Abstract

Helping someone consider what it might be like to desist from an ingrained, highly-prized, sexually-compulsive behavior is challenging. To help a client move toward such a goal, it may be helpful to break down the process of refraining into two parts or subsequences: first, the moment of choosing not to engage in the pleasure-seeking behavior(s); and second, the moments after one has chosen not to engage. This “second moment” is not often addressed granularly in intervention models because in a sense, it seems like a negative space, a void. It presumes the hard work and mental energy of desisting has already occurred. But we may conceptualize the “moment(s) after” as forming a temporal, affective, and psychological space in which the client needs specific help, support, and tools. This article uses theoretical and casework material to demonstrate how such a “two-step” model can help clients envision and prepare for the challenges of ceasing sexually addictive behaviors by also getting them in touch with what may follow an episode marked by inhibition.

摘要

帮助某人考虑如何摆脱根深蒂固的，性高尚的性强迫行为可能是一种挑战。为了帮助客户实现这一目标，将克制的过程分为两个部分或子序列可能会有所帮助：第一，选择不参与享乐行为的时刻；二是时刻后一个选择不参与。这个“第二时刻”在干预模型中并不经常被细化处理，因为从某种意义上说，它似乎是一个负空间，一个空白。它假设停止的辛勤工作和精神能量已经发生。但是，我们可以概念化“的时刻（S）后”，以形成客户需要特定帮助，支持和工具的时间，情感和心理空间。本文使用理论和案例研究材料来证明这种“两步走”模型如何通过使客户与可能受到抑制的情节相联系的方式联系起来，从而帮助客户设想并为制止性上瘾行为的挑战做好准备。