Abstract
This paper describes an approach to treatment for sexual offenders who are in categorical denial. Other efforts to have them, at least partially, admit responsibility had failed and they were to be released from prison without any treatment. Evidence that suggests denial is not predictive of risk and that treatment may reduce the risk of these offenders is reviewed. Essentially, this paper offers a possible approach to dealing with these intractable deniers which, it is suggested, is better than not trying to modify their risk, and that may prove to be effective
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REFERENCES
Andrews, D. A., Zinger, I., Hoge, R. D., Bonta, J., Gendreau, P., & Cullen, F.T. (1990). Does correctional treatment work? A clinically-relevant and psychologically-informed meta-analysis. Criminology, 28: 369-404.
Beckett, R. C., Beech, R. R. Fisher, D., & Fordham, A. S. (1994). Community-based treatment for sex offenders: An evaluation of seven treatment programmes. Home Office Occassional Report. London: Home Office.
Barbaree, H. E. (1991). Denial and minimization among sex offenders: Assessment and treatment outcome. Forum on Corrections Research, 3, 30-33.
Barbaree, H. E., & Cortoni, F. (1993). Treatment of the juvenile sex offender within the criminal justice and mental health systems. In H. E. Barbaree, W. L. Marshall, & S.M. Hudson (Eds.), The juvenile sex offender (pp. 243-263). New York: Guilford Press.
Brake, S. C., & Shannon, D. (1997). Using pretreatment to increase admission in sex offenders. In B. K. Schwartz & H. R. Cellini (Eds.), The sex offender: New insights. Treatment innovations and legal developments (Vol. 11, pp. 5.1-5.16). Kingston, NJ: Civic Research Institute.
Barnard, G. W., Fuller, A. K., Robbins, L., & Shaw, T. (1989). The child molester: An integrated approach to evaluation and treatment. New York: Brunner/Mazel.
Bradford, J. M.W., & Greenberg, D. M. (1998). Treatment of adult male sexual offenders in a psychiatric setting: Sexual Behaviours Clinic, Royal Ottawa Hospital. In W. L. Marshall, Y. M. Fernandez, S. M. Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 247-256). New York: Plenum Press.
Cortoni, F. (1998). The relationship between attachment syles, coping, the use of sex as a coping strategy, and juvenile sexual history in sexual offenders. Unpublished doctoral dissertation, Queen's University, Kingston, Ontario, Canada.
Cortoni, F., Heil, P., & Marshall, W. L. (1996, November). Sex as a coping mechanism and its relationship to loneliness and intimacy deficits in sexual offenders. Paper presented at the 15th Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abusers, Chicago.
Cortoni, F., & Marshall, W. L. (1995, October). Childhood attachments, juvenile sexual history and adult coping skills in sex offenders. Paper presented at the 14th Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abusers, New Orleans.
Cortoni, F., & Marshall, W. L. (1996, August). Juvenile sexual history, sex and coping strategies: A comparison of sexual and violent offenders. Paper presented at the International Congress of Psychology, Montreal.
Cortoni, F., & Marshall, W. L. (in press). Sex as a coping strategy and its relationship to juvenile sexual history and intimacy in sexual offenders. Sexual Abuse: A Journal of Research and Treatment.
Endler, N. S., & Parker, J. D. A. (1990). Multidimensional assessment of coping. A critical evaluation. Journal of Personality and Social Psychology, 58, 844-854.
Fernandez, Y. M., Anderson, D., & Marshall, W. L. (1999). The relationship among empathy, cognitive distortions, and self-esteem in sexual offenders. In B. K. Schwartz (Ed.), The sex offender: Theoretical advances, treating special populations and legal developments (Vol. 111, pp. 4.1-4.18). Kingston, NJ: Civic Research Institute.
Gordon, A., & Hover, G. (1998). The Twin Rivers Sex Offender Treatment Program. In W. L. Marshall, Y. M. Fernandez, S. M. Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 3-15). New York: Plenum Press.
Green, P., & Franklin, B. (1999). The sex offender, the polygraph, and community correction. In B. K. Schwartz & H. R. Cellini (Eds.), The sex offender: Theoretical advances, treating special populations and legal developments (Vol. 11, pp. 13.1-13.10). Kingston, NJ: Civic Research Institute.
Grubin, D., & Thornton, D. (1994). A national program for the assessment and treatment of sex offenders in the English prison system. Criminal Justice and Behavior, 21, 55-71.
Hanson, R. K., Harris, A., Gordon, A., Marques, J., Murphy, W., Quinsey, V., & Seto, M. (1999, September). ATSA collaborative data base of sex offender treatment outcome. Paper presented at the 18th Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abuses, Lake Buena Vista, FL.
Hanson, R. K., & Bussière, M. T. (1998). Predicting relapse: A meta-analysis of sexual offender recidivism studies. Journal of Consulting and Clinical Psychology, 66, 348-362.
Happel, R. M., & Auffrey, J. J. (1995). Sex offender assessment: Interrupting the dance of denial. American Journal of Forensic Psychology, 13, 5-22.
Hudson, S. M., Wales, D. S., & Ward, T. (1998). Kia Marama: A treatment program for child molesters in NewZealand. In W. L. Marshall, Y. M. Fernandez, S. M., Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 17-28). New York: Plenum Press.
Kennedy, H. G., & Grubin, D. H. (1992). Patterns of denial in sex offenders. Psychological Medicine, 22, 191-196.
Lombardo, R., & DiGiorgio-Miller, J. (1988). Concepts and techniques in working with juvenile sex offenders. Journal of Offender Counseling, Services and Rehabilitation, 13, 39-53.
Looman, J. (1999). Mood, conflict, and deviant sexual fantasies. In B. K. Schwartz (Ed.), The sex offender: Theoretical advances, treating special populations and legal developments (Vol. III, pp. 3.1-3.11). Kingston, NJ: Civic Research Institute.
Lord, A., Scholfield, C., & Willmot, P. (1996, September). “How I gave up denial and learned to love treatment.”Working with sex offenders who deny their offending. Paper presented at the NOTA Conference, Chester, England.
Maletzky, B. M. (1991). Treating the sexual offender. Newbury Park, CA: Sage Publications.
Maletzky, B. M., & Steinhauser, C. (1998). The portland sexual abuse clinic. In W. L. Marshall, Y. M. Fernandez, S. M. Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 105-116).
Mann, R. E., & Thornton, D. (1998). The evolution of a multisite sexual offender treatment program. In W. L. Marshall, Y. M. Fernandez, S. M. Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 47-57). New York: Plenum Press.
Marshall, W. L. (1994). Treatment effects on denial and minimization in incarcerated sex offenders. Behaviour Research and Therapy, 32, 559-564.
Marshall, W. L., Anderson, D., Champagne, F. (1996). Self-esteem and its relationship to sexual offending. Psychology, Crime & Law, 3, 81-106.
Marshall, W. L., Anderson, D., & Fernandez, Y. M. (1997). The role of self-esteem enhancement in the treatment of sexual offenders. In J. Dunovsky, P. Weiss, & O. Trojan (Eds.), Child sexual abuse and sexual violence (pp. 112-117). Prague: Ministervo Pr<ce a Sociolnich V□ci.
Marshall, W. L., Anderson, D., & Fernandez, Y. M. (1999). Cognitive behavioural treatment of sexual offenders. London: John Wiley & Sons.
Marshall, W. L., Bryce, P. Hudson, S. M., Ward, T., & Moth, B. (1996). The enhancement of victim empathy among incarcerated child molesters. Legal and Criminological Psychology, 1, 95-102.
Marshall, W. L., Champagne, F., Sturgeon, C., & Bryce, P. (1997). Increasing the self-esteem of child molesters. Sexual Abuse: A Journal of Research and Treatment, 9, 321-333.
Marshall, W. L., Serran, G. A., & Cortoni, F. A. (2000). Childhood attachments, sexual abuse, and their relationship to adult coping in child molesters. Sexual Abuse: A Journal of Research and Treatment, 12, 17-26.
McKibben, A., Proulx, J., & Lusignan, R. (1994). Relationships between conflict, affect and deviant sexual behaviors in rapists and pedophiles. Behaviour Research and Therapy, 32, 571-575.
Northey, W. F. (1999). The politics of denial—A postmodern critique. In B. K. Schwarz (Ed.), The sex offender: Theoretical advances, treating special populations and legal developments (Vol, 111, pp. 32.1-32.9). Kingston, NJ: Civic Research Institute.
O'Donohue, W., & Letorneau, E. (1993). A brief group treatment for the modification of denial in child sexual abusers: Outcome and follow-up. Child Abuse & Neglect, 17, 299-304.
Pithers, W. D., Beal, L. S., Armstong, J., & Petty, J. (1989). Identification of risk factors through clinical interviews and analysis of records. In D. R. Laws (Ed.), Relapse prevention with sex offenders (pp. 77-87). New York: Guilford Press.
Proulx, J., McKibben, A., & Lusignan R. (1996). Relationships between affective components and sexual behaviors in sexual aggressors. Sexual Abuse: A Journal of Research and Treatment, 8, 279-289.
Salter, A. (1988). Treating child sex offenders and victims: A practical guide. Newbury Park, CA: Sage Publications.
Salter, A. (1998, October). Deception and denial in sex offenders. Paper presented at the 17th Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abusers, Vancouver.
Schlank, A. M., & Shaw, T. (1997). Treating sexual offenders who deny—Areview. In B. K. Schwartz & H. R. Cellini (Eds.), The sex offender: New insights, treatment innovations and legal developments (Vol, 11, pp. 6.1-6.7). Kingston, NJ: Civic Research Institute.
Simourd, D. J. & Marcolm, P. B. (1998). Reliability and validity of the Level of Service Inventory with incarcerated sexual offenders. Journal of Interpersonal Violence, 13, 23-28.
Winn, M. (1996). The strategic and systemic management of denial in the cognitive/behavioral treatment of sexual offenders. Sexual Abuse: A Journal of Research and Treatment, 8, 25-36.
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Marshall, W.L., Thornton, D., Marshall, L.E. et al. Treatment of Sexual Offenders Who Are in Categorical Denial: A Pilot Project. Sex Abuse 13, 205–215 (2001). https://doi.org/10.1023/A:1009540301151
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DOI: https://doi.org/10.1023/A:1009540301151