SCA Audio book

SCA: A Program of Recovery, 3rd edition (2021) is now available in audio book format (AI voices) @ $9.99 through Amazon alongside the e-book and paperback versions. In creating this audio version, we included a variety of voices, especially for the sub-chapters containing individual recovery stories.

Lived Experiences of Recovery from Compulsive Sexual Behavior among Members of a “S” group: A Qualitative Thematic Analysis

ABSTRACT

Despite the prominence of 12-step recovery as an approach to addressing compulsive sexual behavior (CSB) worldwide, little is known about the phenomenological experiences of recovery from CSB among individuals who participate in 12-step groups for CSB (known as ‘S’ groups). The present qualitative study used in-depth interviews to explore lived experiences of recovery from CSB among 14 members (13 males and one female) of an ‘S’ group. Inductive thematic analysis of the interview data yielded five themes: (i) unmanageability of life as impetus for change, (ii) addiction as a symptom of a deeper problem, (iii) recovery is more than just abstinence, (iv) maintaining a new lifestyle and ongoing work on the self, and (v) the gifts of recovery. Participants typically described their initiation into recovery as being precipitated by the escalating negative consequences of their sexual behavior. Over time in recovery, they came to see their sexual acting out as a manifestation of unresolved underlying issues that would need to be addressed in recovery. They also came to believe that to achieve lasting abstinence from their problematic sexual behaviors, their overarching recovery goal would need to expand beyond just abstinence to the long-term maintenance of the quality of their recovery as a whole. This was achieved primarily through the creation and maintenance of a new lifestyle and engagement in ongoing work on the self. This new way of living was described as resulting in positive changes beyond just the alleviation of CSB symptoms, including personal transformation and improvements in overall quality of life. This qualitative study is the first to analyze recovery experiences of ‘S’ group members using a bottom-up approach and provides insights into how these members describe and make sense of their recovery journeys.

Introduction

Although the clinical phenomenon of compulsive sexual behavior (CSB; also conceptualized as ‘sex addiction’, ‘hypersexuality’, ‘sexual impulsivity’ or ‘out-of-control-sexual-behavior’) has been described and theorized about in the literature for decades (e.g., Barth & Kinder, Citation1987; Carnes, Citation1983; Coleman, Citation1991; Goodman, Citation1992; Grubbs et al., Citation2020; Kafka, Citation2010), it has only recently received formal recognition as a clinical disorder. In 2019, the World Health Organization (WHO) included the diagnosis of compulsive sexual behavior disorder (CSBD) as an impulse control disorder in the eleventh revision of the International Classification of Diseases (ICD-11; World Health Organization [WHO], 2019). A conservative approach was taken for the ICD-11 in categorizing it as an impulse control disorder instead of an addictive disorder because there is (to date) insufficient clinical evidence to determine whether the processes involved in the development and maintenance of the disorder are equivalent to other recognized forms of addiction (Kraus et al., Citation2018).

The prevalence of CSB in the adult population has been estimated to be between 3% and 8.6% (Bőthe et al., Citation2020; Dickenson, Gleason, Coleman, & Miner, Citation2018; Klein, Rettenberger, & Briken, Citation2014; Sussman, Lisha, & Griffiths, Citation2011). According to the ICD-11, CSBD is characterized by “a persistent pattern of failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behavior… over an extended period (e.g., six months or more) and causes marked distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning” (World Health Organization, Citation2019, p. 1). CSB encompasses various types of compulsive solo or relational sexual behaviors such as masturbation, pornography use, cybersex, casual sex with multiple partners, use of escort services and sex workers, or frequenting of strip clubs (Karila et al., Citation2014; Reid, Carpenter, & Lloyd, Citation2009). Moreover, individuals with CSB may engage in more than one sexual behavior that is compulsive (Derbyshire & Grant, Citation2015). These compulsive behaviors lead to significant negative consequences for the individual, including (but not limited to) emotional distress, relationship difficulties (e.g., betrayal of trust in romantic relationships), diminished self-esteem and self-respect, unintended pregnancies, and risk of HIV and sexually transmitted infections (McBride, Reece, & Sanders, Citation2008; Muench et al., Citation2007; Reid, Garos, & Fong, Citation2012). While rigorous outcome studies on CSB treatments using gold-standard approaches such as randomized controlled trials are scarce, likely due to CSB only recently receiving formal recognition as a clinical disorder (Grubbs et al., Citation2020), various treatments have nonetheless been delivered to treatment-seekers over the years. Treatment approaches (for reviews, see Briken, Citation2020; Dhuffar & Griffiths, Citation2015a; Efrati & Gola, Citation2018b; Garcia et al., Citation2016; Malandain, Blanc, Ferreri, & Thibaut, Citation2020; Miles, Cooper, Nugent, & Ellis, Citation2016) include individual and/or group psychotherapies, pharmacotherapies, and mutual-help support groups such as 12-step groups, which is the focus of the present study.

ISO’s 2025 Annual Conference in St. Louis

Update from Sharon S., ISO Chair:

In April we convened ISO’s Annual Conference in St. Louis — in person for the first time since 2019! We also welcomed folks from around the world via Zoom. A huge thanks to the planning committee for hosting a great meeting!

ISO’s Annual Conference is our fellowship’s business meeting, where we share how and what SCA meetings and intergroups are doing across the world. We talk about how best to reach newcomers and support members. We note our progress and challenge ourselves to do more.

It was fantastic to be together in person this year! I’ve been on many of Zoom calls with SCA Executive Committee members and fellows I feel quite connected to that I have never actually been in the same room with. Meeting in person strengthened our relationships and deepened trust. 

Here are some meeting highlights from our three-day conference:

New Characteristic about sexual anorexia

One of the most significant decisions made at this year’s ISO was to add a new Characteristic about sexual anorexia/avoidance to The Characteristics Most of Us Seem to Have in Common. You can read the history of this decision in the minutes. Here is the new characteristic:

We were sexually anorexic: in despair about our lack of physical and emotional intimacy with ourselves and others, yet unaware of how much we feared and avoided it.

SCA has a YouTube Channel

Gary S. and his Outreach team built a SCA YouTube Channel in 2024! Check it out to see the great content they’re creating and be sure to subscribe! (https://www.youtube.com/@SCA-Recovery) 

Audio Recovery Book in development

Gordon B., our Fiduciary Chair, is working to create an audio version of SCA’s Recovery Book that will be available for purchase on Amazon. We’ll keep you posted.

Executive Board Elections

Gary S. was reelected for a two-year term as Outreach Chair

Randy S. was elected as Director at Large, stepping in for Charles D. who resigned the position earlier this year. Thank you, Charles, for your service!

Tami V. was reelected for another one-year term as Outside Director

I was elected for a two-year term as ISO Chair

Emphasis on our 7th Tradition

We budgeted $4,000 for the 2025 ISO Annual Conference, and I’m happy to report that we came in under budget at $3,053!

ISO’s modest budget supports meetings, our website, literature creation and translation, and outreach to newcomers. As we built our 2026 budget, we reflected on the importance of our 7th tradition — that SCA is self-supporting through the contributions of its members. Your gifts help meetings buy literature, rent meeting space, and sponsor workshops. ISO receives a portion of the contributions you make to your meetings and intergroups. Please consider chipping in when you attend a meeting — your donations are vital in helping us reach the still-suffering addict.

If you’d like to read the Minutes from the Conference, contact the SCAnner editor. A Special thanks to Recording Secretary Maranda T. for her efforts!

An SCA Outreach Weekend

Thanks to the efforts of Gordon B., Gary S., Robert A., and Brian V., SCA has reached out in new ways to hundreds of individuals in the addiction community trying to help those that may be suffering from SCBD (Sexual Compulsive Behavior Disorder).

SCA presented it’s first ever workshop and meeting at the AA Florida Roundup in Ft. Lauderdale. The session focused on the Characteristics – which were somewhat unfamiliar to many of the attendees – and the Tools of Recovery.  At the same time across the country in Phoenix, AZ, SCA was a first time exhibitor at the annual IITAP (International Institute for Trauma and Addiction Professionals) Symposium.  This event was well attended by the most influential therapists and treatment facilities in this field.  Most of those that stopped by our both were not familiar with SCA and this was a great opportunity to enlighten them of all the good work that we do.  Those that knew of us, said that they refer many of their clients to our meetings and were happy to see us at this event.

We hope that SCA’s outreach will help grow our program, and in doing so will help our members recovery.

The Deadly Subculture of Internet Video Vigilantes by J.L.Flatley (edited for the SCAnner)

Officially approved a new characteristic on Sexual Anorexia/Avoidance

Last week a new characteristic was approved at the 2025 International Service Organization (ISO) conference.  Here is the language of the newly approved characteristic:

We were sexually anorexic: in despair about our lack of physical and emotional intimacy with ourselves and others, yet unaware of how much we feared and avoided it. 

The ISO of SCA also unanimously approved a motion to list this new characteristic as #11 in our list of The Characteristics Most of Us Seem to Have in Common. This  new characteristic #11 is now incorporated into all the www.sca-recovery.org  characteristic readings, including “Newcomers,”  “Program and Tools,” and the SCA Literature store, where individual copies of the Four-Fold and For the Newcomer  can be downloaded and printed for free. These include the revised Characteristics. As of this morning, both the SCA NY and the SCA LA websites have also included the revised Characteristics.