The label of "sex addict" and sex negativity.

Dr. Marty Klein makes a really fascinating argument about the term "sex addiction" in an article in "The Humanist"; that that label  is a way for people not to have to reckon with the conflict between their desire for what certain kinds of sex gives them and the consequences of acting out their desires.    

New patients tell me all the time how they can’t keep from doing self-destructive sexual things; still, I see no sex addiction. Instead, I see people regretting the sexual choices they make, often denying that these are decisions. I see people wanting to change, but not wanting to give up what makes them feel alive or young or loved or adequate; wanting the advantages of changing, but not wanting to give up what makes them feel they’re better or sexier or naughtier than other people. Most importantly, I see people wanting to stop doing what makes them feel powerful, attractive, or loved, but since they don’t want to stop feeling powerful, attractive or loved, they can’t seem to stop the repetitive sex clumsily designed to create those feelings.
— http://thehumanist.org/july-august-2012/you%E2%80%99re-addicted-to-what/

He goes on to argue that this condition of wanting certain things sexually and not wanting to take responsibility for the consequences is made more troublesome by a sex-negative culture which punishes people for wanting any kind of sex or relationship that isn't socially sanctioned. 

...the diagnosis of sex addiction is in many ways a diagnosis of discomfort with one’s own sexuality, or of being at odds with cultural definitions of normal sex, and struggling with that contrast...

The culture today communicates two out-of-sync messages about sex pretty strongly; one, that we should be ecstatically sexually fulfilled all the time and two, that non-socially-sanctioned sex is highly dangerous and scary (gay, non-monogamous, kinky).  And there is the meta-message which says that commenting on the discrepancy between these two messages -- "Everybody may not be sexually and romantically fulfilled with one, opposite-sex partner for the rest of their lives" -- is not allowed.  A million romcoms have taught us that everyone will end up in a monogamous, same-sex couple and will never feel the desire to masturbate or fantasize about other people or look at pornography because they are so fulfilled.  According to Marty Klein, the label "sex addiction" leaves us stuck in that double bind rather than helping us step out of it. 

Therapy, including family therapy, is helpful and important even in the age of SSRIs

From the New York Times.  Despite the dire title, I find this article hopeful. 

...for patients with the most common conditions, like depression and anxiety, empirically supported psychotherapies — that is, those shown to be safe and effective in randomized controlled trials — are indeed the best treatments of first choice. Medications, because of their potential side effects, should in most cases be considered only if therapy either doesn’t work well or if the patient isn’t willing to try counseling.

http://www.nytimes.com/2013/09/30/opinion/psychotherapys-image-problem.html?src=me&ref=general&_r=0