Factors associated with success and failure in the behavioral and cognitive treatment of sexual offenders

B. Maletzky
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引用次数: 79

Abstract

A retrospective review of 4381 heterosexual and homosexual pedophiles treated in a community-based program produced preliminary evidence of factors associated with success or failure in treatment. Records of these offenders revealed a number of factors of importance in predicting treatment outcome, including victim and offender characteristics, offending behavior characteristics, and penile plethysmographic findings of deviant and normal sexual arousal. Results indicated that success in treatment was often associated with a minimum number of victims, familiarity and cohabitation with victims, an absence of force or threats employed in the crimes, admission of some responsibility for the offending incidents, and a stable history of employment and relationships with others. Plethysmograph findings confirmed the general impression that low pre-treatment deviant arousal was correlated with improvement. Surprisingly, duration and frequency of offending behaviors were not consistent predictors of treatment response. Limitations of the present study are noted and caution is advised in accepting these findings until corroborated by controlled research.
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在性犯罪者的行为和认知治疗中与成功和失败相关的因素
一项对4381名在一个社区项目中接受治疗的异性恋和同性恋恋童癖者的回顾性研究,提供了与治疗成功或失败相关的因素的初步证据。这些罪犯的记录揭示了一些预测治疗结果的重要因素,包括受害者和罪犯的特征,犯罪行为特征,以及异常和正常性唤起的阴茎体积特征。结果表明,治疗的成功往往与受害者人数最少、与受害者熟悉并同居、犯罪中没有使用武力或威胁、承认对犯罪事件负有一定责任、有稳定的就业历史和与他人的关系有关。容积脉搏波检查结果证实了治疗前低异常唤醒与改善相关的一般印象。令人惊讶的是,犯罪行为的持续时间和频率并不是治疗反应的一致预测因素。注意到本研究的局限性,并建议在接受这些发现时谨慎,直到得到对照研究的证实。
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