Sexual Compulsives Anonymous (SCA) is a twelve-step program for people who want to stop having compulsive sex. [1] [2] SCA founding is attributed variously to 1982 in New York City [3] and to 1973 in Los Angeles. [4] Although the fellowship originally sought to address issues of sexual compulsion among gay and bisexual men, and this is still the fellowships predominant demographic, today the program is LGBT friendly, open to all sexual orientations, and there is an increasing number of women and heterosexual men participating. [5] [6] [7] SCA meetings are most likely to be held in urban areas with larger gay and bisexual male populations. The majority of members are white, but vary in age and socioeconomic background. The only requirement for membership is a desire to stop having compulsive sex. [5] [6] [8]
SCA supports healthy sexual expression and does not expect members to repress their sexuality, which they believe is associated with sexual anorexia. Members are encouraged to develop their own definition of sexual sobriety that does not place unreasonable demands on their time or energy, place them in legal jeopardy, or endanger their health. [2] SCA members incorporate their definition of sexual sobriety into what they call a sexual recovery plan. Sexual recovery plans are modeled on the work of Patrick Carnes, a sexual addiction researcher, based on the model for Overeaters Anonymous (OA), whose members create individualized "food plans." [3] [5]
Sexual recovery plans have three columns: abstinence, high-risk, and recovery—analogous to the three circles used in Sex Addicts Anonymous. The sexual recovery plan is used as a blueprint for recovery. The abstinence column includes "bottom-line" behaviors corresponding to relapse and from which members ask their Higher Power to be freed. The high-risk column includes behaviors, emotional states, ritualized activities, and situations that make them vulnerable to relapse. The recovery column includes positive behaviors that support their wellbeing and meet their needs in a healthy manner. [6]
SCA distributes its own literature, including the primary book used in the fellowship, Sexual Compulsives Anonymous: A Program of Recovery, and several book-length and smaller brochures and pamphlets, such as What About Masturbation?, Q&A: A Guide for Newcomers and Secret Shame. [9] Parts of these brochures are published on the SCA website. [10] SCA also publishes an online journal known as The SCAnner. [8]
{{cite book}}
: CS1 maint: location missing publisher (link)SCA developed "The Twenty Questions," an instrument allowing potential members to self-evaluate their sexual compulsivity. [11] The results of this questionnaire correlate with symptoms of prefrontal cortex dysfunction, an area of the brain thought to be relevant to addiction—not only to substances, but also behaviors such as sex and gambling as measured according to the (FrSBe) Frontal Systems Behavior Scale. [12]
Alcoholics Anonymous (AA) is a global peer-led mutual aid fellowship begun in the United States dedicated to abstinence-based recovery from alcoholism through its spiritually inclined twelve-step program. AA's twelve traditions, besides stressing anonymity, establish it as free to all, non-professional, unaffiliated, and non-denominational as well as apolitical with a public relations policy of attraction rather than promotion. In 2020, AA estimated a worldwide membership of over two million, with 75% of those in the US and Canada.
Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by Bill Wilson and Bob Smith, aided its membership to overcome alcoholism. Since that time dozens of other organizations have been derived from AA's approach to address problems as varied as drug addiction, compulsive gambling, sex, and overeating. All twelve-step programs utilize a version of AA's suggested twelve steps first published in the 1939 book Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism.
Pornography addiction is the scientifically controversial application of an addiction model to the use of pornography. Pornography may be part of compulsive behavior with negative consequences to one's physical, mental, social, or financial well-being. While the World Health Organization's ICD-11 (2022) has recognized compulsive sexual behaviour disorder (CSBD) as an "impulsive control disorder", CSBD is not an addiction, and the American Psychiatric Association's DSM-5 (2013) and the DSM-5-TR (2022) do not classify compulsive pornography consumption as a mental disorder or a behavioral addiction.
Sexaholics Anonymous (SA) founded in 1979 is one of several twelve-step programs for compulsive sexual behavior based on the original twelve steps of Alcoholics Anonymous. SA takes its place among various twelve-step groups that seek recovery from sexual addiction: Sex Addicts Anonymous, Sex and Love Addicts Anonymous, Sexual Compulsives Anonymous and Sexual Recovery Anonymous. Collectively these groups are referred to as "S" groups since all their acronyms begin with that letter: SA, SAA, SLAA, SCA, SRA.
Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The concept is contentious; neither of the two major mainstream medical categorization systems recognise sex addiction as a real medical condition, instead categorizing such behavior under labels such as compulsive sexual behavior.
Pagans in recovery is a phrase, which is frequently used within the recovery community, to describe the collective efforts of Neopagans as well as Indigenous, Hindu, Buddhist, and other like-minded groups, to achieve abstinence or the remission of compulsive/addictive behaviors through twelve-step programs and other programs, such as Alcoholics Anonymous, Narcotics Anonymous, Overeaters Anonymous, Al-Anon/Alateen, etc. These efforts generally focus on modifying or adapting the twelve steps to accommodate the Pagan world-view as well as creating Pagan-friendly twelve step meetings either as part of a preexisting twelve-step program or as independent entities.
Internet sex addiction, also known as cybersex addiction, has been proposed as a sexual addiction characterized by virtual Internet sexual activity that causes serious negative consequences to one's physical, mental, social, and/or financial well-being. It may also be considered a subset of the theorized Internet addiction disorder. Internet sex addiction manifests various behaviours: reading erotic stories; viewing, downloading or trading online pornography; online activity in adult fantasy chat rooms; cybersex relationships; masturbation while engaged in online activity that contributes to one's sexual arousal; the search for offline sexual partners and information about sexual activity.
Overeaters Anonymous (OA) is a twelve-step program founded by Rozanne S. Its first meeting was held in Hollywood, California, USA on January 19, 1960, after Rozanne attended a Gamblers Anonymous meeting and realized that the Twelve Steps could potentially help her with her own addictive behaviors relating to food. OA has since grown, with groups in over 75 countries meeting in person, over the phone, and through the internet. OA is for people with problems related to food including, but not limited to, compulsive overeaters, those with binge eating disorder, bulimics and anorexics. Anyone with a problematic relationship with food is welcomed; OA's Third Tradition states that the only requirement for memberships is a desire to stop eating compulsively.
Crystal Meth Anonymous (CMA) is a California-based non-profit, public-benefit corporation founded in 1994. The members of the fellowship of Crystal Meth Anonymous work a twelve-step program of recovery with recovering crystal meth addicts. Participants in local groups meet in order to help others recover from methamphetamine addiction. CMA advocates complete abstinence from methamphetamine, alcohol, inhalants, and all other psychoactive drugs not taken as prescribed.
Sex Addicts Anonymous (SAA) is a twelve-step program founded in 1977 for people who want to stop their addictive sexual behavior. There also exists a group known as COSA, for those who have been impacted by others' sexual addiction.
Sex and Love Addicts Anonymous (SLAA) is a twelve-step program for people recovering from sex addiction and love addiction. SLAA was founded in Boston, Massachusetts in 1976, by a member of Alcoholics Anonymous (AA). Though he had been a member of AA for many years, he repeatedly acted out and was serially unfaithful to his wife. He founded SLAA as an attempt to stop his compulsive sexual and "romantic" behavior. SLAA is also sometimes known as the Augustine Fellowship, because early members saw many of their shared symptoms described by St. Augustine of Hippo in his work Confessions. COSLAA is another twelve-step fellowship created to support the family members and friends of sex and love addicts.
Nicotine Anonymous (NicA) is a twelve-step program founded in 1982 for people desiring to quit smoking and live free of nicotine. As of July 2017, there are over 700 face-to-face meetings in 32 countries worldwide with the majority of these meetings occurring in the United States, Iran, India, Canada, Brazil, the United Kingdom, Australia, Russia and in various online community and social media platforms.. NicA maintains that total abstinence from nicotine is necessary for recovery. NicA defines abstinence as “a state that begins when all use of nicotine ceases.
Drug addiction recovery groups are voluntary associations of people who share a common desire to overcome their drug addiction. Different groups use different methods, ranging from completely secular to explicitly spiritual. Some programs may advocate a reduction in the use of drugs rather than outright abstention. One survey of members found active involvement in any addiction recovery group correlates with higher chances of maintaining sobriety. Although there is not a difference in whether group or individual therapy is better for the patient, studies show that any therapy increases positive outcomes for patients with substance use disorders. The survey found group participation increased when the individual members' beliefs matched those of their primary support group. Analysis of the survey results found a significant positive correlation between the religiosity of members and their participation in twelve-step programs and to a lesser level in non-religious SMART Recovery groups, the correlation factor being three times smaller for SMART Recovery than for twelve-step addiction recovery groups. Religiosity was inversely related to participation in Secular Organizations for Sobriety.
Workaholics Anonymous (WA) is a twelve-step program founded circa 1983 for people identifying themselves as "powerless over compulsive work, worry, or activity" including, but not limited to, workaholics–including overworkers and those who suffer from unmanageable procrastination or work aversion. Anybody with a desire to stop working compulsively is welcome at a WA meeting. Unmanageability can include compulsive work in housework, hobbies, fitness, or volunteering as well as in paid work. Anyone with a problematic relationship with work is welcomed. Workaholics Anonymous is considered an effective program for those who need its help.
LifeRing Secular Recovery is a secular, non-profit organization providing peer-run addiction recovery groups. The organization provides support and assistance to people seeking to recover from alcohol and drug addiction, and also assists partners, family members and friends of addicts or alcoholics. It is an abstinence-based recovery program with three fundamental principles: sobriety, secularity and self-empowerment. The motto of LifeRing is "empower your sober self."
Love addiction is a proposed model of pathological passion-related behavior involving the feeling of falling and being in love. A medical review of related behaviors in animals and humans concluded that current medical evidence does not have definitions or criteria on an addiction model for love addiction, but there are reported similarities to substance dependence, such as euphoria and desire in the stimuli, as well as anhedonia and negative levels of mood when away from the stimuli, intrusive thoughts on it, and disregard for adverse consequences. There has never been a reference to love addiction in the Diagnostic and Statistical Manual of Mental Disorders (DSM), a compendium of mental disorders and diagnostic criteria published by the American Psychiatric Association.
Robert Weiss is an American author, educator, and clinical expert in the treatment of Sexual Addiction and Related intimacy disorders. Weiss currently serves as Founder Seeking Integrity Treatment Programs.
Sexual Recovery Anonymous (SRA) founded circa 1993 is one of several twelve-step programs for the treatment of sexual addiction based on the original Twelve Steps of Alcoholics Anonymous. SRA takes its place among various 12-step groups that seek recovery from sexual addiction: Sex Addicts Anonymous, Sex and Love Addicts Anonymous, Sexual Compulsives Anonymous and Sexaholics Anonymous. The New York-based group has meetings in several states. Collectively these groups are referred to as "S" groups since all their acronyms begin with that letter.
NoFap is a website and community forum that serves as a support group for those who wish to give up pornography and masturbation. Its name comes from the slang term fap, referring to male masturbation. While reasons for this abstinence vary by individual, the main motivation cited is attempting to overcome addiction to pornography, or other compulsive sexual behaviours. Other reasons for abstinence include religious and moral reasons, self-improvement, and physical beliefs that are not supported by medicine.