Michael Aaron's Blog, page 3

When It Comes to Change, Nothing Beats Experience

Despite the era in which we live, where any information (right or wrong) can be found instantaneously at your finger tips via a Google search, one of the most common problems I hear in my office is the struggle of my clients to overcome sexual shame and accept their sexuality. You might wonder, how could one still be ashamed of being gay when positive messaging about homosexuality can be found all over the internet and mainstream media? How could one still be afraid to admit their fetish to a partner when Fifty Shades of Grey was a runaway best seller? These are important questions to ask since I believe they directly address the mechanism through which the change process occurs. You see, it’s not enough to cognitively understand something. It’s not enough to have facts and figures in front of you. And it’s not enough to have other people around you convincing you to dispel your opinions. That’s because there’s a huge gap between knowing and believing. Knowing is having disposal to certain information. But believing is when that knowledge becomes internalized. And true change only happens when our beliefs become internally congruent with the things we know. And it is this process of changing beliefs that requires lived experience in order to take hold. We’ve all heard the phrase “walk a mile in someone’s shoes”, or some other version, which basically means that you can’t truly understand another person’s experience without having lived it yourself. We are all familiar with these ideas because on some level, as we’ve all had the experience of having that “light bulb” moment […]

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Research Shows When It Comes To Sex, It’s Quality Over Quantity

Moving along with my review of key talks from the most recent Society for Sex Therapy and Research (SSTAR) conference, I will focus this particular article on the fascinating research on peak sexual experiences by Dr. Peggy Kleinplatz, from the University of Ottawa. In my previous review, I summarized the groundbreaking work of Doug Braun-Harvey and Michael Vigorito in creating a competing model to the sex addiction model in treating out of control sexual behaviors. But before diving in, let’s first take care of some housekeeping. As many of you know, we just wrapped up the 1st Annual AltSex NYC Conference, which I created and co-produced with my colleague, Dulcinea Pitagora. It was a smashing success, in which over 150 attendees participated in a day long conversation around sexuality topics that are rarely discussed anywhere else. We had numerous media in attendance. New York Magazine just posted a nice summation, and additional reviews will be forthcoming in other media outlets. Feel free to continuously check the media page for additional updates. Also, I am proud to announce that I am now blogging for Psychology Today, with my new blog entitled Standard Deviations. There is no content up there yet, as I am just getting started, and have been busy finishing up other matters, but feel free to subscribe there as well, as I will be posting a few articles to that blog in the next few weeks. I will still be blogging here, but my articles here will be more focused on clinical issues relevant to clients, while my writing for Psychology Today will be more big […]

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A Different Perspective on Out of Control Sexual Behavior

I have just come back from Chicago, where I presented my latest research at the Society for Sex Therapy and Research (SSTAR) Annual Conference. In the next few posts, I will point out a few key ideas that I took away from some of the other presentations, which were uniformly excellent. In particular, and that which is the subject of this particular article, I am going to focus on what I consider to be the groundbreaking work of clinicians Doug Braun-Harvey and Michael Vigorito and their approach to “out of control sexual behavior” or (OCSB). OCSB? What is that? Well, you may recognize this concept as “sex addiction,” which in my view is a problematic term that I’ve critiqued both here and here. So, the first thing to understand about these two guys is that they are working with the same sets of behaviors as sex addiction counselors, but without the addiction lens. Why is this so significant? Let’s take a look. One of the most salient concepts from their talk is the central importance of therapist self-awareness. In other words, especially in the field of sexuality, it is very easy for any clinician to get carried away with one’s own prejudices and biases, which of course will inevitably interfere with treatment, often likely even causing great harm. This kind of bias may lead to a “premature evaluation”, in which a pre-established label (such as sex addict) is automatically assumed and foisted onto the client, stigmatizing him (and it’s often a “him”) for life. Braun-Harvey and Vigorito urge us to never assume etiology, instead approaching each client as […]

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How Fluid is Sexuality?

How fluid is sexuality? This is a question I often hear both from clients and from my peers. In my upcoming book, I argue that much of sexuality is either inborn, or influenced by innate factors. However, that doesn’t mean sexual expression is fixed or static. After all, as we all have heard, much of human behavior comes down to a mix of “nature” vs “nurture.” Rather, even the fluidity itself I believe is influenced by as many genetic as social factors. Let me explain further. There is an expression I like to use– you can have ten different people in a room engaging in the same exact behavior, but for ten different reasons. Where we often go awry is making judgments or conclusions based solely on external markers, in this case behaviors. But, as I’ve written about before, when it comes to sexuality, it’s all about intent. And we have no idea what that intent really is comprised of without having a greater understanding of the inner workings of that particular individual’s mind. Let’s take same-sex behavior as an example. Psychiatrist Fritz Klein created what is called the Klein Sexual Orientation Grid, which divides orientation into seven distinct categories– Attraction, Behavior, Fantasies, Emotional Preference, Social Preference, Lifestyle, and Self-Identification. Those are a lot of categories! In other words, according to Klein, someone, let’s say in this case a man, may have a sexual attraction to a man, but only feel an emotional preference for women. Or that man may find a deep emotional connection with other men, but not find any desire for sexual […]

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Book Review– The Truth: An Uncomfortable Book About Relationships by Neil Strauss

This review is a preview of a more formal review which will appear a few months from now in the Journal of Sex and Marital Therapy. I will start by putting this book into context and then I will address the content before going into other aspects of the book, such as structure, quality of writing, etc. The author, Neil Strauss is a Rolling Stone Magazine journalist, and known for co-authoring books by rock stars such as Marilyn Manson, Dave Navarro from Jane’s Addiction, and Motley Crue. These names will all be familiar to those who were into rock music in the late 80s through the 90s. He then came to more prominence by documenting his rise from a journalist nerd who couldn’t “score” even when traveling with rock stars to a guy who learned to “pick up” women in the The Game. The Truth is marketed as a sequel in which this ladies’ man is now trying to learn how to maintain a great relationship now that he can find willing partners to form one. I happened to get my hands on a copy after a social media discussion I had with the author, in which I stated I was willing to provide an honest review in exchange for a copy of the book. While The Game has received criticism for its portrayal of attitudes towards women within the “seduction community”, as it is called, I found The Truth to have more broad appeal to a variety of different groups. Off the top of my head, the following individuals would probably find at least something of interest within this book: Individuals who are […]

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Research Study: How Does BDSM Differ From Self-Harming Behavior?

As some of my readers may know, in addition to my work as a therapist, and writer, I also conduct research in the field of sexuality. It is important for my work to be well-rounded, as both my work with clients and my writing is reflective of and informed by current research within both psychology and sexuality. With this in mind, I have put together a high-level research team to investigate areas of sexuality that continue to remain question marks within the field and that may fall within the blind spots of clinicians when they come across clients that they may not accurately or clearly understand. In this particular study, my team and I are investigating the murky area of BDSM, specifically intense sensation play, such as spanking, flogging, and whipping, etc, which is a common activity within the BDSM community. I have written much on the topic of BDSM/kink/fetishes since it is so poorly understood and often unfairly pathologized by well-meaning, but misinformed clinicians, as well as the public at large. For some further reading and additional context, you can take a look at these other articles I have written on this subject: Kinky Sex or Paraphilia? Facing Your Shadow Ecstasy Through Surrender The Use of Role-Play as a Means of Identity Exploration Sexually “Deviant” Fantasies: A Concept Without Credibility New Study: “Unusual” Sexual Fantasies Not So Unusual Is It Possible to Eradicate a Fetish? More on Working with Fetishes: Important Considerations BDSM or Abuse? Vice.com: Cash Slaves Gray Areas in Sexuality: When is a Fetish “Too Extreme?” I’ve written much more on this topic, but this will give you enough […]

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