Therapists’ perceptions of the therapeutic alliance in “Mandatory” therapy with sex offenders

ABSTRACT

Research suggests that the therapeutic alliance (TA) plays an important part in successful therapy. The pantheoretical concept of the alliance (Bordin, 1979) assumes a client seeks to make a change and joins the therapist in a willing journey. However, treatment with sex offenders can entail various levels of coercion. Little is known about the process of the TA in therapy with sex offenders whose therapy could be seen as coerced or mandated. Thus, the aim of this research was to explore therapists’ perceptions of the TA with sex offenders whose therapy could be seen as “mandated” because it was part of their plan for release/rehabilitation. Eleven therapists were interviewed about their experiences and a qualitative thematic analysis elicited five themes: dynamics of forced work, explicit terms of working, persuasive encouragement to engage, connecting with the human element and preservation and protection. Implications for practice are discussed alongside recommendations for future research.     

Incorporating trauma-informed care into evidence-based sex offender treatment

Abstract

As we move forward in the field of sex offender treatment, clinicians should consider incorporating principles of trauma-informed care (TIC) into evidence-based sex offender treatment models. Early adverse experiences are prevalent in the general population and more so in criminal and sex offender populations. Early trauma paves the way for maladaptive coping and interpersonal deficits, which can lead to abusive behaviour. Content-oriented sex offender treatment models emphasising cognitive-behavioural skills should integrate process-oriented components that address the ways in which early trauma shapes adult cognitions and behaviour. Relational approaches to therapy can enhance clients' interpersonal skills and improve general well-being. This type of personal growth would be expected to mitigate future offending as the client adopts and successfully practices healthier, non-destructive strategies for meeting emotional needs.     

Treated sex offenders as “paraprofessional” co-workers in the treatment of the sex offender

This paper will briefly review the utilization of the paraprofessional in a community-based sex offender treatment programme in Merseyside, UK. The paraprofessionals are treated paedophiles in the role of treatment co-facilitators. Further thoughts on the role dynamic, training issues and supervision are discussed. This is an example of service-user involvement in practice.     

The internet and offending behaviour: A case study

Abstract

Summary: The COPINE Project at the Department of Applied Psychology, seeks to address children's vulnerability in relation to the Internet and child pornography. As part of the project, offenders convicted of downloading such images have been interviewed. This paper considers existing models of offender behaviour alongside literature relating to Internet use. A single case study is used to illustrate a process-focused model of offending, using interview material to demonstrate how the offender represented and accounted for his behaviour. The offender in question had no history of engaging in sexual behaviour with actual children, but his case illustrated many of the stages described by offenders in their involvement with pornography, including: setting events, engagement, collecting behaviour, and the emergence of relationships.     

Current cognitive distortion theory and research: An internalist approach to cognition

Abstract

This review examines contemporary cognitive distortion theory and research relating to sexual offenders. In particular, this review highlights that researchers—to date—have tended to adopt an internalist approach to sexual offenders’ cognition which views offence-supportive cognitive activity as occurring solely within the mind. This review indicates that literature and research examining sexual offenders’ cognitions has benefited a great deal from adopting internalist approaches to cognition. From this review of the literature, implications are presented for how such knowledge may be used in practical applications with sexual offenders (i.e. a collaborative enquiry of sexual offenders’ cognition). Suggestions are also made for how researchers and professionals may be able to extend the meaning of cognition for sexual offenders, and expand upon our current internalist approaches to sexual offenders’ cognition.     

Evaluation of the assessment and treatment of a child sex offender: A case study

Abstract

There is indisputable necessity for engaging child sex offenders in effective therapy to reduce recidivist rates. However, it is becoming increasingly recognised that, to do this, more contemporary psychological methods of treatment are being utilised instead of, or as well as, imprisonment.

To establish what constitutes effective therapy requires the constant search for new and successful treatments. To achieve this, it is advantageous to follow preexisting successful methods of treatment but to acknowledge that therapy must be adapted according to an individual's unique presenting difficulties and therapeutic needs.

This paper details assessment techniques, evaluation of psychological dysfunctions, the therapy plan and treatment outcome of a convicted child sex offender. Specifically, Mr X's background history, psychological dysfunctions and progress, using a functional analysis approach, are examined in detail with critical review of the therapeutic intervention.     

Just trust me and you’ll make a fortune – relationships between offenders and victims of human trafficking

ABSTRACT

Despite the increasing amount of research on human trafficking, certain aspects of the phenomenon have remained less studied. For many years, research had focused on trafficking for sexual exploitation and men-exploiting-women cases. Recently, the body of literature has become more diverse, and different forms of trafficking have been recognised. However, the trafficking research has largely ignored the notion of intersectionality, although intersectionality has been applied in several studies, for example, on domestic violence. This article deals with the relationships between offenders and trafficked persons. The study asks what is the nature of the relationships between them. Furthermore, the intersectional approach is applied to analyse what factors make trafficked persons prone to exploitation and, on the other hand, keep them in the exploitative situation. The study also focuses on the power relations between the parties involved. The data consists of trafficking in human beings court judgments from the Finnish courts. The intersectional analysis focuses particularly on the close reading of two cases. The analysis shows that many intersecting factors are linked to the victimisation of trafficked persons. Furthermore, the exploitative relationships between offenders and trafficked persons display many features of unequal distribution of power.     

非资本型行业的概念、定位及其特征的研究

该文在对解决家庭服务业发展问题的理论探索中,提出了行业的资本性质概念;选择生活质量、资源、资本、劳动和社会制度五个参数,建立行业经济的数学模型;通过对行业模型进行演绎、对行业经济要素进行拆分,完成了非资本型行业的定位及其特征的研究。     

The paraphilia-related disorders: an investigation of the relevance of the concept in sexual murderers

Paraphilic disorders (PAs) and sexual preoccupation are known risk factors for recidivism in sexual offenders. Nonparaphilic sexual excessive behaviors-so-called paraphilia-related disorders (PRDs), like paraphilias, are also characterized by sexual preoccupation and volitional impairment and can be diagnosed in paraphilic men. The prevalence and clinical significance of PRDs in sexual homicide perpetrators, however, is unknown. We investigated the relationship between PAs and PRDs retrospectively in a sample of 161 sexual murderers. Four groups were compared: men without a PA or a PRD diagnosis, men with at least one PRD but no PA, men with at least one PA but no PRD, and finally, those with a combination of both (PA+PRD). The PA+PRD group had the most lifetime cumulative sexual impulsivity disorders, more developmental problems, the highest persistent frequency of sexual activity, the highest number of previous sexual offences, more sexual sadism, and compulsive masturbation. Men of the PRD subsample had suffered more from childhood sexual abuse, showed more promiscuity, psychopathy, and alcohol problems. The use of the PRD concept in this special offender group should be further investigated with prospectively designed studies.