People who come to therapy about pornography use are usually not, at heart, asking me to help them stop watching pornography. They're asking me to help them understand why they can't, and what that says about them. The shame and self-disgust they carry is often as much about the loss of control as about the content itself.
From a psychodynamic perspective, compulsive pornography use typically serves functions: it manages anxiety, it provides stimulation in the absence of real intimacy, it fills emptiness, it provides a sense of control. Understanding those functions is more useful than simply trying to stop the behaviour by an act of will.
I work with people who are troubled by their pornography use without moralising about it. The question I'm interested in is: what is this doing for you, and can we find other ways to meet those needs? That inquiry is often surprising and generative — it tends to open onto much more than just the pornography use.