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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 cybersex abusers are re-enacting aspects of past losses, conflicts or traumas in order to foster illusions of power and love." Some cybersex addicts develop a conditioned response to the computer and become sexually aroused even before turning it on, Dr. This can exacerbate the problem for people whose jobs involve work on a computer.

And some people, including two physicians, have landed in federal prison for two years because they downloaded child pornography when authorities were watching, Dr. Still, most who pursue cybersex consider it harmless and safe to do so. In her survey, 91 women and three men in committed relationships said they had experienced serious adverse consequences, including broken relationships, from their partners' cybersex addictions.

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.

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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.

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.

Several mothers in her survey were worried because their husbands surfed the Net while supposedly watching their children, who got to view the pornography and sometimes the masturbation.

Children may also suffer as a result of increasing conflict between the parents or breakup of the marriage.

"People who are vulnerable can get hooked before they know it." To those who say a behavioral compulsion is not a true addiction, Dr.