Men who identify as sex addicts – an IPA study

Sex addiction is the subject of much debate, as it was considered and then refused as an entry in the DSM5. Despite being referred to by different nomenclature, the most accepted definition is that it is characterized by a persistent pattern of failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behaviour over an extended period, that causes marked distress or impairment in personal, family, social, educational, occupational or other important areas of functioning. Research in the field has been predominantly medical-model based, focusing on symptomatology and correlates. There are fewer qualitative studies on the experience of the sex addict. This qualitative study uses Interpretative Phenomenological Analysis to explore six self-identified sex addicts’ experiences of sex addiction. Participants were recruited through an open invitation to attendees of Sex Addicts Anonymous. Six participants came forward from different fellowships around the UK. Semi-structured interviews were carried out and analysis of the data revealed four major themes: Experience of the Self, Relational Dynamics, the Sex Addict and Addiction, and Recovery. The results were congruent with preexisting literature, however new light was shed on the developmental perspectives and relational styles related to sex addiction, as well as reasons for acting out. Implications to therapy include understanding and addressing early relational ruptures and insecure attachments, grandiose selfstatements, and enhancing intersubjectivity, not only focusing on symptom-management. The study also highlights the need for supervision, and researcher and therapist reflexivity. Future research should focus further on the role of early relational trauma, and on couple’s therapy for sex addiction.