Thursday, 11 July 2019

THINK 2019: Revelation

What kind of a book is Revelation?

Interpretative Frameworks:
Idealist, Preterist, Futurist, Historicist

Idealist readings:
- Imagery and metaphor denotes timeless spiritual truths which recur throughout human history.

STRENGTHS: transferable to everyone, doesn't go out of date, fits the genre.
WEAKNESSES: very elastic and unclear, doesn't really help since 'if everyone is special, no one is.', not very reassuring since 'soon' loses its impact since it's been 2000 years.

Futurist readings:
- Most of the text focuses on the events leading up to the end of all things and the return of Christ: what, where and when.

STRENGTHS: literal interpretation of the book. It requires less explanation to get the book to say what you want it to say. It's predictive, transferable to all subsequent readers.
WEAKNESSES: timeless present problems, easy to get tangled and complicated/convoluted, weird (someone asked Aj 'are the weird locusts things, Apache helicopters?' and inconsistent with genre

Preterist view:
- The main focus of the book is on events contemporary to the text, such as the fall of Jerusalem (70), or that of Imperial Rome (410? 476?)

STRENGTHS: anchored in first century, fits genre, reassuring, 'soon' = soon.
WEAKNESSES: dating problems, not easily transferable

Historicist view:
- The shape of Revelation predicts the shape of church history as a whole, from the first century to today.

STRENGTHS: fairly literal and predictive, transferable to each generation
WEAKNESSES: indecipherable, structurally confusing and anchored in first century.

GENRE:

Chapter 1:1-11 look at the amount of different genre types John himself acknowledges that he's using.

Verses and genre:
1 - Apocalypse
3 - Benediction
4 - Epistle
5-6 - Doxology
7 - Apocalypse
8 - Prophecy
9 - Epistle

He jumps between different genres and therefore it helps us by suggesting that a 'one size fits all' mishmash of genres isn't going to work for us.

Revelation is an X-Ray not a crystal ball. It allows you to see into and beneath the surface of reality rather than into the future.

It is an apocalypse: a revelation from God, which peels back the curtain on the world and shows what is happening behind it.
Revelation as letter: An epistle to a specific group of believer with specific challenges and issues (whether in Asia Minor or not).
Revelation as prophecy: A message from God that calls for repentance and obedience, based on who God is and what he will do.

Structure of Revelation:

The structure of the book seems to move backward through Israel's history. It starts in exile, then to the heavenly temple status, then to the wilderness and then to the mountain which is where Israel as a nation begins.

Four times is says 'In the Spirit' or a variant of that which gives us a clear structure to the letter:


Observation: the challenge that we rarely preach the parts of the Bible that contains lots of warnings.

SESSION 2: 

The 'plot' of Revelation as an acronym 'reveal'. Standing back, this is some of what John is wanting to evoke for us.

Romance. Beautiful. Revelation (see abve) starts with the lover and ends with the Bride and in between there is the other woman (the harlot). Then there is also the challenge of making her ready in between. The appearance of the Second-Eve via the other woman (the harlot). WOW WOW WOW!!!!

Exodus. It is an exodus story. The plagues and curses unleashed - locusts, the boils, the rivers of blood - all exodus imagery. Plagues upon the oppressors; saved by the Lamb, martyrs freed into heavenly promise land via wilderness. Don't worry about what a flying locust scorpion is.

Victory. The message of Revelation is not 'Jesus wins!' because he's already won... the message is We Win! by faithful witness and song.

Exile. 

Apocalypse. Though written in a particular context, it exposes the patterns of worldly empires and divine justice.

Liturgy. 
- it can also be seen as a worship service.
- There is a call to worship, a doxology, letters to be read aloud, praise in psalms and hyms, a reading from a scroll, prophetic preaching, bowls of win, a wedding feast, blessing, commission and a prayer.

INSIGHT:

John and the book of Revelation as a two volumed work. This is VERY interesting and fascinating... It is possible that John wrote Revelation first.



Revelation is the most sensual book in the Bible. Nothing gets close to its tactile nature.

Sound: Then I heard... Trumpets, shouts, waterfalls, harps, thunders, choirs etc.
Sight: Then I saw... Brightness, lurid colours, glorious visions, grotesque characters, evocative images.
Smell: (probably the one we're least used to) smoke, cinnamon, spice, myrrh, bowls of wine, incense.
Touch: He laid his hand on me. Hands holding sickles, stars, scrolls, palms, reeds, harps, cups, keys...
Taste: Because you are lukewarm, I will spit you out of my mouth.' Sweet as honey.

For 'how to preach it':

1: Jesus Unveiled     -    Main application How to Read Revelation
2-3: The Victorious Christian life     -    Main application : Affirmation, Warning & Promise
4: The Throne of God     -    Main application : Worship
5: The Lion and the Lamb     -    Main application : Worship and the gospel
6-7: Who Can Stand?     -    Main application : Diversity, Hope and World Mission
8-11: The Triumph of the Church     -    Main application : Prayer, Suffering and Justice
12: The Woman and the Dragon     -    Main application : Suffering and Victory
13-14: A Call for Endurance     -    Main application : Politics, Empire and Persecution
15-16: Worship, Witness and Wait     -    Main application : Justice and Vindication
17-18: The Unmasking of Evil     -    Main application : Threats to the Church
19-20: The Victory of Jesus     -    Main application : Worship, Victory and the Gospel
21-22:5 The Bride of Christ     -    Main application : Eschatology, Comfort and Joy
22:6-21 The New Creation     -    Main application : Faithfulness, endurance and hope


The Revelation of Jesus Christ


The apocalypse of Jesus Christ is both the one who is revealing and the one who is revealed.

The 'coming on the clouds' is likely to be a reference to the resurrection and ascension and not the future coming of Jesus to the earth. In Daniel the one like a Son of man is coming in the clouds to the throne room of the Ancient of Days.

John turns to see a voice (how do you 'see' a voice), and perhaps with echos of his gospel where he stresses the Word at the beginning.

Rev. 1:4-5 favourite Trinitarian passage in the Bible:
Two 3s and a 7.
God the Father is described in 3 ways, God the Son is described in 3 ways and the Sevenfold Spirit is.

In the Greek they don't write out the Omega but just have 'the O' - so it actually says 'I am the alpha and O'

Sevens - are everywhere!

Seven is a number symbolising completion, but the reason for this is that this is derivative of the week. The seventh = the week is now finished and there is rest/shalom.




The Sevenfold Son



Notes:

  • 'Mastoi' is used of Jesus' 'chest' which is the word 'breast'. Why? Possibly because this is the sort of language used of the beloved in Song of Songs and this is a head to toe description of the beloved. 
  • 'White' is the colour of purity. Pastorally we have to be clear and careful to ensure we acknowledge the challenges of 'whiteness' around skin colour. Our (my) skin colour is not 'white' (a car driving past that was my colour would not be said that it is white) but instead it's likely that in Christian history, people of our colour saw the link between 'white' and purity in scripture and thought 'that's a good colour to describe us!' 
  • Read all the love songs in Song of Songs and then read the letters to the churches and the parallels are a lot more obvious and impressive. Right down to the lover knocking at the door. 
  • Voice of Jesus like the crash of Niagra that's so rich and thick and full that you can't speak or be heard and instead just need to listen.
  • The sword is in the 'wrong' place for us. We're used to swords being in our hands, but for Jesus it is in his mouth making the point that the word of God is the only weapon we need and nothing else. 
  • Any reading of revelation that leads you to fear anything other than God, then you've read it wrong.
The letters to the church



  • Comment on the letters as a whole: we don't tend to preach the warnings in scripture and yet Jesus when he addresses the church addresses them with encouragements and challenges.


  • Jesus speaks very strongly to the churches, more strongly than anyone else speaks to churches (even Paul when he's at his most feisty doesn't speak like this). Some people (usually online) speak harshly about churches and claims the model of Jesus as being their justification. That's a bit like saying 'Lionel Messi shoots from 30yds out and it goes in, so I can too.' The answer of course is: yes and if you were as good as he is, you could too, but instead you should come closer before you shoot. Jesus can speak to his church more harshly than anyone else, purely on the basis of who he is. 


  • John write to seven gentile cities (as Paul does).
  • In light of the issue that so many of the issues Jesus picks with churches that are tolerating sexual immorality among them it ought to make us concerned and listen up and learn. for churches that are on the 'affirming' side of the sexuality debate need to be conscious of these words.
The Biblical theology in the book:





The Heavenly Liturgy


  • 'Come up here' : the chapter (4) begins with a call to worship, this is what our musicians ought to do. 
  • Praise : 'holy, holy, holy' (cmt: the Beatles sang 'love, love, love' but the angels sang 'holy holy holy.') Worthy are you... 
      • Songs are central to Christian worship in a way that they aren't to others. Consider the centrality of singing in European sporting events in a way that isn't in other cultures/countries.
  • Lament / Prayer
    • 5:4 weeping loudly
    • 6:10 prayer for justice
  • Silence. 8:1 for half an hour
  • Preaching of the Word
    • The scroll is unsealed, the scroll is eaten and proclaimed.
  • Bread and wine
    • The earth is harvested, grapes are gather and wine is pressed
The Vision: Centred on the throne

God is at the centre, surrounded by torches and a rainbow. 

We pan out through concentric circles, zooming out which is the opposite direction to Ezekial 1. 

Eugene Peterson: worship is a meeting at the centre. Eccentric living is 'off centre' living.

Another way of seeing the heavenly throne room is the new creation and new temple.
 This is BEAUTIFUL and incredible again...


The whole cosmos becomes a temple. 

Chapter 5 is heaven's view of Jesus coming to heaven. 

The Scroll and the Lamb

This is like the scroll of Deuteronomy proclaiming the blessings and the curses, the purposes of God, judgment and blessing.

The first book of the Bible raises this theme 'the lion of Judah; and the question 'who is this lion?' is answered in the last book 'it's Jesus.'

The root of David and the shoot are the same thing.

All of the imagery leads us to expect a king who is going to conquer Jericho throw down idols and cleanse the land. When the lamb is revealed (who is a very different Joshua) the song cascades outwards, the four, the 24million, then every creature -  it emanates out form the epicentre. The blowing of the trumpets is falling of Jericho.

The Four Horseman of the Apocalypse 

The riders are agents of good sent to bring God's judgement. God is bringing his purposes of judgement through his appointed angelic emissaries. The rider on the white horse is Jesus.

The fifth seal represents te question of the whole of the book: How long O Lord, until you bring judgement. 

6:11 each given a white robe and told to rest a little longer and told to rest a little longer. There are going to be a lot more martyrs before you receive the kingdom you're waiting for.

Sixth seal: complete implosion of the cosmos. The world collapses in two sevens. It collapses int he things (earth, moon etc.) and people (kings, great ones, generals etc.). It is the collapse of the known world (symbolically), that occurred (like 'moon turned to blood' as Peter thought it had happened). That's how Jewish apocalyptic writing works. Who can stand? The answer is, the angels and the 144,000 redeemed. John looks and sees an innumerable multitude from every tribe and nation. He is shocked and astounded by the diversity of people. 

Seventh seal: The seventh seal ushers in silence. Chapters 6-7 are very noisy, the prayers of the saints are handled very carefully and ascend in smoke to the throne of God. In John's gospel, the time is significant. In his gospel it is 'the hour has come' the 'half hour' could be 'in the middle of the night.' Like Passover perhaps, rescued in the middle of the night, the darkness...

Trumpets: The End of the Beginning

Mapping John onto Ezekial. 

  • The opening half of Revelation is about a book being opened and a prophet sent out. 
  • The opening few chapters of Ezekial loom large in the background to Revelation 1-11
The first half of the book is the commissioning of John.


There are two kinds of trumpet in the OT: The Shofar (made of a ram's horn) is blown in Joshua, the silver trumpet blown in Numbers.

Silver trumpets are for jubilee and celebration/worship, the shofar is for war. Trumpets therefore = worship and war.

Judgement exposes what is already there. The Nile is already blood red because of the baby boys, Egypt is in darkness worshipping the sun god not the real God, the judgements expose (apocalypse) what is already there. That's how judgement works. 

Scriptures strangest chapter is the Locust-Scorpions vs the Horse-Lions

They are described using a seven-fold wasf. There is another place in the NT where you find these same things. Luke 10:17-20


The great mighty angel (messenger) is Jesus:


The Seven Visions:

After eleven chapters of build up, the seventh trumpet sounds and the heavenly vision proper begins. 

Chapter 12 - the woman and the dragon. 

The woman is Israel. The dragon is the Devil. The ten horns and seven heads matters. There areten horns in the tabernacle as well, hinting that this is a false priesthood as well. 

John is using pagan mythology and fusing it with biblical images and the Christ story. 


The throwing down of Satan takes place in the ministry of Jesus not before Creation. It's John Milton popularisation of pre-creation fall of Satan that has influenced our understanding of Satan. Before the fall of Satan (Jesus' ministry) he was the Accuser in the court of heaven, now he is the liar, because there are no accusations left that can be levelled at us since we're covered by the blood of Jesus.

The Beast Rising out of the sea


This is straight out of Daniel 7 representing the worldly empires that rage against the people of God: 

Lion = Babylon 
Bear = Persia
Leopard = Greece
Terrifying beast = Rome

The Dragon stands on the beach between the land (Israel) and the sea (Greece). Then we have a Beast who comes out of each. Andrew thinks: we will have a gentile beast and a Jewish beast and they will come together to fight the church. 

Beasts in the Bible are animals that kill humans. A beast is an animal that humans can't tame. There is a wildness

In mythology beasts originate from bestiality. Ezekial 16 the most sexually graphic chapter in the Bible. 

The Second Beast: 


Prevented from trade: Christians under Nero were persecuted because of their devotion. 

The two together: state power and religious power. An alliance between state power and idolatous religious power to attack the true church.

There is a paradoy between how the people of God are meant to be known. 

Buying and selling: worship, temple connection? Jesus driving out from the temple? The Herodian temple was the idolotous state temple, self-agrandisement for the one who would be king (Herod). 

666 = Nero : NRWN QSR = Nero Caesar adds up to 666. 
Also: 616 because for some people removed the 'N' which would make the number 616 in the game.

6 is man's number, because man was made on day 7. If instead of honouring the God who rested on day 7 you honoured the man who was amde on 6. 
666 appears with Solomon. Solomon is the example par excellence of what happens when a king pursues wealth and women and power instead of God.

This is Nero but also bestial worldly powers who are perportedly Christian, are the truest threat there is to the church.

The Harvest of the Earth

From heaven's perspective when you die it will be seen as rest and release. 

The idea of Resting in Peace (RIP) can be found to come from here. The martyrs can rest. 

There is a harvest. Jesus harvests 

Both the wheat and the grapes are the church. The winepress isn't the place where you judge grapes. The blood of the martyrs is the thing that is then poured out over the world to judge it. 

Matthew 13: sifting the wheat from the chaff. The martyrs are being taken up to heaven from the earth, they are being harvested. 

Most interpreters think that the wheat represents the saints, and the grapes represent the wicked. But given the parallels between the chapters, the vine imagery in Scripture, the treading “outside the city,” and the sacramental overtones, Caird argues, both represent the harvest of the martyrs. Grapes (=martyrs) are not judged in winepresses; their juice (=blood) is prepared for a cup (=wrath) that their enemies must drink. Martyrs are agents of judgment, not objects of it. When the city finally falls, it is covered in “the blood of the saints” (18:24).

The phenomenon of people working miracles who aren't believers/worshippers of God is common in the NT and early Christian mind. 

Chapter 15: 

The bowls of wine are the wines from the winepress.

Chapter 16: 

Exodus imagery is eevrywhere. Rev. 15 has reordered the events of the Exodus and plagues. Why?

The first battle of Armageddon was won with camping equipment: the battle between Deborh and Barak, won by Jael driving a tent peg through the king. 

Har-Mageddon - a hill near Megiddo. 

Har = mountain of Mageddon = of Megiddo

Also the site near Carmel where the battle between demonic gods and God in Elijah took place. 


The only way to make sense of the battle of Armageddon is that it is the fall of Babylon.
It is otherwise quite strange. The armies line up and get ready for a fight and then 3 chapters later we come back to the battle and there are corpses everywhere. Therefore it seems C17-19 is the battle. 

Chapters 17-19:10

The eschatology of Revelation is a recapitulation of the esch. of Ezekial, it is a very clear retelling of the narrative. It helps especially when you come to the millennium.

















The harlot: is Jerusalem
The beast: is Rome

We (the people of God) have two enemies not one. Seven headed beast (Rome's seven hills).
The harlot in the OT is Israel. Israel is often represented as a whore throughout the OT. She is the unfaithful wife.

The woman dressed in priestly clothing with a name on her forehead: the priestly garments. She represents religious power, specifically Jewish. 

She is a city 'drunk with the blood of the saints' which takes us back to 11:8. but before she was the woman clothed with the sun and stars. 

The fall of Babylon

There are compelling suggestions to associate Babylon more with Rome, but Aj feels it's more compelling to see it as Jerusalem and not Rome.









Empires often fall very quickly even when they look completely indestructible. 

Right hand column (above) is the preaching application even though the left hand column is more likely what John's early readers would have read it as. 

Ian Paul Q&A

Revelation is puzzling and contradictory everywhere. 
- Provisionally: John was intending to communicate something. John had an intention. Babylon is mentioned 6 times in contrast to many things being mentioned 7 times. 6 is man's number, 7 is Jesus. 144, 000 in Rev. 12: refers to saints/believers/christians everywhere - us! We are all martyrs: Jesus, take up your cross and follow. Paul, we have died.
Revelation doesn't make much distinction between those who are dead and those who are alive. 
The beast and the harlot are both Rome he says.
Evil is self-destructive.

Whenever revelation talks about evil it is all chaotic. In contrast the numbers associated with God are all round and square, symmetrical and perfect/beautiful.

Consider how revelation describes time and space. 

Metaphor: Two most obvious features of use of revelation

1) it is highly rhetorical and sued as a bit of a club. 
2) It's about the present day.

Both of them are explained by the use of its language. 

Revelation 19-20

Jesus when he appears again after a few chapters, he is no longer standing as a priest but seated as a king. There are four names of Jesus revealed in this chapter:
1) faithful and true
2) we're not told (a name so sacred that no one knows it)
3) The Word of God
4) King of kings and Lord of lords

The tattoo on his thigh is where you would expect a sword and his mouth, where you'd expect a word is a sword

The blood on his robe is the blood of the martyrs, those he died for.

Rev. 19: refers to the coming of Jesus into heaven at the ascension (compare the parallels with Matthew's gospel).



The Millennium: 

Discussion moderated by John Piper: between Sam Storms, Jim Hamilton and Doug Wilson "An Evening of Eschatology"

























Final Judgment and Hell

C.S. Lewis : The door to heaven is locked from the inside.
Lewis's portrayal of Hell stresses well the idea that Hell is already at work in the world.

Joshua Ryan Butler's book: Skeleton's in God's Closet

Ryan-Butler: God's agenda is to get the Hell our of Earth (Aj 'and the Hell out of me as well)























New Creation in Revelation

Every generation puts the emphasis on different ones of the four components of the New Creation expressed in Revelation.































Instead we need to keep all four aspects of it in balance

NB: top right, there are 6 'no mores' in heaven.

Revelation 21

Arguably the most important chapter for understanding the doctrine of the church. 

The book ultimately doesn't culminate in the New Creation but in the bride being displayed - let me show you the bride!!!

In the end: we move from the land of 7s to the land of 12s
The contradictory metaphors (pure gold transparent as glass) imply John's attempt to explain something that is 'too beautiful to describe'

Fin. 

Amazing!

Monday, 4 February 2019

Understanding and Treating Sex Addiction - Paula Hall

1. Defining Sex Addiction. 

Sex addiction is a term to describe any pattern of out-of-control sexual behaviour that causes problems in someone's life. Furthermore it is a pattern of behaviour that cannot be stopped, or does not reliably stay stopped.

Psychological dependency has become recognised as a significant contributory factor to addiction, meaning that substances such as cannabis, which is considerably less chemically addictive than alcohol can still be classed as an addictive substance.

"Personally as a society we should be taking much more responsibility for the porn industry as we increasingly are with gambling since 'psychological gambling' entered DSM (Diagnostic and Statistic Manual or the American Psychiatric Association), but the financial ramifications are enormous.

In my clinical experience, sex addiction is not the same as a high sex drive. Many of the addicts I've worked with do not get sexual pleasure from what they're doing and it does not satiate their drive.

Perhaps one of the biggest myths about sex addiction is that it's a condition suffered by men with high sex drives that they can't control. This is simply not the case.

In many ways, sex addiction has more in common with eating disorders than it does with other addictions. In one study 38% of its sample had an eating disorder and in the UK 79% of those with another addiction cited eating disorder. In the same way as bulimia, anorexia and compulsive over-eating are about an unhealthy relationship with food, sex addiction is an unhealthy relationship with sex. In healthy individuals, both sex and food satisfy a natural, innate and primitive drive, but when the relationship becomes corrupt, sex addiction has no more to do with sex drive than eating disorders do with hunger.

Like Pavlov's dogs who salivated every time they heard a bell whether there was food or not, the addict may seek sexual gratification every time they feel a negative emotion whether or not they feel desire.

Neurochemistry of addiction

Pleasure is not purely psychological. It is a physical process triggered by chemicals in the brain - primarily dopamine, endorphines and adrenalin. The chemical addict manages to tinker with these processes by the addition of another substance; the process addict has developed a fast access root to the source of those pleasure chemicals through their behaviour. It is a bit like having a cocaine dispenser in your brain that you can activate at any time you like or need.

But while these pathways (the strengthened and developed pathways to pleasure through the addiction) become more fixed they become less effective at delivering the desired effect and hence the addict finds they need more stimulation in order to get the same affect. This is what's known within the addiction field as 'tolerance and escalation'.

This is the dilemma of the addict. Their sexual acting out has created a fast track to dopamine and in the meantime their other pleasure pathways have begun to fade away. They may still enjoy listening to music or spending time with friends, but compared to the instant hit they can get from acting out it's a poor substitute. But each time they access their reward system through sex, the weaker the other pathways become.

The neurobiology of addiction encompasses more than the neurochemistry of reward. People with addiction experience difficulties with impulse control, deferring gratification and making judgements about harmful consequences - all processes that involve the frontal cortex of the brain and underlying white matter. These areas of the brain are altered by addiction and since they are still maturing in adolescence this is why early exposure is believed to be a significant factor in the development of addiction.

The consequences of sex addiction

Feelings of shame                   70.5%
Low self-esteem                      65%
Losing a relationship               46.5%
Loss of employment                4%
Wasted time                             62.7%
Wasted money                         41.9%
Debt                                         14.7%
Impaired parenting                  14.7%
Physical health problems         15.7%
Catching an STI                       19.4%
Mental health problems           49.8%
A serious desire to commit suicide        19.4%
Sexual dysfunctions                 26.7%
Legal actions against you         6%
Press exposure                          0.9%

The dependency on some kind of sexual behaviour and the incessant pursuit of it in spite of all the dame it causes, is what kills self-worth. Unfortunately the lower self worth plummets, the less resources someone has to fight addiction.



Chapter 2. Assessment and diagnosis

Before any kind of assessment can begin, it's essential to understand to what extent someone is ready for an motivated to change.

Sex offending: It's estimated that 55% of sex offenders are also sex addicts and since escalation is a common feature of addiction, crossing a boundary into offending behaviour is a real risk for many addicts. In my survey 43% had viewed either child or animal pornography.

Added to this the shame that addiction creates robs many people of the ability to follow their own moral compass.

Adolescence and addiction:

Identifying sex addiction in adolescence poses a number of difficulties since many of the identifying factors might be described as 'normal' adolescent behaviours.

Clinicians and concerned adults should also be aware of changing cultural norms and not jump to conclusions about behaviours that they find challenging.

Within my survey (of sex addicts) 29% reported that the problem began between the ages of 17 and 25, 31% between 11 and 16 and 8.8% under the age of 10. [68% u18]

LGBTQ sex addiction:

Compared to heterosexuals, it's though there is a greater incidence of sexual addiction among gay men

Classifications of sex addiction

Broadly speaking, addiction is trauma-induced, attachment-induced or opportunity-induced or, in some cases, a combination of two or three.

Trauma-induced:

Significant trauma can also have a direct impact on the structure of the brain and the repetitive nature of the compulsive behaviour can become a way of soothing a hyperactive amygdala and limbic system and reduce symptoms of hyper arousal and hypo arousal.

Attachment-induced addiction:

When a child forms a secure attachment with their primary care giver they are more likely to grow into an adult with positive self esteem who is able to tolerate and manage strong emotions and mild trauma. But if positive parenting has been unreliable or absent a child is more likely to fear negative feelings and turn to an addiction for comfort during times of trouble rather than to a person.

Opportunity-induced addiction:

The internet now floods our senses with visual stimuli and sexual opportunities, and hence pornography and cybersex, like sugar, have become supernormal stimuli and our brains must work harder to control and manage our primal appetite.

The profile of the 'typical' sex addict is changing. Fifty years ago it would only have been those with significantly dysfunctional background who would have been driven enough to pursue their sexual anaesthetic. But now there is an increasing number of clients with only minor historic difficulties who stumble upon the joys of sex and pornography and become hooked. In my survey, 44% of respondents said they had no experience of childhood abuse or trauma and 26.% of respondents had never experienced any of the well-recognised attachment related issues. As clinicians it's important that we recognise this distinct client group and ensure we don't attempt to pathologise their past by trying to find trauma and attachment issues that either do not exist or are not relevant.

There are few of us who won't have used sex and relationships as an aneasthetic when life is hard.

The Assessment process.

Three questionnaires.
Q1: do i have sex addiction?
Q2: Measuring severity.
Q3: Defining the type of addiction.



Chapter 3. How sex addiction starts


Understanding how something came to be is almost always a complex interweaving of many different factors whether that's understanding how you got into the job you do or why a car crash happened. there are always multiple factors to be taken into consideration, many of which are dependent on another.

Diagram: mixture of Social, cultural, relational, biological and emotional

Opportunity-induced addiction

1 in 5 people said not knowing sex could be addictive was the most influential factor in becoming addicted and 1 in 3 cited easy access to sexual opportunities.

Why do only some fall into addiction?

1. Brain development. Addiction seems to run in families which supports a hereditary factor.
2. Dopamine dysregulation. The common denominator in all addiction is dopamine. Dopamine is the neurochemical responsible for the experience of reward and pleasure and is naturally stimulated by eating, drinking, and having sex... the more you do something to increase your dopamine the more you'll want to do it... there is research underway to explore if early exposure to pornography may have similar long term impact on dopamine regulation as happens with addictive drugs... Patrick Carnes' prediction at the annual conference of Addictive Disorders in May 2010 that we have a 'tsunami coming our way' will undoubtedly be right.
3. Personality.

Family environment also plays a part in the following ways:

1. Developing self-control. When we talk about self-control and its role in addiction is't important not to reduce this simply to impulse control... We begin to learn self-control in childhood and there are two ways in which parents can fail to teach this essential skill. The first, which is most common in sex addiction, is to have a strict and rigid home environment where a child is never allowed to make decisions for themselves... The second way that parents may fail to teach self-control is by having a home with too few or no boundaries.
2. Managing difficult feelings. 
3. Secrets and shame. Many with addictions learnt o keep secrets from a young age.
4. Sex education. Pornography used to be a masturbatory accessory, an extra treat, whereas now it is often seen as an essential foundation for it.
5. Adolescent loneliness. It's hard to know if some people are born shy or if social difficulties make them shy. Either way shyness can become a heavy burden that particularly impacts forming healthy relationships and developing support systems.

Attachment-induced addiction.

Where there is safe, reliable, supportive parenting it's possible for a child to make mistakes, learn from them and move on. It is also easier for them to consciously recover from trauma. But without that fundamental bedrock of what psychologists call 'healthy attachment' addiction has a greater chance to take root and flourish.

Attachment and the brain.

A child who does not receive its needs for attention, soothing, stimulation, affection and validation may find the consequences structurally written into their developing brain. the altered prefrontal function is associated with high risk of drug and alcohol addiction.



Chapter 4. How addiction is maintained and reinforced.

There are significant relational, emotional, societal and cultural influences that both maintain and reinforce the addictive behaviour.


What's important to recognise is that if the underlying causes of addiction have not been identified and resolved then the proverbial sword of Damocles is still hanging overhead.

Sex addiction has very little to do with sex.

Some people are not consciously aware in the preparation phase and need to be helped to become aware of their S.U.D.s 'seemingly unimportant decisions.'

The psychological strategies engaged during the preparation phase can be described as cognitive distortions. - strategies to help change how we feel about something and consequently change how we behave. -

Common cognitive distortions:

Rationalisation
Justification
Minimisation
Magnifying
Blame
Entitlement
Uniqueness
Mental filter
Victim stance
Normalisation
Denial
Helplessness

Chapter 5. The Partner's Perspective

A helpful chapter that acknowledges the impact on the partners involved and the need to provide adequate care for them. Worth a read but two quick quotes:
What's most important to recognise when considering who to ell is that a partner can share as little or as much as they feel comfortable, with the people they most believe can offer support. Furthermore there is no urgency.
And also:

Wherever possible services need to be provided for both so each can recover and rebuild their lives. 


PART II - Breaking the chains of addiction


Chapter 6. Treatment objectives and options

It has been understood for many years that successful treatment for any psychological condition is ultimately dependent on the relationship between the client and the therapist and on the motivation of the client.

Overcoming sex addiction is long-term work, especially for those with attachment and/or trauma issues. As discussed previously, addiction affects the brain and synaptic change can take between three and five years. This means that some element of long-term work is essential for many, whether that's alone, in therapy or as part of a recovery or 12-step community.

Treatment objectives:

UR-CURED

Understand sex addiction
Reduce shame
Commit to recovery
Understand and personalise the cycle of addiction
Resolve underlying issues
Establish relapse prevention strategies
Develop a healthy life

Reduce Shame:

It is said that shame is to addiction what oxygen is to fire. It has been shown that whereas shame is likely to increase addictive behaviour, guilt can be a significant motivator to overcome it.

Overcoming sex addiction should never be about changing an individual's taste in sexual behaviours, but about changing their compulsive use of the behaviour whatever it may be.

Many people who've struggled with addiction are reluctant to let go of their shame, as they believe it to be part of their penance or proof that they've accepted responsibility.

Commit to recovery:

It's vital to acknowledge that there will be times when either the desire of the ability to recover is questioned. Addressing these issues early in treatment and agreeing how to manage them can help to ensure that commitment is maintained.

--

Focuse needs to be on not just what someone wants to give up, but also what they want to gain.

Understand and personalise the cycle of addiction:

Everybody is unique and therefore every addiction is unique. In brief it means understanding the unmet needs and unresolved issues of the Dormant phase; identifying Triggers; recognising the cognitive distortions that happen during the Preparation phase; understanding the function of the addiction in the Acting Out phase; and becoming aware of how the Regret and Reconstitution phases are experienced and managed.

Resolve underlying issues:

Unless these are resolved a person will continue to act out. Relapse prevention strategies may help to stop and stay stopped for a while, but without resolving the deeper unmet needs and issues, recovery will be reduced to pure will power and the sufferer has no choice but to 'white knuckle' it.

This stage of therapy may be the longest, the slowest and the most painful as the root of addiction is exposed, examined and pulled out. An overview of treatment strategies is found in chapter 9.

Establish relapse prevention strategies:

Relapse prevention work needs to highlight not only the emotional and environmental triggers that reactivate behaviours, but also the thought patterns that have become automatic, and probably unnoticed over many years.

Develop a healthy lifestyle:

Someone once wisely said that 'recovery is not about learning to manage addiction, but learning to manage life.'

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There then follows a list of different treatment options. Noteable:

Online:

The Kick Start Recovery programme is a free resource developed by Paula's team that can be downloaded from the web to provide a starting point into recovery. It covers three basic tasks: Face it, Understand it, Fight it.

Good website: https://thenakedtruthproject.com/ 

Partner therapy:

Ultimately, getting over sex addiction is about realising you're not alone and committing to recovery - howeve rlong it takes.



Chapter 7: Making a Commitment to Recovery