Behavioral treatment for sex offenders

1994 ◽  
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Throughout the 1980s sex offender treatment programs proliferated in state prisons in the wake of repealed sexual psychopath legislation, driven by much favorable publicity over novel cognitive and behavioral treatment methods.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.


1994 ◽  
Vol 21 (1) ◽  
pp. 28-54 ◽  
Author(s):  
JANICE K. MARQUES ◽  
DAVID M. DAY ◽  
CRAIG NELSON ◽  
MARY ANN WEST

Preliminary results from a longitudinal study of the effectiveness of cognitive-behavioral treatment with sex offenders are presented. The study's research design includes three groups: a treatment group, a volunteer control group (those who volunteered for but did not receive treatment), and a nonvolunteer control group (subjects who refused the opportunity for treatment). Although the treatment group had the lowest reoffense rates for both sex and other violent crimes, main effects analyses did not yield conclusive results regarding the program's effectiveness. The results highlight the importance of including appropriate comparison groups, managing attrition from both treatment and methodological standpoints, examining sex and other violent offenses separately as outcome variables, employing tests with adequate statistical power, and analyzing data while taking into account time at risk for reoffense.


1998 ◽  
Vol 25 (2) ◽  
pp. 203-225 ◽  
Author(s):  
ROBERT J. McGRATH ◽  
STEPHEN E. HOKE ◽  
JOHN E. VOJTISEK

2003 ◽  
Vol 18 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Robert J. McGrath ◽  
Georgia Cumming ◽  
Joy A. Livingston ◽  
Stephen E. Hoke

This study examined the recidivism rates of 195 adult male sex offenders who were referred to a prison-based cognitive-behavioral treatment program. Of this sample, 56 participants completed treatment, 49 entered but did not complete treatment, and 90 refused treatment services. Although participants were not randomly assigned to treatment conditions, there were no between-group differences on participants’ pre-treatment risk for sexual recidivism as appraised on two actuarial risk measures, the RRASOR and Static-99. Over a mean follow-up period of almost 6 years, the sexual reoffense rate for the completed-treatment group was 5.4% versus 30.6% for the some-treatment and 30.0% for the no-treatment groups. Lower sexual recidivism rates were also found among those participants who received aftercare treatment and correctional supervision services in the community.


Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 952-971
Author(s):  
Andrew Frost ◽  
Randolph C. Grace ◽  
Anthony P. McLean

The engagement process of sexual offenders in group-based cognitive-behavioral treatment is an important area of study. Disclosure management style (DMS), a model developed from grounded-theory research of men undertaking a prototypical program, provides a framework to assess engagement in treatment. Our goal was to develop a quantitative measure of DMS, to test its reliability and validity, and to evaluate its utility as a measure of treatment progress by examining relationships between DMS and established measures of treatment change. We studied a sample of men ( N = 93) who undertook an intensive prison-based treatment program in New Zealand. Variables included DMS measures, psychometric measures of dynamic risk and treatment change, static risk, clinician rating of treatment progress, and recidivism outcomes. We found that (a) DMS shows an acceptable level of agreement between independent raters, (b) DMS-based ratings of engagement changed over the course of treatment and were correlated with measures of change based on offender self-reports, and (c) offenders showed heterogeneity in terms of their trajectories of change as assessed by DMS ratings.


Author(s):  
Maya Henry

Abstract Primary progressive aphasia (PPA) is a relatively new diagnostic entity, for which few behavioral treatments have been investigated. Recent work has helped to clarify the nature of distinct PPA variants, including a nonfluent variant (NFV-PPA), a logopenic variant (LV-PPA), and a semantic variant (SV-PPA). This paper reviews treatment research to date in each subtype of PPA, including restitutive, augmentative, and functional approaches. The evidence suggests that restitutive behavioral treatment can result in improved or stabilized language performance within treated domains. Specifically, sentence production and lexical retrieval have been addressed in NFV-PPA, whereas lexical retrieval has been the primary object of treatment in LV and SV-PPA. Use of augmentative communication techniques, as well as implementation of functional communication approaches, also may result in improved communication skills in individuals with PPA. The ideal treatment approach may be one that combines restitutive, augmentative, and functional approaches to treatment, in order to maximize residual cognitive-linguistic skills in patients. Additional research is warranted to determine which modes of treatment are most beneficial in each type of PPA at various stages of severity.


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