„Aber eifersüchtig bin ich gar nicht.“: Konsensuelle Nichtmonogamie aus Sicht der
               Psychotraumatologie

Leonhard Kratzer; Vanessa Fetzer; Sina Uder; Janina Kowalski; Sarah V. Biedermann; Johanna Schröder

doi:10.1055/a-2535-9573

Zeitschrift für Sexualforschung, Table of Contents

Z Sex Forsch 2025; 38(02): 94-100
DOI: 10.1055/a-2535-9573

Praxisbeitrag

„Aber eifersüchtig bin ich gar nicht.“: Konsensuelle Nichtmonogamie aus Sicht der Psychotraumatologie

“But Jealous I Am Not.”: Consensual Non-monogamy From the Perspective of Psychotraumatology

Leonhard Kratzer

¹Klinik für Psychotraumatologie, Klinik St. Irmingard, Prien am Chiemsee, Deutschland

,

Vanessa Fetzer

¹Klinik für Psychotraumatologie, Klinik St. Irmingard, Prien am Chiemsee, Deutschland

,

Sina Uder

²Philipps-Universität, Marburg, Deutschland

,

Janina Kowalski

³Spezialstation für Traumafolgestörungen, Integrierte Psychiatrie Winterthur – Zürcher Unterland, Winterthur, Schweiz

,

Sarah V. Biedermann

⁴AG Soziale und Emotionale Neurowissenschaften, Klinik für Psychiatrie und Psychotherapie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Deutschland

,

Johanna Schröder

⁵Institute for Clinical Psychology and Psychotherapy, Department of Psychology, MSH Medical School Hamburg, University of Applied Sciences and Medical University, Hamburg, Deutschland

› Author Affiliations

Abstract

Zusammenfassung

Menschliche Beziehungsformen sind einem stetigen Wandel unterworfen. In jüngerer Vergangenheit ist eine Zunahme von alternativen Beziehungsformen mit konsensueller, d. h. einvernehmlicher Nichtmonogamie zu beobachten. Dazu zählen offene Beziehungen, Polyamorie oder Swinging. Im Konsens ausgehandelte alternative Beziehungsformen besitzen keinen Störungswert. Wie jede Beziehung können sie jedoch durch traumatische Beziehungserfahrungen, Bindungsstörungen und psychische Störungen belastet sein. Während manche Menschen mit beispielsweise einer posttraumatischen Belastungsstörung (PTBS) oder einer Borderline-Persönlichkeitsstörung (BPS) in offen und bewusst ausgehandelten konsensuell-nichtmonogamen Beziehungen sichere Bindung, Halt und Zufriedenheit finden, kann die Terminologie alternativer Beziehungsformen auch der Rationalisierung von durch unsichere Bindung, Verstrickung und Invalidierung geprägten Beziehungen dienen, die zu schweren seelischen Krisen und psychiatrischen Hospitalisierungen führen können. Diese Differenzierung von klinisch irrelevanter Nichtmonogamie, dysfunktionaler Nichtmonogamie sowie Kommunikation und Konsens als Ressourcen im Rahmen nichtmonogamer Beziehungen soll mit Fallbeispielen veranschaulicht werden. Darüber hinaus erfolgt eine Annäherung an die Frage, wie eine entstigmatisierende und akzeptierende Haltung Menschen mit alternativen Beziehungsformen gegenüber in der traumafokussierten Psychotherapie aussehen kann.

Abstract

Romantic relationships are subject to constant change, and in the recent past, an increase in alternative relationships characterized by consensual, i. e., mutually agreed upon non-monogamy, has been observed. These alternative relationships include open relationships, polyamory, or swinging, and do not reflect a pathological deviation. However, like any relationship, consensually non-monogamous relationships can be burdened by traumatic relationship experiences, attachment disorders, and psychological disorders. While some individuals with psychological disorders such as post-traumatic stress disorder or borderline personality disorder may find secure attachment, support, and satisfaction in openly and consciously negotiated, consensually non-monogamous relationships, the terminology of alternative relationships may at times serve to rationalize relationships marked by insecure attachment, entanglement, and invalidation. These relationships can lead to severe emotional crises and psychiatric hospitalizations. Our differentiation of clinically irrelevant non-monogamy, dysfunctional non-monogamy, as well as communication and consent as resources within the context of non-monogamous relationships, will be illustrated with case examples. Furthermore, we provide preliminary recommendations on what a destigmatizing and accepting professional attitude towards people with alternative relationship forms could look like in trauma-focused psychotherapy.

Schlüsselwörter

Bindung - Borderline Persönlichkeitsstörung - konsensuelle Nichtmonogamie - Polyamorie - posttraumatische Belastungsstörung

Keywords

attachment - borderline personality disorder - consensual non-monogamy - polyamory - post-traumatic stress disorder

Full Text

References

Literatur
1 Arter J, Bunge SS. Perceived Impacts of Partners’ Other Relationships on Oneself in Consensual Nonmonogamy. Arch Sex Behav 2024; 53: 1415-1429
2 Bairstow A. Couples Exploring Nonmonogamy: Guidelines for Therapists. J Sex Marital Ther 2017; 43: 343-353
3 Balzarini RN, Campbell L, Kohut T. et al. Perceptions of Primary and Secondary Relationships in Polyamory. PLOS ONE 2017; 12: e0177841
4 Balzarini RN, Dharma C, Kohut T. et al. Demographic Comparison of American Individuals in Polyamorous and Monogamous Relationships. J Sex Res 2019; 56: 681-694
5 Bauer R. Queer BDSM Intimacies. London UK: Palgrave Macmillan; 2014
6 De Block A, Adriaens PR. Pathologizing Sexual Deviance: A History. J Sex Res 2013; 50: 276-298
7 Brandon M. Monogamy and Nonmonogamy: Evolutionary Considerations and Treatment Challenges. Sex Med Rev 2016; 4: 343-352
8 Brunning L. The Distinctiveness of Polyamory. J Appl Philos 2018; 35: 513-531
9 Brunning L. Compersion: An Alternative to Jealousy?. J Am Philos Assoc 2020; 6: 225-245
10 Cardoso D, Pascoal PM, Maiochi FH. Defining Polyamory: A Thematic Analysis of Lay People’s Definitions. Archs Sex Behav 2021; 50: 1239-1252
11 Cascalheira CJ, Ijebor EE, Salkowitz Y. et al. Curative Kink: Survivors of Early Abuse Transform Trauma Through BDSM. Sex Relation Ther 2021; 38: 353-383
12 Conley TD, Matsick JL, Moors AC. et al. Investigation of Consensually Nonmonogamous Relationships. Perspect on Psychol Sci 2017; 12: 205-232
13 Conley TD, Moors AC, Matsick JL. et al. The Fewer the Merrier? Assessing Stigma Surrounding Consensually Non-monogamous Romantic Relationships. Anal Soc Issues and Public Policy 2013; 13: 1-30
14 Conley TD, Piemonte JL, Gusakova S. et al. Sexual Satisfaction Among Individuals in Monogamous and Consensually Non-Monogamous Relationships. J Soc Pers Relat 2018; 35: 509-531
15 Cubells-Serra J, Sánchez-Sicilia A, Astudillo-Mendoza P. et al. Assumption of the Myths of Romantic Love: Its Relationship With Sex, Type of Sex-Affective Relationship, and Sexual Orientation. Front Sociol 2021; 6: 621646
16 DeWall CN, Lambert NM, Slotter EB. et al. So Far Away From One’s Partner, Yet So Close to Romantic Alternatives: Avoidant Attachment, Interest in Alternatives, and Infidelity. J Pers Soc Psychol 2011; 101: 1302-1316
17 Dokkedahl SB, Kirubakaran R, Bech-Hansen D. et al. The Psychological Subtype of Intimate Partner Violence and Its Effect on Mental Health: A Systematic Review With Meta-Analyses. Syst Rev 2022; 11: 1-16
18 Dunkley CR, Brotto LA. The Role of Consent in the Context of BDSM. Sex Abuse 2020; 32: 657-678
19 Easton D. Making Friends with Jealousy: Therapy with Polyamorous Clients. In: Barker M, Langdridge D. Hrsg. Understanding Non-Monogamies. New York: Routledge; 2010: 207-211
20 Fairbrother N, Hart TA, Fairbrother M. Open Relationship Prevalence, Characteristics, and Correlates in a Nationally Representative Sample of Canadian Adults. J Sex Res 2019; 56: 695-704
21 Felitti VJ, Anda RF, Nordenberg D. et al. Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE)Study. Am J Prev Med 2019; 56: 774-786
22 Ferrer JN. Beyond the Non/Monogamy System: Fluidity, Hybridity, and Transcendence in Intimate Relationships. Psychol Sex 2018; 9: 3-20
23 Fish JN, Pavkov TW, Wetchler JL. et al. Characteristics of Those Who Participate in Infidelity: The Role of Adult Attachment and Differentiation in Extradyadic Experiences. Am J Fam Ther 2012; 40: 214-229
24 Fredlund C, Wadsby M, Jonsson LS. Motives and Manifestations of Sex as Self-Injury. J Sex Res 2020; 57: 897-905
25 Garner C, Person M, Goddard C. et al. Satisfaction in Consensual Nonmonogamy. Fam J 2019; 27: 115-121
26 Girard M, Fernet M, Godbout N. “Like A Mouse Pursued By the Snake”: A Qualitative Metasynthesis on the Experiences of Revictimization Among Women Survivors of Childhood Sexual Abuse and Partner Violence. Trauma Violence Abuse 2023; 25: 2407-2420
27 Gobout N, Morissette Harvey F, Cyr G. et al. Cumulative Childhood Trauma and Couple Satisfaction: Examining the Mediating Role of Mindfulness. Mindfulness 2020; 11: 1723-1733
28 Gori A, Topino E, Russo S. et al. A pilot study on childhood trauma and love addiction: Exploring the mediation of unbalanced family functioning. Psycho Trauma 2024 https://doi.org/10.1037/tra0001669
29 Gusmano B. The Kintsugi Art of Care: Unraveling Consent in Ethical Non-Monogamies. Sociol Res Online 2019; 24: 661-679
30 Hangen F, Crasta D, Rogge RD. Delineating the Boundaries Between Nonmonogamy and Infidelity: Bringing Consent Back Into Definitions of Consensual Nonmonogamy With Latent Profile Analysis. J Sex Res 2020; 57: 438-457
31 Haupert ML, Gesselman AN, Moors AC. et al. Prevalence of Experiences With Consensual Nonmonogamous Relationships: Findings From Two National Samples of Single Americans. J Sex Marital Ther 2017; 43: 424-440
32 Hazan C, Shaver P. Romantic Love Conceptualized as an Attachment Process. J Pers Soc Psychol 1987; 52: 511-524
33 Henrich R, Trawinski C. Social and Therapeutic Challenges Facing Polyamorous Clients. Sex Relation Ther 2016; 31: 376-390
34 Herbert A. (2020) Psychotherapists’ Attitudes Toward Polyamory and Responses to Polyamorous Clients: An Exploratory Study. New Brunswick, NJ: Rutgers University; 2020. [Als Online--Doument: https://doi.org/doi:10.7282/t3-vgnv-z061 ]
35 Hutzler KT, Giuliano TA, Herselman JR. et al. Three’s a Crowd: Public Awareness and (Mis)Perceptions of Polyamory. Psychol Sex 2016; 7: 69-87
36 Jurczyk K. Care in der Krise? Neue Fragen zu familialer Arbeit. In: Apitzsch U. Hrsg. Care und Migration: die Ent-Sorgung menschlicher Reproduktionsarbeit entlang von Geschlechter- und Armutsgrenzen. Farmington Hills, MI: Barbara Budrich; 2010: 59-76
37 Katz M, Katz E. Reconceptualizing Attachment Theory Through the Lens of Polyamory. Sex Cult 2022; 26: 792-809
38 Klesse C. Polyamory and its ‘Others’: Contesting the Terms of Non-Monogamy. Sexualities 2006; 9: 565-583
39 Kratzer L, Heinz P, Schennach R. et al. Sexual Symptoms in Post-Traumatic Stress Disorder Following Childhood Sexual Abuse: A Network Analysis. Psychol Med 2022; 52: 90-101
40 Kratzer L, Tschöke S, Büttner M. BDSM, Gewalt und Trauma. PTT – Persönlichkeitsstörungen: Theorie und Therapie 2021; 25: 264-272
41 Kröger C. Sexuelle Außenkontakte und -beziehungen in heterosexuellen Partnerschaften. Psychologische Rundschau 2010; 61: 123-143
42 Madörin M. Care Ökonomie – eine Herausforderung für die Wirtschaftswissenschaften. In Bauhardt C, Çağlar G. Hrsg. Gender and Economics: Feministische Kritik der politischen Ökonomie. Wiesbaden: VS; 2010: 81-105
43 Mahar EA, Irving LH, Derovanesian A. et al. Stigma Toward Consensual Non-Monogamy: Thematic Analysis and Minority Stress. Pers Soc Psychol Bull 2024; 50: 571-586
44 Mazinan RG, Dudek C, Warkentin H. et al. Borderline Personality Disorder and Sexuality: Causes and Consequences of Dissociative Symptoms. Borderline Personal Disor Emot Dysregul 2024; 11: 8-19
45 Mazziotta A. Mehr als einen Menschen lieben. Familiendynamik 2020; 45: 308-317
46 Mint P. The Power Mechanisms of Jealousy. In: Barker M, Langdridge D. Hrsg. Understanding Non-Monogamies. New York, NY: Routledge; 2010: 201-206
47 Mitchell ME, Bartholomew K, Cobb RJ. Need Fulfillment in Polyamorous Relationships. J Sex Res 2014; 51: 329-339
48 Moors AC, Conley TD, Edelstein RS. et al. Attached to Monogamy? Avoidance Predicts Willingness to Engage (But Not Actual Engagement) in Consensual Non-Monogamy. J Soc Pers Relatsh 2015; 32: 222-240
49 Moors AC, Matsick JL, Schechinger HA. Unique and Shared Relationship Benefits of Consensually Non-Monogamous and Monogamous Relationships. Eur Psycho 2017; a 22: 55-71
50 Moors AC, Matsick JL, Ziegler A. et al. Stigma Toward Individuals Engaged in Consensual Nonmonogamy: Robust and Worthy of Additional Research. Anal Soc Issues Public Policy 2013; 13: 52-69
51 Moors AC, Selterman DF, Conley TD. Personality Correlates of Desire to Engage in Consensual Non-monogamy among Lesbian, Gay, and Bisexual Individuals. J Bisex 2017; b 17: 418-434
52 Morrison TG, Beaulieu D, Brockman M. et al. A Comparison of Polyamorous and Monoamorous Persons: Are There Differences in Indices of Relationship Well-Being and Sociosexuality?. Psychol Sex 2013; 4: 75-91
53 Müller U, Schröttle M. Lebenssituation, Sicherheit und Gesundheit von Frauen in Deutschland. Eine repräsentative Untersuchung zu Gewalt gegen Frauen in Deutschland im Auftrag des Bundesministeriums für Familie, Senioren, Frauen und Jugend. Berlin: Bundesministerium für Familie, Senioren, Frauen und Jugend; 2004. [Als Online-Dokument: https://www.bmfsfj.de/resource/blob/84316/10574a0dff2039e15a9d3dd6f9eb2dff/kurzfassung-gewalt-frauen-data.pdf ]
54 Murphy S, Elklit A, Hyland P. et al. Insecure Attachment Orientations and Posttraumatic Stress in a Female Treatment-Seeking Sample of Survivors of Childhood Sexual Abuse: A Cross-Lagged Panel Study. Traumatology 2016; 22: 48-55
55 Page EH. Mental Health Services Experiences of Bisexual Women and Bisexual Men. J Bisex 2004; 4: 137-160
56 Pitagora D. The Kink-Poly Confluence: Relationship Intersectionality in Marginalized Communities. Sex Relation Ther 2016; 31: 391-405
57 Robinson M. Polyamory and Monogamy as Strategic Identities. J Bisex 2013; 13: 21-38
58 Rogier G, Cisario G, Juris L. et al. Attachment Style, Emotion Dysregulation and Sexual Satisfaction Among Polyamorous and Non-polyamorous Individuals. Sex Cult 2024; 28: 354-369
59 Rubel AN, Bogaert AF. Consensual Nonmonogamy: Psychological Well-Being and Relationship Quality Correlates. J Sex Res 2015; 52: 961-982
60 Saunders R, Jacobvitz D, Zaccagnino M. et al. Pathways to earned-security: The role of alternative support figures. Attach Hum Dev 2011; 13: 403-420
61 Schacht R, Kramer KL. Are We Monogamous? A Review of the Evolution of Pair-Bonding in Humans and Its Contemporary Variation Cross-Culturally. Front Ecol Evol 2019
62 Teicher MH, Gordon JB, Nemeroff CB. Recognizing the Importance of Childhood Maltreatment as a Critical Factor in Psychiatric Diagnoses, Treatment, Research, Prevention, and Education. Mol Psychiatry 2022; 22: 1331-1338
63 Waters E, Merrick S, Treboux D. et al. Attachment Security in Infancy and Early Adulthood: A Twenty-Year Longitudinal Study. Child Dev 2000; 71: 684-689
64 Weitzman G. Therapy with Clients Who Are Bisexual and Polyamorous. J Bisex 2006; 6: 137-164
65 Weitzman G, Davidson J, Phillips RA. et al. What Psychology Professionals Should Know About Polyamory. Baltimore, MD: National Coalition on Sexual Freedom; 2014. [Als Online- Dokument: https://www.communitysolutionsva.org/files/What_Psychology_Professionals_Should_Know_About_Polymory.pdf ]
66 Williams DJ, Thomas JN, Prior EE. et al. From „SSC“ and „RACK“ to the „4Cs“: Introducing a New Framework for Negotiating BDSM Participation. Electronic J Hum Sex 2014 [Als Online-Dokument: http://www.ejhs.org/volume17/BDSM.html ]
67 Winker G. Care Revolution. Schritte in eine solidarische Gesellschaft. Bielefeld transcript 2015;
68 Zhang F, Labouvie-Vief G. Stability and Fluctuation in Adult Attachment Style Over a 6-Year Period. Attach Hum Dev 2004; 6: 419-437
69 Zhang X, Li J, Xie F. et al. The Relationship Between Adult Attachment and Mental Health: A Meta-Analysis. J Pers Soc Psychol 2022; 123: 1089-1137