect children from the potential lifelong damage produced by cyber pornography.

Wendy first explained it is vitally important for parents to engage in an open and honest conversation with children about the way sex is presented in the media. She believes parents need to think about what type of sexual messages are being endorsed within the media, which includes television, music, film, and online pornography. Parents then need to talk to their children about what they are seeing in order to create critical thinking skills. For Wendy the central challenge for parents is to empower their children to take a critical stance towards sexual content in media rather than become passive consumers.

Wendy encourages parents to examine what type of sexual content (and stimulation) is being introduced into their child's psychological and biological “systems,” in the same way they discuss eating habits, the use of drugs and alcohol, and smoking. By beginning a process of sexual media  education within the family at an early age, children can develop a comfort level and sense of trust in talking about sexual behavior with their parents, which is crucial for providing parental guidance. If both child and parent feel unsure, anxious, and fearful about the discussion of healthy sexual behavior, more than likely they will have great difficulty addressing the complicated issues presented by cyber pornography.

When I asked Wendy what she would recommend parents regarding cyber porn specifically, she said the message that needs to be related is that porn, although exciting and entertaining, poses significant health risks. This conversation needs to happen in a way where the parent is not shaming their teen for looking at porn or attempting to provoke a guilt response. Parents need to explain, in a way that avoids lecturing and moralizing, that the sex presented isn’t healthy sex. The sex portrayed in pornography is distorted as it presents “good” sex as impersonal, cut off from values and feelings, and removes relationship dynamics and consequences. 

Again, the purpose of this conversation is inform and empower so that teens will be make positive choices with respect to their “consumption” of sexual content in the media and cyber pornography in particular.
I then asked whether she would recommend parents take the position of banning pornography within the household. Wendy began by saying that although she appreciates there are many different views of cyber pornography (e.g., it’s harmless fun, teens are only curious, porn shows a variety of forms of sexuality, censorship is wrong) and recognizes some teens can manage to engage with cyber porn without significant negative consequences, she  would nonetheless recommend parents take the position that porn will not be part of the family’s media diet--  in the same way that a parent would set a limit with respect to drug use, alcohol, smoking, or overeating.

I then turned our discussion to sex education for teens focusing on cyber pornography (middle and high school settings). I posed the question “If given the opportunity to speak to teens, what would you say about cyber pornography? Would you recommend moderation? Abstinence?” In response to this question, Wendy talked about her personal journey through pornography, which began with the perception of pornography as a risk-free source of pleasure and stimulation, to a positive influence on individuals and couples in the context of sex therapy, to a concern about how pornography was affecting individuals and couples, to the belief that pornography represents a true public health risk. Wendy’s journey is described in detail in an article on her website (Out of the Shadows on www.healthysex.com).

Wendy explained teens need to be made aware that cyber pornography can have a destructive effect on the way their brains function that is very similar to the negative impact of drugs such as crack cocaine. Consistent exposure to cyber pornography, particularly when this exposure is combined with masturbation, dramatically increases the production of the neurotransmitter dopamine, which produces intense and sustained states of pleasure. The pursuit of this pleasurable/euphoric state can shape a teens’ sexual preferences and choices in a way that can permanently reduce (even eliminate) their capacity to experience healthy intimate and passionate sex.

Wendy made the important point that sex is a form of behavioral and emotional conditioning. Every time we have sex certain thoughts, feelings, and behaviors are reinforced by virtue of the pleasure or discomfort we experience during sex. Wendy explained that an orgasm is perhaps the most powerful re-award/reinforcer that exists in all of human experience. Wendy said teens need to understand that the thoughts and feelings they have at the point of orgasm are reinforced and ultimately become hardwired into their perception of sex  -- which in turn shapes their sexual needs and preferences. Hence, if a teen is looking at porn at the point of climax, it is the images and messages of pornography that become part of the teen’s understanding of what sex means.

Wendy believes that as a society we are going through a period of experimentation with cyber pornography and this experiment has the potential to change our sexual values and needs and thereby alter our capacity for healthy sex. As we were concluding our, Wendy made the interesting and important observation that what is available to children and teens on the Internet has the potential to produce the type of trauma that we see in victims of sexual abuse. Wendy then wondered whether our society will ever take active and decisive steps to protect youth from online pornography, as we have with smoking and alcohol.
After our interview I began to think about how to frame a sex education for teens that that would include the topic of cyber pornography when Wendy forwarded me an outline of the type of content she would include in a cyber porn sex education curriculum.

Wendy's outline included the following topics:
1)      Sex basics and realities (bodies, brains, desires, functioning)
2)      How sexual interest begins and is developed and shaped
3)      Defining healthy sex
4)      The role of sexual pleasure in mating, bonding, love, self-esteem, and healthy communities
5)      Sexual rights (in contrast to sexual exploitation)
6)      Gender similarities and differences (what does it mean to “be a man” or “be a woman”?)
7)      Sexual harm (what are harmful influences and behaviors and why?)
8)      Pornography (defining pornography; traits of today's product; the effect of regular/heavy use on the brain; how porn differs from other sexually explicit materials; how content is often sexist/racist and becomes more violent/extreme; what pornography does not show/teach; the benefits/rewards of looking at porn; risks related to looking at porn; the lack of warning on pornography; the absence of informed consent and regulation; similarities to sexual perpetration/abuse; trickery; peer attitudes and pressure).
9)      Making wise sexual choices
10)  Understanding empathy and integrity (impact of your sexuality on others)
11)  How to create and maintain a healthy sexual relationships
12)  How to build a healthy sex life (with yourself)
13)  How to develop skills of being a good lover
14)  How to get help when needed

It is difficult to understand, 12 years in the 21st century, why the topic of teen use of cyber pornography has not been incorporated into mainstream of sex education at the middle and high school levels. The reasons for the absence of this discussion in school settings is obviously complex and would invite debate from many different groups, ranging from those who believe pornography is morally reprehensible, to those who see pornography as a First Amendment issue, to those who see pornography as a harmless form of sexual stimulation, to those who have worked with sex addicts and see the potential damage of a relationship with pornography. Notwithstanding the need to address the various concerns of these groups, it seems more than reasonable for adults, particularly those who are in a position to educate teens, to begin to at least take on the process of developing a sex education curriculum that candidly addresses the types of choices and experiences that teens have via the Internet.


Christopher Mulligan LCSW

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