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Sex Offender Treatment: A Case Study Approach to Issues and Interventions

Daniel T. Wilcox (Editor), Tanya Garrett (Editor), Leigh Harkins (Editor)
ISBN: 978-1-118-67441-3
424 pages
November 2014, Wiley-Blackwell
Sex Offender Treatment: A Case Study Approach to Issues and Interventions (1118674413) cover image


Sex Offender Treatment is an innovative case study-based guide to the treatment of sexual offenders, offering direct access to the insights and experience of experts in the field. The book describes case formulations, assessment processes, and treatment undertaken with specific sexual offender types.

  • Takes an innovative case study approach to sexual offender assessment and treatment, sharing practical insights and real-world experience in a challenging field
  • Coverage is organized by key offender populations and includes bipolar offenders, child sexual abusers, Internet offenders, psychopathic offenders, personality disordered offenders and female offenders
  • This distinctive approach aids trainee and novice workers to recognise key treatment issues, and plan and implement courses of therapeutic engagement and intervention to improve offender self-control
  • Contributors include Bill Marshall, Leam Craig, Phil Rich, Bill Lindsay and Tony Ward
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Table of Contents

About the Editors ix

About the Contributors x

Foreword xviii

Preface xxi

Part I Overview 1

1 The Continuing Need for Individualized Interventions with Sex Offenders 3
Daniel T. Wilcox, Tanya Garrett, and Leigh Harkins

Part II Context Issues 9

2 Motivation, Compassion, and Self-care in the Treatment of Sexual Offenders 11
David S. Prescott

3 Ethical Issues in the Treatment of Sex Offenders: Addressing the Dual Relationship Problem 27
Tony Ward

4 Standard Sex Offender Assessment, Supervision, and Group Treatment 45
Rosie Gray and Daniel T. Wilcox

Part III Offender Issues 63

5 Treating Child Sex Abusers: A Person-Centered Approach 65
Geraldine Akerman, Leam A. Craig, and Anthony R. Beech

6 Treatment of Men Who Have Sexually Abused Adults 85
Theresa A. Gannon

7 The Role of Case Studies in Work with Sexually Abusive Adolescents 105
Phil Rich

8 Intervention Issues with a Sex Offender with Intellectual Disability 125
William R. Lindsay and Amanda M. Michie

9 Working with Non-Contact (Offline) Sexual Offenders 143
Karen Thorne

10 Interventions with an Internet Sexual Offender 163
Ethel Quayle and Elizabeth Hayes

11 Women Who Sexually Offend: A Case Study 181
Dawn Pflugradt and Franca Cortoni

12 Working with a Sexual Offender with Bipolar Disorder 199
Tanya Garrett

13 Treating Professionals Who Are Sexually Involved with Their Clients 222
Funmilayo Rachal, Gene G. Abel, and Tanya Garrett

14 Working with Zoosexual Offenders (Addressing High Levels of Deviance) 242
Daniel T. Wilcox, Caroline M. Foss, and Marguerite L. Donathy

15 Psychopathy and Sexual Offending 267
Caroline Logan and Julie Hird

16 Assessment and Treatment When Sex Is Attached to a Killing: A Case Study 286
Adam J. Carter and Clive R. Hollin

Part IV Specialized Interventions 305

17 Addressing Denial 307
Jayson Ware and Leigh Harkins

18 Changing Deviant Sexual Interests: Masturbatory Reconditioning with a Child Molester 327
William L. Marshall

19 Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality 342
Belinda Winder, Rebecca Lievesley, Helen Jane Elliott, Christine Norman, and Adarsh Kaul

Part V Future Practice 371

20 Conclusions: Reflections and Formulations 373
Leigh Harkins, Tanya Garrett, and Daniel T. Wilcox

Index 382

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Author Information

Daniel T. Wilcox is Managing Director of Wilcox Psychological Associates, a private clinical and forensic psychology practice.  He is a registered clinical and forensic psychologist, and honorary research fellow and lecturer at the University of Birmingham, Centre for Forensic and Criminological Psychology.  He is Editor of The Use of the Polygraph in Assessing, Treating and Supervising Sexual Offenders (Wiley, 2009).

Tanya Garrett is a registered clinical and forensic psychologist in private practice and an honorary senior lecturer at the University of Birmingham Centre for Forensic and Criminological Psychology. Tanya’s published research relates to sexual violations in therapy and clinical psychology training, ethical issues in therapy, and sexual offender treatment and evaluation.

Leigh Harkins is an assistant professor in the Faculty of Social Science and Humanities, University of Ontario Institute of Technology, Canada. She has experience working in treatment groups for sexual offenders, completing psychological assessments in prisons and community criminal justice settings in Canada and the UK. Leigh's published research focuses on sexual aggression, offender rehabilitation, and multiple perpetrator offending.

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The students and new practitioners I supervise consistently tell me that the greatest benefits come from direct observation of client interactions with myself or other experienced clinicians.  This book is like providing readers with a window into the therapy rooms of the best clinicians in the business.  It makes the research both accessible and practical, but more importantly real for front line service providers.  Clinicians both new and experienced will benefit from a peek into the treatment secrets of this group of experts.—Dr. Yolanda Fernandez, Chief Institutional Mental Health Services, Kingston Penitentiary, Canada

I would say his books/papers demonstrate that he has made an outstanding contribution in the forensic and clinical fields of psychology. In fact his latest edited book: Sex Offender Treatment: A Case Study Approach to Issues and Interventions (Wiley) is destined to be a classic in the field.—Anthony Beech, DPhil, FBPsS, Chartered Psychologist, University of Birmingham

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