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Indeed, people consider cybersex to have a high degree of psychological reality—but many do not consider it to be consider it to be infidelity.Many of them believe cybersex to be similar to pornography—an extension of fantasy that actually helps to keep them from physical affairs with other people.Among them was a 34-year-old woman married 14 years to a minister who she discovered was compulsively seeking sexual satisfaction by visiting pornographic sites on the Internet."How can I compete with hundreds of anonymous others who are now in our bed, in his head? "Our bed is crowded with countless faceless strangers, where once we were intimate." A 38-year-old woman married 18 years to a man who compulsively masturbates to images on the computer wrote that her husband had once had an extramarital affair and that "the online 'safe' cheating has just as dirty, filthy a feel to it as does the 'real-life' cheating." Although Dr.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.

A 44-year-old man married 26 years to a woman who became hooked on cybersex wrote: "At first we had sex more than ever as I desperately tried to prove myself. I get strong pictures of what she did and lusted after, and I get repelled and feel bad." Women who become cybersex addicts may face even greater risks than their male counterparts.

"This is a hidden public health hazard exploding, in part, because very few are recognizing it as such or taking it seriously," Dr. As a result, the diagnosis of cybersex addiction is often missed, Dr. Especially vulnerable to becoming hooked on Internet sex, he wrote, are "those users whose sexuality may have been suppressed and limited all their lives [who] suddenly find an infinite supply of sexual opportunities" on the Internet. Dana Putnam, a psychologist in San Luis Obispo, Calif., said other factors that could increase a person's vulnerability to cybersex compulsion were depression and other forms of emotional distress, relationship problems and a failure to get one's sexual needs met. Schneider among 94 family members affected by cybersex addiction revealed that the problem could arise even among those in loving marriages with ample sexual opportunities.

"Sex on the Net is just so seductive and it's so easy to stumble upon it," she said.

In some circumstances, cybersex may in fact help a person through a rough period in an offline, loving relationship.

In such situations, cybersex may even be advisable—but still regarded as cheating.

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