Trauma Resolution Treatment as an Adjunct to Standard Treatment for Child Molesters A Qualitative Study

2008 ◽  
Vol 2 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Ronald J. Ricci ◽  
Cheryl A. Clayton

A literature review of current treatment models for child molesters and contemporary theories of etiology suggests a gap between theory and practice. Despite emerging recognition of the importance of addressing etiological issues in sexual offender treatment, many programs resist addressing the trauma sequelae of childhood sexual abuse (CSA) in those sex offenders where it is present. Adding trauma treatment to standard sexual offender treatment was identified as a means to closing some of that gap. Ten child molesters with reported histories of CSA were treated with eye movement desensitization and reprocessing. Subsequent to adding this trauma resolution component, there was improvement on all six subscales of the Sex Offender Treatment Rating Scale as well as decreased idiosyncratic deviant arousal as measured by the penile plethysmograph. The current study reviews qualitative data collected during treatment and at posttreatment interviews.

Author(s):  
John M. W. Bradford ◽  
Giovana V. de Amorim Levin ◽  
Adekunle G. Ahmed ◽  
Sanjiv Gulati

There are many misconceptions about sexual-offender treatment, which are particularly magnified when it comes to understanding and managing the risk of sexual offending in the community. Many of the misconceptions are based on faulty information about the types of treatment, treatment outcomes, and sexual-offence recidivism. Additionally, public misconception of sexual-offending behaviour in sexually deviant individuals creates stigma and fear. This is despite the large number of studies on sexual-offender treatment, recidivism, and treatment outcome available in the scientific literature. In fact, various actuarial risk-assessment instruments can be used to estimate the probability that a sexual offender will recidivate. Risk can be managed through treatment. The aim of this chapter is to review the evidence-based studies on the efficacy of sexual-offender treatment, as well as how the risk management of sexual offenders is currently implemented in sexual-offender treatment programmes.


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.


Author(s):  
Stephen Hucker

In most Western societies sexual offenders are more reviled than almost any other type of offender. On both sides of the Atlantic this is reflected in the sanctions that specifically address this group such as Sexually Violent Predator laws in the United States, Dangerous and Long-Term Offender legislation in Canada, and Sex Offender Orders in the UK. Related approaches include the introduction of sex offender registries and the widespread requirement that children at risk from sexual predators be reported by professionals and others. Although prone to find reasons to delegate the assessment and management of sex offenders to specialized forensic services, the general psychiatrist will find it impossible to avoid them entirely. It is important, therefore, for the general psychiatrist to have some understanding of this area in order to make appropriate decisions and recommendations. This chapter looks at definitions of sexual offending, types of sexual offender, assessment of sex offenders, assessment of risk, treatment issues, and ethical issues.


2003 ◽  
Vol 92 (3) ◽  
pp. 883-888 ◽  
Author(s):  
John E. Dalton ◽  
Julie L. Ruddy ◽  
Liza Simon-Roper

Batteries of psychological tests had been administered to male adolescents being evaluated for appropriateness of assignment to sexual offender treatment at private clinics. The test scores had been evaluated via blind test interpretation, as one component of a broader sexual offender assessment. Archival data were obtained from 106 patients who had been given the Behavior Assessment System for Children Self-report of Personality as part of a test battery. These adolescents, particularly the younger ones, responded defensively to this self-report. Otherwise, their mean scores were very close to those described in the manual for normal (nonclinical) adolescent males. Implications for test interpretation are discussed.


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