Cruise Control: Understanding Sex Addiction in Gay Men with Dr. Rob

In today’s episode, Rob digs in deeper on the topic of sexuality and sexual addiction in gay men. He discusses the different norms in gay vs. heterosexual communities, what determines an addictive or compulsive sexual behavior, and the specific challenges gay men have in building relationship intimacy. There are both many differences and similarities in how gay and straight men act out in addiction, and also specific knowledge therapists need to have when working with the gay population. TAKEAWAYS: [1:39] When Rob entered the field of work in the Sexual Addiction and Compulsion in the 90’s, we were dealing with the height of the HIV crisis. Many of the men that were behaving in unsafe or promiscuous ways were sex addicts, and there were not a lot of educated experts to help them. [3:33] Rob wrote the book Cruise Control in 2003, which is the first and only book of its kind. In 2013, he updated it to include the present-day landscape of certain drug use such as methamphetamines, social media and hook up apps, and marriage. [4:56] Gay men exist in different cultural expectancies and behavioral patterns than the heterosexual population. There is also a lack of cultural validation over time for long-term intimacy building. [5:31] Many gay men have grown up being encouraged to appear a certain way and hide or deny their sexuality. They are already accustomed to having a front-facing presentation to the world of who they really are not, which is also a what sex addicts possess. [6:22] Most gay men don’t get to date in high school and end up repressing their sexuality, so there is a delayed adolescence and they often explore sexuality, relationships and intimacy starting in their 20’s. [7:02] Unfortunately in the gay world, there aren’t a lot of role models for healthy long term dating and relationship building. Younger men often don’t get to see what a healthy gay coupleship looks like, because once gay men find their partners they typically leave the singles scenes and join the paired up community. [8:34] The tendency for males to want to dominate and lead may not produce the same type of synergistic male / female relationship that produces empathy, intimacy and compassion. If two men want to be together, they will have to learn these skills and work on their affiliation. On the other hand, lesbians usually need help with individuation in relationships, as they tend to enmesh quickly in the beginning. [9:54] If an individual is demeaned and devalued for their sexuality, it is natural for them to internalize and act out against it. [11:11] We don’t talk about HIV or AIDS very much anymore, even though we lost 350,000 people before we got medication. The cultural response is almost as if it didn’t happen, and that is something that gay men live with every day. [12:18] Men share common characteristics on how they view sexuality, relationships and intimacy. The traumas that drive straight men to act out sexually are the same ones in gay men. Men are visual by nature, and it’s not unusual for gay men to have body issues, food issues and stresses among their physical image. [13:58] Gay men act out in similar ways as straight men, whether it’s a hookup app, webcams, a club, or a one-night stand. Grindr has been helpful of taking gay men out of dark alleys and put them on the same dating and relationship ground as heterosexuals. [18:03] The #2 leading addiction problem in America after opioid addiction is ChemSex. It’s difficult to compartmentalize what pieces belong to the sex addiction, and what pieces belong to drug addiction. Recovery from meth and sex addiction is a long and challenging process. [20:34] In treating gay male sex addicts, it is imperative for the therapist to know the lingo and how gay men view sexual experiences, not pathologize, and know that they will most likely need to learn intimacy. They will need guidance on finding places, hobbies activities to go to where they can grow their community, receive peer support and build their skills without being sexual. The therapist must be open to many non typical therapy topics such as sex toys, threesomes and open relationships. [23:04] Many times gay men believe part of being gay is having many sexual partners and experiences. That may be the case, but doesn’t have to be true for someone that is relationship and commitment seeking. [24:55] In the healing process where heterosexual and gay men are both present, the men bond together as men, rather than necessarily around sexualization or homophobia. RESOURCES Sex and Relationship Healing @RobWeissMSW Sex Addiction 101 Cruise Control: Understanding Sex Addiction in Gay Men Shame Grindr The Urge to Merge QUOTES: “Being a gay male who is a sex addict, it’s a difficult thing to identify, own and work past because of the cultural issues that are involved.” “There are fewer cultural boundaries for potentially excessive sexual behavior among gay men.” “Most gay men already know how to do that (have a front facing presentation of themselves that didn’t fully show who they are) because they grew up hiding their sexuality.” “Homosexuals have not had the 2-3000 years of relationship building experiences and skills, because it has never been acceptable. “Being a gay woman or man means you live in a subculture that is exposed to extensive cultural, legal, and religious oppression directly related to your sexuality.” “It all adds up to the same thing if you are an addict - that hole in the soul that never gets filled up and you are always running looking for a rescue.”