scholarly journals High risk sexual fantasies and sexual offending: An overview of fundamentals and interventions

Author(s):  
Astrid Rossegger ◽  
Ross M. Bartels ◽  
Jérôme Endrass ◽  
Bernd Borchard ◽  
Jay P. Singh

Although deviant sexual fantasizing has been found to be an etiological factor for sexual offending, not all deviant sexual fantasies increase risk equally. The aim of the present overview is to provide readers with an introduction to key terminology, a primer on central clinical theories, and a summary of the research literature on “high risk” sexual fantasies over the past 50 years. First, the important difference between “sexual fantasy” and “sexual fantasizing” is described. Second, the link between sexual fantasizing and sexual offending is discussed, with a focus on principle moderators such as physiological reaction, personality profile, and offense-supportive beliefs. Third, the different methods used to assess sexual fantasies are discussed. Fourth, the principles and techniques behind four evidence-based approaches to treating “high risk” sexual fantasies are discussed: (1) the behavioral approach, (2) the cognitive approach, (3) the imagination approach, and (4) the mindfulness-based approach. Finally, a call is issued for practice-based quantitative and qualitative research to further explore this clinical phenomenon. The findings of such investigations would advance the field’s understanding of assessment, management, and monitoring best practices for this important forensic population.

2021 ◽  
Vol 14 ◽  
Author(s):  
Hannah Murray ◽  
Yasmin Pethania ◽  
Evelina Medin

Abstract Survivor guilt is a common experience following traumatic events in which others have died. However, little research has addressed the phenomenology of survivor guilt, nor has the issue been conceptualised using contemporary psychological models which would help guide clinicians in effective treatment approaches for this distressing problem. This paper summarises the current survivor guilt research literature and psychological models from related areas, such as post-traumatic stress disorder, moral injury and traumatic bereavement. Based on this literature, a preliminary cognitive approach to survivor guilt is proposed. A cognitive conceptualisation is described, and used as a basis to suggest potential treatment interventions for survivor guilt. Both the model and treatment strategies require further detailed study and empirical validation, but provide testable hypotheses to stimulate further research in this area. Key learning aims (1) To appreciate an overview of the current available literature on the phenomenology and prevalence of survivor guilt. (2) To understand a preliminary cognitive conceptualisation of survivor guilt. (3) To understand and be able to implement treatment recommendations for addressing survivor guilt.


2010 ◽  
Vol 27 (4) ◽  
pp. 227-250 ◽  
Author(s):  
Jo Thakker ◽  
Theresa A. Gannon

AbstractSexual offending is frequently seen by the lay person as being a result of an innate abnormality that is relatively fixed and unchangeable. Accordingly, sexual offenders are seen as more likely to recidivate than other types of offenders. In fact, this is not the case, and most sexual offenders do not re-offend. Also, contemporary research has shown that treatment programs driven by cognitive behaviour therapy significantly reduce rates of sexual offender recidivism. Nevertheless, while there has been a great deal of research on the treatment of child sexual offenders, the treatment of rapists has received comparatively less attention. Thus, the main aim of this article is to summarise current knowledge of sexual offender treatment, paying specific attention to the needs of rapists. In particular, we pay attention to the content of sexual offender treatment programs, and the relevance of this content to rape. We also discuss therapeutic issues of relevance for rapist treatment that are typically ignored or underestimated in the research literature. Finally, based upon our analysis of the literature, we present a schematic overview of rape treatment and identify important areas for further research.


Author(s):  
Karen Holt ◽  
James Kissinger ◽  
Corey Spickler ◽  
Vicki Roush

Despite no definitive relationship between pornography and sexual offenses, there exists an assumption that use plays a role in the commission of sexual crimes and may increase risk of recidivism. This has led to the development of post-release restrictions on adult media for those convicted of a sexual offense. We conducted semi-structured interviews with 101 incarcerated individuals convicted of a sexual offense to explore the central research questions: (1) What are the common themes among individual’s experiences regarding pornography and how do they construct the role of pornography in their offending? (2) How do they frame pornography use post-release and understand pornography use as related to risk of re-offense? A qualitative analysis revealed common themes regarding how individuals constructed pornography use and notions of risk. Strategic and targeted monitoring and supervision of those who perceive their pornography use as consuming and facilitating may be a more effective practice than abstinence-only blanket restrictions.


Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter describes session 5 of the COPE therapy. The therapist’s instructions for how to provide and process imaginal exposure are reviewed in this chapter. Then, the therapist will be guided on how to help the patient generate a personal emergency coping plan for high-risk situations that may increase risk for using alcohol or drugs. The difference between a lapse (e.g. a slip) and a relapse is reviewed for the therapist.


Children ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. 75 ◽  
Author(s):  
Shervin Assari ◽  
Golnoush Akhlaghipour ◽  
Shanika Boyce ◽  
Mohsen Bazargan ◽  
Cleopatra H. Caldwell

Background: Reward sensitivity (fun-seeking) is a risk factor for a wide range of high-risk behaviors. While high socioeconomic status (SES) is known to reduce reward sensitivity and associated high-risk behaviors, less is known about the differential effects of SES on reward sensitivity. It is plausible to expect weaker protective effects of family SES on reward sensitivity in racial minorities, a pattern called Minorities’ Diminished Returns (MDRs). Aim: We compared Caucasian and African American (AA) children for the effects of subjective family SES on children’s fun-seeking. Methods: This was a cross-sectional analysis of 7061 children from the Adolescent Brain Cognitive Development (ABCD) study. The independent variable was subjective family SES. The main outcome was children’s fun-seeking measured by the behavioral approach system (BAS) and behavioral avoidance system (BIS). Age, gender, marital status, and household size were the covariates. Results: In the overall sample, high subjective family SES was associated with lower levels of fun-seeking. We also found a statistically significant interaction between race and subjective family SES on children’s fun-seeking in the overall sample, suggesting that high subjective family SES is associated with a weaker effect on reducing fun-seeking among AA than Caucasian children. In race-stratified models, high subjective family SES was protective against fun-seeking of Caucasian but not AA children. Conclusion: Subjective family SES reduces the fun-seeking for Caucasian but not AA children.


1988 ◽  
Vol 12 (4) ◽  
pp. 461-472 ◽  
Author(s):  
Jeanne Parr Lemkau

The literature is summarized on normative reactions to abortion and factors that increase risk of negative emotional sequelae. Four areas of inquiry for identifying psychotherapeutic issues in regard to abortion are elaborated, including: (a) characteristics of the woman prior to and at the time of the abortion, (b) the nature of social support and the cultural milieu around the abortion, (c) characteristics of the medical environment and abortion procedure, and (d) events subsequent to the abortion which may have aroused post-decisional conflict. The implications of the research literature for psychotherapeutic treatment of women who have had abortions are discussed.


Author(s):  
Anne Marie McAlinden

This essay examines the use of restorative justice in sexual offending. Restorative forms of intervention have been used in cases of violent or sexual offending, from first-time and ‘acquaintance’ rape as well as young sexual abusers to high-risk sexual offenders in the form of circles of support and accountability. Such schemes are often presented as a counter to the failings of retributive forms of justice and are premised on Braithwaite’s notion of ‘reintegrative shaming’ that seeks to reintegrate offenders into the community. The essay sets out and seeks to counter arguments against using restorative justice for sex crimes. For the most part, restorative justice has not reached its potential as a full-fledged sentencing rationale and has not been used in more serious cases. The essay examines barriers to restorative justice in contemporary penal policy and highlights some of its controversial applications, including those related to clergy sexual abuse.


2019 ◽  
Vol 19 (2) ◽  
pp. 171-184
Author(s):  
Carollyne Youssef

Purpose While most studies utilise quantitative methodologies to examine issues relevant to sexual offending behaviour, such as treatment programmes and risk assessments; substantially fewer studies have utilised qualitative methods, and specifically Layder’s Adaptive Theory (AT) as a methodology; and there is a paucity of research examining community maintenance programmes altogether. The purpose of this paper is to report on the use of AT to the understanding of the significance of community maintenance programmes for high-risk sexual offenders. Design/methodology/approach Using AT as a unique framework, this study examined an Australian sample of services providers and high-risk sexual offenders participating in a community maintenance programme. In particular, the current research aimed to develop an understanding of community maintenance programmes for released sexual offenders, in a bid to develop a theoretical framework for these programmes. The research had three subject groups, service providers, programme participants who had not reoffended and programme participants who had sexually reoffended. Findings It appears that this methodology is a useful approach to studies within forensic rehabilitation and offender research. Common, reoccurring themes have been gathered through this approach, which would not have been possible with a quantitative methodology. Research limitations/implications While this research methodology was applied to a small sample size, its use suggested that AT was an informative and useful research approach to utilise in offender research more broadly, yielding rich in-depth information. Practical implications Utilising AT provided an in-depth understanding and exploration of experiences for offender populations as well as staff delivering programmes, which enhances the efficacy of programmes delivered by incorporating “user feedback” and allows programme developers to utilise such feedback to improve programmes. An AT approach to offender rehabilitation has been useful in providing exploratory information in the absence of any conceptual or theoretical frameworks and with a very little extant information. Given maintenance programmes are quite understudied, this approach allowed for common themes to emerge in order to guide future research as well as the development of a paradigm. It is worth considering the utility of this methodology for a variety of forensic research, particularly areas which remain understudied. Social implications Sexual offending behaviour is a significant societal concern. A better understanding of what makes programmes more effective for those who use them and run them, will assist in reducing recidivism, which will benefit the community at large. Originality/value Layder’s AT has not been used with an offender population in the past, and specifically within the sexual offending realm, thus this paper offers a unique and effective approach to offender research.


2019 ◽  
Vol 4 (1) ◽  
pp. 67 ◽  
Author(s):  
Tatiana Josefina Cedeño Barberán ◽  
Herman Sánchez Arnulfo Cevallos Sánchez

En el presente artículo se pretende compartir algunas experiencias de educación familiar y su importancia en el tratamiento clínico con el propósito de reestablecer las áreas psicológicas y sociales en personas con consumo problemático de alcohol y otras drogas. El estudio se realizó en el centro de especialidad de tratamiento de consumo problemático de alcohol y otras drogas (CETAD), en la Provincia de Manabí, Ecuador. Se asumieron 10 estudios de casos de pacientes en edades de 18 a 25 años, tomando indicadores de medición cualitativa en el análisis comparativo. Se acredita como resultado, la recuperación psico-afectiva de valoración personal y familiar con la incorporación de los participantes a la sociedad y al campo laboral. Se concluye que es de suma importancia la voluntad propia del paciente en tomar el programa para su recuperación, así como la participación familiar como elemento sustantivo que componen las áreas de análisis para su abordaje. PALABRAS CLAVE: Abordaje familiar; abordaje psicodinámico; abordaje cognitivo; abordaje conductual. FAMILY EDUCATION IN THE TREATMENT OF CASES OF ADDICTIONS TO ALCOHOL AND OTHER DRUGS ABSTRACT             In this article, we intend to share some experiences of family education and its importance in clinical treatment with the purpose of reestablishing psychological and social areas in people with problematic alcohol and other drug use. The study was carried out in the specialty center of treatment of problematic consumption of alcohol and other drugs (CETAD), in the Province of Manabí, Ecuador. We assumed 10 case studies of patients aged 18 to 25 years, taking indicators of qualitative measurement in the comparative analysis. It is credited as a result, the psycho-affective recovery of personal and family valuation with the incorporation of the participants to the society and to the labor field. It is concluded that it is very important the patient's own will to take the program for recovery, as well as family participation as a substantive element that make up the areas of analysis for its approach. KEYWORDS: Family approach; psychodynamic approach; cognitive approach; behavioral approach.


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Fatemeh Abdollahi ◽  
Prof. Mahmood S. Khan

The purpose of this research was to examine the research literature on role of Mindfulness-Based Cognitive Therapy in alleviating psychological distress among cancer patients. World Health Organization and medical experts have expressed alarm about constantly the growing problem of cancer patients in the world. The researcher emphasize that the diagnosis of cancer not only has obvious physical ramifications for the patient, but also the trauma of a diagnosis produces psychological problem such as somewhat hardly manageable distress as well, and in the face of psychological stressors that negatively impact the patient’s overall quality of life. The present study examined the results of various studies, for identifying the potential efficacy of MBCT as it could be applied to patients with cancer which presents psychological distress. Research on Mindfulness-Based Cognitive Therapy has supported the safety and effectiveness of this approach might be used with distress associated problems among cancer patients also other studies obtained results signified the effectiveness of this therapy while dealing with cancer patients showed significant impact in alleviating different type of problems associated with this disease. It suggests need for a comprehensive solution that combines medical, psychological, social and behavioral approach to this complex problem in initiating the distress of cancer patients.


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