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Treating Out of Control Sexual Behavior: Rethinking Sex Addiction
Treating Out of Control Sexual Behavior: Rethinking Sex Addiction
by Douglas Braun-Harvey MA MFT CGP CST, Michael A. Vigorito LMFT LCPC CGP
2015 | ISBN: 0826196756 | English | 456 pages | PDF | 4 MB

“ I have been waiting for a book that would offer a sex-positive, non-judgmental, and non-pathologizing alternative approach for working with 'sex addiction.’ Doug Braun-Harvey and Michael Vigorito aim men forward toward their sexual health with this refreshing critical, and compassionate model to help those in the grip of problematic sexual behavior. This book will change your thinking and your clinical work at the intersection of sexuality and psychotherapy.”

—Esther Perel, LMFT, Author of Mating in Captivity: Unlocking Erotic Intelligence

This groundbreaking book reconsiders popular notions of addictive sex. Braun-Harvey and Vigorito’s sexual health psychotherapy protocol is an innovativetreatment approach for men experiencing sexual lives beyond their control. “Out of control sexual behavior” (OCSB) is defined as a sexual health problem inwhich consensual sexual urges, thoughts, or behaviors feel out of control. As opposed to a clinical disorder, OCSB is framed as a behavioral problem withinthe normal range of sexual expression.

The book provides step-by-step tools for assessment, treatment planning, and implementation stemming from the authors’ work with hundreds of individual andgroup therapy clients. OCSB treatment matches individual and group therapy interventions with current motivational interviewing and readiness-for-changeresearch. Further, this approach emphasizes the clinician’s ethical responsibility to provide the most effective treatment while protecting client sexualrights and welcoming sexual diversity. Rich and varied composite case examples demonstrate clinical sexual health treatment conversations as well asstories of hope and guidance to understand how sexual health is an ally for changing OCSB.


Presents a much-needed sexual health alternative to conventional thinking about assessing and treating OCSB
Posits OCSB as a sexual health behavior problem rather than a process addiction or psychosexual disorder
Promotes sexual health principles as the framework to envision and guide men’s sexual behavior change
Includes a practical, step-by-step pathway model to assess and treat OCSB
Organizes a wide range of best-practice clinical interventions for individual and group psychotherapy
Includes composite case examples demonstrating successful treatment outcomes
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