Getting Help For Premature Ejaculation

As a sex therapist in New York City, I help individual clients and couples who are having problems with premature ejaculation, erectile dysfunction and other sexual related problems. 

Problems With Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation is a common problem. It's estimated that as many as 1 in 3 men suffer from premature ejaculation at any given time.  

Premature ejaculation is a treatable condition, so if you have been avoiding getting help, please reconsider this because you don't need to continue to suffer with this condition.

If you have premature ejaculation occasionally, it's usually not a cause for concern. However, you might be diagnosed by your doctor with premature ejaculation if:

• You always or almost always ejaculate within 1 to 3 minutes of penetration

• You're unable to delay ejaculation beyond 1 to 3 minutes after penetration

• You avoid having sex because you feel frustrated and ashamed of ejaculating too soon

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is not being able to delay ejaculation beyond 3 minutes during partnered sex or during masturbation.

There are two types of premature ejaculation:

• Lifelong: Lifelong premature ejaculation occurs all the time or nearly all the time since the first sexual encounter.

• Acquired: Acquired premature ejaculation occurs after a period of not having this problem.

What Causes Premature Ejaculation?

Premature ejaculation is often a combination of physical and psychological problems so each person needs to be assessed and diagnosed individually.

What Are the Psychological Factor That Can Contribute to Premature Ejaculation?

The psychological factors might include:

• Early sexual experiences
• A history of sexual abuse or trauma
• Depression
• Poor body image
• Worry or anxiety about premature ejaculation
• Guilt or shame that cause you to rush through sex
• Erectile dysfunction
• General anxiety
• Relationship problems

The biological factors might include:

• Irregular hormone levels or brain chemicals
• Swelling or infection of the prostate gland or urethra
• Inherited factors

What Are the Risk Factors for Premature Ejaculation?

The risk factors might include:

• Stress
• Erectile dysfunction
  

How Can Premature Ejaculation Impact Your Life?

Premature ejaculation can create complications in your personal life including:

• Stress
• Relationship problems
• Fertility issues

When Should You Seek Help From a Medical Doctor?

Problems with premature ejaculation can occur from time to time, but you should seek help from a urologist or a sexual health medical doctor if you always or nearly have problems with premature ejaculation.

Help from a Medical Doctor For Premature Ejaculation

You might feel embarrassed to talk to a doctor about your problem, but urologists and sexual health medical doctors have experience with this common problem, so don't allow embarrassment to keep you from getting help.

When Should You Seek Help From a Sex Therapist?

Since premature ejaculation is often caused by psychological issues, you could benefit from seeking help from a sex therapist to deal with these issues (see my article: What is Sex Therapy?).

Help From a Sex Therapist For Premature Ejaculation

A skilled sex therapist can help you to overcome the psychological problems that prevent you from having a satisfying sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than suffering on your own, seek help from a qualified medical doctor to rule out any physical problems and get help from a sex therapist for the psychological issues that might be contributing to your problem (see my article: What Are Common Misconceptions About Sex Therapy?).

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

 

How to Heal From the Pain of Being an Affair Partner (the "Other Woman" or "Other Man")

 In my prior articles  Being in the Role of the Affair Partner (the "Other Woman" or the "Other Man"), I discussed some of the common dynamics involved with being the affair partner with information from a podcast called "Reigniting Love" (see my article: How the "Other Woman" or "Other Man" in an Affair Can Keep the Primary Relationship Together).

Healing the Pain of Being an Affair Partner

In the current article, I'm focusing on how an affair partner can heal from the painful experience of being in an affair, which is also inspired by a "Reimagining Love" podcast with Dr. Alexandra Solomon.

What About the Betrayed Partner?

Before discussing how an affair partner can heal, I want to address the pain of the betrayed partner, which I have also done in earlier posts.  

There's no doubt that being the betrayed partner, the partner in the primary relationship who is being cheated on, is tremendously painful (see my article: Coping With Infidelity).

Many couples break up when an affair is discovered, but many others stay together to try to repair their relationship, as discussed by relationship and sex therapist Dr. Esther Perel in her book The State of Affairs (see my article: Learning to Trust Again After the Affair).

Discovering your partner is cheating on you is a heartbreaking and traumatic experience filled with sadness, anger, feelings of betrayal and hurt, which I have addressed in prior articles.

So, I just want to emphasize that by focusing on the affair partner in this article, I'm in no way minimizing the pain of the person who was cheated on.  

How the Affair Partner is Affected in an Affair

In addition to addressing the pain of the betrayed partner, it's also important for the person who is the affair partner to heal from an affair that left them feeling lost and confused (see my article: Leading a Double Life as the "Other Woman" or the "Other Man" in an Affair).

The affair partner often experiences many potential painful and confusing emotions, including: 

• The pain of being silent about the affair because the affair is a secret

• Not having anyone to talk to about it, so they must bear their pain alone

• Anxiety and hypervigilance about the possibility of getting caught

• The potential stigma of being labeled a "homewrecker" if the affair is discovered

• A rollercoaster of emotions from highs to lows

• Feeling not good enough or unlovable

• Feeling disempowered because the betraying partner makes the decisions about the affair

• Feeling lonely and sad on birthdays and holidays when the betraying partner is with their spouse or partner 

• Re-experiencing old childhood emotional wounds that get triggered by the affair

How to Heal From the Pain of Being the Affair Partner

• Stepping away from the affair, as hard as it might be, is essential to the affair partner figuring out what they want in terms of a relationship. This will also give the betraying partner time to decide what to do about their primary relationship and, if they leave, give them time to grieve and heal before resuming the relationship with the affair partner.

• This will allow the affair partner time to heal and get back into alignment with their values.

• This will also allow the affair partner to feel whole and not stand in the shadows of an affair.

• When the affair partner steps away, this should not be used as an ultimatum to get the betraying partner to leave their relationship.

Healing the Pain of Being the Affair Partner

• The affair partner needs to stand firm with their boundaries. The dynamics of the primary relationship will change once the affair partner is no longer providing the betraying partner with whatever they found missing in their relationship. This will interrupt the homeostasis that the affair partner provided to the primary relationship.  The change could occur either way--either the couple in the primary relationship will work on making their relationship stronger (most couples who experience infidelity opt to repair the relationship because they have invested so much in the relationship) or they will break up.

• The affair partner needs to be aware they don't have a role in the betraying partner's healing. The betraying partner needs to heal without the affair partner.

• The affair partner can write a letter to themself about what happened. This can help them to make sense of what happened and also to serve as a reminder if they're tempted to go back to the betraying partner before the situation in the primary relationship is resolved and the betraying partner has time to heal.  This letter could include:

• What might have happened in the affair partner's early family history that contributed to being in the affair?

• Why did they step away from the affair?

• Express self compassion in the letter to themself with the understanding they might not have had the necessary skills to do anything different when they entered into the affair. Self compassion will allow the affair partner to grieve, which is essential to healing. Shame, defiance and minimization will get in the way of grieving and healing.

• Get help in therapy to heal from the affair and work through whatever unresolved childhood emotional trauma remain.

Get Help in Therapy to Heal

Being an affair partner can be a lonely and traumatizing struggle.

Rather than struggling on your own, seek help from a licensed mental health professional who is a trauma therapist.

Healing from the pain of being an affair partner can help you to lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples and one of my specialties is helping clients to overcome trauma (see my article:  What is a Trauma Therapist?).

To find out more about me, visit my website: Jospehine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Being in the Role of the Affair Partner (Also Known As the "Other Woman" or the "Other Man")

On a recent "Reimagining Love" podcast called "When You're the Affair Partner," podcast host Dr. Alexandra Solomon focused on affair partners, also known as the "other woman" or the "other man" (see my articles: How the "Other Woman" or "Other Man" in an Affair Can Keep the Primary Relationship Together and Leading a Double Life as the "Other Woman" or the "Other Man" in an Affair).

The Role of the Affair Partner

In her discussion she distinguished these nonconsensual nonmonogamous relationships from consensual nonmonogamous relationships where all parties involved know about and consent to nonmonogamy.

This was a compassionate discussion about being in the role of the affair partner, how being in this role affects the affair partner as well as the betraying partner (the person cheating) and the betrayed partner (the person being cheated on).

How Does the Affair Partner Make Sense of Their Role in the Affair?

She explained the role of cognitive dissonance in getting into, remaining and making sense of being part of an affair by providing examples of internal messages the affair partner might give themselves.

The Affair Partner and Cognitive Dissonance

As I discussed in a prior article, cognitive dissonance is the psychological discomfort you feel when you hold contradictory thoughts, beliefs values, or attitudes as it relates to your decisions and behavior.

The internal messages an affair partner might give themself to make sense of being part of an affair and assuage guilt might be:

• "I'm single. I'm not cheating." or

• "I'm not responsible for their unhappy marriage."

Dr. Solomon addressed these internal messages in a nonjudgmental way by saying that although the affair partner isn't responsible for the couple's marriage, they're still participating in it and, even if the betrayed partner doesn't know the affair partner, the affair partner is part of the primary couple's triangle so, in that sense, the affair partner is in a relationship with both the betraying and betrayed partners.

How Can the Affair Partner Get Curious About Their Cognitive Dissonance?

Throughout the podcast, Dr. Solomon recommended that, in order to understand their cognitive dissonance, the affair partner can go beyond thinking about the affair in terms of right and wrong by getting curious about it and asking themselves:

• What set me up to be okay with the affair?

• What am I continuing to do to make it okay for myself?

• Where can I go from here?

What is the Affair Partner Ignoring or Overriding Internally?

These might include internal messages such as:

• It's not a big deal.
• I'm not doing anything wrong.

What the Affair Partner Already Knows But Might Be Ignoring

• Keeping a Narrow Focus: This is a coping mechanism that keeps the affair partner from seeing the whole picture. By keeping the focus narrow, the affair partner keeps the focus on the affair and not on the primary relationship/marriage. This helps to reduce guilt and shame, but it comes as the expense of being aware of the entire situation.

• Having a Wide Focus Instead: Instead of having a narrow focus, Dr. Solomon recommends widening the lens to take in the whole situation, which is essential for a healthy relationship.

How Does the Affair Partner Reduce Empathy?

By reducing empathy for the betrayed partner, the affair partner cuts off their awareness of how the affair is affecting the betrayed partner.

Dr. Solomon suggests that the affair partner asks the following questions:

• What am I telling myself about the betrayed partner to maintain cognitive dissonance?

• Do I tell myself that the betrayed partner is mean? Checked out? Or a sucker?

According to Dr. Solomon, by reducing empathy, the affair partner is shrinking the betrayed partner.  She suggests that the affair partner ask themself: What price am I paying for reducing empathy?

What is the Emotional Impact of Participating in a Relationship That is Duplicitous?

Questions to Consider:

• Can I stand in my integrity while being in a duplicitous relationship?

The Role of the Affair Partner

• What am I telling myself about my integrity?

• Am I compromising my experience of wholeness?

• How is duplicity creeping into other areas of my life?

What is the Internal Message Regarding Self Worth?

Questions to Consider:

• Am I telling myself I only deserve crumbs and not a full relationship?

• What am I telling myself about my own worthiness?

• Is this related to my early personal history in my family of origin? (more about this below)

• How might being in an affair reinforce the belief that I only deserve crumbs?

What Drew the Affair Partner to the Affair?

Dr. Solomon names three factors which will be explained below:

• 1. Goodness of Fit

• 2. Object of Desire Self Consciousness

• 3. Redoing a Childhood Wound

1. Goodness of Fit

Goodness of fit refers to what the affair partner was available for at the point in their life when they started the affair.

This might include:

• Boundary Issues: Micro-boundary crossings at the beginning of the affair

• Past Relationship: Coming out of a past relationship where there was infidelity and the current affair partner was the betrayed partner in the prior relationship.  This could involve what Freud termed "repetition compulsion" where this person is now repeating the infidelity but this time they're the affair partner instead of the betrayed partner.  This choice, which is often unconscious, is an attempt to master the past affair which was confusing and upsetting.

• Romantic or Erotic Connection: An affair has what Dr. Jack Morin, Ph.D., sex therapist and resarcher, called the Erotic Equation which is made up of attraction plus obstacles. The erotic attraction is super-charged in an affair.  The erotic connection is also paired with danger (i.e., the danger of getting caught). 

• At a Particular Point in the Affair Partner's Life: The affair partner might not be ready for a relationship that requires a commitment and responsibilities at the point in their life when they're having an affair.

2. Object of Desire Self-Consciousness: This term was discussed by Dr. Anthony Bogaert and Dr. Lori Brotto in their paper, "Object of Desire Self-Consciousness" (ODSC) in the Journal of Sex and Marital Therapy:

• ODSC is the perception that someone is romantically and sexually desirable in another person's eyes.  

• This is a gendered construct of a cisgender heterosexual man and a cisgender heterosexual woman with the woman being the ODSC. But it can apply to any gender or sexual orientation, This is usually a part of the woman's erotic template. 

• The idea is that the man, who is in a primary relationship with a spouse or romantic partner, wants the other woman so badly that he's willing to risk his relationship, his reputation and everything else that's at stake to be with the woman who is the affair partner. 

• This risky behavior on the part of the betraying partner spikes the libido for the affair partner because she feels so desirable. 

• The affair partner only knows the story of the primary relationship from the betraying partner's perspective. 

• The story provided by the betraying partner usually serves to help reduce the betraying partner's cognitive dissonance so they will feel less guilty about the affair. 

• This is often a skewed or false version compared to the real story. 

• The betraying partner might also provide no story and act as if he's not in an affair, which would make it confusing for the affair partner in terms of the affair partner trying to make meaning of the affair.

3. Redoing a Childhood Wound

The affair partner might have unresolved childhood wounds where one or both parents had extramarital affairs. The affair partner might have been the one who held a parent's secret about infidelity so that:

• A younger internal part of the affair partner might be unconsciously trying to heal their wounds by engaging in repetition compulsion, which would mean having an affair in an effort to master the old wounds that were so painful by being the desired one in an affair.

The Role of the Affair Partner

• To understand this dynamic, the affair partner would need to be willing to look at their family history regarding infidelity, duplicity and family secrets to see if there are unresolved issues that are getting played out in the current affair.

• As a child, if the affair partner played second fiddle to another sibling or to a parent's career or to a parent's addiction, they might unconsciously crave feeling special with a partner who is willing to risk everything to be with them. 

• In addition, accepting crumbs offered by the betraying partner, although painful, would also be paradoxically familiar and comfortable to the affair partner due to their family history of feeling unimportant.

In my next article, I'll discuss how to heal from the pain of being the affair partner:

How to Heal From the Pain of Being the Affair Partner.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist,

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Understanding the Negative Impact of Cognitive Dissonance For You and Your Loved Ones

What is Cognitive Dissonance?

Cognitive dissonance is the psychological discomfort you feel when you hold contradictory thoughts, beliefs values, or attitudes as it relates to your decisions and behavior (see my article: Living Authentically Aligned With Your Values).

What is Cognitive Dissonance?

When there's discomfort due to inconsistencies in what you believe and how you behave, you tend to do whatever you can to minimize your discomfort.

You might attempt to relieve your discomfort by avoiding, rejecting, minimizing or explaining away any information that highlights the fact that your behavior and your beliefs aren't in alignment (see my article: Understanding Internal and External Defense Mechanisms - Part 1 and Part 2.

What Are the Telltale Signs of Cognitive Dissonance?

• You feel uncomfortable before you make a decision or take action which goes against your values and beliefs.

• You try to rationalize a decision or an action you have taken (this includes rationalizing to yourself as well as others).

Telltale Signs of Cognitive Dissonance

• You feel embarrassed or ashamed of a decision you have made or an action you have taken so you try not to think about it and you also try to hide it from others.

• You feel regret, guilt or shame about something you have done in the past.

• You do things that are against your values and beliefs due of social pressure and because you don't want to feel left out.

What Are Examples of Cognitive Dissonance?

The following are examples of cognitive dissonance, which you might recognize in yourself:

• You know that smoking cigarettes (or vaping) is harmful to your health, but you rationalize continuing to smoke (or vape) by telling yourself that you're experiencing a lot of stress and you'll give up tobacco tomorrow.

• Your doctor told you that you need to stop drinking because you have liver damage, but you find ways to justify continuing to drink by telling yourself you'll give up drinking as part of your New Year's resolutions. But you don't stop by the deadline you've given yourself.  Despite the fact you haven't stopped, you tell yourself (and others) you can stop at any time.

Cognitive Dissonance Related to Your Health and Well-Being

• You want to lose weight, but you consistently overeat and tell yourself you'll start the diet next week. 

• You value your personal integrity, but you're having an extramarital affair and you're lying to your spouse about what you're doing when you're with your affair partner (see my article: The Allure of the Extramarital Affair).

• You made a commitment to your spouse to tackle a task at home, but while your spouse is out, you spend the day on your computer. When your spouse gets home, you say you'll get started on the project tomorrow, but you keep finding ways to put off doing it. You also get annoyed when your spouse wants you to be accountable.

• You make a commitment to yourself that you'll save a certain amount of money by a specified date, but you spend any extra cash you get before you save it.

What Kinds of Situations Can Lead to Cognitive Dissonance?

• External Pressure and Expectations: You might feel forced to comply with external expectations from your work, school or in a social situation that go against your beliefs, values or attitudes. Here are examples:

• Your boss says you must lie to a client you value and put your relationship with the client in jeopardy in order to increase your sales (see my article: Coping With a Difficult Boss).

Cognitive Dissonance and External Pressure

• You're with friends who are engaging in racial slurs and, even though you feel uncomfortable because racism is against your values, you don't say anything because you fear being ostracized from the group, but you also feel ashamed of yourself.

• You're in a monogamous relationship and being faithful to your partner is an important value to you. But you're at a bar with your buddies, they pressure you to pick up a woman at the bar and take her home. Initially, you refuse and they respond by calling you "whipped" and a "wuss." So, you go along with taking a woman home and cheating on your partner because you can't handle your friends' pressure and derogatory comments. Afterwards, you feel ashamed, but you justify your decision by telling yourself that you're not married so you can sleep with other women--even though you promised your partner to be faithful (see my article: Are Toxic Secrets Ruining Your Relationship?)

• Decisions: You're in conflict about two options when you're trying to make a decision. You can only choose one option, which makes you feel uncomfortable.  After you make a choice, you realize you made the wrong decision. You try to make yourself feel better about the conflict by justifying why you made a particular choice.

• New Information: You receive new information about a decision you made that reveals you didn't take into account all the information relevant to your decision. To ward off feelings of discomfort, you either discredit the information or find other ways to justify your behavior--even though you know the choice you made was harmful to you and others.

What is the Impact of Cognitive Dissonance?

Cognitive dissonance makes you feel uncomfortable, and the greater discrepancy between your behavior and your attitudes, beliefs and values, the more uncomfortable you're likely to feel.

Your discomfort can include the following:

• Anxiety
• Guilt
• Shame
• Embarrassment
• Sadness
• Regret
• Anger towards yourself
• Disappointment in yourself
• Stress

Over time, cognitive dissonance can erode your sense of self and impair your self esteem.

You might try maladaptive ways to reduce your discomfort by:

• Engaging in denial by convincing yourself you didn't behave in a way that was against your values or beliefs

• Maintaining toxic secrets and hiding your behavior from your partner, your family and other significant people in your life

• Seeking only information that conforms to your behavior, which is called confirmation bias, and which has a negative impact on your ability to think critically.

Coping With Cognitive Dissonance in a Healthy Way

So far, I've provided maladaptive examples of how you might be trying to deal with cognitive dissonance.

Here are more adaptive ways of coping:

• Slow Down and Develop Greater Self Awareness: Instead of finding ways to deny your internal conflicts, become aware of these conflicts and the negative impact they have on you and your loved ones. You can try doing this through a mindfulness meditation, journaling or seeking emotional support from a trusted friend who can be compassionate and objective.

Coping with Cognitive Dissonance in a Healthy Way

• Clarify Your Beliefs, Attitudes and Values: Take time to think carefully and make a list about what's important to you in terms of your beliefs, attitudes and values.

• Practice Self Compassion: Instead of beating yourself up, practice self compassion, which is essential for emotional healing.

• Make a Plan For Real Change: After you have clarified what's most important to you, make a plan for real change. For example, if you want to stop smoking (or vaping), make a plan to get help that will be effective and one that you can maintain.

• Engage in Self Care: Reflect on what you need to do to take care of yourself without making excuses and then stick with your plan.

• Get Help in Therapy: Coming to terms with the conflicts between your behavior and your values can be difficult, especially if you're in the habit of making excuses, deceiving yourself and others or finding loopholes for your behavior.  A skilled therapist can help you to:

• Discover the underlying issues that have created this problem

Get Help in Therapy

• Develop the necessary internal resources and coping skills to overcome these issues

• Develop a plan to make changes

• Help you to stick with your plan and avoid the pitfalls and obstacles from the past

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Privacy versus Secrecy in a Relationship

Knowing the difference between privacy and secrecy is essential, especially if you're in a relationship.

Privacy vs Secrecy in a Relationship

Although sharing the vulnerable parts of yourself is important for having a strong emotional connection in your relationship, everyone is entitled to privacy, so knowing the difference between privacy and secrecy is important.

What's the Difference Between Privacy and Secrecy in a Relationship?

Here are brief descriptions of privacy vs secrecy so you can compare the two lists to see the difference:

Privacy

Privacy in a relationship refers to having healthy personal boundaries including (but not limited to):

• Thoughts

• Fantasies, including sexual fantasies

• Dreams

• Opinions

• Having private time alone

• Experiences which are separate from your relationship--as long as it doesn't involve withholding information which would be harmful to your relationship (then, this would be secrecy and not privacy)

Secrecy

Secrecy in a relationship involves something unhealthy that you're intentionally hiding from your partner including (but not limited to):

• Cheating on your partner

• Financial infidelity: Hiding financial information or being dishonest about money that belongs to you and your partner

• Being dishonest or purposely misleading your partner/obfuscating

• Violating your partner's trust

• Other things that would be hurtful to your partner and disruptive to the relationship

Clinical Vignettes

The following vignettes, which are composites with all identifying information removed, illustrate how couples can get in trouble with regard to privacy vs secrecy:

• Julie and Tom - Issue: Privacy: Julie and Tom, who were both in their late 20s, had been in an exclusive relationship for six months. Both of them had only ever been in one prior committed relationship before their relationship together. Julie insisted she wanted to know if Tom had sexual fantasies about other women, but Tom felt Julie was crossing a personal boundary by asking him about his private thoughts. He assured her that he didn't want to be with anyone else and he would never cheat on her, but Julie continued to insist he tell her if he ever had sexual thoughts about other women. After numerous arguments, Tom broke up with Julie because he felt she was being too intrusive and controlling, and she wasn't respecting his personal boundaries.

Privacy vs Secrecy in a Relationship

• Bill and Ellen - Issue: Secrecy: After five years of marriage, Ellen discovered that Bill had withdrawn over $5,000 from their joint bank account without telling her. When Bill was confronted by Ellen, he told her that he used the money to pay off credit card debt on a card that was under his name before they got married. He said he didn't think he needed to tell her because he planned to put the money back in the account when he got paid later that week. But Ellen felt betrayed by Bill's secrecy and she told him she would find it difficult to trust him after this. She insisted they go to couples therapy to work through this betrayal. Although he didn't see what he did as a betrayal nor did he see the necessity of going to couples therapy, he agreed because he didn't want to lose his marriage. While in couples therapy, Bill learned the difference between privacy and secrecy, and Ellen and Bill worked to repair their relationship.

• Maggie and Pete - Issue: Secrecy: When Pete's best friend told him that he had seen Pete's wife, Maggie, holding hands while coming out of a hotel with an unknown man, Pete was crushed. At first, Maggie denied the affair, but after Pete asked to see her phone, she refused to show it to him. But she eventually admitted the next day that she had been having an affair for the last six months. She also admitted to two other sexual affairs starting four months after they got married. She apologized profusely and told Pete she never meant to hurt him, but Pete wasn't ready to accept her apology.  He moved out of their New York City apartment for three weeks to think over what he wanted to do. Although he didn't know if he could ever trust Maggie again, he agreed to attend couples therapy to try to repair their relationship.

Privacy vs Secrecy in a Relationship

• John and Bill - Issue: Privacy: Prior to moving in together, John and Bill had a long talk about their two year relationship. John told Bill that he needed some time to himself each day--even if it was just for an hour. Bill agreed, but after they moved in together, he got annoyed whenever John wanted to meditate in their bedroom for 30 minutes each morning. Even though they spent a lot of time together during the week and on the weekends, Bill felt ignored by John when John wanted this time to himself. When they were unable to work this out on their own, they attended couples therapy to learn to negotiate privacy versus secrecy. Bill discovered that since he was never allowed to have any privacy as a child, he didn't really understand privacy, but he was willing to work this out in therapy with John (see my article: Learning to Compromise About Spending Time Together).

In the next article, I'll discuss how to share a secret with your partner.

Getting Help in Couples Therapy

If you and your partner are having problems concerning issues related to privacy and secrecy, seek help in couples therapy.

Rather than struggling on your own, you can work with an objective couples therapist who can help you to work through these issues.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, Emotionally Focused Therapy For Couples (EFT) Therapist and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

   

How to Stop Getting Into Power Struggles About Your Spouse's Porn Viewing

Many women complain that their husband's porn viewing makes them feel angry, anxious and insecure.  

They say that discovering their husband's porn use makes them feel self conscious about their own bodies, especially when they see images of beautiful naked women in the porn their husband is watching.

Stop Getting Into Power Struggles About Porn

Some women also say they think mainstream porn is "disgusting" because it's degrading and exploitive of women and against their own moral values.

Now that the Internet provides access to pornography 24/7, more couples are getting into arguments about porn viewing. These arguments often devolve the point where some wives call their husbands "sex addicts" or "porn addicts" with ultimatums to go to therapy "or else."  

Most of the time arguments about porn viewing go nowhere because couples get locked in power struggles with nowhere to go. These power struggles leave wives feeling dejected and hurt and they leave husbands feeling defensive, guilty and ashamed. 

So, there's no real discussion about what would be most productive--the underlying issues involved, which could bring a couple together so they can understand each other.

(Note: I've written this article from a heteronormative perspective because this is what I usually see in my sex therapy and couples therapy private practice in New York City; however, these concepts can apply to any two people in a relationship regardless of gender or sexual orientation.)

Occasional Porn Viewing vs. Compulsive Porn Viewing

Although it can be upsetting to discover that your husband has been secretly watching porn or, even worse, that he has made promises to you that he'll stop watching porn but then you discover he's still doing it, porn doesn't have to be a threat to your relationship, especially if it's not interfering with your sex life or your husband's daily activities of living.

Stop Getting Into Power Struggles About Porn

So, I'm not referring to men who watch porn compulsively where it's interfering with his daily activities. That's a different matter. I'm referring to the average man who watches porn occasionally on his own in the privacy of your home.

Here are some things you might not know:

• Just because your partner watches porn doesn't make him (or her) a "porn addict" or "sex addict." Unfortunately, these terms are thrown around too easily and they're hurtful and destructive. Not only are these terms of out of date and misleading, but they're not relevant if your spouse isn't watching porn compulsively to the point where it's interfering with your sex life or daily activities. So, rather than using these derogatory terms, try to get curious about why your spouse watches porn so you can listen to him with an open mind. (If you're curious about sexual compulsivity so you can understand the difference, see my article: Sexual Health: Treating Sexual Compulsivity in Sex Therapy: Sexual Addiction or Out of Control Sexual Behavior [OCSB?]).

• Although you might feel insecure about your body when you realize your husband is watching porn, you might not know that it's unlikely your husband is comparing your body to the women's bodies he's seeing in porn. Also, ask yourself if you were already feeling insecure about your body because this is a common experience for many women even without porn (see my articles: Is a Negative Body Image Ruining Your Sex Life? and How Mindfulness and Self Compassion Can Help With Body Acceptance).

• Porn is fantasy. It's not real. Your husband knows that. He knows he's watching actors acting out a script. He might be drawn to the female character in the video, but he's not falling for the actual person because he doesn't know her. He only sees the character she's portraying in the fantasy--not the woman who has her own problems in her relationship and her own personal stressors.  Furthermore, your husband probably knows that mainstream porn doesn't depict real life situations where one or both spouses might be tired or unwell. He probably doesn't expect sex between the two of you to resemble what he's seeing in porn because he knows it's make believe.

• Under most circumstances, average porn viewing doesn't take away from your sex life. Under the right circumstances, ethical porn, also known as feminist porn or fair trade porn, can enhance your sex life, if you're open to it (see my article: Understanding Your Sex Script).

• Many men (and many women too) often use porn for quick stress relief. It can be a quick way of getting sexually aroused and masturbating to overcome stress or to help with sleep. 

• Most men experience masturbation with porn as being a very different experience from making love to their partner. Masturbating to porn is usually a quick release whereas making love to a spouse or partner involves an emotional and sexual connection.  These are two very different experiences.

• There's a difference between privacy and secrecy. Everyone is entitled to privacy regardless of their relationship status (see my article: Privacy vs Secrecy in a Relationship).

How to Stop Arguing About Your Spouse's Porn Viewing

As long as you're arguing with your spouse based on a right-or-wrong perspective and giving him ultimatums, you're unlikely to resolve this issue.  In fact, arguing in this way usually makes the conflict worse.

Typically, when men are threatened with ultimatums about porn, they might try to stop watching just to appease their partner, but they often feel misunderstood and resentful.

Also, as mentioned above, some men try to appease their partners by telling them they'll stop, but they're not being honest. They're just trying to do a better job of hiding it. 

Obviously, lying only makes the issue worse because it fuels the other partner's doubt and mistrust and this leads to bigger problems. So, when I'm working with a couple who is  struggling with this problem, I strongly urge the husband not to lie about it.

Instead of arguing with your husband on moral grounds, speak to him about how you feel about yourself when you know he's watching porn.  This will involve owning your feelings and opening up to your spouse to allow yourself to be emotionally vulnerable. 

Understandably, this might not be easy when you feel hurt and angry.  But speaking from an "I" perspective about your feelings about yourself is more likely to evoke your husband's empathy and understanding so he can listen and respond without being defensive. He can also express his own emotional vulnerability so you can empathize and understand his point of view.

In addition, when you speak about your feelings about yourself as it relates to his porn viewing, it provides an opening for the two of you to discuss the underlying issues involved instead of getting into a power struggle about porn.  This can provide a better chance of making progress than getting into a power struggle.

Compare the following statements

Compare Statements 1 and 2 to Responses 1 and 2:

Statement 1:

"Porn is disgusting! I can't believe you would rather look at those women in the video than look at me."

Response to Statement 1:

"Well, that's your opinion! Stop telling me what to do!"

Versus:

Statement 2:

"I feel insecure about my body when I know you're seeing those beautiful women in the video. When I feel insecure, I feel like you would rather look at them than me."

Response to Statement 2:

"I didn't know you felt that way. I love you and I love your body. I don't want you to feel insecure. Let's try to work this out."

Statement 1, which is hostile and judgmental, is usually a non-starter if you want to have a calm and productive discussion with your spouse. Rather than responding with empathy, your spouse is more likely to respond by matching your hostility and getting defensive.

Statement 2, which is emotionally vulnerable because it reveals an insecurity, provides an opening for your husband to empathize with your feelings so he'll be more likely to address the issue in an open way.

Statement 2 also allows for the possibility that the two of you could talk more openly about your sex life to try to improve your sex script if it has become repetitive and boring (see my article: How to Talk to Your Partner About Sex).

If you object to mainstream porn because you think it's immoral or degrading to women, you might want to consider ethical porn which is usually made by feminist women with women's pleasure in mind. If you enjoy it, you and your partner could watch it together, which you both might enjoy.

If you object to all pornography--both mainstream and ethical porn--then you and your spouse can talk about reaching a compromise about it--just as you would about any other issue that you both disagree about--without power struggles and volatility.

If you can't stop the arguments and power struggles, consider seeking help in sex therapy.  

A skilled sex therapist, who works with individual adults and couples, can help you to develop the necessary skills to talk about this and get to the underlying issues involved so these issues can get worked through.

Note: Most couples therapists aren't sex therapists so they don't have the training and skills to work with this issue.

Get Help in Sex Therapy

If you and your spouse get stuck in power struggles about porn, you can seek help from a licensed mental health professional who is a sex therapist.

Get Help in Sex Therapy

Sex therapy is a form of talk therapy (see my article: What is Sex Therapy?).

There is no nudity, physical exams or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Individual adults and couples seek help in sex therapy for a variety reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than struggling on your own, seek help from a skilled sex therapist so you and your partner can have a more fulfilling life together.

Book: You might also find it helpful to read His Porn, Her Pain: Confronting America's PornPanic with Honest Talk About Sex by Marty Klein, Ph.D., Sex Therapist.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.