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Annals of sex research

, Volume 5, Issue 1, pp 5–31 | Cite as

Long-term treatment of sexual behavior problems in adolescent and adult developmentally disabled persons

  • Charles A. Lund
Article

Abstract

Sixteen developmentally disabled males with serious sexual behavior problems received combinations of individual counseling, social skills training, sex education, house programs, and individualized sexual behavior management programs. Outcome was evaluated using a variety of outcome criteria related to transfer to less restrictive settings, reduction in targeted behaviors, and changes in level of independent functioning and need for supervision. Treatment and follow-up covered periods as long as five years. Outcome was not systematically related to specific treatment components or the total number of components. Those with the more favorable outcome functioned at higher levels intellectually, were older at admission, had fewer collateral behavior problems, and received services related to sexual behavior more rapidly following admission. The results support the utility of multicomponent behavioral treatment for these problems with this population. More systematic studies of treatment outcome are discussed.

Keywords

Sexual Behavior Behavior Problem Social Skill Skill Training Behavior Management 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Abramson, P.R., Parker, T., & Weisberg, S.R. (1988). Sexual expression of mentally retarded people: Educational and legal implications.American Journal on Mental Retardation, 93, 328–334.Google Scholar
  2. Anant, S.S. (1968). Verbal aversion therapy with a promiscuous girl: Case report.Psychological Reports, 22, 795–796.Google Scholar
  3. Azrin, N.H., & Holz, W.C. (1966). Punishment. In W.K. Honig (Ed.)Operant behavior: Areas of research and application (pp. 380–447). New York: Appleton-Century-Crofts.Google Scholar
  4. Barbaree, H.E., & Marshall, W.L. (1990). Outcome of comprehensive cognitive-behavioral treatment program. In W.L. Marshall, D.R. Laws, & H.E. Barbaree (Eds.),Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 363–385). New York: Plenum Press.Google Scholar
  5. Barmann, B.C., & Murray, W.J. (1981). Suppression of inappropriate sexual behavior by facial screening.Behavior Therapy, 12, 730–735.Google Scholar
  6. Cook, J.W., Altman, K., Shaw, J., & Blaylock, M. (1978). Use of contingent lemon juice to eliminate public masturbation by a severely retarded boy.Behaviour Research and Therapy, 16, 131–134.Google Scholar
  7. Dial, K.B. (1968). A report of group work to increase social skills of females in a vocational rehabilitation program.Mental Retardation, 6, 11–14.Google Scholar
  8. Edmonson, B., & Wish, J. (1975). Sex knowledge and attitudes of moderately retarded males.American Journal of Mental Deficiency, 80, 172–179.Google Scholar
  9. Edmonson, B., McCombs, K., & Wish, J. (1979). What retarded adults believe about sex.American Journal of Mental Deficiency, 84, 11–18.Google Scholar
  10. Fookes, B.H. (1960). Some experiences in the use of aversion therapy in male homosexuality, exhibitionism, and fetishism-transvestism.British Journal of Psychiatry, 115, 339–341.Google Scholar
  11. Foxx, R.M., Bittle, R.G., Bechtel, D.R., & Livesay, J.R. (1986). Behavioral treatment of sexually deviant behavior of mentally retarded individuals.International Review of Research in Mental Retardation, 14, 291–317.Google Scholar
  12. Furby, L., Weinrott, M.R., & Blackshaw, L. (1989). Sex offender recidivism: A review.Psychological Bulletin, 105, 3–30.Google Scholar
  13. Griffiths, D.M., Quinsey, V.L., & Hingsburger, D. (1989).Changing inappropriate sexual behavior. New York: Paul H. Brookes.Google Scholar
  14. Goldstein, A.P., Sprafkin, R.P., Gershaw, N.J., & Klein, P. (1980).Skillstreaming the adolescent: A structured learning approach to teaching prosocial behavior. Champaign, IL: Research Press.Google Scholar
  15. Haaven, J., Little, R., & Petre-Miller, D. (1990).Treating intellectually disabled sex offenders: A model residential program. Orwell, VT: Safer Society Press.Google Scholar
  16. Hall, J.E., Morris, H.L., & Barker, H.R. (1973). Sexual knowledge and attitudes of mentally retarded adolescents.American Journal of Mental Deficiency, 77, 706–709.Google Scholar
  17. Kempton, W., Hanson, G., & Adams, B. (1978).Sexuality and the mentally handicapped (Slide presentations and teacher's guide). Santa Monica, CA: Stanfield Film Associates.Google Scholar
  18. Kendall, P.C., & Braswell, L. (1985).Cognitive-behavioral therapy for impulsive children. New York: Guilford Press.Google Scholar
  19. Kolvin, I. (1967). "Aversive imagery" treatment in adolescents.Behavior Therapy, 9, 912–922.Google Scholar
  20. LaVingna, G.W., & Donnellan, A. (1986).Alternatives to punishment: Solving behavior problems with non-aversive strategies. New York: Irington.Google Scholar
  21. Luiselli, J.K., Belfen, C.S., Pemberton, B.W., & Reisman, J. (1977). The elimination of a child's in-class masturbation by overcorrection and reinforcement.Journal of Behavior Therapy and Experimental Psychiatry, 8, 201–204.Google Scholar
  22. Lutzker, J.R. (1974). Social reinforcement control of exhibitionism in a profoundly retarded adult.Mental Retardation, 12, 46–47.Google Scholar
  23. Marshall, W.L., & Barbaree, H.E. (1988). The long-term evaluation of a behavioral treatment program for child molesters.Behaviour Research and Therapy, 26, 499–511.Google Scholar
  24. Mitchell, L., Doctor, R.M., & Butler, D.C. (1978). Attitudes of caretakers toward the sexual behavior of mentally retarded persons.American Journal of Mental Deficiency, 83, 289–296.Google Scholar
  25. Mulhern, T.J. (1975). Survey of reported sexual behavior and policies characterizing residential facilities for retarded citizens.American Journal of Mental Deficiency, 79, 670–673.Google Scholar
  26. Murphy, W.D., Coleman, E.M., & Abel, G.G. (1983a). Human sexuality in the mentally retarded. In J.L. Matson & F. Andrasik (Eds.),Treatment issues and innovations in mental retardation (pp. 581–644). New York: Plenum.Google Scholar
  27. Murphy, W.D., Coleman, E.M., & Haynes, M.R. (1983b). Treatment and evaluation issues with the mentally retarded sex offender. In J. Greer & I. Stuart (Eds.),The sexual aggressor: Current perspectives on treatment (pp. 22–41). New York: Van Nostrand Reinhold.Google Scholar
  28. Myers, B. (1991). Treatment of sexual offenses by persons with developmental disabilities.American Journal on Mental Retardation, 95, 563–569.Google Scholar
  29. Polvinale, R.A., & Lutzker, J.R. (1980). Elimination of assaultive and inappropriate sexual behavior by reinforcement and social-restitution.Mental Retardation, 18, 361–367.Google Scholar
  30. Rice, M.E., Quinsey, V.L., & Harris, G.T. (1991). Sexual recidivism among child molesters released from a maximum sexurity psychiatric institution.Journal of Consulting and Clinical Psychology, 59, 381–386.Google Scholar
  31. Rivenq, B. (1974). Behavioral therapy of phobias: A case with gynecomastia and mental retatdation.Mental Retardation, 12, 44–45.Google Scholar
  32. Rosenthal, T.L. (1973). Response-contingent versus fixed punishment in aversion conditioning of pedophilia: A case study.Journal of Nervous and Mental Disease, 156, 440–443.Google Scholar
  33. Shaw, W.J., & Walker, C.E. (1979). Use of relaxation in the short-term treatment of fetishistic behavior: An exploratory case study.Journal of Pediatric Psychology, 4, 403–407.Google Scholar
  34. Sidman, M. (1989).Coercion and its fallout. Boston: Authors Cooperative, Inc.Google Scholar
  35. Wong, S.E., Gaydos, G.R., & Fuqua, R.W. (1982). Operant control of pedophilia: Reducing approaches to children.Behavior Modification, 6, 73–84.Google Scholar

Copyright information

© Juniper Press 1988

Authors and Affiliations

  • Charles A. Lund
    • 1
  1. 1.Private PracticeSeattle

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