Introduces a unique, evidence-based alternative to addiction treatment models

This award-winning book reconsiders popular notions of addictive sex.  Braun-Harvey and Vigorito’s sexual health psychotherapy protocol is an innovative treatment approach for men experiencing sexual lives beyond their control. “Out of control sexual behavior” (OCSB) is defined as a sexual health problem in which consensual sexual urges, thoughts or behaviors feel out of control.  As opposed to a clinical disorder, OCSB is framed as a behavioral problem within the normal range of sexual expression

The book provides step-by-step tools for assessment, treatment planning, and implementation stemming from the authors’ work with hundreds of individual and group therapy clients.  OCSB treatment matches individual and group therapy interventions with current Motivational Interviewing and readiness for change research.  Further, this approach emphasizes the clinician’s ethical responsibility to provide the most effective treatment while protecting client sexual rights and welcoming sexual diversity. Rich and varied composite case examples demonstrate clinical sexual health treatment conversations as well as stories of hope and guidance to understand how sexual health is an ally for changing out of control sexual behavior.

Key Features:

  • Presents a much-needed sexual health alternative to conventional thinking about assessing and treating out of control sexual behavior.
  • Posits OCSB as a sexual health behavior problem rather than a process addiction or psychosexual disorder.
  • Promotes sexual health principles as the framework to envision and guide men’s sexual behavior change.
  •  Includes a practical, step-by-step pathway model to assess and treat OCSB.
  •  Organize a wide range of best practice clinical interventions for individual and group psychotherapy.
  • Includes composite case examples demonstrating successful treatment outcomes.

Foreword by Dr. Carlo DiClemente, co-developer of the Transtheoretical Model for health behavior change.

Available online at Springer Publishing Company, Amazon and Powell's Books.


If this model of treatment had existed years ago, I may not have felt the need to write my book ‘The Myth of Sex Addiction.’ The OCSB model redirects attention from sex, to the person in context, and forces clinicians to define WHY a sex behavior is a problem. This leads away from covert morality and cultural relativity, key weaknesses in the sex addiction model. I honor Michael and Doug’s work, as well as their courage in pioneering this evolutionary movement. I encourage therapists within sex addiction to adopt this model. I also encourage other, non sex-addiction therapists to explore how they might use this model to support patients who struggle with sexual behaviors, without shaming or pathologizing.
— David Ley, PhD, author of The Myth of Sex Addiction & Ethical Porn for Dicks
This book is a tremendous contribution to the field of Sex Therapy and Psychotherapy. As a long time clinician I read constantly. Rarely do I read something that enlightens and changes my thinking as this book has. The authors put a fresh, positive and truly effective spin on subjects that in much of the literature is fraught with judgment, moralizing and shame. They present a model that is clear, kind and truly effective, and are generous and practical in teaching the reader how to implement it. I whole heartedly recommend it. And I might add that even for those clinicians who do not necessarily work with the population that the book addresses, the way the authors conceptualize sexual health is brilliant and relevant to everyone.
An excellent read. Hope these authors will write more!
— Ruth Cohn, MFT, author of Coming Home to Passion: Restoring Loving Sexuality in Couples with Histories of Childhood Trauma and Neglect