“…For example, despite intense debates about whether CSBD represents an addictive disorder (Kowalewska et al, 2018; Kraus et al, 2016), in lay audiences, excessive pornography use is often viewed as an addiction (Perry, 2019; Taylor, 2020). There is also evidence that the application of the CSBD diagnosis can be skewed by demographic differences in clients (Klein, Briken, Schroder, & Fuss, 2019) or greater religiousness on the part of therapists (Droubay & Butters, 2019; Hecker, Trepper, Wetchler, & Fontaine, 1995). In addition, a body of prior work has suggested that self-reports of pornography addiction may be inflated for individuals for whom such sexual behaviors were in conflict with their religious or moral beliefs (Burke & Haltom, 2020; Grubbs, Perry, Wilt, & Reid, 2019; Perry, 2019), which we consider more fully below.…”