Or, more broadly speaking, this can be defined as: Dependence on the needs of or control by another.1 However, while in most addictions the assumption can be made that the partners are co-dependent, or at least the addict s partner had co-dependent behaviors, this is not necessarily so in the case of sex addiction. For other people, however, non-compulsive masturbation can actually aid the biological urge for sexual release, provide a venue for self-nurturance and contribute to an overall sense of sexual health. Figuring out which side of the line is right for a particular person can depend on many factors, making this a topic worth discussing with trusted resources of support and guidance. It s not a pleasing thought. In reality, this is what s happening with pornography. Throughout my career, I have spent innumerable hours on porn and sex addiction treatment, treating individuals and couples with chemical dependency addictions like alcohol, heroin/opiates, cocaine, methamphetamine, marijuana, etc. , then the call of the addict has served its purpose and deserves appreciation. This replaces shameful behavior with self-nurturing and healthy attachment. Group Treatment Experience When I provided inpatient treatment for Dr. Carnes, we had stuffed animals for hugging in our hospital day room. Between the cute stuffed animals was an ugly, humpbacked dragon with only one eye. A pornography addict, for example, might upgrade to impersonal sexual encounters, and then impersonal sexual encounters may lead to illegal sexual acts, such as voyeurism and exhibitionism. The addict s objective is to continually seek gratification when the usual sources have lost their luster, so to speak. You develop an improved sense of confidence that allows you to attune to the reality that the addict s behaviors affect you but are in no way, shape, or form because of you. The addict acted out because he is an addict. He did not act out because you were not good enough or not worthy of his love. You could not cause his acting out.