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COUNSELING ADULT SEX OFFENDERS: UNIQUE CHALLENGES AND TREATMENT PROGRAMS

NCJ Number
145430
Journal
Journal of Counseling and Development Volume: 71 Issue: 1 Dated: (September/October 1992) Pages: 27-32
Author(s)
R Priest; A Smith
Date Published
1992
Length
6 pages
Annotation
The number of reported cases of child sexual victimization is increasing, and major concerns of counselors in treating both victims and offenders focus on the emotional and psychological well-being of victims.
Abstract
Pedophiles are generally attracted to children in a particular age range; those attracted to girls usually prefer 8- to 10-year olds, whereas those attracted to boys usually prefer slightly older children. The specific etiology of pedophilia is unknown, but research suggests that pedophiles have certain characteristics in common. Many experienced or observed deviant sexual behavior at an early age. Treatment issues for fixated or regressed pedophiles present unique challenges for counselors. Prior to engaging such clients, counselors should examine their willingness to treat such clients, personal biases that might negatively affect treatment, and whether they believe treatment is an appropriate response to the problem. Further, counselors should consider removing the client from an environment with access to children and should be aware of the client confidentiality issue. When treating pedophiles, two of the more controversial but apparently effective tools available to counselors are the polygraph and the plethysmograph. Behavioral counseling, also essential to reduce the client's deviant arousal patterns, can involve covert sensitization, role playing, modified aversive behavioral rehearsal, and cognitive restructuring. In addition, group counseling may be necessary to eliminate client rationalization and minimization. Counseling adults who have a history of sexual interaction with children requires specialized training. 48 references

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