Abstract
In recent years there have been a variety of approaches to the treatment of sexual perversions. Generally, these approaches can be divided into five main categories: psychodynamic, cognitive-behavioral, relapse prevention, organic, and family systems. The psychodynamic and cognitive-behavioral orientations have largely dominated treatment, inasmuch as both of these approaches purport to treat the full spectrum of paraphiliac disorders. Relapse prevention techniques, which are being used increasingly in specialized treatment programs for sex offenders, can be initiated at the very onset of the treatment encounter.1 The organic and family systems approaches are somewhat delimited in that each of these perspectives treats a narrower range of deviant sexual disorders. For example, the organic approach, which until recently was confined to the administration of medroxyprogesterone acetate (MPA, Depo-Provera),2 is used for the seriously acting out and potentially dangerous patient for whom immediate control measures are indicated. The family systems approach has been mostly limited to the advanced stages of the treatment of some incest cases (intrafamilial pedophilia).3
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Laws DR, ed. Relapse Prevention with Sex Offenders. New York, NY: The Guilford Press; 1989.
Berlin FS, Meinecke CF. Treatment of sex offenders with antiandrogenic medication: conceptualization, review of treatment modalities, and preliminary findings. Am J Psychiatry. 1981;138:601–607.
Herman J. Recognition and treatment of incestuous families. In: Barnard CP, ed. Families, Incest, and Therapy. International Journal of Family Therapy. 1983; Vol 5. No 2. 81–91.
Marshall WL, Eccles A. Issues in clinical practice with sex offenders. J Interpersonal Violence. 1991;6:68–93.
Protter B, Travin S. Sexual fantasies in the treatment of paraphiliac disorders: a bimodal approach. Psychiatr Q. 1985;58:270–297.
Burzecki M, Wormith JS. A survey of treatment programs for sex offenders in North America. Canad Psych. 1987;28:30–44.
Freud S. Three essays on the theory of sexuality. In: Strachey J, ed. Standard Edition. Vol 7. London, England: Hogarth Press; 1905; 125–243.
Sachs H, Goldberg RB, trans. On the genesis of perversions. Psychoanal Q. 1986;LV:477–488.
Glover E. The relation of perversion formation to the development of reality sense. Int J Psycho anal. 1933;14:486–504.
Bak R. Aggression and perversion. In: Lorand S, Balint M, eds. Perversions: Psycho-dynamics and Therapy. New York, NY: Random House; 1956.
Gillespie WH. The general theory of sexual perversion. Int J Psychoanal. 1956;37:396–403.
Greenberg J, Mitchell S. Object Relations in Psychoanalysis. Cambridge, Mass: Harvard University Press; 1987.
Mitchell SA. Relational Concepts in Psychoanalysis: An Integration. Cambridge, Mass: Harvard University Press; 1988.
Gabbard GO. Psychodynamic Psychiatry in Clinical Practice. Washington, DC: American Psychiatric Press Inc; 1990.
Kernberg O. Borderline Conditions and Pathological Narcissism. New York, NY: Jason Aronson Inc; 1975.
Kernberg O. Severe Personality Disorders: Psychotherapeutic Strategies. New Haven, Conn: Yale University Press; 1984.
Kohut H. The Analysis of the Self. New York, NY: International Universities Press; 1971.
Kohut H. The Restoration of the Self. New York, NY: International Universities Press; 1977.
Levenson E. The Ambiguity of Change. New York, NY: Basic Books; 1983.
Mitchell SA. Object relations theories and the developmental tilt. Contemp Psycho-anal. 1984;20:473–499.
Yalom ID. The Theory and Practice of Group Psychotherapy. 2nd ed. New York, NY: Basic Books Inc; 1975.
Knopp FH. Retraining Adult Sex Offenders: Methods and Models. Syracuse, NY: Safer Society Press; 1984.
Gold SA, Neufeld IL. A learning approach to the treatment of homosexuality. Behav Res Ther. 1965;3:201–204.
Cautela JR. Covert sensitization. Psychol Rec. 1967;20:459–468.
Marshall WL. Satiation therapy: a procedure for reducing deviant sexual arousal. J App Behav Anal. 1979;12:10–22.
Davis M, Eshelman ER, McKay M. The Relaxation & Stress Reduction Workbook. 3rd ed. Oakland, Calif: New Harbinger Publications Inc; 1988.
Marshall WL, McKnight RD. An integrated treatment program for sexual offenders. Canad Psychiatr Assoc J. 1975;20:133–138.
Whitman WP, Quinsey VL. Heterosocial skills training for institutionalized rapists and child molesters. Canad J Behav Sci. 1981;13:105–114.
McKay M, Davis M, Fanning P. Messages: The Communication Skills Book. Oakland, Calif: New Harbinger Publications Inc; 1983.
George WH, Marlatt GA. Introduction. In: Laws RD, ed. Relapse Prevention with Sex Offenders. New York, NY: The Guilford Press; 1989:1–31.
Bradford JMW. Organic treatments for the male sexual offender. Behav Sci Law. 1985;3:355–375.
Kafka MP. Successful antidepressant treatment of nonparaphilic sexual addictions and paraphilias in men. J Clin Psychiatry. 1991;52:60–65.
Heim N, Jursch CJ. Castration for sex offenders: treatment or punishment? A review and critique of recent European literature. Arch Sex Behav. 1979;8:281–304.
Rieber I, Sigusch V. Psychosurgery on sex offenders and sexual deviants in West Germany. Arch Sex Behav. 1979;8:523–527.
Schmidt G, Schorsch E. Psychosurgery of sexually deviant patients: review and analysis of new empirical findings. Arch Sex Behav. 1981;10:301–323.
Money J. The therapeutic use of androgen-depleting hormone. In: Resnick HLP, Wolfgang ME, eds. Treatment of the Sex Offender. International Psychiatry Clinics. Vol 8. No 4. Boston, Md: Little Brown & Co; 1972; 165–174.
Berlin FS, Meinecke CF. Treatment of sex offenders with antiandrogenic medication: conceptualization review of treatment modalities, and preliminary findings. Am J Psychiatry. 1981;138:601–607.
Reposa RF, Zuelzer MB. Family therapy with incest. In: Barnard CP, ed. Families, Incest, and Therapy. A Special Issue of International Journal of Family Therapy. Vol 5. No 2; Summer, 1983.
Herman J. Recognition and treatment of incestuous families. In: Barnard CP, ed. Families, Incest, and Therapy. A Special Issue of International Journal of Family Therapy. Vol 5. No 2; Summer, 1983.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer Science+Business Media New York
About this chapter
Cite this chapter
Travin, S., Protter, B. (1993). The Treatment of Sexual Perversion. In: Sexual Perversion. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1233-6_9
Download citation
DOI: https://doi.org/10.1007/978-1-4899-1233-6_9
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-1235-0
Online ISBN: 978-1-4899-1233-6
eBook Packages: Springer Book Archive