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To a betrayed spouse, the emotional pain associated with the loss of trust hurts far more, and the pain lasts far longer, than the hurt caused by any specific sexual or romantic act.

And it is only as trust is slowly restored that the betrayed partner and the relationship start to heal.

Consider these examples: None of these individuals has had an in-the-flesh sexual encounter outside of their primary relationship, and yet all four have been accused of infidelity by their spouse.

These scenarios beg the question: A few years ago, in an attempt to answer this question, Jennifer Schneider, Charles Samenow, and I conducted a survey of women whose husbands were engaging in significant amounts of extramarital sexual activity, either online or in the real world.

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Robert Weiss LCSW, CSAT-S is Senior Vice President of National Clinical Development for Elements Behavioral Health, creating and overseeing addiction and mental health treatment programs for more than a dozen high-end treatment facilities, including Promises Treatment Centers in Malibu, The Ranch in rural Tennessee, and The Right Step in Texas.

He is the author of books including Infidelity starts with the mere thought of being intimate with another person other than our spouse or hubby. The fact that some couples are more liberal than others does not changes the label - I assume.

In the 21st century, with our increasingly digital lives, the once-clear line between monogamy and sexual or romantic infidelity has become rather blurry.

As a psychotherapist specializing in sex and intimacy issues, I regularly see couples in conflict about what does and does not constitute cheating.

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