Sexual Violence
von: Bill Holcomb
Hogrefe Publishing, 2010
ISBN: 9781616763336
Sprache: Englisch
102 Seiten, Download: 736 KB
Format: PDF, auch als Online-Lesen
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| Acknowledgments | 6 | ||
| Dedication | 6 | ||
| Table of Contents | 8 | ||
| 1 Description of the Problem | 10 | ||
| 1.1 Definition | 11 | ||
| 1.2 Epidemiology | 12 | ||
| 1.3 Effects of Sexual Violence on Victims | 13 | ||
| 1.4 Sexual Coercion in the Community | 14 | ||
| 1.5 Course and Prognosis of Sexual Violence | 17 | ||
| 1.5.1 Differences Between Sexually Violent Persons | 17 | ||
| 2 Theoretical Models to Explain Sexual Violence | 19 | ||
| 2.1 Hierarchical-Mediational Confluence Model (HMC) | 19 | ||
| 2.2 A Comprehensive Model of Prediction | 20 | ||
| 2.3 An Integrated Theory of Sexual Offending | 20 | ||
| 2.4 A Theory of Interacting Proximal and Distal Predictive Factors | 21 | ||
| 2.5 Facilitators of Sexual Violence | 22 | ||
| 2.5.1 Pornography and Sexual Violence | 23 | ||
| 2.5.2 Alcohol Use and Sexual Violence | 25 | ||
| 2.6 The Influence of Early Childhood Abuse and/or Neglect | 30 | ||
| 2.7 Prevention | 30 | ||
| 3 Diagnosis | 33 | ||
| 3.1 Differential Diagnosis | 33 | ||
| 3.1.1 Unreliability of Paraphilia Diagnoses | 33 | ||
| 3.1.2 Problems with DSM IV-TR Criteria of Paraphilia | 34 | ||
| 3.1.3 Significant Problems with the Diagnosis of Sadism | 35 | ||
| 3.2 Co-Morbidity and Co-Occurring Diagnoses | 37 | ||
| 3.3 Sexual Coercion and Hypersexuality | 39 | ||
| 3.3.1 Sexual Coercion and Sex Hormones | 40 | ||
| 3.4 Assessment Strategies | 40 | ||
| 3.4.1 Psychosocial Evaluation | 40 | ||
| 3.4.2 Psychometric Testing | 41 | ||
| 3.4.3 Risk Assessment | 42 | ||
| 3.4.4 Assessment of Sexual Fantasies | 43 | ||
| 3.4.5 Polygraph and Viewing Time Procedures | 44 | ||
| 4 Treatment | 46 | ||
| 4.1 Does Treatment Work? | 46 | ||
| 4.2 Reformulated Relapse Prevention | 50 | ||
| 4.3 Different Pathways and Different Treatments | 51 | ||
| 4.4 A Treatment Program That Does Work | 52 | ||
| 4.5 Important Therapist Skills | 52 | ||
| 4.5.1 Empathy | 53 | ||
| 4.5.2 Genuineness | 55 | ||
| 4.5.3 Warmth | 55 | ||
| 4.5.4 Acceptance | 55 | ||
| 4.5.5 Confidence | 56 | ||
| 4.5.6 Supportiveness | 56 | ||
| 4.5.7 Emotional Expressivity | 56 | ||
| 4.5.8 Self-Disclosure | 56 | ||
| 4.5.9 Open-Ended Questions | 57 | ||
| 4.5.10 Flexibility of Style | 57 | ||
| 4.5.11 Positive Attitudes | 57 | ||
| 4.5.12 Rewarding | 58 | ||
| 4.5.13 Humor | 58 | ||
| 4.6 Support Versus Confrontation Versus Collusion | 58 | ||
| 4.7 Motivational Interviewing | 60 | ||
| 4.8 Schema Therapy and Cognitive Distortions | 63 | ||
| 4.9 Targets of Treatment | 66 | ||
| 4.9.1 Self-Esteem | 66 | ||
| 4.9.2 Acceptance of Responsibility | 67 | ||
| 4.9.3 Pathways to Offending | 68 | ||
| 4.9.4 Victim Empathy | 69 | ||
| 4.9.5 Social Skills | 70 | ||
| 4.9.6 Healthy Attachment | 70 | ||
| 4.9.7 Emotional Regulation | 71 | ||
| 4.9.8 Deviant Sexual Fantasies | 72 | ||
| 4.9.9 Self-Management Plans | 76 | ||
| 4.10 A Special Population—Individuals with Developmental Disabilities | 78 | ||
| 4.11 Best Practices in Treatment of Sexually Violent Persons | 80 | ||
| 4.12 Cultural Considerations in Sex Offender Treatment | 81 | ||
| 4.13 Summary and Conclusions | 83 | ||
| 5 Case Vignettes | 85 | ||
| Case #1 (Joe) | 85 | ||
| Case #2 (John) | 86 | ||
| Case #3 (MM) | 86 | ||
| Case #4 (JC) | 87 | ||
| 6 Further Reading | 89 | ||
| 7 References | 90 |
