Sexual Violence

von: Bill Holcomb

Hogrefe Publishing, 2010

ISBN: 9781616763336 , 102 Seiten

Format: PDF, OL

Kopierschutz: Wasserzeichen

Windows PC,Mac OSX Apple iPad, Android Tablet PC's Online-Lesen für: Windows PC,Mac OSX,Linux

Preis: 21,99 EUR

Mehr zum Inhalt

Sexual Violence


 

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