Patima desfranarii

[patinina34]

[COLOR=red]Sexual Recovery - treatment and assessment- cont'd[/COLOR]


[COLOR=red]John, a 34 year old heterosexual married man, entered treatment for his sexually addictive behavior when his wife of nine years asked for a separation upon discovering that he had given her yet another venereal disease. His secretive sexual acting-out behaviors included weekly visits for "sensual massage" and conducting multiple anonymous sexual affairs with women he had met on the Internet. Although John had been in therapy with an analyst 2-3 times weekly for over two years and had disclosed the nature of his sexual acting-out at the beginning of that clinical relationship, the behaviors were not fully explored in therapy nor were they ever directly intervened upon. He was never encouraged to take any direct action to change his behaviors, nor were any steps taken to protect the health and safety of his wife. John stated that he felt lead to believe in therapy that "when he felt less depressed and had a better understanding of his poor self worth" the behaviors would begin to go away.[/COLOR]
[COLOR=red]Sexual addiction appears to be fairly common in the general adult population In his Landmark 1987 study of over 1500 identified sexual addicts Patrick Carnes, Ph.D. suggested that sexual addiction is present in as much as 8% of the adult male population, the number being around 3% for adult women. Sexual addiction as a clinical concern has clearly identifiable patterns of sexual behaviors, often starting in adolescence and childhood. The disorder is defined by the harmful consequences of the sexual behaviors themselves and the participants' inability to discontinue them.[/COLOR]

[patinina34]

[COLOR=red]A helpful way to integrate a clinical understanding of sexually addictive behavior is to utilize a common definition of Criteria for an Addictive Disorder:[/COLOR]

• [COLOR=red]Frequent engaging in the behavior to a greater extent or over a longer period than intended [/COLOR]
• [COLOR=red]Persistent desire for the behavior or one or more unsuccessful efforts to reduce or control the behavior [/COLOR]
• [COLOR=red]Much time spent in activities necessary for the behavior, engaging in the behavior or recovering from its effects [/COLOR]
• [COLOR=red]Frequent engaging in the behavior when expected to fulfill social, occupational, academic or domestic obligations [/COLOR]
• [COLOR=red]Continuation of the behavior despite knowledge of having a persistent or recurrent social, financial, psychological or physical problem caused or exacerbated by the behavior [/COLOR]

[COLOR=red]Sexual addiction and compulsivity can be defined as sexual behaviors which involve "escalating patterns of sexual behavior with increasingly harmful consequences." Those consequences which often are indicators of the disorder appear in the full biopsychosocial spectrum.[/COLOR]





[COLOR=red]These consequences might include:[/COLOR]

• [COLOR=red]Social[/COLOR]
  [COLOR=red]Loss of marriage/primary relationship, friendships, social networks due to sexual preoccupation and behavior [/COLOR]
• [COLOR=red]Emotional[/COLOR]
  [COLOR=red]Depression or anxiety are common due to the shame, secrecy and lowered self-esteem of sexual addicts [/COLOR]
• [COLOR=red]Physical[/COLOR]
  [COLOR=red]Injury due to frequency and type of behaviors; sexually transmitted diseases are common [/COLOR]
• [COLOR=red]Legal[/COLOR]
  [COLOR=red]Arrests for sexual crimes (voyeurism, lewd conduct, etc.), loss of professional stature or licenser for sexual misconduct or sexual harassment [/COLOR]
• [COLOR=red]Financial[/COLOR]
  [COLOR=red]Costs of pornographic materials, use of prostitutes, phone/computer sex lines; Loss of productivity, creativity and employment [/COLOR]

[COLOR=red]Like alcoholics, drug addicts and compulsive gamblers, sexual addicts employ typical defenses such as denial, rationalization and justification in order to be able to continue to engage in their behaviors, while blaming others for the resulting problems. Diagnosis and subsequent treatment can be skewed by a patient's minimization or outright denial of the type, amount or consequences of their sexual activity. Misdiagnosis can also occur due to the commitcant mood disorder symptoms that the shame and stress of living a double life can facilitate.[/COLOR]


[COLOR=red]While thorough biopsychosocial [/COLOR][COLOR=red]assessment[/COLOR][COLOR=red] may reveal other underlying diagnosis or clinical concerns, some sexual addicts will report having been previously misdiagnosed with related, but inaccurate psychiatric disorders. Sexual addicts have been diagnosed as having Bi-Polar, Obsessive Compulsive, Generalized Anxiety or Disassociative Identity Disorders, all of which can be seen to hold some characteristics of compulsive sexual behavior by definition, but do not appear to be the underlying condition for most sexual addicts. In fact, with appropriate intervention and cessation of addictive sexual behaviors, along with shame reduction and a building of more healthy coping mechanisms, other "compulsive" or "mood disordered" symptoms will often discontinue or be greatly reduced on their own. When sexual addiction is found to exist solely on its own without any related primary Axis One disorder it can be classified as Sexual Disorder NOS with Addictive Features (DSM-IV).[/COLOR]
[COLOR=red]Billy, a 48 year old homosexual man, engaged in anonymous sex in public parks, mall restrooms and sexual bathhouses, having many multiple partner experiences weekly. Although HIV positive, he often had unprotected sexual encounters with several anonymous men on a weekly basis. Unable to sustain intimate romantic or social contacts due to his compulsive secret sexual life, Billy frequently suffered bouts of depression and anxiety which left him feeling hopeless and shameful. Upon learning about this behavior, Billy's primary physician referred him to a local psychiatrist who prescribed Lithium for his "Hypomania" and an SSRI for his apparent "Depression and Anxiety". Although the patient took the medications for several months he noted minimal change in his mood states and he continued his sexual behaviors until he was arrested for lewd conduct in a public park. Billy was subsequently referred for sexual addiction treatment and mandatory attendance at sexual addiction [/COLOR][COLOR=red]12 step recovery meetings[/COLOR][COLOR=red]. Within the first 30 days of treatment Billy established and began maintaining a [/COLOR][COLOR=red]"sexual sobriety"[/COLOR][COLOR=red] plan, became involved in regular weekly 12 step meetings and began to explore the painful history of his sexual behaviors and emotional isolation. By 45 days into treatment, Billy demonstrated only transient and diminishing mood disordered symptoms. He states, "This has been the problem my whole life and I have never been able to change it on my own no matter how hard I tried. I never really understood or realized that my sexual addiction is the reason I have always felt so self-hating, isolated and unworthy of love."[/COLOR]
[COLOR=red]Multiple addictions are often present in sexual addicts and must be watched for. As with any addiction assessment and treatment model, careful interview and discussion should always consider the possible involvement/history of drug and alcohol abuse or dependency, eating, exercise or spending disorders, gambling, etc. It is not uncommon for this population to switch addictions during treatment, such as the sexual addict who while containing her sexual acting-out, gained 35 pounds in the first 90 days of treatment. Additionally a thorough and current medical exam should be encouraged at the beginning of treatment as sexual addicts can often be inattentive to self care and also may need testing to discern the potential existence of any sexually transmitted diseases.[/COLOR]
[COLOR=red]Successful outpatient treatment for sexual addicts differs significantly from traditional models of psychodynamic psychotherapy and more closely follows a cognitive/behavioral addiction approach. The stance of the clinician in addiction treatment is directive and reality based. Early sessions focus minimally on the transferential aspects of the relationship or upon childhood injury utilizing a clear directive focus in the here and now. Although an established positive and trusting clinical relationship is essential, the therapist's initial role is directive, applying a task oriented and accountability based approach while always maintaining containment of the sexually addictive behaviors as the primary mutually agreed upon therapy goal. The initial process of treatment can be divided into three major stages:[/COLOR]
[COLOR=red]Identification of the Problem[/COLOR]
[COLOR=red]After carefully ruling out the presence of other related psychiatric or medical diagnosis, the utilization of assessment tools such as the [/COLOR][COLOR=red]G-SAST[/COLOR][COLOR=red], close questioning and observation, helps the clinician and patient to identify the specific behaviors which make up the problematic addictive patterns [/COLOR]
[COLOR=red]Behavioral Contracting[/COLOR]
[COLOR=red]Defining in clearly written terms specific problem sexual behaviors which are to be eliminated. Contracts will often also include tasks assigned to encourage the use of alternative coping mechanisms, i.e. daily journaling, check-in phone calls and attendance at 12 step meetings.[/COLOR]
[COLOR=red]Relapse Prevention[/COLOR]
[COLOR=red]Working to identify and reduce patterns of experience and interaction which support or "trigger" the acting-out behaviors, i.e. stress management tools, relationship dysfunctions, work/financial problems, etc. [/COLOR]



[COLOR=red]Typical Sample Treatment Goals[/COLOR]

• [COLOR=red]Identification, assessment and containment of specific sexual patterns and specific sexual activities [/COLOR]
• [COLOR=red]Clear definition of healthy sexual patterns vs. shaming and self harming activities [/COLOR]
• [COLOR=red]Exploration of ego-syntonic dysfunctional behaviors working toward their becoming ego-dystonic utilizing the reduction of distortion and denial [/COLOR]
• [COLOR=red]Relapse prevention -- helping the patient to see and understand triggering behaviors and experiences [/COLOR]
• [COLOR=red]Improvement of socialization, encourage healthy acknowledgment and support for meeting dependency needs [/COLOR]
• [COLOR=red]Reduction of spousal conflict while encouraging partner participation in recovery work [/COLOR]
• [COLOR=red]Identification and working through of immediate and long term grief and loss issues [/COLOR]
• [COLOR=red]Increased understanding of need to control intimacy as a function of long standing early neglect and violation [/COLOR]

[patinina34]

[COLOR=#ff0000]The ongoing process of the sexual recovery process presents demands that cannot be met solely within the confines of an individual therapeutic relationship. Recovering addicts require external sources of social reinforcement and support for changing lifelong patterns of behavior. One extremely important tool utilized toward these goals is [/COLOR][COLOR=#ff0000]addiction-focused group therapy[/COLOR][COLOR=#ff0000]. A long-standing fundamental to sexual offender treatment, group therapy for sexual addicts is an invaluable resource for integrating the tools of honesty, self examination and commitment into the recovery process. Sexual addicts in group work are offered the safe, facilitated space to be able to confront their denial and rationalizations while more realistically redefining shameful self states. Group provides an invaluable resource toward building appropriately boundaried social support toward recovery. The other primary resource for sexual recovery is the [/COLOR][COLOR=#ff0000]12 step [/COLOR][COLOR=black]support group[/COLOR][COLOR=red][COLOR=black].[/COLOR] Functional meetings of at least one of the following programs can be found in any major metropolitan area and some in more rural areas as well: Sexaholics Anonymous (615-331-6230), Sexual Compulsives Anonymous (800-977-4325), Sex and Love Addicts Anonymous (617-332-1845) and Sex Addicts Anonymous (713-869-4902). All provide the basic principles of honesty, integrity and spirituality long successful within Alcoholics Anonymous, while making that process applicable to the specific needs of the sexual recovery population.[/COLOR]




[COLOR=black]Citat din Sexual Recovery Institute[/COLOR]
By [COLOR=#0000ff]Robert Weiss, LCSW, CAS[/COLOR]
Los Angeless, USA

Va rog daca tot aduceti vesti din tara in care traiti fiti amabili si traduceti!! Nu toata lumea stie, engleza, araba, germana, japoneza sau spaniola..Multumesc, anticipat!
ps -e urat fata de colegii de forum..parerea mea..

[cristiboss56]

În prealabil postat de eduardd

Va rog daca tot aduceti vesti din tara in care traiti fiti amabili si traduceti!! Nu toata lumea stie, engleza, araba, germana, japoneza sau spaniola..Multumesc, anticipat!
ps -e urat fata de colegii de forum..parerea mea..

F. corecta rugamintea si observatia ta. Nu toti suntem atat de scoliti si atat de inteligenti. Iarta-ne Doamne prostia noastra !

Nina ne spune ca in Statele Unite patima desfranarii a fost recunoscuta ca boala si se trateaza in clinici. Articolele postate ne dau amanunte despre modul in care recunoastem aceasta boala, precum si cum se trateaza. Chiar daca nu putem intelege ce scrie in engleza, macar stim ca exista cadre specializate care se ocupa de recuperarea acestor suflete pierdute. Spun "suflete pierdute", caci iata ce spune Sf. Antonie cel Mare (Filocalia vol. 1, pg 14-15) despre pacatosi in general si desfranati in special:

"Cei prosti si neiscusitit iau in ras cuvintele si nu vor sa le asculte daca acestea mustra nepriceperea lor, ci vor ca toti sa fie intru toate asemenea lor. La fel si cei desfranati, se silesc sa-i arate pe ceilalti toti mai rai decat dansii, socotind sa vaneze pe seama lor nevinovatia, din pricina multimii relelor. Daca intr-un suflet slab se afla pacatele acestea: desfranarea, mandria, lacomia nesaturata, mania, neastampararea limbii, furia, uciderea, tanguirea, pizma, pofta, rapirea, durerea, minciuna, placerea, lenea, intristarea, frica, boala, ura, invinuirea, neputinta, ratacirea, nestiinta, inselarea, si uitarea de Dumnezeu, sufletul acela se intineaza si se pierde. Caci prin acestea si prin cele asemenea acestora se osandeste sarmanul suflet care s-a despartit pe sine de Dumnezeu".

Dar tot Sf. Antonie cel Mare ne da speranta si ne invata cum sa-i tratam pe cei, care aidoma noua, vor sa se indrepte din pacate:

"Cei ce vor sa se deprinda in viata cea virtuoasa, cuvioasa si preamarita nu trebuie judecati dupa obiceiurile sau dupa petrecerea cea mincinoasa de pana acum. Ci, asemenea pictorilor si sculptorilor, isi vor dovedi din faptele insesi petrecerea cea aleasa si placuta lui Dumnezeu. Nu fug ei de toate placerile pacatoase ca de niste curse?"

Cei dintre noi, care au toate atuurile spre desfranare: tinerete, frumusete, bani si alte calitati - dar nici cei mai in varsta nu sunt exceptati - sa se gandeasca la momentul in care patimile pun stapanire pe noi si fac cu noi ce vor ele. Atunci devenim pacientii potentiali ai acelor clinici de care vorbeste Nina.
Sunt vesnic surprinsa de prospetimea acestor sfaturi venite din partea Sfintilor Parinti, care desi nu cunoscut pacatele acestea personal, au totusi o cunoastere exhaustiva a lor, primita desigur prin Sfantul Duh. Scrierile lor nu vor imbatrani niciodata.

[cristiboss56]

În prealabil postat de Anca-Miha

Nina ne spune ca in Statele Unite patima desfranarii a fost recunoscuta ca boala si se trateaza in clinici. Articolele postate ne dau amanunte despre modul in care recunoastem aceasta boala, precum si cum se trateaza. Chiar daca nu putem intelege ce scrie in engleza, macar stim ca exista cadre specializate care se ocupa de recuperarea acestor suflete pierdute. Spun "suflete pierdute", caci iata ce spune Sf. Antonie cel Mare (Filocalia vol. 1, pg 14-15) despre pacatosi in general si desfranati in special:

"Cei prosti si neiscusitit iau in ras cuvintele si nu vor sa le asculte daca acestea mustra nepriceperea lor, ci vor ca toti sa fie intru toate asemenea lor. La fel si cei desfranati, se silesc sa-i arate pe ceilalti toti mai rai decat dansii, socotind sa vaneze pe seama lor nevinovatia, din pricina multimii relelor. Daca intr-un suflet slab se afla pacatele acestea: desfranarea, mandria, lacomia nesaturata, mania, neastampararea limbii, furia, uciderea, tanguirea, pizma, pofta, rapirea, durerea, minciuna, placerea, lenea, intristarea, frica, boala, ura, invinuirea, neputinta, ratacirea, nestiinta, inselarea, si uitarea de Dumnezeu, sufletul acela se intineaza si se pierde. Caci prin acestea si prin cele asemenea acestora se osandeste sarmanul suflet care s-a despartit pe sine de Dumnezeu".

Dar tot Sf. Antonie cel Mare ne da speranta si ne invata cum sa-i tratam pe cei, care aidoma noua, vor sa se indrepte din pacate:

"Cei ce vor sa se deprinda in viata cea virtuoasa, cuvioasa si preamarita nu trebuie judecati dupa obiceiurile sau dupa petrecerea cea mincinoasa de pana acum. Ci, asemenea pictorilor si sculptorilor, isi vor dovedi din faptele insesi petrecerea cea aleasa si placuta lui Dumnezeu. Nu fug ei de toate placerile pacatoase ca de niste curse?"

Cei dintre noi, care au toate atuurile spre desfranare: tinerete, frumusete, bani si alte calitati - dar nici cei mai in varsta nu sunt exceptati - sa se gandeasca la momentul in care patimile pun stapanire pe noi si fac cu noi ce vor ele. Atunci devenim pacientii potentiali ai acelor clinici de care vorbeste Nina.
Sunt vesnic surprinsa de prospetimea acestor sfaturi venite din partea Sfintilor Parinti, care desi nu cunoscut pacatele acestea personal, au totusi o cunoastere exhaustiva a lor, primita desigur prin Sfantul Duh. Scrierile lor nu vor imbatrani niciodata.

Totusi mult bine faceai Anca de ne traduceai integral cele postate de sora noastra Nina ! Dar pentru ca ai facut referire la Sfintii Parinti, Ei sunt in scrierile lor, mai actuali ca niciodata si multe are de inteles, atat cel scolit mai mult, cat si cel mai putin scolit, pentru ca Ei au scris pentru tot sufletul si pentru orice fel de minte. Numai un prost ce cu fala se declara pros, nu vrea sa inteleaga spusele Lor. Pacat ca semeni de ai nostri intineaza prin atitudinea lor aroganta si atotsiutoare, cele lasate de Ei. Sunt fariseii zilelor noastre si uratorii de suflete ce misuna peste tot, inclusiv pe aici prin preajma.

Cristian, si aici maine se serbeaza revelionul si sunt si eu cu treaba pana peste cap. Nu am citit nici eu toate articolele de la cap la coada, din acelasi motiv; dar am prins care era ideea si asta am scris.

Sa incercam sa intelegem sensul adanc, general valabil al celor spuse de Sf. Antonie.

[cristiboss56]

În prealabil postat de Anca-Miha

Cristian, si aici maine se serbeaza revelionul si sunt si eu cu treaba pana peste cap. Nu am citit nici eu toate articolele de la cap la coada, din acelasi motiv; dar am prins care era ideea si asta am scris.

Sa incercam sa intelegem sensul adanc, general valabil al celor spuse de Sf. Antonie.

Of, of, of ! Ce pot raspunde la cele scrise decat Revelon placut ! ! ! ! ! !

[patinina34]

În prealabil postat de cristiboss56

Of, of, of ! Ce pot raspunde la cele scrise decat Revelon placut ! ! ! ! ! !

Traduceri

Cer scuze tuturor de pe cest forum, daca cineva se simte lezat la vederea unui text in engleza.

Comunicarea este chei succesului intotdeauna.

Daca cineva doreste traducerea, nici o problema.

Am sa lucrez la aceasta traducere si am sa postez traducerea ca sa fie pe intelesul tuturor. Nimeni nu este prost sau fariseu daca nu intelege o limba sau intelege ce vrea, nici neluat in consideratie.

Am vazut si alte postari in englez, si am considerat - de la mine putere, de asta am si cerut scuze - ca intelegeti limba, deoarece stiu ca Romania a avut obligatoriu in scoli limbile straine spre deosebire de alte tari.

Pina la finlizarea acestei traduceri, esenta este diversitatea tipuil de boli sexuale care necesita un tratament special si internare in clinici profesionale. De asemenea implicatiile sociale ale unui astfel de bolnav si tratamentul in 12 pasi ca si la alcoolisti.