Dr. Goschi's Blog

Men Don’t Talk About Sexual Abuse

The disturbing documentary about Michael Jackson, “Leaving Neverland,” featured the abuse story of two men now in their thirties.  What I found most tragic was their inability to acknowledge their childhood abuse until later in life. These brave men finally came out and spoke courageously about their abuse.  It took Michael’s death to make it safe for them to finally talk about what they had endured for years.

Believe it or not the above-mentioned scenario is all too common among male victims. Young men think that some how they are to blame for the abuse.  They say, “I should have fought back.” The men believe, even as adults, that they should have stopped the abuse. After all they are “boys!” It sometimes takes many years for a male victim to understand that they were targets of a pedophile.  As children these boys possessed little to no power over their assailant.

Victims in some cases, enjoyed their sexual experiences causing them to feel shame preventing them from telling a parent.  Some male victims believe they would get in trouble from their parents or others if they came forward. Michael Jackson allegedly manipulated his victims into believing they would also end up incarcerated should they disclose the abuse.

Todays “#me too” movement does not include many comments from men.  The statistics point to one in four girls are abused while believed to be one in ten for boys. My belief is that boys are abused in equivalent numbers.   I think that sometimes boys are exposed to equally dangerous sexual situations. Sexual predators count on the fact that “boys don’t tell.”

I have seen a preponderance of men who have been abused as children.  Often their wives bring their husbands in for sex therapy. Sexual abuse has profound effects on the expression of an individual’s sexuality as well as their libido.  The other common response to abuse is hypersexuality expressed either online or with multiple partners.

If you or your partner is struggling with issues due to abuse Dr. Goschi is here to help.  She can be reached by email or by phone at barbara@drgoschi.com or (312)595-1787.  Call today to start your healing.

Seeking Sex Therapy in Chicago

Couples don’t know what to expect when they seek sex therapy. Many couples fear talking about their intimate feelings about their sexual life. They worry that their partner may scorn or reject them. Fears about addressing sexual issues mount when the couple also exhibits communication problems. After all, it takes good communication skills and risk taking to enjoy a fulfilling sexual relationship.

So, what happens in sex therapy? First, the therapist gathers a thorough history of your sexual experiences. The couple offers their sex history together and as individuals. The couple also writes down their sexual preferences and style to be shared later in a session. This method helps ease the couple into talking about their sexual life. The therapist also addresses any fears and anxieties which stand in the way of honest reporting.

Some individuals fear talking about sex will take the mystery out of their sexual relationship. Not so. Understanding what turns your partner on only enhances the sexual relationship. Therapy strives to convert “mystery” into understanding. Let’s not conflate mystery with romance. Romance does not die when you know what excites your partner – you can think of creative ways of incorporating their desires into your sexual repertoire. Think of sex therapy as exploring ideas and wishes about sex and then exploring new ways of sexually interacting at home.

The couples’ expanded sexual knowledge of each other helps move the therapy forward. Sex therapy can augment any couples work you have completed. Sex therapy helps the individual/couple learn more about themselves and their partners in a safe environment. Yes, I said individual as some clients wish to work on dysfunctional sexual behaviors that interfere with establishing a more fulfilling intimate relationship. You and Dr. Goschi talk about sexual issues at your own pace. Dr. Goschi’s treatment style is nonjudgmental.

If you live in the Chicago area and find that you have sexual issues in your relationship Dr. Goschi can help you explore better ways of expressing yourselves. Sex therapy can help couples better their intimate relationships. Sex therapy can also help individual’s who struggle to form sexual bonds while dating. Don’t hesitate to call today I’m here to help and you can reach me by email barbara@drgoschi.com or phone at (312)595-1787.

To Touch or Not to Touch

Sex Addiction Therapy, Chicago and Wilmette. Il.

Individuals no longer seem to understand healthy parameters of a loving, consensual sexual relationship. Someone told me about a disturbing episode on Vice news. The couple on the show discussed sexual interactions between husband and wife. According to this couple, an individual must “always” ask permission to touch their partner. This meant that if a wife wanted to grab her husband’s butt she needed explicit permission from him first. The conversation went from confusing to more confusing.

Common sense has flown out the window when it comes to rules of sexual interaction. Therapists encourage couples to engage in playful, spontaneous sexual expression during sex therapy. In the above-mentioned conversation, the couple described sexual playfulness and spontaneity as bordering on abusive. This commentary is completely ridiculous.

Your sexual intimacies as a couple should not be dictated by what reporters, television shows, or what culture defines as politically correct. Your sexual relationship with your partner should include mutually agreed upon loving interactions between the two of you. Romantic exchanges between the two of you may include spontaneous, erotic, and romantic sexual expressions.

What makes good sex? Good sex results from shutting off our big brains, while engaging in good communication, and focusing on pleasure. When a couple feels comfortable and safe with each other they can ask for what turns them on without fear of scorn or rejection. When you communicate well with your partner it’s very difficult for either one or the other to feel misunderstood or threatened by touching. If you don’t like it if your husband grabs your breasts while you’re doing some chore tell him. Most often couples want to please each other.

If you find that you are struggling with communication or sexual issues either as an individual or in your marriage don’t hesitate to call Dr. Goschi to schedule your appointment. Dr. Goschi can be reached at (312)595-1787 or by email at barbara@drgoschi.com

Sex Addiction not just for Men

Dr Goschi Sexual Addiction CounsellingWhen we talk about sex addiction pictures arise in our mind of men, especially, with the #me too movement. However, women also struggle with sexual addiction. We do not think of the female sexual addict because cultural stereotypes portray women as not liking sex. Sexual issues in women tend to present as related to other conflicts. Therapists traditionally view female’s sexual acting out as a symptom of their diagnosis rather than a problem itself.

While a diagnosis of Bipolar will include inappropriate sexual behavior, the disorder can mask
the sexual addiction. Women often deny sexual addiction issues. They frame their conflict
exclusively as related to relationship problems. Thus, as a group female sexual addicts tend to
be more difficult to recognize and treat. Not many women seek individual therapy for “sexual
addictions.”

While female sexual addicts seek treatment for other issues it is only during individual therapy
that the sexual addiction becomes apparent. Comorbid issues such as; eating disorders,
alcoholism, drug addiction, depression or anxiety also mask the sex addiction. However, the
above mentions problems intricately connect to the woman’s sex addiction.

Females don’t admit their sexual addictions also because of the societal shame associated with
sexual acting out in women. These individuals are described by others as “whores,” “sluts,” or
“nymphomaniacs” who then hide their behavior rather than dealing with the negative labels.

Both married and single women exhibit sexual addictions. The two groups demonstrate some
similar reasons for engaging in sexual addictive behaviors but also some divergent ones. Single
women may long for a relationship while simultaneously being relationship avoidant. They may
find themselves unable to tolerate being alone instead always seeking a partner. Lastly, some
single women use sex as a means of self-medication to help with their intense emotional
turmoil.

Married women at risk for acting out sexually complain about feeling underappreciated,
rejected, or ignored by their partners. They exhibit terrible relationships with their husbands
and search outside the marriage for intimacy and sexual fulfillment. Both groups of female
addicts use sex to remedy their loneliness, boredom or sense of emptiness.

The reasons single or married women become addicted to sex are very complicated. Individual
treatment can help you find your way back to a more fulfilling existence with true intimacy and
better self-esteem. If you think you may be a sexual addict, please call to schedule your
individual therapy appointment today. Dr. Goschi can be reached at (312)595-1787 or by email
at barbara@drgoschi.com

Let’s not conflate pedophilia with sex addiction

Wilmette, Chicago Sex Addiction Counseling Once again the Catholic Church and the sexual abuse allegations brings
discussions of homosexuality, pedophilia and sexual addiction to the forefront.
The public tends to conflate these three terms when talking about the accused
Catholic priests. Just want to make sure that people understand the differences
in sexual classifications when the general public reads about all the awful charges
about to hit the news.

The Priests (alleged) actions against young boys, young girls and seminarians
should receive the highest scrutiny and punishment. “Sexual abuse” either
perpetrated by a homosexual male, heterosexual male, pedophile or female
abuser deserve the same punishment. We should attend to the victims while
isolating the abusers from having access to others. Victims do not easily recover
from such childhood trauma without help. Denying that the abuse happened by
calling it “sex addiction, poor judgment or compulsive behaviors” only makes
recovery worse.

This discussion in no way serves as a criticism of Catholicism or any organized
faith. Rather, we must refer to these Priests by their rightful categorization:
sexual predators. Both homosexual men and individuals struggling with sex
addiction do not belong in the same category as the abusers. Frequently,
common folk mistakenly categorize all pedophiles as homosexual. To the
contrary, heterosexual men (married with children) also exhibit pedophilia. The
acting out perpetrated by the accused Archbishop McCarrick with seminarians
was homosexual in nature. It still doesn’t mean it was consensual as the young
Seminarians felt they had no choice but to comply. Alleged pedophile Priests
abused the prepubescent boys and girls in Pittsburg.

The DSMV defines pedophilia as “involving intense and recurrent sexual urges
towards and fantasies about prepubescent children that have either been acted
upon or which cause the person with the attraction distress or interpersonal
difficulty.” Prepubescence refers to boys younger than thirteen years old and
girls before the age of ten. The definition does not describe this disorder as an
addiction or restricted to one sexual orientation.

Sadly, each time an event of this nature occurs the press sometimes conflates the
meaning of pedophilia with other issues like sex addiction. Professionals need to
start educating the public about the many sexual issues with which individuals
struggle, the symptoms associated with these disorders and how to implement
preventative measures.

If you need help struggling with a sexual addiction, please call Dr. Goschi to set up
an individual therapy appointment. She treats individuals in Chicago and
Wilmette. Call today at (312)595-1787 or email her at barbara@drgoschi.com