Affect dysregulation through developmental and relational trauma neurobiologically favors addiction in general. Sex addicts suffer a shame-based personality that expresses itself in a shame-based sexuality. Over time, the sex addiction itself becomes another type of trauma. A psychobiological approach to sex addiction treatment is a top-down, bottom up-approach that recruits higher cortical functions for containment in the early stages of treatment while simultaneously using the dyadic, implicit processes between patient and therapist for long-term growth and change.
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