The media has been awash in reports of (now) former New York Gov. Eliot Spitzer and his downfall after being caught using a prostitution service.
As with most sex scandals, there has been much hand-wringing and a certain amount of smug glee. But we very rarely look at a very real disorder that can lead even the rich and powerful to self-destructive sexual behavior. Is it possible that Eliot Spitzer is sexually compulsive?
An estimated 5 percent of Americans suffer from a sexual compulsion disorder. As with alcohol and drugs abuse, compulsive gambling and other impulse-control disorders, sexual compulsion varies greatly from person to person. A general characteristic, however, is that the person will make seemingly bewildering choices around sex regardless of the consequences. Based on the criteria below, would you say that Eliot Spitzer might suffer from sexual compulsion?
Impact on Work
One test of whether a behavior qualifies as compulsive is whether it interferes with work. This is easy to ascertain with alcoholics who may miss work frequently because of hangovers or embarrass themselves at a work function.
Sexual compulsion can be evaluated similarly - does the person miss work to have sex connections or spend time looking at pornography rather than performing their job? An end result for many, of course, is the loss of cherished jobs.
Impact on Health
It is reported that Eliot Spitzer had asked prostitutes to have unprotected sex. There is a clear and immediate risk to such a person's health in an age where HIV is not the only concern as the incidence of syphilis, gonorrhea, chlamydia and other sexually transmitted diseases continues to grow. In fact, men in relationships who have secret, unprotected sex in outside encounters are a huge source of STD infection in this country.
Impact on Beliefs
Although many have understandably labeled him a hypocrite, it has always seemed to me that Eliot Spitzer has deeply held beliefs. Beyond morality, these beliefs were more about fairness, the basic issues of right and wrong in a civilized society. In betraying those beliefs, Mr. Spitzer did deep harm to himself spiritually.
Impact on Loved Ones
Aside from physical danger and financial ruin, Eliot Spitzer has without doubt inflicted emotional harm on his loved ones. If Mr. Spitzer is indeed suffering from a compulsive disorder, it is likely that he truly loves his family but the need for the destructive behavior is simply too strong to resist without treatment.
Is Help Available?
Although the damage discussed above will take time to repair, recovery from sexual compulsion, just like any other addiction, is not only possible but also probable for those who are willing to change. 12-step programs, individual counseling, and a range of medications have proven effective in lessening compulsive behavior and end suffering. Rather than simply gaping in horror at Mr. Spitzer's behavior, we can use this sad spectacle as an opportunity to inform the public that help is available.
The Principles
by Patrick Moore
Available now on Lulu.com, Amazon.Com, and BarnesandNoble.com.


