How An Avoidant Attachment Style Can Affect Your Sex Life - Part 2

In Part 1 of this discussion on avoidant attachment style and sex, I described how this attachment style can affect your sex life. In this article, I'm providing a clinical vignette as an illustration of what I discussed in Part 1.

How An Avoidant Attachment Style Can Affect Your Sex Life

Attachment styles develop early in childhood (see my article: How Early Attachment Bonds Affect Adult Relationships).

An avoidant attachment style is one of three insecure attachment styles: anxious, avoidant and disorganized (see my article: What is Your Attachment Style?).

As I mentioned in a previous article, unless you work in therapy to overcome the issues that caused you to develop an insecure attachment style, your attachment style will continue to impact you in your adult relationships, especially in romantic relationships (see my article: How Your Attachment Style Affects Adult Relationships).

As I mentioned in Part 1, if you have an avoidant attachment style, some or all of the following characteristics might apply to you. You might:

• Have a discomfort with sexual activities that involve emotional closeness, like cuddling, hugging or so on.

• Not enjoy foreplay.

• Prefer casual, uncommitted relationships with emotionless sex (e.g, hook ups).

• Have sexual affairs outside of your relationship.

• Use sex mostly as a way to reduce stress and anxiety.

• Use sex as a way to gain status among your peers (e.g., bragging about how many people you slept with, and so on).

• Have fantasies about having sex with other people (other than your partner) as a way to emotionally distance yourself from your partner.

• Have a hard time relating to a partner who likes to feel emotionally close during sex.  This is especially problematic if your partner is someone who has an anxious attachment style and needs to feel emotionally close during sex.

• Be dismissive of your partner's need for emotional intimacy (see my article: What is the Difference Between Emotional and Sexual Intimacy?).

• Prefer relationships where there are few emotional demands being made on you.

Clinical Vignette

The following clinical vignette is a composite of many different cases with all identifying information removed to protect confidentiality:

Joe

Joe, who was 38 years old, sought help in therapy because his girlfriend was complaining that she was unhappy with how "cold" he was toward her when they had sex.  She liked to cuddle, hug and be hugged, but he usually pushed her away because these affectionate gestures made him feel uncomfortable.

Initially, Joe told his therapist that he didn't think he needed to be in therapy. He said therapy was for "weak people." He explained he was mostly coming to appease his girlfriend, someone he thought of as being "needy" (see my article:  Common Myths About Psychotherapy: Going to Therapy Means You're "Weak").

But as Joe continued with his therapy sessions and his therapist explained attachment styles to him, he got curious as to how all of this might apply to him.   

When Joe talked about his family background, he explained that his parents wanted him to be "independent" as a young child.  Also, as a child, he didn't want to be a "burden" to them (see my article: Seeing Yourself as Independent vs Experiencing Shame For Feeling Like a Burden).

He said they were usually preoccupied with their own problems, and they expected him to be able to solve his problems without their help.

When he started elementary school at age 5, he was small for his age and some of the bigger children in his class would bully him after school.  They would taunt him, call him names like "Shorty," and push him around.  Whenever this happened, he didn't know how to defend himself.

One day when he came home from school in tears, he told his mother that he was being bullied and she responded, "Stop being a crybaby! If they push you, defend yourself--push them back."  Then, when his father came home, his father told him, "Don't be weak! We can't fight your battles for you! You have to learn to take care of yourself."

Joe felt too ashamed to tell his parents that he didn't know how to defend himself.  On top of that, he felt ashamed for coming home tearful and being "weak." So, he learned to hide his more vulnerable feelings from other people and, eventually, without even realizing it, he learned to suppress his "negative" feelings altogether.

He also told his therapist that his parents didn't believe in "spoiling" children with hugs and expressions of affection, so he never experienced this with his parents. But as soon as Joe said this, he became defensive and said, "My parents were good parents.  They knew what was best for me."

It took a while in therapy before Joe could let go of his defensiveness to see that he was emotionally neglected at home and that his parents grew up under similar circumstances, which is why they didn't know how to express affection towards him or even with each other (see my articles: What is Childhood Emotional Neglect? and Adults Who Were Emotionally Neglected as Children Often Have a Problem Trusting Others).

Over time, Joe could see how his childhood experiences at home caused him to develop an avoidant attachment style and how that attachment style affected his relationship with his girlfriend.

He grieved in therapy for the emotional neglect he experienced as a child. He and his therapist also used EMDR therapy to process the trauma related to these experiences (see my article: How EMDR Therapy Works: EMDR and the Brain and EMDR Therapy Helps to Achieve Emotional Breakthroughs).

Although, initially, Joe believed he was in therapy to appease his girlfriend, after a while, he realized and appreciated that he needed it for himself.  This allowed him to be curious and more psychologically minded (see my article: Starting Therapy: Developing a Sense of Psychological Mindedness).

The more he processed his trauma with EMDR, the more open he became to his own emotional vulnerability, which allowed him to be more openly affectionate and loving towards his girlfriend (see my article: Emotional Vulnerability as a Pathway to Greater Intimacy).

Getting Help in Therapy

To get to the root of your avoidant attachment style, you could benefit from working with a trauma therapist who has the expertise to help you overcome your childhood trauma where your attachment style first developed.

EMDR therapy as well as other trauma therapies, like Somatic Experiencing, AEDP, clinical hypnosis and Ego States work are all therapies that can help you to overcome trauma.

Rather than continuing to engage in the same destructive behavior patterns based on your avoidant attachment style, seek help so you can live a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist (see my article: What is a Trauma Therapist?).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist).

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

How An Avoidant Attachment Style Can Affect Your Sex Life - Part 1

In my prior articles, I focused on how an anxious attachment style can affect your sex life (see my articles: How An Anxious Attachment Style Can Affect Your Sex Life - Part 1 and Part 2). 

In this article, my focus is on the avoidant attachment style (see my articles: How the Early Attachment Bond Affects Adult Relationships and Understanding How An Avoidant Attachment Style Affects You and Your Relationship).

How an Avoidant Attachment Style Can Affect Your Sex Life

The 3 Insecure Attachment Styles

As I mentioned in my prior article, there are three insecure attachment styles:

• Anxious
• Avoidant
• Disorganized

Most people who have an insecure attachment style are either anxious or avoidant (see my article: What is Your Attachment Style? and How Your Attachment Style Affects Your Relationship).

Characteristics of the Avoidant Attachment Style:

If you have an avoidant attachment style, you might have some or all of the following characteristics:

• You might have a discomfort with sexual activities that involve emotional closeness, like cuddling, hugging or so on.

• Similar to the above, you might not enjoy foreplay.

• You might prefer casual, uncommitted relationships with emotionless sex (e.g, hook ups).

• You might have sexual affairs outside of your relationship.

• You might use sex mostly as a way to reduce stress and anxiety.

• You might use sex as a way to gain status among your peers (e.g., bragging about how many people you slept with, and so on).

• You might have fantasies about having sex with other people (other than your partner) as a way to emotionally distance yourself from your partner.

• You probably have a hard time relating to a partner who likes to feel emotionally close during sex.  This is especially problematic if your partner is someone who has an anxious attachment style and needs to feel emotionally close during sex.

• You tend to be dismissive of your partner's need for emotional intimacy (see my article: What is the Difference Between Sexual and Emotional Intimacy?).

• You tend to prefer relationships where there are few emotional demands being made on you.

People with an avoidant attachment style were often raised in a household where their emotional needs were dismissed because of the primary caregiver's own discomfort with emotional closeness.  This is how an avoidant attachment style continues from one generation to the next.

Adults with an avoidant attachment style have problems trusting and relying on their romantic partner.  This is often due to their early experiences in childhood of being forced to rely on themselves (and not their primary caregivers) for their own emotional well-being, which is traumatic for a child (see my article: What is Childhood Emotional Neglect? and Growing Up Feeling Invisible and Emotionally Invalidated).

In my next article, I'll provide a clinical vignette to illustrate how these dynamics play out sexually: How An Avoidant Attachment Style Can Affect Your Sex Life - Part 2.

Getting Help in Therapy

If you identify with some or all of the characteristics mentioned above, you could benefit from working with a licensed mental health professional who has an expertise in working with individuals with an avoidant attachment style.

With help from a skilled psychotherapist, you can learn to overcome these problems so you can have a more fulfilling life.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

How An Anxious Attachment Style Can Affect Your Sex Life - Part 2

In Part 1 of this series on attachment styles and sex, I described the anxious attachment style and how it can affect your sex life.  In this article, I'm providing a clinical vignette as an illustration. 

How an Anxious Attachment Style Can Affect Your Sex Life

What is an Anxious Attachment Style?

Attachment styles develop early in childhood (see my article: How Early Attachment Bonds Affect Adult Relationships).

An anxious attachment style is one of three insecure attachment styles: anxious, avoidant and disorganized (see my article: What is Your Attachment Style?).

Unless you work in therapy to overcome the issues that caused you to develop an insecure attachment style, your attachment style will continue to impact you in your adult relationships, especially in romantic relationships (see my article: How Your Attachment Style Affects Your Relationship).

As I mentioned in Part 1, if you have an anxious attachment style, some or all of the following characteristics might apply to you. You might:

• Use sex to get approval
• Fall in love easily
• Mistrust romantic partners
• Feel anxiously insecure
• Worry about what others think about you
• Become preoccupied or even obsessive about your romantic partner
• Have a very strong desire to be physically close to your partner due to your insecurity
• Tend to feel dissatisfied with your partner and you can be difficult to please
• Feel misunderstood by your partner
• Feel unappreciated by your partner
• Be clingy
• Be dependent
• Demand a lot of attention and care
• Have a strong fear of rejection
• Be extremely jealous if your partner doesn't spend as much time with you as you would like
• Engage in mate guarding (see my article: Irrational Jealousy and Mate Guarding)
• Be overly worried about your appearance and might need a lot of reassurance that you're attractive

Clinical Vignette

The following clinical vignette is a composite of many different cases with all identifying information removed to protect confidentiality:

Sara

Two months after her breakup with Steve, Sara took her best friend's advice and started therapy (see my article: How to Recommend Psychotherapy to a Friend).

Sara, who was in her late 30s, attended therapy a few times before, but she left prematurely after a few sessions each time (before completing the work) whenever she got into a new relationship (see my article: When Clients Leave Therapy Prematurely).  

During her initial consultation, Sara told her new therapist that she would make a commitment to complete the work this time.  She recognized, in hindsight, how she engaged in the same destructive behavior in each relationship, including her last one with Steve, and she didn't want to keep repeating the same behavior.

She told her therapist that she had read books and articles written for the general public about attachment styles, and she recognized that she had an anxious attachment style since childhood.  

Sara grew up with a lot of uncertainty and chaos with a mother who was an active alcoholic and a father who was a gambler, so she understood the origin of her problems.  She just didn't know what to do to change it.

Sara described her behavior with Steve as being clingy, dependent and irrationally jealous when she had no reason to be.  She knew that Steve tried to be patient with her, but when they argued, she would become especially anxious because she feared he would leave her.  

At those times, she would use sex to lure him back--even when she didn't want to have sex.  She would also pretend to have an orgasm even when he didn't take the time to get her sexually aroused (see my articles: What is Good Sex?, What is the Orgasm Gap? and Rethinking Foreplay as Just a Prelude to Sexual Intercourse).

After six months, Steve told her that her emotional insecurities were a turn-off to him, and he broke up with her. When her usual strategy of trying to lure him back with sex didn't work, she knew it was over.

Although Sara was looking for a "quick fix" to her problems, her therapist told her that trying to change an anxious/insecure attachment style would involve a lot of work in therapy, including working through her traumatic childhood and learning new ways of relating in her romantic relationships (see my article: How Trauma Affects Intimate Relationships).

For the next several months, her therapist used EMDR therapy to help Sara overcome her childhood trauma.  Sara was able to grieve her losses and she understood why she developed an anxious/insecure attachment style.

During that time, she also began dating again.  At first, she continued to worry about what her dates thought of her.  She was overly worried about her appearance and needing a lot of reassurance from the men she dated, which was off putting to the men she dated and ended things by the second date.

But as Sara completed EMDR therapy, she felt herself letting go of the past. She remembered how awful and chaotic her childhood had been, but she no longer felt affected by it (see my article: EMDR Therapy Helps to Achieve Emotional Breakthroughs).

Working Through Trauma in Therapy

After a year, Sara felt more confident when she was dating.  She no longer felt anxious and insecure, and she finally felt free of her childhood history of trauma.

Getting Help in Therapy

To get to the root of your anxious attachment style, you could benefit from working with a trauma therapist who has the expertise to help you overcome your childhood trauma where your attachment style first developed.

EMDR therapy as well as other trauma therapies, like Somatic Experiencing, AEDP, clinical hypnosis and Ego States work are all therapies that can help you to overcome trauma.

Rather than continuing to engage in the same destructive behavior patterns based on your anxious attachment style, seek help so you can live a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist (see my article: What is a Trauma Therapist?).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

How An Anxious Attachment Style Can Affect Your Sex Life: Part 1

This is the first article in a series on how your attachment style affects your sex life. In the current article, I'm focusing on anxious attachment, which is one of the insecure attachment styles (see my articles: How Early Attachment Bonds Affect Adult Relationships, What is Your Attachment Style? and How Your Attachment Style Affects Your Relationship).

The Anxious Attachment Style

Each attachment style has its own characteristics.  

How Your Anxious Attachment Style Can Affect Your Sex Life

If you have an anxious attachment style, you probably:

• Use sex to get approval
• Fall in love easily
• Tend to mistrust romantic partners

In addition, if you have an anxious attachment style, you:

• Feel anxiously insecure
• Worry about what others think about you
• Become preoccupied or even obsessive about your romantic partner
• Have a very strong desire to be physically close to your partner due to your insecurity

With regard to your overall satisfaction with your relationship, you:

• Tend to feel dissatisfied with your partner and you can be difficult to please
• Feel misunderstood by your partner
• Feel unappreciated by your partner

Similar to many people with an anxious attachment style, you might:

• Be clingy
• Be dependent
• Demand a lot of attention and care
• Have a strong fear of rejection
• Be extremely jealous if your partner doesn't spend as much time with you as you would like
• Engage in mate guarding (see my article: Irrational Jealousy and Mate Guarding)
• Be overly worried about your appearance and might need a lot of reassurance that you're attractive

How Anxious Attachment Affects Your Sex Life:

If you have an anxious attachment style, you probably engage in some or all of the following behaviors:

• Engage in Sexual Activity, Even When You Don't Want To: You do this because you think it will prevent your partner from abandoning you. This includes becoming sexually active an at earlier age than most other adolescents--not because you want to--but because you feel you have to in order to hold onto someone you're interested in.  This often means you did things you didn't really want to do sexually.

• Use Sex to Get Your Partner's Attention: This includes attempts to get your partner to be attentive and show s/he cares about you.  Sometimes, this takes the form of manipulative behavior.

• Use Sex to Try to Get Close and Seek Approval: You engage in seductive behavior to get your partner to be close to you and to get his or her approval.

• Have a Negative Perception of Your Sexual Experiences: Due to your insecurity, you have a negative view of yourself and your sexual experiences.

• Have Self Doubt and Low Opinion of Your Attractiveness: You need your partner to constantly reassure you that you look good because of your low self esteem.

• Have Emotional Lability: You have emotional ups and downs based on how insecure you might be feeling.

In my next article, I'll provide a clinical example to illustrate how an anxious attachment style affects your sex life: How Your Anxious Attachment Style Can Affect Your Sex Life - Part 2.

Getting Help in Therapy

If you identify with the characteristics described in this article, you could benefit from working with a licensed mental health professional who has an expertise in working with anxiously attached clients.

Rather than struggling alone, seek help so you can have a more satisfying life.

About Me

I am a New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

What Can You Do If Your Partner Isn't Ready to Attend Couples Therapy?

In my prior article, I discussed how Emotionally Focused Therapy For Couples can help a couple overcome problems in their relationship.  But what if your spouse or partner isn't ready to attend couples therapy? This is a common problem for many couples, and it's the topic of this article.

What If Your Partner Isn't Ready to Attend Couples Therapy?

Relationship Problems

Every relationship has its ups and downs.  

Many relationship problems, if they're not serious, can be resolved by the couple or, even if they're not resolved per se, the couple learns to deal with them without assistance. 

If you're considering couples therapy, chances are you and your partner have already tried to resolve problems on your own, but you haven't been successful.

Even if your partner agrees there are problems in your relationship, they might be uncomfortable talking to a therapist.

Starting Therapy Can Be Anxiety-Provoking At First

Going to individual or couples therapy, especially the first session, can be anxiety provoking (see my article: Starting Therapy: It's Not Unusual to Feel Anxious or Ambivalent).

Most experienced therapists know how to engage clients and help them to feel comfortable, but you and/or your partner might experience some of the following thoughts and emotions:

• You might be worried because you don't know what to expect.  
• You might feel embarrassed or ashamed to talk to a therapist.
• You might fear the therapist will judge you.
• You might fear that your friends or family members would judge you if you told them you're attending therapy.
• You're aware that going to therapy is against your culture or religion, so you feel conflicted about it.
• You don't know if therapy will be effective.
• You're afraid of what you might find out about yourself (or your partner) in therapy.
• You might worry about spending money on therapy if your budget is tight.
• You might be afraid that therapy will stir things up and make matters worse.

All of these are legitimate concerns that people sometimes grapple with when they go for an initial therapy consultation.

What to Do If Your Partner Isn't Ready to Attend Couples Therapy

On some level, you probably know you can't change anyone else, so attempts to change your partner are often counterproductive.

Rather than nagging, arguing or threatening your partner, which doesn't work, you can try some of the following suggestions:

• Accept You're Not in Control of Your Partner: 
• Recognize that you can't control your partner because they are their own person.

• Arguing, blaming and trying to force your partner to go to couples therapy will only make matters worse. You might get them through the therapist's door, but they might not be open to talking to the therapist.  

• Get Curious About Why Your Partner Doesn't Want to Go to Couples Therapy:
• Rather than being argumentative, get genuinely curious about your partner's concerns--even if you don't agree with them.  

• Try to keep an open mind and really listen to what your partner has to say.  Arguing with a partner about couples therapy often makes the unwilling partner dig their heels in even more.  Sometimes it might be a particular issue rather than a general issue.  For instance, a partner might be more comfortable with a woman or a man as a couples therapist, which you both can take into consideration when you're choosing a therapist (see my article: How to Choose a Psychotherapist). 

• Focus on Yourself: 
• Once you realize you can't change your partner and it's counterproductive to argue, focus on yourself and attend individual therapy.  

• Although individual therapy might not change the dynamics in your relationship, it might give you a different perspective and help you to cope with the problems (see my article: Getting to Know the Only Person You Can Change: Yourself).

• Take Care of Yourself First:
• Even if your partner isn't ready to go to couples therapy, you can still take care of yourself. 

• You could benefit from learning new skills and new ways of communicating in individual therapy.  

• You might even be surprised to realize that you're contributing to the problems, and you'll be able to make changes on your end.  

• Sometimes, when the unwilling partner sees that their partner is in therapy and observes the beneficial effects of therapy, they become willing to participate in therapy.  This shouldn't be the reason why you go to individual therapy, but it can be an added benefit.  

Conclusion

I've seen too many couples where an unwilling partner, who comes to couples therapy, sits with their arms folded and refuses to talk.  

This not only makes matters worse, it's a waste of time and money.

You might feel that if you don't pressure your partner to attend couples therapy, you're giving up on the relationship, but you're not.  

What you're actually doing is stepping back, recognizing that your partner is a separate individual, and taking steps to take care of yourself.

Getting Help in Therapy

Working on yourself can help you to manage the stress you're experiencing in your relationship as well as in other areas of your life.

You can also learn new skills in individual therapy to cope and thrive.

Taking the first step of contacting a therapist can be the most challenging, but it's also the first step in taking care of yourself.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

What is Sexual Narcissism? Part 2: A Clinical Vignette

In Part 1 of this topic, I gave a definition, described the characteristics of this dynamic, and distinguished sexual narcissism from Narcissistic Personality Disorder (NPD).  In this article, I'm providing a clinical vignette to illustrate how the dynamics of sexual narcissism can play out in a relationship.

What is Sexual Narcissism?

What Are the Telltale Signs of a Sexual Narcissist?

As a brief recap, the following behaviors usually characterize sexual narcissists (see Part 1 for a more detailed description):

• Charming During the Initial Phase of a Relationship: Sexual narcissists like the thrill of the chase, so during the initial stage of a relationship they're often charming until they get what they want. 

• Grandiose Behavior With Underlying Low Self Esteem: Although their behavior is grandiose with regard to their perception of their sexual prowess, they often have an underlying sense of low self esteem.  

• A Focus on the Physical Over the Emotional: Their primary focus is on having sex--not establishing an emotional connection.  

• A Lack of Empathy For Their Partner: Their partner exists to please them.  They often don't see their partner as having their own needs and wants. 

• Negative Reactions If They Don't Get What They Want: They might get angry, critical, sarcastic or passive aggressive when they don't get what they want from their partner.

• Put Down Their Partner: In order to feel superior or manipulate their partner into doing what they want, a sexual narcissist will often belittle their partner by calling their partner names or putting them down in other ways.

• Treat Their Partner Poorly After Sex: After sex, they usually don't engage in cuddling or being affectionate with their partner. 

• Infidelity: The sexual narcissist is often unfaithful.  Once the thrill of the chase is over, they want to find the next person to pursue sexually because this is what they most enjoy--the sexual conquest.  They're often not concerned about whether their behavior will hurt their partner.

Clinical Vignette:

The following clinical vignette is based on a composite of many cases with all identifying information removed to protect confidentiality:

Carol

At the point when Carol sought help in therapy, she had asked her husband, Mike, to move out of their home due to his cheating.  

She explained to her therapist that throughout their courtship and 10 year marriage, she had discovered numerous incidents of his infidelity.  Each time she confronted him about it, she believed his promises not to do it again.  He seemed genuinely remorseful--until the next time.  Then, the cycle would begin again--as if he had never promised to change his behavior (see my article: Broken Promises).

The last straw occurred for Carol when she found out that Mike was having an affair with a casual acquaintance of theirs, Ann. Hoping to end Carol and Mike's marriage, Ann sent Carol a video of Mike and Ann having sex.

At first, Carol wasn't sure what she was seeing.  Then, when she realized she was looking at a video of Mike and Ann having sex, Carol was crushed.  

At first, as he usually did, Mike denied any involvement with Ann, but when Carol showed him the video, he was silent.  

Not being able to deny it anymore, he told Carol that he had sex with Ann once, and he wasn't aware that she was videotaping them.  Then, he went into a rage blaming Ann for being seductive and manipulative and for sending this video to hurt Carol and destroy their marriage.

Carol recognized his pattern of not taking responsibility for his actions, and she told him to move out that night.  In response, Mike begged Carol to allow him to stay so they could work things out.  He even agreed to attend couples therapy--something he refused to do when Carol had suggested it many times before.

Believing Mike was sincere, Carol allowed him to stay with the understanding they would attend couples therapy.  But a week later when she made an appointment with a couples therapist, Carol was disappointed and hurt to discover that Mike refused to go.  She realized that his offer to go to couples therapy was just another manipulation, so she packed his bags and insisted that he move out.  Reluctantly, he went.

Carol told her therapist she realized throughout their marriage she had been trying to get their relationship back to how it was during the initial stage of their courtship when they were in college and he was trying to persuade her to go out with him.  He was charming, funny and seemingly thoughtful.  But, at the time, she was in a committed relationship so she politely rejected Mike's offers to take her out.  

At first, she thought Mike would be dissuaded from pursuing her when he found out she was in a relationship with someone else but, as she looked back on it, she realized, if anything, Mike became even more persistent.  

When her boyfriend ended their relationship to return to his prior girlfriend, Carol was so heartbroken that when Mike approached her again for a date, she agreed to go out with him--even though her friends on campus told her he was a "player," also known as a womanizer (see my article: Understanding the Underlying Emotional Dynamics of Men Who Are Players).

She  reasoned to herself that he was attractive and funny, she was flattered by his attention, and she wanted a distraction from her heartbreak.

Initially, Carol thought she would only go out with Mike once or twice and it would help her to forget about her breakup.  But Mike was so charming and attentive that she kept seeing him.  At that point, she thought he was fun and exciting, and when she was with him, she didn't think about her ex.

Six months into their relationship, Carol found out through the grapevine that Mike had lied to her.  Not only was he secretly seeing other women on campus, he was also having an affair with an older woman in his hometown whenever he went home for a visit.

At first, Mike denied that he was cheating on her, but when Carol confronted him with photos posted on social media by the women he was seeing, he blamed her for his infidelity.  

He told her that she was neglecting him and spending too much time studying and participating in college activities.  He also blamed her for not meeting his sexual needs.  He told her that if she spent more time with him, he wouldn't need to see other women.

In retrospect, Carol told her therapist, this was the start of allowing Mike to manipulate her and blame her for their problems, which continued into their marriage.  

A month after their marital separation, Carol was ready to work on herself in therapy.  She stopped taking Mike's increasingly panicked calls or reading his text messages because she knew she had to put herself first and work on herself.

Through her work in therapy, Carol learned how her family history contributed to her problems.  She saw many of Mike's narcissistic and manipulative characteristics in her father, who also had multiple affairs, which her mother passively endured.  

Over the next year, she worked through her traumatic childhood history with EMDR therapy as well as the trauma she endured in her relationship with Mike (see my article:  How Does EMDR Therapy Work: EMDR and the Brain).

During that time, Carol continued to block Mike from calling or sending email or text messages to her.  But eight months into their separation, he sent her a letter where he said he was devastated by their separation.  For the first time in their relationship, he said, he felt genuinely remorseful and he wanted to change, so he was attending individual therapy.

Initially, Carol didn't believe Mike.  He had lied to her so many times before so she didn't see any reason to believe him now.  At the time, she was consulting with an attorney to begin divorce proceedings.  

Carol was also feeling much better about herself and she didn't want to endure any more emotional abuse from Mike.  But at the end of his letter he asked her to come to one of his sessions to meet his therapist, and Carol was curious:  Was it possible for Mike to change?

After she discussed this with her therapist, Carol agreed to attend one session with Mike and his therapist.  It was awkward, at first, to see Mike in his therapist's reception area after having no contact with him for so long.

During the session, Mike's therapist explained that he had been treating Mike for sexual narcissism, and he explained how sexual narcissism is related but different from Narcissistic Personality Disorder, NPD (see my article: What is Sexual Narcissism - Part 1).

Mike's therapist also talked about the progress Mike had made in coping with his sexually compulsive and impulsive behavior.  In addition, at the start of therapy, he sent Mike for a psychological evaluation to rule out Attention Deficit Hyperactivity Disorder (ADHD), which is often related to sexual compulsivity and other impulsive behavior, and the tests revealed no ADHD.

He suggested that they attend Emotionally Focused Therapy (EFT) for couples to see if they could work out their problems in couples therapy (see my articles: What is EFT Couples Therapy? and How EFT Couples Therapy Can Improve Your Relationship).

After being hurt and disappointed so many times, Carol wasn't convinced that Mike could change.  She talked about whether or not to attend couples therapy in her own individual therapy.  

One the one hand, she didn't want to set herself up for another disappointment.  One the other hand, she sensed that Mike was brought down so low by their separation that he just might be motivated to take responsibility and work on changing his behavior (see my article: Developing Internal Motivation to Change).

A few weeks later, after much consideration, Carol agreed to attend EFT couples therapy with Mike as they both continued to attend their own individual therapy (see my article: What Happens During the Initial Stage of EFT Couples Therapy?).

Several months into couples therapy, Carol felt they had made enough progress to move back in together for a trial period of six months.

There were times during this period when Mike slipped into parts of his old behavior, like blaming Carol for his mistakes instead of taking responsibility, but he quickly realized the error in his thinking and took responsibility. He also stopped cheating.

As part of their agreement to move back in together, Carol had full access to Mike's email, texts, social media and computer files.  She found no evidence of infidelity and, although she was leery at first, she was beginning to trust Mike again.

Their progress in their individual and couples therapy was gradual, but they both believed their relationship was now better than it had ever been (see my article: Progress in Therapy Isn't Linear).

A year after they completed couples therapy, they received a follow up call from their couples therapist, which was agreed upon during their couples therapy, and they were still doing well.

Conclusion

Sexual narcissism exists on a continuum.  

Some people have more of a problem than others, and many people with this problem are unwilling to get help.

A person who is in a relationship with a sexual narcissist often, unknowingly, colludes with their partner's behavior because of their own psychological history.  As illustrated in the vignette above, Carol was primed for this relationship due the family dynamics in her childhood home with a father who was sexually narcissistic and a mother who passively endured his behavior.

For some sexual narcissists, the motivation to change their behavior comes when they have endured the loss of a relationship.  Then, they're willing to do the necessary work to change.  Even then, they have to be vigilant so they don't slip back into old behavior patterns.

Other sexual narcissists say they'll change (and maybe even believe it at the time when they say it), but once they have what they want again, they're no longer motivated to work on themselves.  

Anyone with a partner who is a sexual narcissist has to let go of whatever denial they're holding onto about their partner and their relationship, see their part in the dynamic, and decide for themselves if they're willing to try couples therapy to work out their problems.

Although the vignette above is about a man who is a sexual narcissist, women can also be sexually narcissistic.  

Also, be aware that the dynamics of sexual narcissism can play out differently in different relationships.  The example given above is just one manifestation of this problem.

Getting Help in Therapy

Whether you're the person who is in a relationship with a sexual narcissist or you see these traits in yourself, you can benefit from working with a licensed mental health professional.

Individual and couples work for sexual narcissism is neither quick nor easy, so you both need to be motivated to do the work.

Doing nothing won't change anything, so if you're struggling on your own, seek help from a licensed psychotherapist.  

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

 

What is Sexual Narcissism? Part 1

People with sexual narcissistic traits are self centered and usually have an inflated view of their sexual abilities.  They're primarily focused on what they want and, in the process, they can be manipulative, aggressive and coercive to get what they want (see my article: Understanding the Underlying Emotional Dynamics of "Players").

What is Sexual Narcissism?

Their focus is primarily on having sex and they often have little ability or interest in developing emotional intimacy with their sexual partners.

They believe they have a right to sex. They're also usually not interested in what their partners want sexually.

If they're in a relationship, they're often unfaithful and lack empathy for their partners (see my article: The Connection Between Infidelity and a Need to Feel Desirable).

Like most other psychological problems, sexual narcissism is on a continuum with some people exhibiting more traits than others.

What is the Difference Between Sexual Narcissism and Narcissistic Personality Disorder?

Sexual narcissism and Narcissistic Personality Disorder (NPD) are related, but they are two separate concepts.  

As a personality disorder, NPD is observable in all areas of a person's life--whether it's their romantic relationships, familial relationships or with work colleagues.

Sexual narcissism shows up specifically in sexual relationships.  Although it's possible for someone with NPD to also engage in sexual narcissism, a sexual narcissist doesn't necessarily have a NPD.

Another difference is that while a sexually narcissistic person is often aggressive, someone with NPD doesn't necessarily engage in aggressive behavior or, at least, it's not part of the criteria for diagnosing NPD.

What Are the Telltale Signs of a Sexual Narcissist?

• Charming During the Initial Phase of a Relationship: Sexual narcissists like the thrill of the chase, so during the initial stage of a relationship they're often charming until they get what they want. Once the chase is over and they have what they want, they no longer feel the need to be charming and engaging.  At that point, they usually take their partner for granted.

• Grandiose Behavior With Underlying Low Self Esteem: Although their behavior is grandiose with regard to their perception of their sexual prowess, they often have an underlying sense of low self esteem.  The grandiosity is a cover up for a poor sense of self.  They also use sex and their many sexual conquests to boost their poor sense of self.

• A Focus on the Physical Over the Emotional: Their primary focus is on having sex--not establishing an emotional connection.  Having sex isn't about emotional intimacy for them--it's about sexual performance, dominance and boosting their ego.  They often have an inflated sense of their sexual performance--regardless of how their partner feels about it (see my article: What is Performative Sex?).

• A Lack of Empathy For Their Partner: Although they might try to charm and impress their partner during the initial phase of a relationship, once the thrill of the chase is over, from their point of view, their partner exists to please them.  They often don't see their partner as having their own needs and wants. They often pressure their partner to perform sexual acts their partner might not be interested in.  They can demand sex from their partner regardless if their partner is tired, sick or in pain.

• Negative Reactions If They Don't Get What They Want: They don't like it when their partners don't give them what they want.  They might get angry, critical, sarcastic or passive aggressive (e.g., giving their partner the cold shoulder or the silent treatment). They might try to guilt trip their partner into doing what they want. Taking on the role of the victim is typical of the sexual narcissist--even while they're the one who is victimizing their partner.

• Put Down Their Partner: In order to feel superior or manipulate their partner into doing what they want, a sexual narcissist will often belittle their partner by calling their partner names or putting them down in other ways (see my article: What is Belittling Behavior?).

• Treat Their Partner Poorly After Sex: After sex, they usually don't engage in cuddling or being affectionate with their partners. Usually this is because they lack the ability, but also because they don't feel the need after sex because they've gotten what they were interested in.  It doesn't matter what their partner might need.

• Infidelity: The sexual narcissist is often unfaithful.  Once the thrill of the chase is over, they want to find the next person to pursue sexually because this is what they most enjoy.  They're often not concerned about whether their behavior will hurt their partner.

In my next article, I'll provide a clinical vignette to illustrate what sexual narcissism looks like in a relationship.

Getting Help in Therapy

If you're with someone who is a sexual narcissist or if you recognize these traits in yourself, you can benefit from working with a licensed mental health professional.

Rather than trying to resolve this problem on your own, seek help.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.