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 DP, Kuss DJ & Griffiths MD 2020, Clin Psychol Rev 76:101828, doi:10.1016/j.cpr.2020.101828, PMID 32062303
  • Well establishedReligiosity and moral disapproval predict feeling addicted to pornography even after controlling for how much someone actually uses.
    • Grubbs JB, Exline JJ, Pargament KI, Hook JN, Carlisle RD 2015, Arch Sex Behav 44(1):125-136, doi:10.1007/s10508-013-0257-z, PMID 24519108
    • Grubbs JB & Perry SL 2019, J Sex Res 56(1):29-37, doi:10.1080/00224499.2018.1427204, PMID 29412013

More on patterns in the app.

The full 41-lesson course is in the app, every claim graded the same way, and an evening check-in that maps your own patterns. Free.

Coming to iOS and Android.

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