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Working with Compulsive Sexual Behaviours: Video Course


Speaker: Silva Neves

Product: Video Course
Price: £65

CPD Hours: 3

Video course packs, including all notes are available immediately on booking. The access links are part of your ticket. Online video access remains available for 1 year from the date you receive the video course.

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While it is rare for a client to meet the strict ICD 11 diagnostic criteria for compulsive sexual behaviour disorder, which calls for a sustained pattern of failure to control intense, sexual impulses or urges that lead to significant impairment in behavioural functioning; clients may approach therapy when they believe that their sexual compulsivity is causing distress to themselves or those close to them. Traditionally compulsive sexual behaviour has been deemed as an addiction, but recent research suggests that there is not enough evidence to support the concept of addiction. Instead, sexual compulsivity is now seen as a coping behaviour which seeks to resolve unmet needs, either emotionally, relationally or sexually. It also attempts to resolve attachment problems and is maintained in a complex system of psychological and physiological processes.

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Full Course Information

At this contemporary and therapeutically oriented seminar, Silva Neves draws on a psychosexual model and his recent book on the topic to present evidence that we should be looking at compulsive sexual behaviours less as addictions and more as a manifestation of underlying behavioural disturbances. The seminar will focus on understanding compulsive sexual behaviours from a sex-positive and evidence-based approach, away from the sex addiction mindset.

Using case studies and examples Silva explains the link between sexual compulsivity and trauma, relational trauma, attachment styles, self-esteem, the loop of shame and narcissistic traits.

Specifically, he explains, the three phases of therapy:

  • Emotional regulation:
    • The steps we can take to address poor impulse control and the resources we can help clients with, to manage their compulsive urges
    • We discuss how the client can be involved in this process and the initial assessment the client needs to make for this phase to work
  • Reprocessing:
    • This phase involves considering the clients entire life story so they can fully understand how they got to where they are, without judgments or blaming; with a view to identifying predisposing and precipitating factors for sexual compulsivity
    • We discuss how we can guide clients into creating connections with self, meaningful others, nonmeaningful others and with the wider world and how this phase requires relationally driven therapeutic steps
  • Reconstruction:
    • This phase is an existential process for clients which allows them to create a plan for the future while maintaining a thriving sex life free of shame
    • We discuss how we can help clients create the psychological and emotional flexibility required to revaluate their commitments on a regular basis so that their future plan is dynamic and sustainable

About the speaker

Silva Neves is a COSRT-accredited and UKCP-registered psychosexual and relationship psychotherapist, and a trauma psychotherapist. He is a Pink Therapy Clinical Associate. Silva works in his Central London private practice and online. He specialises in working with sexual trauma and compulsive sexual behaviours and provides therapy for individuals and couples presenting with a wide range of sex and relationship issues.

He is a COSRT-accredited clinical supervisor and a Course Director for CICS (Contemporary Institute of Clinical Sexology).

Silva is the author of Compulsive Sexual Behaviours, A Psycho-Sexual Treatment Guide for Clinicians (2021, Routledge).

© nscience 2021 / 22


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