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After watching, I think this largely lines up with the impact of porn addiction being real and impactful, which I certainly don't deny.
Likely the different emphasis is on the prevalence of internet porn addiction. He claims it's more likely than gambling or other internet-related addictions; I wonder if that is consensus or if it's maybe changed over time? From a societal level, I'm sure there's more porn addiction than in the past (as he notes the availability, quality, and variety are significantly different than before the internet). But his talk implies a much larger scale than I would accept without validating the sources. From what I'm familiar with porn addiction isn't much more or less prevalent than other internet related ones. Here's one data point putting "cybersex" close to game addiction, but well below social media and smartphone: https://pubmed.ncbi.nlm.nih.gov/35150965/ similar numbers here: https://virtual-addiction.com/technology-addiction-statistics-2024/ "Between 7 and 10% of people who watch online porn are addicted to it."
Considering the data I'm familiar with: majority of people (in western societies) aren't suffering the side effects of internet porn addiction and are still able to pursue typical life goals (finding a partner, marriage, children, etc). While we have seen some of these figures declining (marriage and having children). Or, these trends have been in place since before high speed internet (declining birthrates stem from the 60s in the US: https://datacommons.org/explore#q=birth+rate ). Marriage rates similarly declined well before the internet (and have stabilized in the past decade or so): https://www.bgsu.edu/ncfmr/resources/data/family-profiles/loo-marriage-rate-US-geographic-variation-2022-fp-23-23.html
Specifically he mentions ED as a kind of "ultimate" symptom... unfortunately I don't see a good timeseries for ED prevalence; even across studies the estimates vary quite a bit, so I'm not sure there's a standard measurement with a long enough history to use... that'd be an interesting metric to consider if it were available though!
I'd have to go back and check what other studies on porn use used for control groups; as this talk states "there is no control group"... I think that is inaccurate. Even if control groups aren't available, we can still measure impacts without a control group if we can reliably track quantity in some manner. It need not be just abstinence versus usage to conduct a valid study; we can compare high, medium, and low volumes of usage. We know the volumes at which over consumption of water is harmful even though there are no people who abstain from it!
Thanks again for linking; it had a few other references & citations I'll continue to pursue. I appreciate the different perspective on the topic!