Addiction, Impulsivity, and the Commitment to Change with Paula Hall

Since Paula Hall’s work in the field began over 15 years ago, she has seen many shifts in the way we treat and educate surrounding sexual addiction and sexual impulsivity. She is now a leader, and between her own work at The Laurel Centre, her 9 published books and her team of 20 people in growing locations, she is a voice for change and empathy for both men and women struggling with addiction. She talks today about the difference in approach that the UK has towards addiction, gives a sneak peek into her upcoming book Sex Addiction: A Guide for Couples, and what she sees for the future of giving individuals and couples hope and direction.   TAKEAWAYS: [2:09] At a time when she was working in private practice, Paula attended a sex therapy conference and saw there were just a handful of speakers on the subject. Once she saw it was being recognized as an addiction with pragmatic relapse strategies and recovery work, it made sense to apply this model. Since she was familiar in working with the model of drug addiction, she decided to further her training in sexual addiction. [4:08] It took Paula four years to get her first book published, as every publisher she went to said there was no market in sex addiction. [7:55] The US and UK come from different directions in the field of sexual addiction. Awareness of sexual compulsivity and addiction came in America through the lens of addiction. In England, the concept came out of sexology, where sex in all of it’s non offensive forms are considered healthy and normative. In the UK, the 12 Steps are used in chemical addiction treatment, but not heavily for sexual addiction treatment and recovery. [10:56] To Rob, the word “addiction” means access to a lifelong resource of free support, examples of recovery and shame reduction. If we de-stigmatize addiction and the connotations that the 12 Steps must be done in accordance with religion, that may help the negative associations that go along with the treatment. [14:15] In Europe they are more liberal in certain ways, but when you have more choice it brings more responsibility. The challenge Paula sees is one of seeing moderation as prudish and limiting. [16:38] Writing Sex Addiction: The Guide for Couples was the hardest book Paula has ever written, primarily because working with couples is a multi layered and complex experience. There are two people with different perspectives and fractured agenda on the past, present and future. Paula reminds us there are some things you can not compromise on - two examples are values and children. [22:04] Paula uses the metaphor of a ship that has been hit by a tidal wave to describe what happens to couples when there is a betrayal or sex addiction All crew members must scramble to safety, and drag the relationship back to the harbor to assess the damage without creating any more damage. Then, it is hard work and dedication to get every aspect of intimacy back, building it up from the ground floor.   RESOURCES Sex and Relationship Healing @RobWeissMSW Sex Addiction 101 Cruise Control: Understanding Sex Addiction in Gay Men Prodependence: Moving Beyond Codependency Understanding and Treating Sex Addiction: A comprehensive guide for people who struggle with sex addiction and those who want to help them by Paula Hall Sex Addiction and the Partners Perspective A Comprehensive Guide to Understanding and Surviving Sex Addiction For Partners and Those Who Want to Help Them by Paula Hall We Need to Talk About Sex Addiction - TEDx The Laurel Center   QUOTES: “Conservatism and moral issues in American culture make it so much easier to pathologize or call things sex addiction that aren’t”.  - R “In the UK we aren’t pathologizing sexual diversity, because most of us are trained in it.” “Couples work has been the hardest work I have ever done. There is nothing like the couple with sex addiction.” “If you do really good work as a therapist, you are no longer needed.” “Quite literally, often times one partner finds a freedom at a the cost of their partner.”