Sexual Violence

This book presents both a compact summary of the voluminous research on sexual violence and a practical, evidence-based "how-to" treatment guide for mental health practitioners working in clinics and institutions that treat men who are sexually coercive and violent toward others. Those needing intervention may be college students, individuals seeking outpatient help, family batterers, or those who sexually abuse women and children. They may have been arrested for sex crimes or be incarcerated or on probation in sex offender treatment program, though most will never have been arrested. This clearly written and well-structured resource will help clinicians deal with all. The book first reviews research on the prevalence of sexually abusive behavior, along with diagnostic issues, assessment strategies, and risk assessment approaches, and then presents current integrated theories on the causes of sexually violent behavior. The primary focus, however, is the specific emotional and behavioral targets of treatment and the therapist skills and strategies that are effective in reducing sexual victimization. Cultural factors that influence treatment are identified and effective prevention programs for sexual violence are also described and evaluated.

Inhalt

1 Description of the Problem
1.1 Definition
1.2 Epidemiology
1.3 Effects of Sexual Violence on Victims
1.4 Sexual Coercion in the Community
1.5 Course and Prognosis of Sexual Violence
2 Theoretical Models to Explain Sexual Violence
2.1 Hierarchical-Mediational Confluence Model (HMC)
2.2 A Comprehensive Model of Prediction
2.3 An Integrated Theory of Sexual Offending
2.4 A Theory of Interacting Proximal and Distal Predictive Factors
2.5 Facilitators of Sexual Violence
2.6 The Influence of Early Childhood Abuse and/or Neglect
2.7 Prevention
3 Diagnosis
3.1 Differential Diagnosis
3.2 Co-Morbidity and Co-Occurring Diagnoses
3.3 Sexual Coercion and Hypersexuality
3.4 Assessment Strategies
4 Treatment
4.1 Does Treatment Work?
4.2 Reformulated Relapse Prevention
4.3 Different Pathways and Different Treatments
4.4 A Treatment Program That Does Work
4.5 Important Therapist Skills
4.6 Support Versus Confrontation Versus Collusion
4.7 Motivational Interviewing
4.8 Schema Therapy and Cognitive Distortions
4.9 Targets of Treatment
4.10 A Special Population - Individuals with Developmental Disabilities
4.11 Best Practices in Treatment of Sexually Violent Persons
4.12 Cultural Considerations in Sex Offender Treatment
4.13 Summary and Conclusions
5 Case Vignettes
6 Further Reading
7 References