Sexual Offending Behaviour: Treatment

Question 1

CBT?

- What is the first step?

Answer 1

• identify offence cycle

Question 2

CBT: 
1. Identify Offence Cycle
A) precipitating factors?(3)
B)? (3)
C)? 
D)

Answer 2

A) Emotions - ex angry, depressed, lonely
Thoughts: rationalizations, justifications, fantasies
Situations : near preferred victim, use of pornography, fight with partner, bored, intoxicated
B) victim identification/ victim grooming/ luring
C) Nature of the actual offence - how they maintain control (threats, promises, gifts…), sex acts
D) Post- offence behaviour

Question 3

Explain step 2 of CBT !

Answer 3

• use CBT methods to address problem areas associated with sexual offending ( eg social skill deficits, poor emotion management, distorted attitudes) and to help manage high risk situations.

Question 4

Medical Interventions? (2)

Answer 4

1. Castration
2. Chemical Castration: Depo–provera and SSRIs (birth control )…to reduce sexual drive…SE: gain weight, mouth dryness…

Question 5

Behavioural Treatments?(3)

What’s common between all three?

Answer 5

1. Aversion training: smell, smelling salts (gross) every time they have bad fantasies to make the activity unpleasant to the offender.
2. Masturbatory Satiation Therapy: masturbate after ejaculation - unpleasant
3. Covert sensitization : graphic details of things that are not tied to the fantasy to make it unpleasant.
   - -> they all are used to make sexual activity unpleasant for the offender

Question 6

Treatment Effectiveness For Sexual Deviancy :
- Hanson ( 2002 and 2005)’s Meta0analyses of sexual offending treatment
L> The treated sex offenders showed a _% reduction in recidivism relative to untreated SO’s
L> Both institutional and community based interventions are associated with what?
L> Contemporary CBT and systemic approaches were associated with what?
L> Medication ?

Answer 6

L> 37%
L> reductions in sexual recidivism
L> stronger treatment effects than older behavioural or insight orientated therapies.
L> has an effect but there were significant variability in effects across studies.

Question 7

What is the best type of treatment?

Answer 7

• skill based treatments.

Question 8

Is jail always the best solution ?

Answer 8

• no