Treating Sexual Offenders: An Integrated Approach

by Marshall; William L.

• ISBN13: 9780415949354
• ISBN10: 0415949351
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-01-27
• Publisher: Routledge

Summary

The treatment, assessment, intervention and evaluation of sexual deviants are topics that have experienced a recent resurgence in the mental health fields, as the number reported sex abuse cases continues to rise. Practitioners are increasingly faced with both criminal and non-criminal sex offenders with a variety of backgrounds, abuses, and treatment history. Specialists and non-specialists alike are often unprepared and ill-equipped for the myriad of disorders prevalent in today's society. The proposed book would provide the therapist with a guide to the assessment, treatment, and evaluation of a number of different disorders, including fetishisms, transvestic fetishisms, exhibitionism, frottage, pedophilia, sexual sadism, sexual masochism, telephone scatologia, voyeurism, rape, child molestation, and incest. Through extensive consideration of current research, theory and practice, the authors provide the clinician with the means to have a continued positive impact on the sex offender, from assessment to post-treatment evaluation and follow-up.

Table of Contents

Preface	vii
Acknowledgments	ix
Description of Disorder	1	(20)
Introduction	1	(1)
Frequency of Sexual Offenses	2	(3)
Effects on Victims	5	(2)
The Clinical Picture	7	(14)
Overall Description of Treatment Strategy	21	(54)
Introduction	21	(1)
Treatment Intensity	22	(1)
Selection of Participants	23	(1)
Overall Description of the Program	24	(10)
How Skills Are Taught	34	(2)
Treatment Methods	36	(3)
Specific Targets	39	(36)
Research Basis	75	(22)
Introduction	75	(1)
Specific Problems	75	(15)
Evidence of Effectiveness	90	(7)
Clinical Case Illustrations	97	(40)
Assessments and Case Formulations	97	(8)
Therapist Rating Scale	105	(3)
Clinical Cases	108	(26)
Conclusions	134	(3)
Complicating Factors	137	(10)
Problematic Characteristics of the Offenders	137	(6)
Legal and Institutional Factors	143	(4)
Maintenance and Follow-Up Strategies	147	(8)
Registers and Public Notification	147	(2)
Release or Discharge Procedures	149	(2)
Risk Management	151	(4)
Appendix: Therapist Rating Scale	155	(52)
Instructions for Therapist Ratings	155	(3)
Post-Treatment Ratings by Therapists	158	(49)
References	207	(40)
Index	247