Saturday 26 August 2017

Pornography and the Brain- Presentation by Donald Hilton



This is one of the most articulate , concise, evidenced based, historical, helpful and human conversations on this subject. 
This issue , thought provokingly presented by cutting edge director Justin Hunt in his documentary Addicted to Porn- Chasing the Cardboard Butterfly, is here presented passionately and scientifically in this lecture by Dr Donald Hilton, who also appears in the film.


Please if you struggle with accepting addiction as a disease, even a dis-ease, then please watch this and think for yourself.

What Donald is able to marry here is the disease concept and the Dissconnection to Connection recovery concept being presented largely as in opposition to 12 step recovery and the disease model.

As a counsellor and in long term recovery person I have always been confused by this .
I have found the effects of being part of a fellowship of men and women, with a common purpose- spiritual awakening , as a pathway out of the isolation of addiction has been life saving.
The interpersonal neurobiologist Daniel Siegel captures the therapeutic value of this relationship in his Triangle of Human Experience and his Healthy Life ( Brain) Platter concept for giving the developmentally traumatised Brain a good chance to repair and create new intergrated pathways.
The hardware of the brain is effected greatly by the relationships chosen as they focus our awareness. This is what the therapeutic value of 12 step peer and sponsorship Connection offers. Real long term positive impact on the brains reward systems, outlined by Patrick Carnes in his 30 point recovery plan as the experience of addicts in the growth stage , which is about years 2-5 in cycle of recovery with abstinence.
So pease enjoy this presentation. Dr Hilton is a leader in this field and his intelligence and ability to make neuroscience human and accessible is divine.
https://youtu.be/P2yKslvPfV4

Sunday 6 August 2017

Review Of Addicted to Porn- Chasing the Cardboard Butterfly. A film by Justin Hunt



In May 2017, I attended the International Institute of Trauma and Addiction Professionals Symposium in Phoenix Arizona, where I attended a screening of the Documentary Addicted to Porn- Chasing the Cardboard Board Butterfly, Hosted by the Director-Justin Hunt.
The film, narrated by Metallica front man James Hetfield, focused on the threat that current day Pornography and Technology poses to our children, our marriages, our families and our society.
The film itself had been deliberately created to be shown across a broad audience, so it contained no sexual imagery, and can come available with curriculum for churches and schools. Being an audience member that evening gave me an experience that I wanted to bring downunder.
Watching the film and hearing the guests discuss this modern phenomenon was something I wanted to create for my clients and colleagues.  I had the pleasure to meet Justin in the lobby after the screening, and I bought the film and a small screening license for my private practice.
On returning to Australia I was excited to promote the screenings. I have built a private practice treating sex addiction, and have trained in Australia with the IITAP Certified Sex Addiction Therapist Training Modules with other Aussie therapists, so I knew colleagues that would be interested.
I facilitated two workshops, one for Clients and one for Therapists. Screening the film, then facilitating a workshop where I shared resources regarding sex addiction treatment regarding pornography, and then discussed the broad issues raised in the film.
Within the title of the film it refers to Nobel Peace Award winning entomologist, Nickolaas Tinbergen’s work, who was famous for identifying super stimuli. One study placed a brightly coloured cardboard female butterfly in with real females. A phenomenon occurred and the real females were ignored by the males as they seduced by the super stimuli that was artificially created. This study was done with spiders and fish, with similar results. The real stimuli could not compete with the artificial.
The discussion that this film starts creates a strong argument that Pornography with current technology, is a super stimulus.  Its unbelievable, unachievable, unrealistic. Men and women turning to it get the brains reward system so triggered so quickly that it eventually renders the male impotent with their primary intimate relationships, leaving wives ostracised and traumatised, and defeated by a competitor that is impossible to compete with.
The film makes the point that we are not talking about porn of the last millennium. Print and Video media made porn finite and harder to access. Modern technology makes porn instantly available , on smart phones and devices, anywhere, anytime and anything you can think of, you can look at.
The more frightening reality though is that children can access this same resource, and statistics show us this average access age is 8 years old. What makes this ever more sinister, is that sex, the shame surrounding the subject, and the silence this shame renders in family systems, church systems, educational systems, parliamentary systems, means that nobody is talking about it, period.
Recently articles have been making appearances in media about violence on school and university campus’s, and the connection between the violence towards women that is portrayed in pornography. Children’s unfiltered access to this and this observed behaviour are all being discussed finally in that same reference. Dr Patrick Carnes, a pioneer in the field of sex addiction treatment has being presenting the idea that Violence between men and women , as well as in our LGBT Communities can be seen as a reflection of what has been in abject increase in pornography, and what is informing our children and teenagers as the new norm of sex.
In the screenings I showed, the clients had the chance to talk honestly with others on how pornography had become a secret master that dominated their private time, controlling them to the point where some lost their families, jobs, dignity and free will. Living against personal values was especially crushing. Moderation was not possible with a stimulus that dominated the brains reward system. The Neurobiological evidence presented in the film was particularly provoking , as finally there was evidence that helped make sense of the experience of watching and losing yourself in porn. Sex Addiction specialist Rob Weiss calls Porn the "Crack cocaine of process addictions!"
Most shared that they had received no adequate, helpful, age appropriate information in the families growing up, or from their school or churches. The absence of this conversation in and of itself is shaming. We learn that lust and sex urges are bad, and we need to keep them secret. This compartmentalisation is what occurs when adults aren’t talking and kids are not asked about their sexual selves. Well tonight these men got to talk and listen to each other and were grateful the conversation for them had started. Some being fathers meant the conversation had to continue in their lounge rooms at home.
In the Colleagues workshop, there was a chance to discuss the sleeping giant that this issue is. Clients due to shame don’t usually don’t bring up their sexual behaviours, (unless they have been caught) Similar to an Alcoholic in denial that goes to his Doctor, to talk about his depression, and keeping secret their alcoholism. At best they minimise it or trying and normalise it, “Everybody does it”
The Therapists spoke about how to  get comfortable  to talk and work through their own sexual shame, so they have the courage and the skill to address, discuss and identify with clients when this has become an issue for them.
Another theme was how important making devices safe within families, and how if one has an addiction to porn, they need to be humble and block all access with software and programs designed to keep your devices safe. Without willingness to do this I would hazard to state the client is not serious about recover yet, at best still in denial. Also picked up on in the film was the term, teaching our children to become better digital citizens, and the importance this places on parents to get up to date on how to address these new frontiers with there kids.
The film was loved by both audiences, and both relished the opportunity to be part of a discussion that has been a long time coming. All left to carry that discussion to their private practises, to their families, to their communities.
I felt joy to see the subject of Sex Addiction, including Pornography Addiction to be taken so seriously. The film has some commentators arguing against it, but their discourse sounds flimsy and incoherent against the body of research and evidence based practise that is now offering a recovery road map out of desperation and desolation.
This has to be just the beginning. This film is a must see for every family. This is not a preference. It’s a responsibility that we all have to share.
 There is a storm upon us, and we have to start talking to each other.

Sunday 16 July 2017

Resources from todays ACoA Unity Day talk July 2017

Resources from todays ACoA Unity Day talk July 2017
http://www.stevestokescounsellingandconsulting.com/groups

·       Dr Alan Schore: Presenting on the importance of Early Childhood Development-The first 1000 days.

·       Pia Mellody:
Personal Boundaries
Human Relationships
·       Stephen Porges: Polyvagal Theory
·       Dr Dan Siegel
Wheel of Awareness Meditation:
https://youtu.be/ODlFhOKahmk
·       Developmental Trauma Neuroscience info

·       Pete Walker
Books and resources
http://www.pete-walker.com/complex_ptsd_book.html
http://www.pete-walker.com/fourFs_TraumaTypologyComplexPTSD.htm
·       Brainspotting Australia:

Dr Laurie McKinnon
Radical Exposure Therapy ( Tapping for CPTSD)
http://www.insiteconsulting.com.au/
·        
·        
·       My Blog:

·       Jaak Pankseep- The Science of Emotions.
https://www.youtube.com/watch?v=65e2qScV_K8











Thursday 6 July 2017

My year as a D.A.G.! (Drug, Alcohol and Gambling Counsellor for the Department of Health.)


When I left South Pacific Private in mid-2016, after serving as their Program Director, it was time for a change. First though there was a huge challenge in front of my family, with my wife about to give birth to our third child under the circumstances of Placenta Acreta and Previa. With my sons Marshal being 5 and Maverick being 3, I had to deal with the real prospect of them being without a mother, and me without a wife. When the position came up at the Hornsby Hospital Drug, Alcohol and Gambling Unit, I thought that it could be the job I could do to make my family the focus, and be able to do it if there was a catastrophe.
While Jen was in hospital I went for the interview, took my suit in and got changed at the hospital itself. Trying to appear not being stressed took some effort, but the job I knew I could do. Supporting people with Drug and Alcohol issues had been my bread and butter for 30 years. It was also appealing that after spending the last 15 years in senior management roles of one description or another, to not have anyone underneath me was a relief. Just had to be responsible for myself, to the team, and the manager.

In the interview, I had to ask for the panel forget the management side of the resume. That my focus now was that I could a good job, and then be able to go home for tea, and have weekends free so I could be with my family. I wanted to be there for my boys.
When they called me, and said I had the job I was relieved.

Even better news, was that Jen had made it through emergency surgery, and even though she was in ICU and baby Harland was in NICU, they were alive, and after a time, thriving. That was the longest night of my life, and one I will never forget. The fear, the faith and the celebration. Holding little Harland while they were still working of Jen, was a painful moment, but it was joyful to.
Hospital life dominated the family while Jen and Harland got healthy, and when they came home, I was able to start my year, as a DAG! Thanks to many for their love and support at this time, especially my mother-in -law, Fiona McKinnon. She stayed at home and took care of everything. Always eternally grateful for her love and support.
Walking around Hornsby Hospital in the beginning felt weird. I had gone from being the one that people came to for a solve problems, to get things done, to anonymity. It took some getting used to, but eventually I was able to embrace it.

In my last roles I was writing programs, creating webinars, lecturing and training staff, presenting at Conferences, talking to media, and being part of an Executive Committee. A role more focused on the big picture of treatment. I had been learning new trauma treatment techniques - Radical Exposure Therapy (the tapping therapy) and Brainspotting, as well as studying Sex Addiction treatment procedures produced by Patrick Carnes.

All built off my new-found passion for the Interpersonal Neurobiologists that were inspiring trauma treatment specialists. Dan Siegel, Alan Schore, Stephen Porges, Ed Tronick, and Peter Levine to name a few. My mind was on fire.

To find myself back at the coalface was initially confronting. I was hired to see five people a day, with Drug and Alcohol issues. We had 12 sessions (which I soon learnt could just add another 12, then another 12…) to which to intervene on the crushing realities of Drug and Alcohol addictions.
Life is what happens while you are busy making other plans said Lennon, and this was the case. Life was happening. From day one there was a client load, and as with the nature of a free counselling service, you get a lot of pre-contemplative clients that have to be there, or clients off the street that know somethings wrong, but don’t really want to change much. Harm minimization is the Governments protocol, so I learnt early as an addiction specialist, I needed to just meet everyone that came through my door, right where they are at.

Many had the question of “Am I using, abusing or dependant?” Now this is a question I can deal with. Addiction is an observable, predictably unpredictable process. It creates its own evidence. Measurable by a criteria. The only thing that works against you is the person presenting that evidence -The Addict.

Patrick Carnes states in Facing Addiction that “The degree that an addict can minimize use and consequence is one of the most striking and common manifestations of addiction, as well as the most baffling to others” As an addiction therapist you get desensitized   to hearing some of the most baffling plans that addicts can piece together on how they are going to beat their dilemma. The expertise I have built up is that I know they are going to do what they want, and I need to just be with them, and help them with the research. The only reason I try hard to break the delusion of Addiction, to help prevent a relapse is due to the insanity that can kick in and before you know it five years has past before you return to counselling. Some don’t make it back.

Addictions predictable nature will expose itself. I had a fellow once tell me that he wanted his harm minimization plan to be Get pissed Friday and Saturday. Have 12 beers on Sunday, have Monday off, Then two beers Tuesday, 4 beers Wednesday, 6 beers Thursday and oh, goody it’s Friday again.
Now I did tell they guy that would not be the surgeon general’s advice, but hell, let’s give it a go. I knew that if he was an addict, he would have the phenomenon of craving and that the Monday to Thursday period would give us all the evidence that we needed. In his case that was the case. But if I hadn’t supported him to try it I would have lost him. As it was he never got sober, but he did answer the question whether he was an addict or not.

 I enjoyed the pace at the D.A.G. unit. Being told not to over work, having my clients limited. Given days off to study, to do supervision. I continued my studies in Brainspotting, Sex Addiction and Radical Exposure Therapy, as well as attending and presenting at the Australian Childhood Trauma Conference in Melbourne, The Australian and New Zealand Addiction conference on the Gold Coast and the International Institute for Trauma and Addiction Professionals Symposium in Arizona, USA. All supported by my Manager Barbara Leo.

I think she was grateful to have the experience I brought to the team, and I was grateful to be under some wise leadership. Her style was gentle and direct. The walk warmly up beside you model, non-confrontational. I was delighted. It was a relief. I used to thank her every time she told me her truth and what she needed from me. To hear It clear and straight was a blessing. I have been in Manager roles for many years, and I don’t know If I have ever been that good at it. To self-cantered I suppose. To self-serving. I get interested in what interests me, when a Manager really needs to serve the team. I can say I tried always to be my best. To support people honestly, right where they are at. Always thought my Complex PTSD and resulting Avoidance Addiction made me difficult to work with.
I once went into my CEO when I was a Program Director, and said I should read you this. It was an excerpt from Bessel Van der Kolk’s Forward to Stephen Porges Polyvagal Theory book. A revolutionary text on Trauma Treatment I was studying it at the time. In it Bessel states, “Clinicians and Researchers who deal with people with histories of Chronic trauma are routinely confronted with Fight, Flight Freeze reactions. Our Patients, (and occasionally our colleagues) easily take offense, and they often disorganise their (and our) lives by becoming too angry, to ashamed and too frozen.
 Minor irritations easily turn into catastrophes, small failures of communication are difficult to gloss over and easily turn into dramatic interpersonal conflicts the milk of human kindness, such an essential nutrient in making life bearable, all too often fails to have a significant impact on the despair, rage and terror of people with histories of trauma and abandonment.”

Avoidant addict workaholics can be difficult to work with. I think she got it, and then again, might have just been more evidence of the difficulty.
The other thing I will say is that the training is extensive and very current within the Department of Health. I learnt a lot, and they take safety very seriously.
I was soon to find a rhythm at Hornsby, and I loved that I could go home at the same time every night, and be there for tea with my family. When you work as an Executive, then there is no knock off time really. It was a blessing to be able to leave work at work.

Over the year I got tight working efficiently, using the Facing Addiction text by Carnes as my guide. I also was able to treat many clients underlying issues of childhood trauma, by introducing them to Pia Mellody and her texts Facing Co-dependency and the Work Book Breaking Free. The other must read I shared with clients was Pete Walkers, Complex Ptsd-From Surviving to Thriving. I introduced as many as I could to 12 Step meetings, and practiced Mindfulness and Meditation with as many clients that would let me. That can freak some people out Mindfulness. Hippy stuff that it is!
Would hand out Pete Walkers resources for Identifying your Trauma Type, tips to deal with the Inner and Outer Critic, and especially his 13 Tips for Dealing with Emotional Flashbacks (due to Childhood Trauma). I learnt after being challenged by Dr Roby Abeles, when she told me you cannot bring up peoples Trauma without giving them first skills to regulate their affect. Pete Walkers are some of the most client friendly I know.

 I have always wanted client to walk out of a session having a map to follow. It’s what I love about Pia Mellody. She created a, map for herself, and others to follow. To find your way out of the impact of Developmental Trauma.

Patrick Carnes says in the Gentle Path Through the 12 Steps that there is an 87% chance that if you have one addiction, you have two or more. Now this statement which he wrote of research many years ago has certainly been confirmed by the current Neuroscientific research on the Brains reward system.

 I see it as the reward centre is the hub, and any addiction is the spokes. The hub doesn’t care which spoke feeds it. So many alcoholics get sober, and to kill themselves with Work, Food, Sugar, Sex, Nicotine etc. I know, I have been one of them.

 So, over the year I worked with people around sugar, gambling, food, OCD, cigarettes. The word got out to and I could see Sex Addicts there, even though there was no real way I could write it up. Pornography Addiction is going to be a pandemic within society.  We are in it now, and screening for it is essential for any addiction specialist. The access to it, its availability through smart phones and personal devices make sit the most accessible addiction in the history of mankind. The impact on the brains reward system is only rivalled by Crystal Meth. To be able to assess, treat and help folks with this addiction towards real recovery is challenging, but very rewarding.

Dan Siegel’s Mindful Therapist text had also inspired me as a Clinician to really work on experience of presence when with a client. To move from the traditional Left Brain to Left brain focus on data and information, to the felt sense of the right brain to right brain connection that Dr Allan Schore states starts the repair of the attachment trauma. Alexandra Katehakis gave an inspiring and deeply moving keynote address at the IITAP Symposium on this very subject.

I believe that the core of Addiction is an attachment disorder that effects a client’s ability to affect regulate, so avoiding reality is preferred, to survive not thrive. ICE and Pornography are the only addictions challenging this, as the impact the brains rewards centre is so acute, and so rapid. There is a body of evidence that tells us they are super stimulus, and need seen in a different light.
So, over the year I have had many great therapeutic experiences, in every stage of change. From dis-connection to connection was the goal.  I was part of a team at Hornsby that are hardworking, skilful and diligent.

I would eventually work on my self-care which had been lacking for many years whilst in my work addiction, getting false energy form sugar. I thought leaving SPPP and the stress and starting at Hornsby I would easily let go of the food addiction. But it lingered, it wasn’t till 6 months ago I finally addressed the issue and gave up sugar completely and now it’s been six months and 25 kilo latter, I am truly grateful I stopped killing myself with food. A day at a time I walk forward sugar free. At the start of the year my wife won on Facebook a one year training package with Never Better Fitness., so 5.30 am 4 morning a week I am at the park having Calvin Dauwes run me around silly, nearly kills me every time, but now I have so much more energy for my boys.

The other thing I started at Hornsby was every lunchtime when I could, I darkened my office, laid down a yoga mat, wore and eye mask and listened to Binaural beats and Isotonic tones and had a Drift Session as I started calling them. Deeply resting my Brain. I think my colleagues where intrigued, (probably just thought I as weird!) The level of refreshment I felt was fantastic, and kept me going into the night, it was essential to do this once I gave up the sugar. I have kept the practice going now at home.

In the last six months, I had built up a thriving Private Practice on the side. It eventually rivalled my full time hours. Mainly focusing on Sex Addiction and Developmental Trauma. As I go busy I could see that one would have to go, so decided to build up my practice, and whilst in Arizona in May, I attended a workshop by Kenneth Adams on How to start a successful Private Practice. It was here that I made the decision to go for it, and once I had returned and worked it through with Jen, we agreed it was time.

 I gave a notice of six weeks and it gave me time to get the home office ready, and get my files in as much order as I could, (I am bad with paper work!)
When I rode out of there on the last day, it was confronting. I felt a lot of fear, mainly as I provide for my wife and three boys. I didn’t want to let anyone down. Fear is a great motivator, but Faith, well that is a great alleviator (of fear). So, I prayed, handed my will, my life, my family, and the future of this practice over to God.

When I was recently in Austin, Bestselling author John Lee, whom I see for counsel and supervision, made the offer of becoming my mentor, especially for writing. I have been afraid to write. Afraid to fail at it. So, as part of the private practice. Friday is the writing day. I am excited to see what will come from the venture into creativity.


 More will have revealed.

Sunday 2 July 2017

Resources for Stopping Sugar and getting your life back

Its Been over six months now Sugar Free. Been following these Principles and been getting extra support from my Recovery Community. I was a guy in long term drug and alcohol recovery that was going to kill himself with food.
Peter Fitzsimmons book just made it real , spoke clearly to the aussie bloke, and gave me hope. Catherine Gordon have me the meat and (no Potatoes) approach to setting a meal plan I could achieve.
Jason Fung is someone now I am turning to that has the science to back up Peter Fitzsimmons book, and Catherine's work, and medically challenges the status quo of the dieting community.
I am by no means out of the woods. But I started at 116 kilo and am no 95, and still losing, slowly, achievable and without starvation. The Cravings have passed. I am truly grateful to have more energy, to be exercising again with the wonderful Calvin from Never Better Fitness, and have a lot more energy for my boys.

Now its tackling the Busyness addiction, which starts today, as I am in full time private practice and have left my Hornsby Hospital Contract.
Life Balance, to be connected, to myself, to my family and to God.


Eating Disorder/Obesity/Sugar Free links and resources.

Links for obesity/diabetes
Guys name is Dr Jason Fung.
This is the first video in a 6 part series.
Part 1 : https://www.youtube.com/watch?v=eUiSCEBGxXk&t=37s
Part 2 : https://www.youtube.com/watch?v=dimP7IdM2Og
Part 3: https://www.youtube.com/watch?v=ZbnshVO4PRM
Part4: https://www.youtube.com/watch?v=pG89j432w-Y
Part 5: https://www.youtube.com/watch?v=2yoOx_7MLn0
Part 6 : https://www.youtube.com/watch?v=QetsIU-3k7Y

Books:
The Obesity Code:
https://www.amazon.com.au/s/ref=nb_sb_noss_2?url=search-alias%3Daps&field-keywords=jason+fung


Catherine Gordon:
http://sugarfreedom.com/

Peter Fitzsimmons:

https://www.amazon.com.au/Great-Aussie-Bloke-Slim-Down-Footballer-ebook/dp/B01JGPOYGK

http://www.abc.net.au/news/2016-12-18/peter-fitzsimons-weight-loss-tips-for-blokes/8115114

Pete Walker:
http://pete-walker.com/
Pete is essential for all of us that have developmental trauma at the core of our avoiding reality disorders. I learnt that sugar and overeating medicated me away from the painful feelings that arose from living day by day in a dysfunctional family system.

Overeaters Anonymous:
http://www.oasydney.org/

Monday 12 June 2017

New Yallom Group starting


New Group- Starting this week. Yallom process group. Fantastic way to increase your communication and relational skills!

I have loved and hated at moments being part of a Yallom style process group. The unique opportunity to be in real time and receive honest feedback about how you are experienced by others. This in the moment feedback in a group setting, allows you the opportunity to modify your communication style in the moment, learning and growing .
One on one therapy has been amazing two, but group work takes relationship potential to a new level because you can practice the skills as part of the group process.
Please contact me for more information.
Steve

THE BENEFITS OF BEING A MEMBER IN A PROCESS GROUP



• Discovering and accepting previously unknown or unacceptable parts of yourself
• Being able to say what was bothering you instead of holding it in
• Other members telling you honestly how they experience you
• Learning how to express your feelings
• The group’s teaching you about the type of impression you make on others
• Expressing negative and/or positive feelings towards another member
• Learning that you must take responsibility for the way you live your life, no matter how much guidance and support you get from others
• Learning how you come across to others
• Seeing that others can reveal embarrassing information and take other risks and benefit from it will help you to do the same and take risks
• Feeling more trustful of groups and other people


Wednesday 17 May 2017

IITAP Symposium 2017 .Break Through to Excellence







IITAP Symposium 2017
Break Through to Excellence
When you have a deep experience, language seems to fail to conceptualize paradigm shifts that occur in front of your very eyes. Sometimes the added atmosphere of adventure, the perspective of the tourist, allows you the element of disguise, to move in and around like a ghost. As a voyeur, I got to sink down deep and digest.

The Iitap community has a depth to it that comes from growing up in adversity. Not the adversity you would see in a dysfunctional family system (although I am sure they have had their moments!), but more like a marginalised community, that found its strength and identity from circling the wagons, and within the system, supporting and encouraging, curiosity, eldership, maturing, and allowing exploration to the edges whilst having a defined beating heart of shared integrity. The maturity of the organisation that I am experiencing here now, is one forged then on standing on the foundation of the body of research and sharing their message confidently with the world. As a first-time attendee, from the land downunder, I felt at home in the rhetoric, aligned with the bill of rights that is the glue that holds Iitap together.
Like in a village I felt fear and excitement when the elders moved into view, whether they were presenting or just in the house.

On the day before the opening keynote, I found myself sitting in the front row as enthusiasts do, and then behind me was Stefani Carnes, Alexandra Katehakis and then joining them was Patrick Carnes himself. Patrick then before introducing the mornings keynote, honoured a surprised Vice President, Tami Van Helst for her dedication and service beyond measure. You could feel the love and respect throughout the whole building. In the short time I have known Tami, she is like a schoolmarm/scout master. You get all the help you need, with the encouragement to take responsibility for yourself (Functional Healthy Boundaries). She holds undying belief in the work, in recovery and the gifts this community can contribute to humanity. It was heart-warming to see her tears of gratitude, and to see an eldership in action. Patrick Carnes held a beautiful space. It was mirroring deep functional connection. A healthy family system.

The conference started for me attending a pre-conference workshop by Ken Adams, whom himself is a lifetime member of The Iitap community. The focus was on setting up a successful private practice. Ken brings a wealth of information to this subject. As a Therapist in Private Practice, I was keen and eager to learn everything I could from Ken. It was a clear, concise, active and productive workshop. An opportunity to walk out with a business plan. I was excited to give myself the space to get a clearer vision on how to move forward.

That evening I got to sit in a group hosted by Robert Weiss. It was an intimate circle and I felt privileged. Roberts books, Always, Turned On, Cruise Control, Sex Addiction 101 and its workbook, and the recent Doghouse release have been inspiring meny. In particular Always turned on, and cruise Control. They addrss Porn Addiction and Sex Addiction within the gay community respectively. Great assessments to addicts and professionals. I was disappointed to have to leave early as I have skype sessions to facilitate in my home practice, and I was not to be able to spend any other time with Robert at the Symposium. I will always follow him online and read all his prolific article contributions to the feil.
 
The conference started in full of an opening address by Alexandra Katehakis. The talk was inspired by her new book titled Sex Addiction as an Affect Dysregulation. Building on her work with Dr Allan Schore's, deep learning from Patrick Carnes, and wealth of experience from being the Clinical Director for the Centre for Healthy Sex in Los Angeles, and her Senior Fellowship at the Meadows. The book itself is a comprehensive text on the complexity of sex addiction development, pre-disposition, treatment and recovery. Alex chose to focus the content of the talk on the need for the therapist to have done their own deep integrative work, allowing them to be present in their right brain- mindful state to then be a significant influence of the regulation and healing repair of their client. A journey that was based obviously on personal experience.
The neuroscientific evidence now supporting this has defined what we have known about the power of the therapeutic alliance.
Of course, you cannot do that if you have not done your own work. So, to stay current in your own process is as important as your skill. I will say though it was the depth of conviction, knowledge and personal integrity that made the keynote memorable, which resulted in a standing ovation.


Inspired I then got into the groove of attending workshops. I split my time between workshops focusing addicts, partners and the couple ship work.
Attending the Skinner workshop helped confirm the PTSD correlation that partners feel and experience when the identification of sex addiction is made in their life. The co-dependency model, classic with working with drug and alcohol issues, in the case of sex addiction misses the fundamental systems that derail partner work. It was research driven data that proved beyond doubt that PTSD symptoms, other than Criterion A, were being experienced by partners and needs to be dealt with before we can deal with the possibility of the partners underlying family of origin or relational issues.

Post lunch I attended a refresher by Clinical Director from the Gentle Path Program on the Recovery Starter kit. The Addiction Cycle resource. I have found the Recovery Starter Kit an enormously useful tool in early recovery with addicts, and a clarifying tool for partners to understand addiction, as largely they have been gaslighted up until now.  The cycle tool was defined in the chapters in Facing the Shadow, giving clients/therapists a clear hand rail through the resource. The main opportunity that comes with this tool is it clearly defines the rewards system of the brains role in addiction, and therefore the behaviour itself being only a co-star in a cast of activity which triggers the reward, and brings into focus the damage of objectification fantasy and euphoric recall, that drives ritual that lead to acting out. Many clients think that recovery is about abstinence, and therefore put their focus on just stopping. To make it worse, the symptoms of Craving can disappear altogether giving a false sense of security to an addict that they are FINE now. This addiction cycle model allows a client to prepare for the triggers that are coming, even if the cravings have temporarily disappeared. Don’t get me wrong, when you’re an addict it's an enormous blessing when they go for a while, the message here is that we need to know what leads up to the use, so we can transform those behaviours, creating new neural networks and allowing the old one to lose their champion status. Euphoric recall will always be a danger, but well managed with a transformational Recovery Cycle, these can be weathered.
I have been using the Recovery Starter Kit with clients and personally find it useful. Patrick Carnes in a box with a daily program for the first 130 days. Patrick Carnes, The Gentle Path and The Starter Kit and Facing the Shadow, the whole 30-point competency building plan is a ladder that will lead you out of Hell. You must climb it yourself, but we have never had in the field a more consummate treatment tool, put together by the Master technician of our time. Meyers accounted for the masterful approach with skill and clarity. The Gentle Path Program is in good hands.

My last session for the day was with Tim Stein and Jeanne Vattuone, focusing on the difference of couple work in the early throws of Sex Addiction recovery. The main point raised was that traditional Relationship Modalities, albeit great tools for general relationship difficulties, fall dangerously short with the sex addict and their partner. Most techniques work on trust building, and taking risks with each other by becoming willing to be more vulnerable. With the couple that’s dealing with sex addiction, this can be dangerous, ineffective and at worst, re-traumatising. The focus for these couples needs to be crisis management. Re-building trust must be replaced with boundaries work that allows the couple to talk, and create safety, not trust. That might come, and then eventually when the couple works out a way they can talk, and hear each other, and the trauma of the partner is acknowledged and the healing begins through a process of disclosure, Impact statements and atonement, the relationship can then focus, once it's status is more secure, on building trust. I found the discussion very useful. I have believed this for a while, and it something I think therapists must take heed of.

Friday started with a sobering keynote presentation by Richard Gartner, Founding Director of White Institute Sexual Abuse Service, and the author of Betrayed as Boys-Psychodynamic Treatment of Sexually abuse men.
He presented the research and impact of sexual abuse of boys. The research states that 1 in 4 men have had direct or indirect sexual abuse contact. He commented that male figures are likely to be under reported.
Bessel Van Der Kolk certainly exposed that it’s the way that you ask about abuse that is critical to giving you the best chance of getting an accurate account, mainly due to shame and the impact on memory of trauma.
A masculine template from association with Gender stereo types must be considered when talking to men who were abused as boys, as largely the toxic shame is carried by the abused, haunted by beliefs of weakness, not manly enough, should have done something to stop it. If the boys experienced any pleasure than the damage to their arousal template is catastrophic.
The abuse is more likely to be family or a trusted person by the family and the main impact here is not only is there the damage of the abuse, but more importantly the betrayal of trust. It changes implicit/ explicit brain chemistry. Ruins relationships, because of the abusers braking the vehicle of trust. Incest is a catastrophic form of sexual abuse. When a parent is the offender, the abused grows up chronically trapped relationally due to the damage to inherent value and inability to regulate their state, identify and activate boundaries, and appropriately meet adult needs and wants.
Gartner points out that Abuse is what happens from the abuser - Trauma is what happens to the victim.
Betrayal trauma is endured by Disassociation. Adaptive Association that happens in the moments of trauma leads to Pathological disassociation; the severing of ties with mental contents at the moment of trauma. Global defence mechanisms keep the experience pre-symbolized, experienced somatically, never turning into words.  This stored then in Implicit memory presents in life, fuelling addictions, mental health issues and Physical health issues as outlined by many researchers and clinicians, and brought to the wider arena by the Adverse Childhood Experiences study.

Gartner highlighted the importance of being informed about the impact of Masculine gender socialization. Boys are taught certain ways to Be a Man. This creates in most cases a cone of silence. Boys shut down. When you are shut off from your feelings early on, sad feelings go to activity, caring feelings get sexualized. Gartner outlined that in the masculine constructs of how to be, there is a Confusion of Tongues; as the abuser uses a language of passion however the victim's being a language of caring. This Is highly destructive and is played out in all future relationships.
 It made me think of all the clients and friend's in recovery that have been abused, and how untreated and under identified this issue can be, as we might focus on the addictions and mental health treatment.
I have sat with many men in men's groups and in one on one sessions, on retreat, either peers and in sponsee / sponsor relationships in 12 step fellowships, who have shared their story. I am grateful that I could hold the space for some healing and trust to start to develop, and some shame to be reduced.
This is a must buy book if you work with Men.

The next session was Vicki Tidwell Palmer, presenting material from her book for partners, Moving Beyond Betrayal, focusing the presentation on Boundaries after Betrayal-Helping Partners (of sex addicts) move into Clarity, Power and Connection.
 I have read Vicki's book as was delighted to see her love of Pia Mellody's Model, and her belief like mine in the power of the need to able to identify your own reality, before you can own it and the share it with another. The Process of being able to identify data, know what happens in your body, be conscious of the meaning you are giving it, identify in your own Family of Origin core beliefs that may be triggered (especially if we are feeling Hysterical, because if its Hysterical, its Historical) Then identify what you are feeling and then chose a course of action, as much as clients hate this process at times. This process as Pia Mellody's outlines, requires you to have to "turn up”, and then "grow ourselves up" into our functional adult self. This process, when you have been running from yourself, for your lifetime, avoiding reality due to trauma, to make as Jung said, the Unconscious -Conscious (The examined life is no picnic!) and as Patrick Carnes states, about early recovery, it is like trying to turn the Queen Mary in a harbour, on the spot!
However, when the pain gets to great, we must find another way. This might sound dramatic, but in recovery, once you stop acting out (medicating away your distress) then you are faced with this enormous challenge. The skills outlined here, and in this book, give you the personnel boundaries that allow you to be able to differentiate self from environment and get the space you need to define your reality, identify what is true, not true and questionable, identifying your own needs and wants, and start taking responsibility for the growth needed. It also gives us the safety to grieve.
This is where boundaries are critical. If we do not have them, we will either be an offender of other realities, or a victim of other realities.
When this is translated to the world of the betrayed partners, establishing boundaries will be the only way forward. Not to create trust. That, if it does return, will take a lot of time and effort in therapy and recovery. It will be built on actions and experiences.
Boundaries in the beginning with partners are to build safety, to protect oneself internally, thoughts and feelings, and physically and sexually. A partner being clear on what their boundaries are is essential for them to remain in relationship with the addict, so the disclosure /impact and atonement processes can take place, which could lead to the establishing of trust and deeper relationship in the future. For now, though, knowing your reality, and sharing good healthy boundaries is the first step. This book has a much wider use than the title suggests. It is a great book for partners of any addicts, as well as useful for the addicts themselves. Vicki has a fantastic Blog and website to so look her up. Resources at your fingertips.

After lunch, I attended Debra Kaplan's Sex Shame and Erotized Rage Lecture. Debra is a funny, deep engaging speaker and it comes through in her writing. Her book, For Love and Money, had just been released and at the time of writing this I am halfway through it, purchasing it at the conference. My 13 and 1/2-hour flight back to Australia had an announcement as we boarded that the entertainment system was broken, so no movies. Well I was lucky I had thrown in Debra's book preparing for the flight, so I slept, and read and slept and read, and I loved it! Debra is also influenced by the work of Pia Mellody, and Pia's principles are woven in through Debra's work, as well as her unique views that have come from her career on Wall street before changing careers and becoming a Psychotherapist.
The book and her workshop explored the attachment literature, the impact of abuse through Omission and Commission and the impact that these combined have on the formation of the arousal template. This affected arousal then has direct impact on the quality and type of relationship that we seek in our adult life. Debra then discusses Money, Sex and Power, and how in relationships these can create unique challenges when acted out addictively. I know I run the risk of recommending too many books by the end of this blog, but buy it, you will not be disappointed.

Next Dan Drake and Wendy Conquest led a session based on their fresh off the press Letters from A Sex Addict. A companion book to Wendy's previously released Letters to a Sex Addict, that was a tool for partners of Sex Addicts. The workshop was practical and experiential, and we all got a copy of the book (thank you guys!). Then in triads we went through the book using the letters in role play, that address the different stages of change and addict gets stuck in, due to minimization, denial and delusion. Getting through to an addict can be difficult, and the book as a tool allows addicts to identify the stage that they might be stuck in, through the empathic experience of reading the story of another. This approach can be more of a soft impact then the therapist trying to confront the behaviour. Even so, it might be a rude awakening as your read the story of another, stuck in the same place as yourself.  However, it can lead to change, second order change that will be a necessary paradigm shift for recovery to take place.

The evening was spent watching two documentaries.
First the Courage to Love, directed by Paul Ginocchino.
The film was a case study of four addicts who had the courage over the seven years that the film took to be made. Sex Addiction is the last of the Mohicans when it comes to shame and misunderstanding from the community. I remember seeing Ricky Gervais commenting on the Graham Norton Show. He stated in making comment about a person that was caught acting out sexually who claimed they were a sex addict, " Isn't that what people say when they are caught."
 I found it a strange disturbing comment, as firstly, a person is not likely to put their hand up to claim they are a Sex Addict as a result of the collective shame. I was struck but the ignorance of the comment coming from a man whom I held in regard as an articulate intelligent man. I do believe what he shared is a common position of many in society.
This film had three men and a woman tell their powerful and real stories, of childhood trauma, the onset of addiction and the pain and grief of being lost in the cycle. Paul was a generous and real man, who appeared in the film and told his story. I was encouraged, informed and inspired.

Next, filmmaker Justin Hunt screened, Porn- Chasing the Cardboard Butterfly. Narrated by James Hetfield from Metallica. It was a film of integrity, aimed at the recovery community. It took the addicts need for sobriety seriously by not showing any triggering sexual imagery. In a documentary called Porn, that was an art. The director’s commitment to that level of integrity made the documentary an enormous recovery tool. The film showed new neurochemical evidence and impact regarding Sex Addiction and Pornography, and clear recovery opportunities. Its focus was to create conversation about the subject. In all the years of my work with childhood trauma, I have been stunned at how many parents did not talk age appropriately about sex to their children, generally as a result of never receiving this essential information from their own caregivers. Children need to know about their bodies, about love, their genitals and sexuality. All age appropriate. By puberty, it's way too late. This level of abandonment is acute and leads to difficulty and shame around sexuality, leading to sexualized shame. This film is an opportunity to start the conversation. I look forward to playing this to therapists and clients in Australia.

Saturday, started with Professor Binford. Patrick Carnes introduced her after being impressed with the work she does as an international children rights scholar and advocate. The theme of the talk was highlighting the legislative inefficiencies on a global level in correlation to childhood sexual abuse children, especially when the abuse included having their image captured. The abuse, then is ongoing and lifelong with the infinite access that modern technological allows, as childhood pornography once online is the available for all time, impossible to get taken down. This reality inhibits any real healing, the thought itself retraumatizing the client over and over and over again. Even the comment at a workplace, or a dinner party, of "you look familiar" can trigger the Post Traumatic response in the abused as their mind rushes to imagine when this person might have seen of them. The reality shared by Binford as she went through her research held the room captive, as we imagined the depth of this sort of implication. For many therapists, this is what we see in our daily practice and know the dilemma all too well.
Binford talked to the attempts to change the laws over the years to support clients get control over the rights to the images that have been still copyrighted to the offender, and the research informing clinicians to address the complex and ongoing retraumatizing nature of this Trauma impact was sobering, as most clients stated they did not feel helped by therapists when they reached out for help.
Binford was dynamic, thorough, incredibly bright and tireless in her vocation to create real legislative difference by creating clear and honest discussion about this gut wrenching ongoing element of the sexually addictive work.

After being impressed by her Keynote I chose to attend Professor Binford's Sex, Porn and Manhood talk.  Binford presented research on the impact on young men and woman about phenomenal presence of pornography and how frightenedly available it is to our young people, and how inadequate we are as a society in addressing, containing, limiting and stewarding our children’s environment.
The average age being 11, but with some studies highlighting an average as young as 8 yrs. old, and the reality that still we seem to struggle as a society to talk openly and age appropriately to children, and amongst ourselves, as members of society, and within our educational and spiritual institutions to address this rapidly escalating impact.

The afternoon session, I chose Dr Stefanie Carnes, especially after enjoying the wisdom of Dr Stefanie Carnes recent training in Australia, as she taught us Module Two of the Certified Sexual Addiction Therapist Training. In her presentation, she presented the most current research done with partners of sex addicts about the disclosure process. Bearing about what made a client's experience successful, and what lead to a less than satisfactory outcome was confronting. Every clinician has had times something has gone not as well as you would have liked. As I do disclosure process work with colleagues at home, I appreciated all the feedback clients gave honestly. With sex addiction, as opposed to other addictions, where the impact is created is the bottle, or the poker machine, with sex addiction the enemy is another person, and the pain experienced by the partner reflects the symptoms of Post-Traumatic Stress. Therefore, to move forward addicts and partners need a comprehensive format to work through the complex needs of both addicts and family members. The process that IITAP has developed is world class, but the art of walking through the stress with the client's needs to be facilitated with great skill and competence. Carnes outlined this, and told the stories of when it worked or didn’t work. We must always be able to learn from our growing edges.

To close the conference Patrick Carnes was in the house. The title of his address was The Spiritual Paradox: A Spiritual Matrix for Emotional Intelligence. Patrick is held by this community in the reverence that you would expect an elder to be treated. Just his presence in the building itself, creates excitement.  Everyone in that conference room, has been directly influenced by Patrick Carnes. His personal recovery from Sex Addiction itself lead him to become its greatest recovery advocate. The resources he has written created tools that have saved many lives, while the medical community still argued over their validity. The conference itself was evidence to the influence he has had on the many that have followed in his footsteps. The level of professionalism and elegant intelligence in the way he delivers his research based wisdom, is a labyrinth awareness raising that sometimes sends the listener into another realm. 
Carnes highlighted the recent firing of a major TV personality that was released due to sexual harassment. He interviewed Carnes early on his career, ambushing him at the end of the interview, before heading to a commercial break stating that "he was a nice man, but that he didn’t know what he was talking about." Carnes, certainly standing here in front of us today, could have gloated, but it was not why he referred to the man, or his comment and current workplace issues. He stated it to make the point that back there was a lot to learn. With the hero's journey though, there are times you must press forward with everything you have at your disposal, know all too well there will be moments that will humble you, confuse you, want you to turn back. Carnes refers in his book the Tolkien tale Lord of the Rings, and made the experience even more powerful by showing some of the movie in his presentation. With the amazing presentations over the symposium, and Patricks glorious storytelling of the journey so far, was certainly evidence that he knew not only what he was talking about, but stands in eldership as a craftsman of recovery now. Instead of resting on his laurels, his pursuit of excellence in treatment is relentless.
Carnes, whose early book Out of the Shadows, then research driven book of 1000 addicts, Don’t Call It Love, were game changers. They defined sex addiction, they gave the recovery community a solid tool. Over the many years that have followed, the medical community has started to catch up. When sex addiction is finally added to the DSM-5, and it will, Carnes will be held without peer as the pioneer. The brain imaging and ground breaking work of Professor Voon, and recent Oxford University research, presented by Carnes, brings us ever so close to finally having the medical community identifying sex addiction as the problem that it is.
Carnes paid tribute to John Bradshaw. Peer, colleague, collaborator and fellow recovering person. He showed a film clip of the last Conversation they had, and made the point when he respectfully held Johns hand aloft at its closure, it was the last time he was to see him before he passed away. He then spoke powerfully about us living in mindful awareness about the unpredictable and short time we are here, and to use each moment wisely.

The talk was a spiritual experience. Carnes has a deep presence and palpable passion for the quest of knowledge that is translatable to peer and student. He promotes others work, and is obviously excited by the great literature being published by the authors and clinicians following in his footsteps. He referred and championed the new book by Alexandra Katehakis, Sex Addiction as Affect Dysregulation.
True Eldership is a form of madness, to the listener, they appear floating, nearly disengaged to the rest of us, above us, above society. They have visions from a perspective that to the new person can even seem disconnected from the coalface. Robert Bly went throughs in Mens work. I believe it's when you move from the King archetype to magician. It’s a necessary part of eldership, to keep forging forward, and trusting the legacy that is following behind to continue the work, and stay creating new possibilities. Carnes was weaving magic bear today, surrounded by an inspired legacy.
 For fellow travellers, this challenge you to the edge of your thinking.

In his last lecture series when leaving Pinegrove, Carnes spoke about the pandemical impact of the explosion of technology and its impact due to increased accessibility and autonomy on society in general. The way we relate to each other men and women. In the blindness of this escalation, and the average age of porn being introduced to children as 8, then what we are heading into as a society is frightening. Carnes talk today for me was inviting true maturity for adults to sit with in the spiritual paradox of suffering and hope. The recent election in the USA of a President that on record was gloating about his pursuit of women in a violent, over indulged, deserving way, saying he just kisses them without their permission, referring to grabbing them on the pussy.
Despite the viral effects of the video, he was voted in as the leader of the free world. How could this happen in a free-thinking society? A possible answer to this is the deterioration of our values due to the accessibility of pornography, the sexual revolution has a shadow, cast over all of us currently to the point where even some women just accepted that a comment like the now President, is tolerated, overlooked, minimized as locker room, boys will be boys talk.
The message sent to a generation of young men and women is yet to be gauged, but today, in the presence of Carnes, he proposed the importance of us not resting on our laurels. To continue to be humbled by the complexity of addiction, of the human experience, and of the greater experience as a society. We need to keep talking, to move towards connection.

Closing his talk, Carnes played a scene from Mr Hollands Opus. It’s a powerful film. The first time I ever saw it, I cried deep for the grief I had around the distant relationship with my father. On this occasion, Carnes played the piece at the end when Mr Hollands life's work was not the symphony that he had been slaving over his whole life, but the auditorium of people that had been impacted by his teaching, by their relationships they had with him. As he walks into the room, they stand and applauded him, and he see the relationships that he had with his students was his real symphony. Patrick then asked us all to reflect on all the clients we have influenced and helped along the way. 400 hundred plus therapists, many of us 30 years plus-that’s a lot of people.

He knows by their attendance at the symposium, they are choosing to champion Sex addiction and therefore have come up against the resistance from the medical community and the populace in general. As Alexandra Katehakis stated in her keynote referring to a colleague’s comment about working in sex addiction, that it really isn't sexy at all!  Carnes had used this address to highlight issues regarding humanity, maturity and spirituality. The plight of a mature adult is that you have to sit in the midst of a conundrum. The appearance and experience of Chaos in life, and holding also the vision of hope and the evolution of the spirit of humanity.
By the time Carnes wrapped his speech, his daughter and President of IITAP Dr Stefanie Carnes came forward and kissed her father on the head. It was beautiful. This is a community of great heart, and at its core is love. The love that comes from the spiritual awakening that occurs as a result of working the steps. It's an awakening made all the more powerful because of the ego deflation at depth that occurs as a by-product.
When the conference was over, there was loitering, selfies being taken, lots of hugs, and a reluctance to move of back in normal life.
I slept well that night. I was grateful for the time to digest before heading back to Australia and family life full on Lego and trampolines and sleeplessness that comes with being a parent of three boys under 6.











On my last day, I had the opportunity to hire an Indian Scout Motor Cycle and ride for hours through the desert in the Tonto National Park before flying back to Australia. The Arizona desert is a landscape graphically different from the bush at home. Riding allows you to contemplate, and get lost in the moment all at the same time. I was grateful for the beauty of the nature, the open road, and the promise that it itself brings you.  I belief there is challenges ahead, as this addiction gains a momentum not seen in other addictions. Technology and the sex and porn industry is moving at a rapid pace, and the overall impact on human and relational development and sexual arousal has this community working hard to respond therapeutically, compassionately and spiritually.
 Carnes has stated in previous talks that you can identify the state of human condition by the way we treat each other as people in our relationships. The violence and overt contempt in modern sexology and pornography is impacting generations simultaneously, and the extent of that impact is making itself knows, and the traumatic impact on individuals, families and society is devastating. I cannot not help but think that as the conference closed, the clinicians that made their way back to their private practice's and institutions, at the back of their minds, they are bracing themselves for the work and development on the Horizon, and carrying the inspiration that they do not face the challenge alone.