Short answer: not necessarily, and the assumption that you must is worth interrogating.
The abstinence model came to this topic from substance recovery, where it makes obvious sense — there's no moderate heroin use. Sexual behaviour isn't like that. It's a normal human function with a normal range, and total elimination isn't the only way to fix a dysregulated relationship with it.
The evidence on abstinence specifically is thinner than you'd expect given how much of the internet is built on it. A systematic review of 47 prospective studies on short-term abstinence across six behaviours found that abstinence shows promise for porn use — but also noted researchers had barely measured the counterproductive effects, like rebound and compensatory behaviours. It's a promising, under-tested intervention. Not a proven cure.
Meanwhile, the best-controlled treatment trial in this space — a 12-session ACT protocol — produced a 93% reduction in viewing compared with 21% in a waitlist group. Complete cessation was 54% at the end of treatment and 35% three months later, while 74% still showed at least a 70% reduction. Read those two numbers next to each other: most people who did well got large reduction, not zero. The trial's own outcome measure treated substantial reduction as success. Note the sample was small and drawn almost entirely from one religious community — but it's the clearest signal we have.
None of that means don't quit. Plenty of people find total abstinence far easier than moderation, because "not at all" is a cleaner rule than "sometimes" and requires no decisions. It means: pick the goal on purpose, for reasons, rather than because the internet only offered you one. That's the next part.
Takeaways
- The abstinence evidence is thin and under-tested, not settled.
- In the best trial we have, most people who did well landed on large reduction, not zero.
- Pick the goal deliberately. The internet only ever offered you one.
In the app, this lesson ends with a practice
Before we get to goals.
Sources and how strong they are (2)
- Mixed evidenceA randomised trial of 12-session ACT (n=28 adult men, all but one from the same religious community) found a 93% reduction in viewing against 21% in a waitlist group; 54% complete cessation at post-treatment, 35% at three-month follow-up, with 74% still showing at least a 70% reduction. Small, narrow sample.Crosby & Twohig 2016, Behavior Therapy 47(3):355-366, doi:10.1016/j.beth.2016.02.001, PMID 27157029
- Mixed evidenceA systematic review of 47 prospective short-term abstinence studies across six behaviours found abstinence shows promise for pornography use, while noting that counterproductive effects — rebound, compensatory behaviour — were poorly measured.Fernandez, Kuss & Griffiths 2020, Clinical Psychology Review
Questions this lesson answers
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