Sexual Health & Compulsivity
Fakri Seyed Aghamiria , Johannes M. Luetzb,c,d and Karenne Hillse
ABSTRACT
Recent research on sexual addiction (SA) and compulsive sexual behavior (CSB) has focused on areas of interpersonal and societal impacts. When SA/CSB is discovered in intimate partnerships, the offended partner may experience betrayal trauma (BT), which can manifest as Post-Traumatic Stress Disorder (PTSD)-like symptoms. Despite growing research interest, few studies have thoroughly explored the lived experiences of affected partners, particularly women. This phenomenological study addresses this knowledge gap by examining how female partners’ sexual well-being is affected after discovering their male partners’ SA/CSB. It is the first empirical research in Australia to examine and document the lived experiences of female partners in depth. Through semi-structured interviews with both female partners (n = 12) and therapists (n = 15), the study reveals significant sexual and emotional challenges, including shifting between hyposexuality and hypersexuality, reduced sexual desire, and emotional intimacy loss. Reclaiming sexual freedom and functioning is a prolonged struggle for women post-discovery or disclosure. The study holds important implications for different stakeholder groups. Policymakers have the opportunity to develop social support programs to help partners affected by SA/CSB, focusing on trauma and sexual health impacts. Therapists and mental health providers can design targeted, trauma-informed interventions to address sexual dysfunction and emotional healing. They can also create more effective couples therapy strategies to help rebuild intimacy and trust. Additionally, funding for further research and awareness campaigns can help educate the public and healthcare providers about the range of sexual and emotional effects on intimate partners. Education and training for therapists are essential to recognize and address the complex repercussions of SA/CSB, equipping them with vital skills to treat impacted partners and support them in reclaiming their sexual well-being and freedom.