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"Simply sitting down to work at the computer can start a sexual response that may facilitate online sexual activities," he wrote in the journal.

For some people, the route to compulsive use of the Internet for sexual satisfaction is fast and short, said Dr. Projected to the country as a whole, this would mean that a minimum of 200,000 men and women have become cybersex addicts in the last few years, Dr. And, he added, because the respondents were self-selected and because denial of the symptoms of sexual compulsivity is commonplace, there are likely to be many more cybersex addicts than the survey indicated. Jennifer Schneider, a physician in Tucson, Ariz., who is associate editor of the journal, said in an interview that even when cybersex addicts and their partners sought treatment, they often concealed their real problem, and therapists often failed to ask questions that would disclose it. Cooper, who works at the San Jose Marital and Sexuality Center in Santa Clara, Calif., cybersex compulsives are just like drug addicts; they "use the Internet as an important part of their sexual acting out, much like a drug addict who has a 'drug of choice,' " and often with serious harm to their home lives and livelihood.

"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.

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.

Researchers writing in the current issue of the journal Sexual Addiction and Compulsivity report that many of the men and women who now spend dozens of hours each week seeking sexual stimulation from their computers deny that they have a problem and refuse to seek help until their marriages and/or their jobs are in serious jeopardy. The survey found that as many as a third of Internet users visited some type of sexual site. Young of the Center for Online Addiction in Bradford, Pa., wrote that "partially as a result of the general population and health care professionals not being attuned to the risks, seemingly harmless cyberromps can result in serious difficulties way beyond what was expected or intended." According to Dr.

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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.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.Among them was a 34-year-old woman married 14 years to a minister who she discovered was compulsively seeking sexual satisfaction by visiting pornographic sites on the Internet.Schneider responded with a definition of addiction that would clearly apply to cybersex abusers: "Loss of control, continuation of the behavior despite significant adverse consequences and preoccupation or obsession with obtaining the drug or pursuing the behavior." Although behavioral addictions involve no external drugs, preliminary research has suggested that they cause changes in brain chemicals, like the release of endorphins, that help to perpetuate the behavior.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 companies now monitor employees' online activities, and repeated visits to sexually oriented sites have cost people their jobs. Schneider, who has written extensively on sexual addiction, responds that the damage to a cybersex addict's life and family can be as devastating as that caused by compulsive gambling or addiction to alcohol or drugs.

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