Intimacy & Relationships
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Marie Nussbaum - 01 Oct, 2025
Sexual Addiction: Between Pleasure, Suffering, and the Quest for Connection
Sexual addiction, far from being a mere excess of desire, challenges the modalities of pleasure, the relationship to others, and the body. It can be a source of enjoyment, but becomes symptomatic when it imposes itself as the sole mode of psychic regulation or expression — at the cost of suffering, isolation, and compulsive repetition. Contemporary psychoanalytic perspectives Contemporary psychoanalytic literature, including the work of Vincent Estellon, Joyce McDougall, Patrick Carnes, Aviel Goodman, Shere Hite, Martin Kafka, and Laurent Karila, explores the archaic roots of these behaviors. Estellon describes a "defensive sexualization": a way to ward off the terror of loving and being loved by substituting affective connection with repetitive, often affectless sexual scenes. Clinical cases and repetitions Corentin cycles through female partners with one obsession: making them climax. Yet as soon as emotional depth threatens to emerge, he vanishes. He is less interested in the other than in the effect he produces. He experiences himself as disposable, seeking proof of his worth through repetition, never allowing himself to be touched. The orgasm of the other becomes a substitute for love — a fleeting validation of existence, devoid of attachment. Tony grew up with an impotent, absent father, unable to embody a figure of transmission. His compulsive sexuality, marked by a drive for performance, seems to respond to a castration anxiety. He seeks to prove his masculinity, but no act suffices to fill the void left by paternal failure. Codified practices and ritualizations Ari and Jean frequent only swingers' clubs. For Ari and Jean, swinging has become ritualized — a repeated scene where the conjugal bond is tested. Beneath the intensity lies a difficulty in encountering each other outside performance. Garance and Éluard, married for thirty years, now connect only through the thrill of upcoming sexual freedom. One partner begins to suffer, no longer recognizing themselves in the practice. The balance falters — not because of the practice itself, but due to a loss of meaning, absence of dialogue, and growing solitude within the bond. Omnipotence and dispossession Anna, a brilliant academic, consults for unexplained fatigue. She finds relief in BDSM practices — a form of dispossession. Yet her submission seems to replay an ambivalence: the social and intellectual power she cannot inhabit, delegated to the other in intimacy. Karim spends exorbitant amounts on sex work. He can no longer form romantic bonds. "At least there, I know what I'm worth," he says. Payment becomes a ritual of control — a shield against rejection and a way to fix the relationship in a reassuring asymmetry. Distinguishing pleasure from symptom These forms of pleasure are not inherently pathological. They may express singular desire, self-exploration, or consensual play. But when they become the sole mode of connection, accompanied by suffering, isolation, shame, or chronic dissatisfaction, they signal a psychic conflict worth exploring. As McDougall notes, such patients often experienced early intrusion or abandonment, constructing powerful defenses to survive annihilation anxiety. ReferencesCarnes, P. (2001). Out of the Shadows: Understanding Sexual Addiction. Hazelden Publishing. Estellon, V. (2012). Les racines archaïques des addictions sexuelles. Société Psychanalytique de Paris. Kafka, M. P. (2010). Hypersexual disorder: A proposed diagnosis for DSM-V. Archives of Sexual Behavior, 39(2), 377–400. McDougall, J. (1982). Theatres of the Body. Free Association Books. Goodman, A. (1993). Diagnosis and treatment of sexual addiction. Journal of Sex & Marital Therapy, 19(3), 225–251.
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Marie Nussbaum - 01 Mar, 2025
Infidelity
Infidelity is one of the most complex challenges a couple can face. Beyond the guilt often felt by the one who commits the act and the deep sense of betrayal experienced by the partner, there is an opportunity to seek meaning within the act, the disclosure, and the ensuing crisis. Such situations can serve as a message to decode — a chance for both partners to reflect, process, and sometimes transform their relationship. Infidelity: A Signal to Explore While an affair is typically seen as a betrayal, it can also serve as a signal. From a relational perspective, infidelity may point to unmet needs, unresolved conflicts, or patterns of disengagement within the couple. Esther Perel argues that "infidelity does not always reflect a rejection of the partner but may instead represent a search for a lost part of oneself." This reframing opens the door to a deeper exploration of relationship dynamics. Examples of Meaning-Seeking Emotional distance and resentment: Marie discovered her husband Paul had been unfaithful after struggling for years to express her emotional needs. In therapy, they uncovered patterns of avoidance and a lack of vulnerability in their communication. They decided to work toward rebuilding trust and emotional intimacy. Craving novelty or rediscovering identity: Marc, married for 15 years, admitted to an affair to "feel alive" after years of monotony. Therapy helped them reframe the infidelity as a wake-up call to address stagnation, ultimately rediscovering a stronger bond. Leading to separation with awareness: Julia discovered her partner's repeated infidelity. Therapy supported Julia in finding closure. They ended their relationship respectfully, allowing both to move forward with clarity. The Role of Couple Therapy Therapy for infidelity is not about assigning blame — it is about uncovering what the affair reveals about the couple's dynamics and needs:Creating a safe space: A therapist helps both partners express their emotions without fear of judgement. Decoding the act: Exploring the meaning behind the infidelity. Was it an escape? A cry for help? A breakdown of boundaries? Rebuilding trust: Transparent communication and small, consistent actions help re-establish trust over time. Transforming the relationship: The therapist guides the couple in examining shared goals, unmet needs, and vulnerabilities.When Infidelity Leads to Separation In some cases, infidelity reveals deeper, irreparable rifts. Often, the separation is not solely due to the affair but reflects pre-existing signs of disengagement. Here, therapy focuses on helping both partners navigate the separation with respect and understanding — finding closure, addressing unresolved emotions, and allowing each person to envision their future with clarity. Conclusion: From Crisis to Growth Infidelity is a seismic event in any relationship, but it does not necessarily signal the end. The goal is not to erase the hurt but to integrate it into a narrative that allows both partners to move forward — together or apart — with greater self-awareness and purpose.