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"This is a hidden public health hazard exploding, in part, because very few are recognizing it as such or taking it seriously," Dr. As a result, the diagnosis of cybersex addiction is often missed, Dr. Especially vulnerable to becoming hooked on Internet sex, he wrote, are "those users whose sexuality may have been suppressed and limited all their lives [who] suddenly find an infinite supply of sexual opportunities" on the Internet. Dana Putnam, a psychologist in San Luis Obispo, Calif., said other factors that could increase a person's vulnerability to cybersex compulsion were depression and other forms of emotional distress, relationship problems and a failure to get one's sexual needs met. Schneider among 94 family members affected by cybersex addiction revealed that the problem could arise even among those in loving marriages with ample sexual opportunities.

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The sexual stimulation and release obtained through cybersex also contribute importantly to the continued pursuit of the activity, Dr. He wrote: "Intense orgasms from the minimal investment of a few keystrokes are powerfully reinforcing." He added, "Cybersex affords easy, inexpensive access to a myriad of ritualized encounters with idealized partners.

Many cybersex abusers are re-enacting aspects of past losses, conflicts or traumas in order to foster illusions of power and love." Some cybersex addicts develop a conditioned response to the computer and become sexually aroused even before turning it on, Dr. This can exacerbate the problem for people whose jobs involve work on a computer.

And some people, including two physicians, have landed in federal prison for two years because they downloaded child pornography when authorities were watching, Dr. Still, most who pursue cybersex consider it harmless and safe to do so. In her survey, 91 women and three men in committed relationships said they had experienced serious adverse consequences, including broken relationships, from their partners' cybersex addictions.

While social and safety concerns and fear of discovery may prevent someone from visiting an adult bookstore or prostitute, there are no such constraints when pornography and sexual partners can be called up at any time of the day or night on a computer screen in one's home or office, Dr. Partners commonly reported feeling betrayed, devalued, deceived, ignored and abandoned and unable to compete with a fantasy.

Cybersex • Personal Health: First Step Is Recognizing the Signs of Internet Abuse (May 16, 2000) Related Articles • Health: Behavior • Health Columns • The New York Times on the Web: Science/Health Forum • Join a Discussion on Mental Health and Treatment ex is the hottest topic among adult users of the Internet, with studies showing that fully a third of all visits directed to sexually oriented Web sites, chat rooms and news groups. And it's very difficult to treat because the people affected don't want to give it up." Those most strongly hooked on Internet sex are likely to spend hours each day masturbating to pornographic images or having "mutual" online sex with someone contacted through a chat room.

For most people these forays into cybersex are relatively harmless recreational pursuits, but experts in the field say that the affordability, accessibility and anonymity of the Internet are fueling a brand new psychological disorder -- cybersex addiction -- that appears to be spreading with astonishing rapidity and bringing turmoil to the lives of those affected. Occasionally, they progress to off-line affairs with sex partners they meet online. Al Cooper of Stanford, who has conducted the largest and most detailed survey of online sex, calls the Net "the crack cocaine of sexual compulsivity." The survey, conducted online among 9,265 men and women who admitted surfing the Net for sexually oriented sites, indicated that at least 1 percent were already seriously hooked on online sex.

Cooper's survey indicates that most female cybersex addicts are single, married women also become cybersex addicts and their husbands suffer the consequences.

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