"Pornography Addiction": Elements for Discussion of a Case Report

Area of Science:

• Psychology
• Psychiatry
• Digital Health

Background:

• The concept of "pornography addiction" is debated, lacking consensus for a distinct diagnostic entity in international classifications.
• Despite scientific debate, individuals frequently seek therapy for perceived problematic internet pornography use (IPU).
• The term "pornography addiction" is prevalent in patient discourse, highlighting a gap between clinical recognition and public perception.

Observation:

• A case vignette of a man identifying as a "pornography addict" is presented for critical review.
• The study explores diagnostic hypotheses beyond the concept of addiction.
• Focus is placed on "perceived addiction" and its link to "moral incongruence".

Findings:

• A psychotherapeutic approach focusing on the patient's history, sexuality, and morality, rather than solely on IPU, is proposed.
• Therapy aimed to understand the construction of the patient's sexuality and moral framework.
• Addressing the root of moral incongruence, not the behavior itself, led to the cessation of IPU and associated suffering.

Implications:

• This approach suggests that for individuals perceiving "porn addiction," a comprehensive therapy exploring moral incongruence may be more effective than direct behavioral cessation.
• Understanding "perceived addiction" and its connection to personal values is crucial for therapeutic success.
• The findings advocate for a broader psychotherapeutic framework to address distress related to internet pornography consumption.