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Fantasie wordt werkelijkheid.

Behandeling van afwijkende seksuele fantasieën bij zedendelinquenten

  • Published:
Tijdschrift voor Psychotherapie

Abstract

Maar doodslaan deed hij niet, want tussen droom en daadstaan wetten in de weg en praktische bezwaren,en ook weemoedigheid, die niemand kan verklaren en die des avonds komt, wanneer men slapen gaat... (Uit: ‘Het Huwelijk’, Willem Elsschot)

Dit artikel beschrijft de behandeling van verkrachtingsfantasieën van een zedendelinquent. Afwijkende seksuele fantasieën kunnen bij zedendelinquenten worden beschouwd als impliciete planning naar een delict. Daders van seksueel misbruik blijken een negatief zelfbeeld te hebben en een disfunctionele vorm van zelfregulatie. Interpersoonlijke conflicten en een negatieve stemming blijken tot meer afwijkende fantasieën te leiden. In zo’n fantasie kunnen seksuele delinquenten tijdelijk de controle herwinnen, wat meestal gepaard gaat met machtsmisbruik. Het doel van de therapie is zelfmanagement. In eerste instantie leert de cliënt verantwoordelijkheid te nemen voor zijn gedrag en controle te krijgen over zijn afwijkende fantasie. Dit gebeurt door contraconditionering, de gedachtestop en inwendige sensitisatie. In een latere fase worden ook zijn zelfvertrouwen en copingvaardigheden verder ontwikkeld, zodat hij niet meer terug hoeft te vallen in disfunctionele coping in de vorm van afwijkende seksuele fantasieën.

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Notes

  1. Een UCS/UCR-representatie is een geheugenstructuur waarin kennis is gecodeerd over een bepaalde betekenisvolle gebeurtenis (de kerngebeurtenis) of meerdere betekenisvolle gebeurtenissen met eenzelfde thema (het kernthema) (Korrelboom & Kernkamp, 1993).

Literatuur

  • Abel, G. (2001). Sexual compulsivity, sexual addiction and the internet. Paper presented at ATSA 20 th Annual Research and Treatment Conference: Building safe and healthy communities, November 7-10, San Antonio, Texas.

  • Alexander, M.A. (1999). Sexual offender treatment efficacy. Sexual Abuse: A Journal of Research and Treatment, 11, 101-116.

    Article  CAS  Google Scholar 

  • Anderson, C.A. (1983). Imagination and expectation: the effect of imagining behavioral scripts on personal intentions. Journal of Personality and Social Psychology, 45, 293-305.

    Article  Google Scholar 

  • Arntz, A., & Bögels, S. (2000). Schemagerichte cognitieve therapie voor persoonlijkheidsstoornissen. Houten/Diegem: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Averill, J.R. (1973). Personal control over aversive stimuli and its relationship to stress. Psychological Bulletin, 80, 286-303.

    Article  Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84,191-215.

    Article  CAS  PubMed  Google Scholar 

  • Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44, 1175-1184.

    Article  CAS  PubMed  Google Scholar 

  • Baumeister, R.F., & Heatherton, T.F. (1996). Self-regulation failure: an overview. Psychological Inquiry, 7, 1-15.

    Article  Google Scholar 

  • Beck, A.T., Freeman, A., & Associates (1990). Cognitive therapy for personality disorders. New York: Guilford Press.

    Google Scholar 

  • Beek, D.J. van (1999). De delictscenarioprocedure bij seksueel agressieve delinquenten. Een onderzoek naar de bruikbaarheid van de delictscenarioprocedure in de behandeling van seksueel agressieve delinquenten in de Dr. Henri van der Hoeven Kliniek. Gouda: Quint.

    Google Scholar 

  • Bulten, B.H., Zwemstra, J.C., & Pulles, M.J.A. (2001). Behandeling in detentie ter vermindering van recidive. Maandblad Geestelijke volksgezondheid, 56, 300-314.

    Google Scholar 

  • Campbell, J.D., & Lavellee, L.F. (1993). Who am I? The role of self-concept confusion in understanding the behavior of people. In D.R. Laws, S.M. Hudson en T. Ward (Eds.), Remaking relapse prevention with sex offenders. A sourcebook (pp. 79-101). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Carver. C.S., & Scheier, M.F. (1981). Attention and self-regulation: A control theory approach to human behavior. New York: Springer-Verlag.

    Google Scholar 

  • Cladder, J.M. (1990). Hypnose als hulpmiddel bij psychotherapie. Lisse: Swets & Zeitlinger.

    Google Scholar 

  • Crepault, C., & Couture, M. (1980). Men’s erotic fantasies. Archives of Sexual Behavior, 9, 565-581.

    Article  CAS  PubMed  Google Scholar 

  • Frenken, J. (1997). Plegers van seksueel misbruik van kinderen. Verscheidenheid, achtergronden en behandeling. Maandblad Geestelijke volksgezondheid, 52, 1094-1108.

    Google Scholar 

  • Frenken, J. (1999). Behandeling van seksuele delinquenten in Europa. Maandblad Geestelijke volksgezondheid, 54, 1011-1025.

    Google Scholar 

  • Harter, S. (1993). Causes and consequences of low self-esteem in children and adolescents. In R.F. Baumeister (Ed.), Self-esteem, the puzzle of low self-regard. New York: Plenum Press.

    Google Scholar 

  • Heatherton, T.F., & Ambady, N. (1993). Self-esteem, self-prediction, and living up to commitments. In R.F. Baumeister (Ed.) Self-esteem, the puzzle of low self-regard. New York: Plenum Press.

    Google Scholar 

  • Hucker, S.J. (1999). Biomedical aspects of sexual offending. Paper presented at ATSA 18 thAnnual Research and Treatment Conference: Reflections on lessons from the past, directions for the future, September 22-25, Lake Buena Vista, Florida.

  • Janssen, J.H.L.J. (2000). Laat maar zitten. Een exploratief onderzoek naar de werking van vrijheidsstraf (dissertatie RU Groningen). Den Haag: Den Boom Juridische Uitgevers.

    Google Scholar 

  • Kaplan, H.S. (1983). Disorders of sexual desire. New York: Simon & Schuster,

    Google Scholar 

  • Korrelboom, C.W., & Kernkamp, H.B. (1993 ). Gedragstherapie. Muiderberg: Coutinho.

    Google Scholar 

  • Korrelboom, K., & Ten Broeke, E. (1998). Trauma, geheugen en contraconditionering van de UCS-representatie. Directieve Therapie, 18, 217-235.

    Article  Google Scholar 

  • Letourneau, E.J., & Clark, B. (1999). Examining the relationship between deviant fantasy and sexual offenses against adult females using grounded theory. Paper presented at ATSA 18 th Annual Research and Treatment Conference: Reflections on lessons from the past, directions for the future, September 22-25, Lake Buena Vista, Florida.

  • Lucks, B.D. (2001). Electronic crime, stalkers, and stalking: Relentless pursuit, harassment, and terror online in cyberspace. In J.A. Davis (Ed.), Stalking crimes and victim protection. Prevention, intervention, threat assessment, and case management (pp. 161-204). Washington DC: CRC Press.

    Google Scholar 

  • Marlatt, G.A. (2000). Foreword. In D.R. Laws, S.M. Hudson en T. Ward (Eds.), Remaking relapse prevention with sex offenders. A source book (pp. IX-XIV). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Marshall, W.L., & Barbaree, H.E. (1990). An integrated theory of the etiology of sexual offending. In W.L. Marshall, D.R. Laws en H.E. Barbaree (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 257-275). New York: Plenum.

    Google Scholar 

  • Marshall, W.L., Barbaree, H.E., & Eccles, A. (1991). Early onset and deviant sexuality in child molesters. Journal of Interpersonal Violence, 6, 323-336.

    Article  Google Scholar 

  • Marshall, W.L. (1996). The sexual offender: Monster, victim or everyman? Sexual Abuse: A Journal of Research and Treatment, 8, 317-335.

    Google Scholar 

  • Marshall, W.L., Anderson, D., & Fernandez, Y. (1999). Cognitive behavioural treatment of sexual offenders. Chichester: John Wiley & Sons.

    Google Scholar 

  • Marshall, W.L. (1999). Current status of North American assessment and treatment programs for sexual offenders. Journal of Interpersonal Violence, 14, 221-239.

    Article  Google Scholar 

  • Marques, J.K., Alarcon, C.N.J., & Day, D.M. (2000). Preventing relapse in sex offenders. What we learn from SOTEP’s experimental treatment program. In D.R. Laws, S.M. Hudson en T. Ward (Eds.), Remaking relapse prevention with sex offenders. A source book (pp. 321-340). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Maruna, S.(2001). Making good. How ex-convicts reform and rebuild their lives. Washington DC: American Psychological Association.

    Book  Google Scholar 

  • McGuire, R.J. Carlisle, J.M., & Young, B.G. (1965). Sexual deviations as conditioned behaviour: A hypothesis. Behavior, Research and Therapy, 2, 185-190.

    Article  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Orlemans, J.W.G., Eelen, P., & Hermans, D. (1995). Inleiding tot de gedragstherapie.Houten/Diegem: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Person, E.T. (1995). By force of fantasy. How we make our lives. New York: Basic Books, Harper Collins Publishers.

    Google Scholar 

  • Pithers, W.D. (1990). Relapse prevention with sexual aggressors: A method for maintaining therapeutic gain and enhancing external supervision. In W.L. Marshall, D.R. Laws en H.E. Barbaree (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 343-361). New York: Plenum.

    Google Scholar 

  • Pithers, W.D., Kashima, K., Cumming, C.F., Beal, L.S., & Buell, M. (1988). Relapse prevention of sexual aggression. In. R. Prentky en V. Quinsey (Eds.), Annals of the New York Academy of Sciences (pp. 244-260). New York: New York Academy of Sciences.

    Google Scholar 

  • Prentky, R.A., Burgess, A.W., Rokous, F., Lee, A., Hartman, C., Ressler, R., & Douglas, J., (1989). The presumptive role of fantasy in sexual homocide. American Journal of Psychiatry, 146, 887-891.

    CAS  PubMed  Google Scholar 

  • Proulx, J., McKibben, A., & Lusignan, R. (1996). Relationships between affective component and sexual behaviors in sexual aggressors. Sexual Abuse: A Journal of Research and Treatment, 8, 279-289.

    Google Scholar 

  • Scheier, M.F., & Carver, C.S. (1988). A model of behavioral self-regulation: Translating intention into action. Advances in Experimental Social Psychology, 21, 303-346.

    Article  Google Scholar 

  • Schlesinger, L.B., & Revitch, E. (1983). Sexual dynamics of antisocial behavior. Springfield, Illinois: Charles C. Thomas.

    Google Scholar 

  • Swaffer, T., Hollin, C., Beech, A., Beckett, R., & Fisher, D. (2000). An exploration of child sexual abusers’ sexual fantasies before and after treatment. Sexual Abuse: A Journal of Research and Treatment, 12, 61-68.

    Article  CAS  Google Scholar 

  • Taylor, S.E., & Pham, L.B. (1996). Mental simulation, motivation, and action. In P.M. Gollwitzer en J.A. Bargh (Eds.), The psychology of action: Linking cognition and motivation to behavior (pp. 219-235). New York: Guilford Press.

    Google Scholar 

  • Ward, T., Hudson, S.M., & Marshall, W.L. (1995). Cognitive distortions and affective deficits in sex offenders: A cognitive deconstructionist interpretation. Sexual Abuse: A Journal of Research and Treatment, 7, 67-83.

    Google Scholar 

  • Ward, T., & Hudson, S.M. (1998). A model of the relapse process in sexual offenders. Journal of Interpersonal Violence, 13, 700-725.

    Article  Google Scholar 

  • Ward, T., & Hudson, S.M. (2000a). Sexual offenders’ implicit planning: a conceptual model. Sexual Abuse: A Journal of Research and Treatment, 12, 189-202.

    Article  CAS  Google Scholar 

  • Ward, T., & Hudson, S.M. (2000b). A self-regulation model of relapse-prevention. In D.R. Laws, S.M. Hudson en T. Ward (Eds.), Remaking relapse prevention with sex offenders. A source book (pp. 79-101). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Young, J.E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, Florida: Professional Resource Exchange. [Tweede druk, 1994].

    Google Scholar 

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    Jacqueline Janssen

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  1. Jacqueline Janssen
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Correspondence to Jacqueline Janssen.

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Jacqueline M.E.P. Janssen is als psycholoog-psychotherapeut werkzaam bij de Pompestichting - Kairos.

Correspondentieadres: Weg door Jonckerbos 55, 6532 CN Nijmegen.

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Janssen, J. Fantasie wordt werkelijkheid.. PSIE 28, 83–93 (2002). https://doi.org/10.1007/BF03061965

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