Can sexting be an illness? Experts are split

June 15, 2011 By FRANK ELTMAN and DAVID B. CARUSO , Associated Press
In this June 11, 2011 file photo, Rep. Anthony Weiner, D-N.Y., carries his laundry to a laundromat near his home in the Queens borough of New York, Saturday, June 11, 2011. Weiner admitted last week that he had Tweeted sexually charged messages and photos to at least six women and lied about it. (AP Photo/David Karp, File)

(AP) -- Married men sometimes behave badly. They covet. They flirt. They philander. And when they get caught, they occasionally adopt the insanity defense, telling spouses that an inner demon made them lose control.

Doctors say the line between legitimate clinical disorder and plain old lousy behavior isn't well-understood. That makes it hard to assess U.S. Rep. Anthony Weiner's announcement that he was seeking "professional treatment" following a scandal over lewd photos and messages he sent to women he didn't know.

The congressman hasn't specified what type of care he is getting, or for what, leaving constituents to wonder whether he is seeking treatment as simply a ploy to buy time and sympathy.

Sexual addiction is not recognized as a in the , an encyclopedic bible for . Exhibitionism, though, does make the cut. There has also been talk about including a passage in the next edition on hypersexual disorders, involving an overheated sex drive.

"It's still a very controversial diagnosis. There are a lot of people who think this is a lot to do about nothing," said Dr. Richard Krueger, an associate professor of psychiatry at Columbia College of Physicians & Surgeons and director of the Sexual Behavior Clinic at the New York State Psychiatric Institute.

"On the other hand," he said, "practitioners will see people who are completely out of control, and will just destroy their lives, and despite the imposition of a sanction will continue doing it."

Doctors assessing whether an illness is the real deal, or a convenient excuse, would likely take into account whether patients were causing themselves real harm, and whether they had lost some or all of their ability to control themselves, he said.

There seems to be no question about whether Weiner's behavior has been self-destructive.

"He certainly has a media relations nightmare and saying he needs treatment sounds a lot better than the alternatives," said Dr. Jeffrey T. Parsons, a sex addiction expert and psychology professor at Hunter College in New York City. "It's a lot harder to bash someone who says he is seeking treatment and help."

Some experts said Weiner's actions - making electronic sexual contact with strangers, despite the enormous risk to his political career - do resemble the characteristics of drug addicts, alcoholics, problem gamblers, or even overeaters.

"People know they are not supposed to be overweight, and if they truly had control over it, they should just be able to make a decision to lose weight, and then do it," Krueger said. "Yet most people can't do it ... and they will engage in very complex, thought-out deliberate behaviors that will still keep them overweight."

If he has opted for an inpatient treatment facility, experts say there are a handful of places where he could be that specialize in sexual conduct, including a Mississippi clinic where Tiger Woods reportedly sought help for his litany of marital indiscretions. Or he could be getting outpatient advice on addiction.

"He's exhibiting behavior of an addict: the secrecy, the risk-taking, the denial," said Robert Weiss, founder of the Sexual Recovery Institute in Los Angeles.

Kimberly Young, clinical director of the Center for Online Addiction in Bradford, Pa., said that in many ways, Weiner's behavior was "very commonplace." Plenty of men and women secretly live out their fantasies on the Internet, sometimes in compulsive fashion.

The treatment, she said, is usually twofold. Patients have to first modify their online behavior; that might mean not using the computer during certain hours, or at certain locations, or only communicating with certain types of people online. Next, they must examine what mental health issues might be causing the behavior.

"Is he depressed? Is he anxious and stressed out?" she said. "First you need to deal with the behavior, then deal with the reasons why that happened. ... It will probably take more than a 28-day rehab program. ... The treatment has to fit the person."

Weiner's weekend announcement that he is seeking treatment was short on specifics; he did not explicitly say that he has entered a rehab facility. A statement said only that he requested "a short leave of absence from the House of Representatives so that he can get evaluated and map out a course of treatment to make himself well."

Timothy Lee, a licensed clinical social worker who runs New York Pathways, which treats sexual addiction on an outpatient basis, said Weiner's proclivity for sending lurid photos of himself to strangers was legitimately "delusional," and probably had deep roots.

"He didn't wake up and just start sending pictures."

Can those types of problems be repaired with 30 to 45 days of counseling? Probably not, experts said.

It also could take even longer than that for Weiner to repair his public image.

Explore further: Researchers: Program discourages HIV transmission in Russia


Related Stories

Researchers: Program discourages HIV transmission in Russia

July 11, 2008

(Boston)-Researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) found that sexual behavior counseling during drug addiction treatment should be considered an important component among ...

Sex addiction divides mental health experts

March 8, 2010

Tiger Woods, who recently admitted to multiple extramarital affairs, said he is receiving treatment. David Duchovny, who plays a sex-obsessed professor on the TV show "Californication," underwent rehab in 2008. Dr. Drew ...

Sex addiction -- is it real?

April 15, 2010

Addicts call it a God-sized hole, a hollowness in the soul. It leaks no matter how much they try to fill it -- and at what cost. For years, George filled his emptiness with pornography, erotic massage and, eventually, sex ...

Intimacy problems revealed in sex survey

December 15, 2010

A study of so-called sex addiction and its impact on relationships has found that those with problematic sexual behaviour are more likely to feel threatened by or anxious about intimate relationships.

Fine line between serial seducer and sex addict: experts

May 17, 2011

French politician and International Monetary Fund chief Dominique Strauss-Kahn, arrested in New York Saturday for attempted rape, has long trailed a reputation among France's cognoscenti as an ardent womanizer.

Recommended for you

How the finch changes its tune

August 3, 2015

Like top musicians, songbirds train from a young age to weed out errors and trim variability from their songs, ultimately becoming consistent and reliable performers. But as with human musicians, even the best are not machines. ...

Cow embryos reveal new type of chromosome chimera

May 27, 2016

I've often wondered what happens between the time an egg is fertilized and the time the ball of cells that it becomes nestles into the uterine lining. It's a period that we know very little about, a black box of developmental ...

Shaving time to test antidotes for nerve agents

February 29, 2016

Imagine you wanted to know how much energy it took to bike up a mountain, but couldn't finish the ride to the peak yourself. So, to get the total energy required, you and a team of friends strap energy meters to your bikes ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.