CBT

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  • Stress Management Intervention, Ch. 68 in O’Donohue, W. T., & Fisher, J. E. (Eds.). (2008). Cognitive behavior therapy: Applying empirically supported techniques in your practice, 2nd ed. John Wiley & Sons, Inc. Summarized many strategies. He mentions how stress management techniques have been found to be effective for substance use disorders, and cites Back, Gentilin, & Brady, 2007[1]; Miley, 2001[2].
    • Note: It has a great format, and includes almost everything we need.
  • Primary interventions: Teaching about sexual addiction; Teaching about neuroscience; Teaching about shame. / Principal interventions Consideration of values; Understanding supernormal stimuli; Formulation; Harmful consequences; Sex plan; Family of origin; Cycle of addiction; Trigger identification; Behavioural substitution; Cognitive distortions; Assertiveness training; Hot seat; Personal presentation. / Ancillary interventions: Relapse prevention; Health sexuality; Sexual health. Birchard, Thaddeus. CBT for Compulsive Sexual Behaviour (pp. 54-55). Taylor and Francis. Kindle Edition / A short summary of the book can be found in Birchard, T., & Benfield, J. (Eds.). (2017). Routledge International Handbook of Sexual Addiction. Routledge International Handbooks, Ch. 4.3. (I didn't find any original research in this book, he quotes freely from other authors)

Hall et al., 2020, UK[3]. Psycho-educational/multimodal program based on the CHOICE Recovery Model (Hall, 2018):  

  • C - Challenge core beliefs
    • Highlight actual & potential harmful consequences
    • Challenge cognitive distortions
    • Empathise with loss
    • Psycho-educate
    • Motivational Interviewing techniques
    • Identify negative self statements
    • Reduce shame
  • H – Have a vision
    • Identify values
    • Teach to dream
    • Create vision
    • Set goals
  • O – Overcome compulsive behaviours
    • Identify and avoid triggers
    • Establish relapse prevention strategies
    • Establish recovery routines
    • Explore underlying trauma/attachment issues
    • Identify unmet needs
  • I – Identify positive sexuality
    • In line with personal values
    • Confidence and esteem building
    • Respectful of self and others
  • C – Connect with others
    • Friends
    • Family
    • Partnered relationships
    • Recovery group
    • 12-step fellowship
  • E - Establish confident recovery
    • Establish emotional stability
    • Develop assertiveness
    • Daily recovery disciplines
    • Healthy pursuits & pastimes
  • The objective is for participants to leave the program with:
    • greater insight into the root causes of their compulsive behavior
    • practical skills for preventing relapse
    • positive goals for the future and motivation to change
    • a long-term support network.
  • This model is explained in depth in Hall, Paula. Understanding and Treating Sex and Pornography Addiction (p. 51). Taylor and Francis. Kindle Edition.
  1. Back, S. E., Gentilin, S., & Brady, K. T. (2007). Cognitive–behavioral stress management for individuals with substance use disorders: A pilot study. Journal of Nervous and Mental Disease, 195(8), 662–668
  2. Miley, W. M. (2001). Use of abnormal and health psychology as topics in a classroom format to reduce alcohol and other drug abuse among college students at risk. Psychological Reports, 89(3), 728–730.
  3. The Effectiveness of Psycho-Educational Group Work in Treating Compulsive Sexual Behavior Disorder (CSBD): Clinical Outcomes Using CORE OM and Supplement at Three-Month and Six- Month Follow up