Therapeutic Engagement and Treatment Progress: Developing and Testing an In-Treatment Measure of Client Engagement Among Sex Offenders in a Group Program

Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 952-971
Author(s):  
Andrew Frost ◽  
Randolph C. Grace ◽  
Anthony P. McLean
Keyword(s):  
Sex Offenders ◽  
Sexual Offenders ◽  
Behavioral Treatment ◽  
Reliability And Validity ◽  
Quantitative Measure ◽  
Management Style ◽  
Cognitive Behavioral Treatment ◽  
Treatment Change ◽  
Treatment Progress ◽  
Disclosure Management

The engagement process of sexual offenders in group-based cognitive-behavioral treatment is an important area of study. Disclosure management style (DMS), a model developed from grounded-theory research of men undertaking a prototypical program, provides a framework to assess engagement in treatment. Our goal was to develop a quantitative measure of DMS, to test its reliability and validity, and to evaluate its utility as a measure of treatment progress by examining relationships between DMS and established measures of treatment change. We studied a sample of men ( N = 93) who undertook an intensive prison-based treatment program in New Zealand. Variables included DMS measures, psychometric measures of dynamic risk and treatment change, static risk, clinician rating of treatment progress, and recidivism outcomes. We found that (a) DMS shows an acceptable level of agreement between independent raters, (b) DMS-based ratings of engagement changed over the course of treatment and were correlated with measures of change based on offender self-reports, and (c) offenders showed heterogeneity in terms of their trajectories of change as assessed by DMS ratings.

Cognitive Distortions Among Sexual Offenders Against Women in Japan

2016 ◽  
Vol 34 (16) ◽  
pp. 3372-3391 ◽  
Author(s):  
Kyoko Hazama ◽  
Satoshi Katsuta
Keyword(s):  
Sexual Offenders ◽  
Police Officers ◽  
Behavioral Treatment ◽  
Cognitive Distortions ◽  
Probation Officers ◽  
Treatment Programs ◽  
Special Treatment ◽  
Control Group ◽  
Cognitive Behavioral Treatment ◽  
Japanese Male

Research in Western countries has indicated that the cognitive distortions of sexual offenders play an etiological and maintenance role in offending. The present study examines whether the cognitive distortions hypothesized by previous Western studies can be found in Japanese sexual offenders against women. This study used the questionnaire administered by probation officers in the special cognitive-behavioral treatment programs for sexual offenders, which have been implemented since 2006 in Japan. Participants in the offender group were 80 Japanese male probationers and parolees (more than 19 years old, M age = 34.6, SD = 8.8) convicted of rape ( n = 39) or indecent assault ( n = 41). All of them attended special treatment programs at probation offices. The non-offender comparison group consisted of 95 Japanese male probation officers and police officers ( M age = 35.5, SD = 11.4). A factor analysis of the questionnaire responses extracted three factors: Blaming the Victim, Minimization, and Avoidance of Responsibility. The data analyses showed that sexual offenders scored significantly higher than non-offender participants on the three subscales. No significant differences were found among four sexual offender groups classified as rapists or indecent assaulters and with or without previous convictions for sexual offenses. In conclusion, the results of this study indicate that rapists and indecent assaulters placed on probation or parole in Japan hold cognitive distortions concerning sexual assaults against women than the control group of probation and police officers. The findings of this study also suggest that cognitive distortions exhibited by sexual offenders against women transcend cultural divides.

Effects of Cognitive-Behavioral Treatment on Sex Offender Recidivism

1994 ◽  
Vol 21 (1) ◽  
pp. 28-54 ◽  
Author(s):  
JANICE K. MARQUES ◽  
DAVID M. DAY ◽  
CRAIG NELSON ◽  
MARY ANN WEST
Keyword(s):  
Treatment Group ◽  
Sex Offenders ◽  
Statistical Power ◽  
Behavioral Treatment ◽  
Sex Offender ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Cognitive Behavioral Treatment ◽  
Sex Offender Recidivism ◽  
Violent Offenses

Preliminary results from a longitudinal study of the effectiveness of cognitive-behavioral treatment with sex offenders are presented. The study's research design includes three groups: a treatment group, a volunteer control group (those who volunteered for but did not receive treatment), and a nonvolunteer control group (subjects who refused the opportunity for treatment). Although the treatment group had the lowest reoffense rates for both sex and other violent crimes, main effects analyses did not yield conclusive results regarding the program's effectiveness. The results highlight the importance of including appropriate comparison groups, managing attrition from both treatment and methodological standpoints, examining sex and other violent offenses separately as outcome variables, employing tests with adequate statistical power, and analyzing data while taking into account time at risk for reoffense.

Cognitive-Behavioral Treatment of Sex Offenders

1998 ◽  
Vol 25 (2) ◽  
pp. 203-225 ◽  
Author(s):  
ROBERT J. McGRATH ◽  
STEPHEN E. HOKE ◽  
JOHN E. VOJTISEK
Keyword(s):  
Sex Offenders ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment

Outcome of a Treatment Program for Adult Sex Offenders

2003 ◽  
Vol 18 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Robert J. McGrath ◽  
Georgia Cumming ◽  
Joy A. Livingston ◽  
Stephen E. Hoke
Keyword(s):  
Sex Offenders ◽  
Treatment Program ◽  
Behavioral Treatment ◽  
Risk Measures ◽  
Cognitive Behavioral Treatment ◽  
Sexual Recidivism ◽  
Recidivism Rates ◽  
Pre Treatment ◽  
Actuarial Risk ◽  
Adult Sex Offenders

This study examined the recidivism rates of 195 adult male sex offenders who were referred to a prison-based cognitive-behavioral treatment program. Of this sample, 56 participants completed treatment, 49 entered but did not complete treatment, and 90 refused treatment services. Although participants were not randomly assigned to treatment conditions, there were no between-group differences on participants’ pre-treatment risk for sexual recidivism as appraised on two actuarial risk measures, the RRASOR and Static-99. Over a mean follow-up period of almost 6 years, the sexual reoffense rate for the completed-treatment group was 5.4% versus 30.6% for the some-treatment and 30.0% for the no-treatment groups. Lower sexual recidivism rates were also found among those participants who received aftercare treatment and correctional supervision services in the community.

Cognitive/Behavioral Treatment for Sexual Offenders: An Examination of Recidivism

Sexual Abuse ◽  
2001 ◽  
Vol 13 (4) ◽  
pp. 223-231 ◽  
Author(s):  
Kathryn England Aytes ◽  
Sam S. Olsen ◽  
Todd Zakrajsek ◽  
Paul Murray ◽  
Randall Ireson
Keyword(s):  
Sexual Offenders ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment
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