Abstinence or reduction?

Both are legitimate. Choose rather than drift.

Mixed evidence 3 min read

Both are legitimate. Here's how to choose rather than drift.

Abstinence tends to fit better when:

Reduction tends to fit better when:

Two things that are true regardless: the best trial evidence we have counted large reduction as success, and most participants who did well ended up at large reduction rather than zero. And a goal you'll actually pursue beats an ideal goal you'll abandon in week two.

You can change this later. Reduction that stalls can become abstinence. Abstinence that produces a binge cycle can become structured reduction. Changing the goal deliberately is strategy. Abandoning it silently is not.

Takeaways

In the app, this lesson ends with a practice

Which are you choosing, for now?

Sources and how strong they are (3)
  • 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
  • Well establishedReligiosity and moral disapproval predict feeling addicted to pornography even after controlling for how much someone actually uses.Grubbs et al. 2015; Grubbs & Perry 2019, J Sex Res

The app adds Panic.

One tap for the moment an urge hits, offline, and an evening check-in that turns lessons like this one into a plan for your own triggers. Free.

Coming to iOS and Android.

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