In Your Brain on Porn, Gary Wilson argues that internet pornography can be addictive and cause changes in the brain similar to those seen in substance abuse. He claims that excessive porn use can lead to sexual dysfunction, altered sexual preferences, and other negative consequences. Wilson also provides advice for people who want to quit porn and recover from its effects.
Wilson was a science teacher and public speaker who became interested in the effects of internet pornography after noticing a rise in young men...
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In this section, we’ll look at the neurobiological mechanisms of porn-induced brain change and the functional and physiological effects of using porn. We’ll also examine the empirical evidence of brain alterations related to porn use.
Wilson argues that the brain's reward circuitry is significantly influenced by [restricted term] and opioids. [restricted term] is a neurochemical that motivates you to do things that serve your genes, while opioids are [restricted term]-like chemicals that bind to receptors in the brain's reward system. [restricted term] is released in anticipation of pleasure, motivating you to seek out pleasurable experiences. Conversely, opioids get released when you experience pleasure. [restricted term] is also released in response to novelty, surprise, shock, violation of expectations, anxiety, and seeking.
(Shortform note: Wilson’s description of [restricted term] and opioids is a bit simplistic. For example, the neuroscientist Wolfram Schultz has shown that [restricted term] is released when there’s a mismatch between what you expect...
Wilson argues that pornography addiction is not officially recognized in the DSM-5, but the ICD-11 lists compulsive sexual behavior disorder as a diagnosis. The DSM-5 is the American Psychiatric Association's guide to diagnoses, and the ICD-11 is the World Health Organization's guide to diagnoses. Leading brain researchers who've studied online pornography's effects think compulsive sexual behavior should be reclassified as an addiction because of its neurological likeness to behavioral disorders like gambling.
(Shortform note: The group of experts who proposed the ICD-11 diagnosis of compulsive sexual behavior disorder (CSBD) disagrees with the researchers who want to classify CSBD as an addiction. Kraus et al. explain that they placed CSBD in the impulse-control category because there isn’t enough evidence to classify it as an addiction. They add that this classification is a pragmatic decision that can be revised if future research shows that a different classification is more appropriate.)
Next, we'll examine the clinical presentation and impact of porn dependency, along with recovery and restoration options.
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Consider how the brain adapts to frequent porn use and how this affects behavior and choices.
How might sensitization affect someone's everyday choices and actions regarding porn use?