Treating Sex Offenders: A Guide to Clinical Practice with Adults, Clerics, Children, and Adolescents, Second Edition

by Pallone; Letitia C

• ISBN13: 9780789009319
• ISBN10: 0789009315
• eBook ISBN(s): 9781317826156
• Additional ISBN(s): 9781560242079
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2003-12-01
• Publisher: Routledge
• More Book Details

Summary

Gain important new insights into religious personnel who molest children! Treating Sex Offenders: A Guide to Clinical Practice with Adults, Clerics, Children, and Adolescents, Second Edition updates the groundbreaking original with new material that integrates adolescent and adult sex offenders, emphasizing similarities and differences in personality type, behavior, and treatment. Author William Prendergast draws on four decades' experience in working in the diagnosis and treatment of habitual sex offenders to present a straightforward look at what makes them tick. This vital new edition includes appropriate additions and changes to treatment techniques, progress reports on case study subjects, reader feedback on the original book, and perhaps most important, new information on religious personnel who molest children. Treating Sex Offenders provides training in clear language for those working with sexual offenders and explanations in simple terms for those suffering as a result of their actions. The book parallels workshops and courses conducted by the author, detailing how to identify major characteristics and traits of offenders, different types of offenders, child and adolescent offenders, how to recognize warning signs of deviant behavior, and how to apply specific treatment techniques that really work. Individual aspects of the makeup and treatment of the compulsive adult and adolescent sex offender are addressed through factors, traits, treatment, and candid cases studies. Treating Sex Offenders addresses the most vital issues involving sexual pathology, including: inadequate personality theory sexual performance problems imprinting self-confrontation sex as the chosen deviation the five c's of sex offender treatment and much more! Treating Sex Offenders: A Guide to Clinical Practice with Adults, Clerics, Children, and Adolescents, Second Edition is an essential resource for psychiatrists, psychologists, social workers, counselors, and those in the criminal justice field who deal with sex offenders on a daily basis. Family members involved in the lives of sex offenders and survivors of sexual abuse or assault will find the case studies enlightening in making sense of a tragic situation.

Table of Contents

List of Boxed Illustrations	xi
Preface	xiii
Acknowledgments	xxi
SECTION I: IDENTIFYING SEX OFFENDERS
Distinguishing Characteristics of Sex Offenders: The Who of Treatment	3	(16)
Introduction	3	(1)
A Clinically Derived Table of Traits	4	(3)
The Obsessive-Compulsive Pattern	7	(1)
The Question of Choice	8	(4)
The Child/Adolescent Sex Offender	12	(2)
Impulsive versus Compulsive	14	(5)
The Inadequate Personality	19	(14)
Introduction	19	(3)
The Effect of Adolescent Sexual Crisis	22	(2)
Modes of Pathological Adjustment in Adulthood	24	(5)
The Child/Adolescent Sex Offender	29	(4)
The Never-Satisfied Parent: Negative Self-Image and Selective Perception	33	(14)
Introduction	33	(1)
Perfectionism and the Fear of Failure Syndrome	34	(2)
Treatment Considerations	36	(3)
New Image Dangers	39	(3)
Selective Perception	42	(2)
The Child/Adolescent Sex Offender	44	(3)
Exaggerated Needs for Control	47	(10)
Control Methods of Exhibitionists and Voyeurs	47	(1)
Control Methods of Pedophiles and Hebophiles	48	(4)
Control Methods of Sexually Assaultive Persons	52	(2)
Rage-Triggering Techniques	54	(1)
The Child/Adolescent Sex Offender	54	(3)
Pervasive Guilt and Subjective Judgment	57	(14)
Rulers and Subjective Judgment Memories	58	(5)
Guilt As a Block to Therapeutic Progress	63	(4)
Judgment versus Curiosity	67	(2)
The Child/Adolescent Sex Offender	69	(2)
Relational Issues	71	(14)
Passive and Aggressive Personalities	71	(2)
Severely Impaired Interpersonal Relationships	73	(1)
The Sex Offender's Inability to Relate to Peers	74	(3)
The Dangers of Symptom Removal	77	(1)
Repression and Trauma-Induced Compulsion	77	(3)
Emotions Suppressed or Displaced	80	(2)
The Child/Adolescent Sex Offender	82	(3)
Sexual Performance Problems	85	(18)
Strong Performance Needs	85	(1)
The Sex Offender's Use of Masturbation	85	(5)
The Unrealistic Small Penis Complex	90	(4)
Distorted Sexual Values	94	(2)
Deviant Arousal Patterns	96	(3)
The Child/Adolescent Sex Offender	99	(4)
Remaining Characteristic Deficits in Sex Offenders	103	(20)
Defective Goal-Setting Patterns	103	(5)
Identity Confusion	108	(1)
The Child/Adolescent Sex Offender	109	(1)
Typology of Adolescent Sex Offenders	110	(7)
The Remainder of the Adolescent Sex Offender Trait List	117	(6)
SECTION II: TREATMENT OF SEX OFFENDERS
Treatment Issues: Overview	123	(24)
Introduction	123	(1)
The Important First Contact	124	(2)
Clinical Interviewing Principles	126	(10)
Terms	136	(2)
Group versus Individual Treatment	138	(5)
The Child/Adolescent Sex Offender	143	(4)
The Five Cs of Sex Offender Treatment	147	(22)
Confrontation by the Therapist	147	(5)
Cautions	152	(3)
Confirmation	155	(6)
Control	161	(3)
Continuation/Consistency	164	(2)
The Child/Adolescent Sex Offender	166	(3)
Sexual ``Imprinting'' As a Consequence of Early Traumatic Molestation	169	(18)
Introduction	169	(1)
Unwanted Sexual Reactions/Turn-Ons	170	(3)
Common Factors Found in Imprinting	173	(2)
Questions About Etiology	175	(3)
Therapeutic Considerations and Caveats	178	(2)
Imprinting in Sex Offenders	180	(1)
Offender Patterns	181	(1)
Prevention	182	(2)
The Child/Adolescent Sex Offender	184	(3)
Pedophiles	187	(20)
Background	187	(3)
Pedophiles versus Hebophiles	190	(1)
Pedophiles versus Incestuous Fathers	191	(5)
Treatment Considerations	196	(5)
Therapist Cautions	201	(2)
The Child/Adolescent Sex Offender	203	(1)
Prevention	204	(3)
Sexually Assaultive versus Seductive Offenders	207	(14)
Control: The Main Dynamic	207	(3)
Why Rape?	210	(1)
Repression	211	(3)
Rape As Overcompensation for Perceived Male Sexual Inadequacy	214	(4)
The Child/Adolescent Sex Offender	218	(3)
The Sex Offender's Motivation May Not Be Sexual	221	(12)
Power/Domination Needs	221	(4)
Seduction/Acceptance Needs	225	(1)
Ritual Undoing Needs	226	(1)
The Danger of Symptom Substitution	227	(1)
Masturbatory Reconditioning	228	(2)
The Child/Adolescent Sex Offender	230	(2)
Prevention	232	(1)
A ``Whole-Man'' Approach to Treatment	233	(10)
Introduction	233	(1)
Group Psychotherapy	234	(1)
Sex Education	234	(2)
Social Skills Training (SST)	236	(1)
Anger Management	237	(1)
Relapse Prevention	238	(1)
Vocational Reeducation	239	(1)
Substance Abuse Treatment	240	(1)
Aftercare	241	(1)
The Child/Adolescent Sex Offender	242	(1)
Why Sex As the ``Chosen'' Deviation?	243	(12)
Childhood Sexual Trauma: Conscious/Repressed, Active/Passive	243	(2)
Negative Effects of Unreported Sexual Abuse	245	(3)
When to Suspect Sexual Abuse	248	(2)
Masturbation As an Essential Ruler	250	(1)
Writing Therapy	251	(1)
The Child/Adolescent Sex Offender	252	(3)
An Overview of Value Formation	255	(12)
Five Stages of Value Formation	255	(6)
Sex Equals Love	261	(1)
Value Change Techniques	262	(3)
The Child/Adolescent Sex Offender	265	(2)
Self-Confrontation and Resistance in the Compulsive Sex Offender	267	(12)
The First ``Now'' Therapy Session	267	(4)
The Community or Private Practice ``Now'' Technique	271	(1)
Caveats	272	(3)
The Child/Adolescent Sex Offender	275	(4)
Religious Personnel Who Molest Children and Adolescents	279	(12)
Introduction	279	(1)
Errors Concerning Clerical Abuse	280	(1)
Reasons for Clerical Abuse	281	(4)
The Damage	285	(4)
Prevention	289	(2)
Conclusion	291	(10)
You, the Therapist---Considerations	291	(8)
Final Thoughts	299	(2)
Appendix A. Answers to True-False Test (Box 1.1)	301	(2)
Appendix B. Confidential Questionnaire	303	(6)
Bibliography	309	(4)
Index	313