Integrating Cognitive and Psychodynamic Perspectives on Problematic Pornography Use: A Commentary on Vieira et al. (2025)

This commentary examines problematic pornography use (PPU) through an integrative lens, incorporating cognitive and psychodynamic perspectives. While cognitive models highlight the role of early maladaptive schemas in reinforcing compulsive pornography use as a maladaptive coping strategy, psychodynamic frameworks emphasize the impact of attachment trauma and unmet psychological needs in shaping compulsive engagement with pornography. By synthesizing these perspectives, this commentary underscores the necessity of an integrated clinical approach to PPU that addresses both maladaptive cognitive patterns and deeper emotional vulnerabilities. It advocates for interventions that integrate cognitive and psychodynamic therapy to foster deeper psychological transformation and the development of healthier relational and emotional regulation capacities for individuals suffering from PPU.