By David
S. Prescott, LICSW & Kieran McCartan, Ph.D
Some recent social
media discussions have returned to the discussion of pornography and its place
in the treatment of people who have abused (as well as broader questions of its
place in masculinity and society). One case discussion involved an
intellectually disabled person while another considered whether it is
acceptable for men to look at women’s bodies. Setting aside the complexities of
the former and the inevitability of the latter, serious questions remain for
practitioners who attempt to balance risk management with client’s rights to
engage in behavior deemed legal/not illegal by high courts around the world. Let’s
be clear: we are not saying that pornography use is without risks. Author David
Ley has written an entire volume dedicated to ethical considerations in
pornography usage.
Where to start? A study by Drew Kingston and his
colleagues found that pornography use is a risk factor for re-offense primarily
among those who are already high risk and use pornography frequently. A new meta-analysis by Joshua
Grubbs and his colleagues describes how “pornography-related
problems—particularly feelings of addiction to pornography—may be, in many
cases, better construed as functions of discrepancies—moral
incongruence—between pornography-related beliefs and pornography-related
behaviors.” In other words, analysis of the data suggests that so-called
pornography addiction may have more to do with morality than with actual
addiction. It often seems that the only thing people can agree on is that more
research is needed. Sadly, there is no shortage of poorly constructed research
seemingly designed to confirm the various authors’ biases and appearing in obscure
journals and web sites.
All too often at
the front lines of practice, pornography is an inconvenient elephant in the
room that invites morality-laden rather than empirically informed responses. In
a conversation about the Kingston findings a participant became furious that
the subject hadn’t been framed in their preferred light. In another instance
involving an adult in group care who requested that he be allowed to possess
pornography similar to other clients, an outside consultant took to spreading
rumors about those who pointed out there was nothing in the client’s risk
profile to prevent his having it. These situations could potentially have had career-altering
repercussions. The concern in each instance is that people’s moral beliefs can
cloud their judgment about clients in their care, raising questions about who
gets to make the decisions about their own life and under what conditions?
Elsewhere, pornography can be more than just the elephant in the
room. It can be a source of embarrassment, scorn, rebuke, and debate. Although
everyone has an opinion on pornography and very few acknowledge watching it,
the viewing figures of “tube” sites like PornHub and YouPorn provide clear
evidence to the contrary (Psychology
Today piece on pornography viewing). Whatever our moral beliefs,
pornography usage is ubiquitous in those parts of the world with Internet
access. How this ubiquity will change people over time remains unknown, despite
our worst concerns. One wonders about the extent to which professionals in the
field of combatting sexual violence are engaged in hypocrisy, and to what
extent we cannot study the issues involved more openly or with greater
intellectual honesty.
The field of treating sexual abuse has not reached a point, where
we can have a detailed, nuanced, and adult conversation about pornography. The
debate tends to focus on abuse of power, humiliation, and gender; all of which
we agree with. In addition, there is a massive power imbalance in pornography.
All pornography is not the same, any more than all other forms of media are the
same. Obviously, there are large sections of it that are illegal, highly
problematic and have serious cause for concern (child sexual abuse, bestiality,
snuff movies to name but a view), but there are other forms of pornography that
are normal adult sexual relationships on show (for instance the debate around “ethical”
pornography and amateur pornography); however, while important (actually
essential) to flag these debates they are not the remit of this discussion (for
more information on the reality of Pornography we suggest the work of Maree
Crabbe). In many ways, the issues with pornography are the why, where, when
and how of its use; its context and need for viewers to engage. The fact that
we shy away from talking about sex, sexuality, and healthily relationships in
modern society holds us back from further clarity. Professionals and critics
can condemn people for watching pornography, but don’t ask why they are viewing
it, whether their usage is harmful to themselves or their relationships with
others, and if they have considered what is actually happening within it. There
is a very real question as to the ethics of condemning the viewer without
understanding the context.
These debates come to the fore where we think of certain populations
who can’t access sexual expression in the same way as others, either because
their primary sexual interest is in children or because their diminished capabilities
keep them under the care and/or guardianship of others.
As professionals who work in the field of sexuality and sexual
abuse we need to leave our moral issues at the door when engaged in practice
with individuals who view pornography, because our role is to help these
individuals and not to judge them, especially when we have power and influence over
them. We need to help people see what pornography is, what role it serves, and whether
its harmful to them (or others) help them stop engaging with it; but this needs
to be on a case by case basis and in a neutral way. Again, absent specific
empirically based risk considerations whose morality is it?
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