Cognitive-Behavioral Therapy in the Treatment and Management of Sex Offenders

2010 ◽  
Vol 24 (2) ◽  
pp. 92-103 ◽  
Author(s):  
Megan Schaffer ◽  
Elizabeth L. Jeglic ◽  
Aviva Moster ◽  
Dorota Wnuk

In this article, current methods of conceptualizing and treating adult sexual offending are reviewed. First, the Risk-Needs-Responsivity (RNR) approach to sex offender management is presented and critiqued. Then, the newer Good Lives Model is discussed and contrasted with the aforementioned RNR approach. The discussion of these approaches to sex offender management and rehabilitation is followed by a review of those cognitive-behavioral therapy (CBT) techniques used to treat risk factors associated with sex offending, as such techniques are employed in both paradigms. Finally, research regarding the efficacy of using CBT techniques to treat sex offending behavior is presented, and future directions for sex offender treatment and management are discussed.

Sexual Abuse ◽  
2019 ◽  
Vol 32 (4) ◽  
pp. 452-475 ◽  
Author(s):  
Friedrich Lösel ◽  
Eva Link ◽  
Martin Schmucker ◽  
Doris Bender ◽  
Maike Breuer ◽  
...  

Although there is less continuity of sexual offending in the life course than stereotypes suggest, treatment should lead to a further reduction of reoffending. Contrary to this aim, a recent large British study using propensity score matching (PSM) showed some negative effects of the core sex offender treatment program (SOTP) in prisons. International meta-analyses on the effects of sex offender treatment revealed that there is considerable variety in the results, and methodological aspects and the context play a significant role. Therefore, this study compared different designs in the evaluation of sex offender treatment in German prisons. PSM was compared with an exact matching (EM) by the Static-99 in a sample of 693 sex offenders from Bavarian prisons. Most results were similar for both methods and not significant due to low base rates. There was a treatment effect at p < .05 on general recidivism in the EM and at p = .06 on serious reoffending in the PSM. For sexual recidivism, EM showed a negative trend, whereas PSM suggested the opposite. Overall, the study underlines the need for more replications of evaluations of routine practice, methodological comparisons, sensitive outcome criteria, and differentiated policy information.


2016 ◽  
Vol 31 (3) ◽  
pp. 143-148
Author(s):  
Rossy Sintya Marthasari

The aim of this study was to collect data of what ordinary people think on chemical castration and the proper punishment for sex offenders. An online survey was conducted through a questionnaire (N = 36; 19 males and 17 females). Average age was between 19 and 61; all participants have heard and known about sexual harassment. Results showed that 21% of respondents concluded that the Internet was the main cause, 36% accused the pornographic films, 18% said that the harassment was due to how the victims behave and dress themselves, and 21% said that psychopathological factors also played a role. Most of the respondents advised that the proper punishment should be death penalty (47%), while 29% chose the chemical castration and 20% chose imprisonment. Since psychoterapy (in this context cognitive-behavioral therapy) combined with pharmacological therapy has shown better outcome compared to monotherapy, the author considers to involve cognitive behavioral therapy as part of rehabilitation, so psychotherapy should be part of punishment in lieu of chemical castration. Causes underlying the sexual harassments especially the psy-chological aspects are discussed.


2013 ◽  
Vol 38 (1) ◽  
pp. 33-64 ◽  
Author(s):  
Dany Lacombe

How does the Parole Board decide a sex offender is rehabilitated and can be released into the community? This case study of a parole hearing reveals the significance the Parole Board gives to a sex offender’s management of his arousal as a clear sign of his rehabilitation. To explain the Board’s preoccupation with a sex offender’s sexual fantasies and arousal, I draw on a prison ethnography of a sex offender treatment program. Rehabilitation as risk management relies on the development of a crime cycle and relapse prevention plan designed to grasp the connection between fantasies, arousal and offending. I argue the parole hearing and treatment program exist in a symbiotic relationship that fabricates the sex offender into a species larger than life, one at risk of offending all the time. Key words: rehabilitation, sex offenders, parole, sexual fantasies, ethnography, prison.


Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 930-951 ◽  
Author(s):  
Alessandra Gallo ◽  
Jeffrey Abracen ◽  
Jan Looman ◽  
Elizabeth Jeglic ◽  
Robert Dickey

The present study investigates whether leuprolide acetate (Lupron) adds to the efficacy of traditional sex offender treatment. A group of sex offenders receiving both Lupron and cognitive behavioral therapy (CBT; n = 25) were compared with a group of sex offenders receiving only CBT ( n = 22). Treated subjects were compared with norms available with reference to the Static-99R, as well as compared with a sample of untreated, nonsexual violent offenders ( n = 81), to provide baseline data regarding risk of violent recidivism. Results indicated that subjects receiving Lupron were at significantly higher risk of recidivism and significantly more likely to be diagnosed with a paraphilia than subjects receiving only CBT, a priori. Both treated groups of sexual offenders recidivated at substantially lower rates than predicted by the Static-99R. Currently, this study represents the only, long-term outcome study on Lupron administration using officially recorded recidivism as the primary dependent measure.


1995 ◽  
Vol 23 (4) ◽  
pp. 555-581 ◽  
Author(s):  
Patricia M. Harris

Throughout the 1980s sex offender treatment programs proliferated in state prisons in the wake of repealed sexual psychopath legislation, driven by much favorable publicity over novel cognitive and behavioral treatment methods. This article examines the scope and likely impact of the new generation of sex offender treatment programs and concludes that heightened optimism may be premature. The new programs embody the same defects that the repeal of psychopath legislation was intended to correct. The enterprise of sex offender treatment would benefit from participation of social scientists outside of the treatment field in research on sex offenders.


1996 ◽  
Vol 20 (5) ◽  
pp. 261-263
Author(s):  
C. Jones

In 1991 the Prison Service began to develop a programme of treatment for sex offenders in custody. HMP Risley was the first establishment to successfully establish and run the ‘Core Treatment Programme’. This paper examines some of the issues involved in setting up such a programme, which was designed to be implemented by relatively inexperienced staff.


2003 ◽  
Vol 31 (2) ◽  
pp. 133-164 ◽  
Author(s):  
Kristen M. Zgoba ◽  
Wayne R. Sager ◽  
Philip H. Witt

This study examined 10-year sexual and non-sexual offense recidivism for sex offenders released from New Jersey's general prison system and from the Adult Diagnostic and Treatment Center (ADTC), New Jersey's correctional facility and treatment center for repetitive-compulsive sexual offenders. The study found that sexual offenders released from the ADTC had significantly lower rates of committing both non-sexual offenses and any offense, compared with the general prison population of sex offenders. For both groups, the 10-year sexual offense reconviction rates were relatively low, 8.6% for the ADTC offenders and 12.7% for the general prison sexual offenders, while reoffense rates for non-sexual offenses were 25.8% and 44.1% for ADTC and general prison sex offenders, respectively.


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