Assessment, Treatment, and Management of Paraphilic Disorders

The Paraphilias ◽

10.1093/med/9780190466329.003.0002 ◽

2019 ◽

pp. 19-68

Author(s):

J. Paul Fedoroff

Keyword(s):

Assessment Methods ◽

Complementary Treatment ◽

Treatment Approaches ◽

Assessment And Treatment ◽

Paraphilic Disorders ◽

Treatment Population

Abstract: Many books, chapters, and articles concerning the assessment and treatment of the paraphilias have been published. Most are limited due to a lack of clarity about what is being treated and a failure to fully recognize the heterogeneity of the treatment population(s). This chapter provides a review of the assessment methods and treatments that have been recommended for paraphilic disorders in general. They are presented together because assessments and treatments can be generalized across different paraphilic disorders and many assessment and treatment approaches are complementary. Treatment approaches specific to individual paraphilias are discussed in the chapters dealing with the specific paraphilias.

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Impulsive/Compulsive Sexual Behavior: Assessment and Treatment

10.1093/oxfordhb/9780195389715.013.0108 ◽

2012 ◽

Cited By ~ 1

Author(s):

Eli Coleman

Keyword(s):

Sexual Behavior ◽

Diagnostic Criteria ◽

Treatment Approach ◽

Assessment Methods ◽

Compulsive Sexual Behavior ◽

Men And Women ◽

Assessment And Treatment ◽

Controversial Area ◽

The Many ◽

New Research

There is a growing recognition among clinicians that any type of sexual behavior can become pathologically impulsive or compulsive. There is quite a bit of debate about terminology for this condition, the diagnostic criteria, assessment methods and treatment approaches. In the absence of clear consensus, clinicians are struggling with how to help the many men and women who suffer and seek help from this type of problem. This chapter will review the author’s assessment and treatment approach. Clinicians will need to keep abreast of the literature as new research evolves and follow the continued debate around this controversial area.

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The Assessment and Treatment of Trichotillomania

10.1093/oxfordhb/9780195389715.013.0095 ◽

2012 ◽

Author(s):

Gary A.-H. Christenson

Keyword(s):

Behavioral Treatment ◽

Habit Reversal ◽

Hair Pulling ◽

Psychiatric Interview ◽

Treatment Approaches ◽

Time Treatment ◽

Habit Reversal Therapy ◽

Situational Characteristics ◽

Assessment And Treatment ◽

Additional Support

The successful treatment of trichotillomania necessitates an initial clinical evaluation of the cognitive, emotional, behavioral, and situational characteristics contributing to an individual’s hair pulling. Assessment also requires a comprehensive psychological/psychiatric interview to assess for comorbid illness, which may either contribute to hair pulling or require separate attention. Several instruments have been designed to assist in quantifying the core symptoms of trichotillomania and can be useful for monitoring treatment progress over time. Treatment approaches include medication, hypnosis, and behavioral therapies, especially modifications of habit reversal therapy. Controlled studies are few in number and are limited to only a few behavioral treatment approaches and medication classes. Research suggests that variations of habit reversal therapy have the greatest efficacy of the interventions investigated thus far. There is additional support for treatment with clomipramine, N-acetylcysteine, and olanzapine, in contrast to multiple other drugs that have been studied or suggested as useful for trichotillomania.

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Differences in assessment and treatment approaches for homosexual clients

Drug and Alcohol Review ◽

10.1080/09595239400185731 ◽

1994 ◽

Vol 13 (1) ◽

pp. 57-62 ◽

Cited By ~ 13

Author(s):

Ian MacEwan

Keyword(s):

Treatment Approaches ◽

Assessment And Treatment

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Life Charting of Affective Disorders

CNS Spectrums ◽

10.1017/s1092852900031138 ◽

1998 ◽

Vol 3 (5) ◽

pp. 21-37 ◽

Cited By ~ 60

Author(s):

Gabriele S. Leverich ◽

Robert M. Post

Keyword(s):

Mental Health ◽

Affective Disorders ◽

Background Information ◽

Effective Management ◽

Treatment Approaches ◽

Bipolar Illness ◽

Longitudinal Course ◽

Assessment And Treatment ◽

Number Frequency ◽

Chronic Course

AbstractThe recurrent and frequently chronic course of affective disorders requires careful delineation of the number, frequency, and pattern of prior and current episodes and their response to pharmacotherapies to help develop optimal assessment and treatment approaches for these Potentially lethal medical illnesses. To better track and monitor the longitudinal course of unipolar and bipolar illness and to promote more effective management, we developed the retrospective and prospective National Institute of Mental Health Life Chart Methodology (NIMH-LCM). The principles of retrospective and prospective life charting are the focus of this article. Following introductory background information on affective disorders, the influence of Kraepelin's work and his use of life charts are reviewed as the basis and framework for the NIMH-LCM. The use of life charting both retrospectively and prospectively is discussed, with examples of its utility and benefits.

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Violent women: treatment approaches and psychodynamic considerations

Journal of Criminological Research Policy and Practice ◽

10.1108/jcrpp-08-2017-0025 ◽

2018 ◽

Vol 4 (2) ◽

pp. 124-135 ◽

Cited By ~ 3

Author(s):

Annette McKeown ◽

Ellen Harvey

Keyword(s):

Treatment Effectiveness ◽

Female Offenders ◽

Well Being ◽

Staff Retention ◽

Treatment Approaches ◽

Content Type ◽

Client Group ◽

Female Violence ◽

Assessment And Treatment ◽

The Impact

Purpose Some psychodynamic approaches conceptualise female violence as a communication of experiences too difficult to think about. As practitioners, understanding what may be too painful to be thought about is incredibly important in assessment and treatment of forensic populations. Incorporating psychodynamic concepts such as splitting, transference, projection and counter-transference into formulation can be extremely helpful in understanding and formulating women’s risk of violence. The purpose of this paper is to introduce how psychodynamic concepts can be incorporated into understanding, assessment, formulation and treatment with this complex client group. This paper will also outline treatment approaches with this population. Design/methodology/approach This paper will review existing psychodynamic literature and apply this knowledge to working with violent female offenders. Translating theory into reflective practice will be presented. Findings This paper presents the value of incorporating psychodynamic considerations into existing strategies of understanding and working with violent female offenders. Ways forwards and research directions are proposed. Research limitations/implications This paper is focussed primarily on psychodynamic approaches to understanding this population Practical implications Psychodynamic concepts can add an additional dimension to formulation, supervision and treatment approaches with this population. Examining the meaning of violence perpetrated by women as well as enactments can improve practitioner’s depth of understanding. Empirical research examining the benefits of psychoanalytic supervision would be extremely useful to explore the impact on formulation, treatment approaches, treatment effectiveness, staff well-being and staff retention. Originality/value There is a lack of literature considering the application of psychodynamic constructs to help formulation of complex female offenders in the Offender Personality Disorder Pathway for women.

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