Sex Under the Influence: Substance Abuse and Sexuality
Ethical Code for certified sexuality therapists
I appreciated the substance abuse & sexuality training because oftentimes these issues are artificially segregated. For example, many substance abuse treatment programs avoid inquiry and topics related to sexual shame, sexual abuse, body image, and sexual orientation dilemmas that contribute to people’s addictive patterns.
The ethics training was mostly review–but important stuff. Anyone can view the Ethical Code. I also adhere to the American Counseling Association ethical code. If you have any questions about either of these topics, feel free to contact me.
It’s almost a daily headline the last couple months: Prominent Man Investigated for Sexual Harassment.
Outside the context of each specific accusation, many people are asking: Why do People Sexually Harass? I will attempt to answer that question. It’s NOT a commentary about specific cases, but a broader analysis. I’m not sure whether other researchers & theorists have arrived at the same hypotheses. Mine are a result of my broad professional experience and critical thinking. I have not done a lit review on the matter (although it’s on my to do list). Without further delay, here are my theories:
Narcissism: the hallmark of narcissism is a lack of empathy or regard for others’ safety, feelings, and/or independence. Sometimes this deficit comes from unprocessed shame (i.e. the person is not dealing with their own issues so they distract themselves by gaining influence over others). A narcissist also copes by pursuing pleasure, in this case, sexual gratification or interpersonal dominance.
Unclear sense of self: Similarly, some people confuse what they want by projecting it on to others. Rather than own and disclose their desire in a straightforward manner, a sexual assaulter may justify their actions by claiming that the other person wanted the behavior. Lots of unhealthy mind reading. Victims are often criticized & burdened for not speaking up. Unfortunately, less discussed is the lack of openness and honesty from the sexual harasser. Sexual harassers are frequently dishonest with their own intentions.
Blurred boundaries at workplaces: People who struggle to separate their personal life from their professional life are not skilled at understanding themselves separate from their immediate context. They are at risk for blurring other boundaries, between themselves and other people.
Compartmentalization: The flip side of the coin is compartmentalization. Sexual harassers may locate the harassment experience into a corner of their awareness, sealed off from the rest of reality. Effectively, compartmentalization is a type of denial, or delusional boundary formation.
Lack of Comprehensive Sexual Education: An absence of healthy sexual discussions produces ignorance and assumptions. Many people associate ALL sexuality with secrecy and shame. Secrecy and shame are the building blocks of sexual abuse. Or, a person can be so sexually permissive that they do not acknowledge the difference between harmful sexualization (imposing on others) vs mutual sexual pleasure. Comprehensive sexual education facilitates self-awareness & dialogue about the healthy diversity of sexual desire and healthy approaches to it. In consensual exchanges, each person is empowered to identify their sexual and non-sexual desires. If there is a conflict, safety is prioritized. For people who missed the boat, I will make another blog post about specific resources for healthy sexual dialogue.
Objectification: “noun. The action of degrading someone to the status of a mere object.” People may reduce other people to sexual targets rather than incorporating their other qualities, e.g. creativity, sensitivity, vulnerability, intelligence, etc.
Body Privilege: This phenomenon comes in at least two forms.
Male privilege: As a general category, men are granted more social license to impose their sexuality as part of their inherited gender script. Dominant social dynamics teach women to be passive receivers. It doesn’t have to be this way–yet this tradition is enforced by many formal and informal social mechanisms.
Attractive People: People who are socially-evaluated as attractive may internalize the message that their body is their main source of worth and connection. They may over-rely on physicality in order to deal with loneliness. This dynamic can be described as self-objectification (see objectification, above).
If you would like to discuss these ideas in more detail or conduct an internal exploration, feel free to contact me.
Clients who would like me to consult with another service provider–for example a psychiatrist, school counselor, judge, previous counselor, or medical doctor–are welcome to complete this Release of Information form. It enables the client to describe what type of information they would like shared and to specify the consultation dates. In some situations, consultations boost the effectiveness of one or both practitioners. Clients are welcome to discuss specific consultation considerations with me.
I am currently teaching Ethical and Professional Issues in Counseling at the University of Missouri-Kansas City. In this class, we discuss client rights, counselor responsibilities, multicultural competence, and the American Counseling Association Code of Ethics.
I am enlisting two new tools to build collaborative client relationships! The Outcome Rating Scale measures a client’s life satisfaction–and any positive or negative trends during the course of treatment. At the end of each meeting, clients use the Session Rating Scale to provide feedback about the meeting’s topics and methodology. These tools are associated with the International Center for Clinical Excellence. This evaluation process encourages transparency, accountability, and “custom-fit” rather than “cookie-cutter” therapy.
In addition to other healthy life practices, I find great resiliency in a self-book: Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others. This book provides a framework for managing vicarious trauma. The text outlines 16 possible imbalances within a caregiver or service provider–such as cynicism, deliberate avoidance, hypervigilance, and an inability to embrace complexity. Readers can self-assess their experience and make adjustments. This collection of research and anecdotes relates to various human services, including social work, law enforcement, education, and medical fields.
I promote an ethical and transparent therapy process. As a Licensed Professional Counselor, I adhere to the American Counseling Association Code of Ethics, which was updated in 2014. For more information, feel free to contact me or view the ethical code here.