scholarly journals EMDR With Sex Offenders: Using Offense Drivers to Guide Conceptualization and Treatment

2016 ◽  
Vol 10 (2) ◽  
pp. 104-118 ◽  
Author(s):  
Ronald J. Ricci ◽  
Cheryl A. Clayton
Keyword(s):  
Sex Offenders ◽  
Sexual Offenders ◽  
Sex Offender ◽  
Traumatic Experiences ◽  
Information Processing Model ◽  
Childhood Experiences ◽  
Offending Behavior ◽  
Adverse Childhood ◽  
Adaptive Information Processing ◽  
Emdr Therapy

Evidence shows that sexual offenders have higher levels of adverse childhood experiences (ACE) than either the general population or other criminal populations. Historically, it was considered standard practice for sex offender therapists to dissuade their clients from addressing childhood trauma or adversity for fear of excuse making for his offending. The pathways model, which highlights etiology, made room for trauma treatment for offender’s ACE as a legitimate treatment intervention. The adaptive information processing model inherent in eye movement desensitization and reprocessing (EMDR) trauma therapy is theorized to reorganize the maladaptively stored clustering of cognitions and emotions related to overwhelming or traumatic experiences such as childhood sexual abuse. We suggest EMDR therapy as a means of restructuring distorted implicit cognitions and personal vulnerability factors which are theorized to drive offending behavior. Through a comprehensive literature review, the authors considered 5 extant models in the sex offender literature and developed the offense drivers model. This model is designed to guide and inform EMDR therapy with sex offenders. A case example illustrates the implementation of this treatment process. A checklist of offense drivers is provided to assist in case conceptualization and treatment.

Sexual Offenders With Intellectual Disabilities: An Exploratory Comparison Study in an Incarcerated U.S. Sample

2021 ◽  
pp. 0306624X2110668
Author(s):  
Perry A. Callahan ◽  
Elizabeth L. Jeglic ◽  
Cynthia Calkins
Keyword(s):  
Intellectual Disabilities ◽  
Sexual Offenders ◽  
Adverse Childhood Experiences ◽  
Comparison Study ◽  
Childhood Experiences ◽  
Sexual Offenses ◽  
Offending Behavior ◽  
Adverse Childhood ◽  
The U.S ◽  
Individuals With Intellectual Disabilities

Research indicates that individuals with intellectual disabilities (ID) are overrepresented among sexual offenders, and that those with ID might differ from those without ID in terms of the etiology of offending behavior. Despite this, few studies have explored ID using incarcerated U.S. samples. The present study sought to identify relevant characteristics of this population by comparing individuals with and without ID who are incarcerated in the U.S. for sexual offenses. Archival records for 3,066 participants were used to determine demographic, historical, and offense-related characteristics. Participants with ID, including those with borderline ID, comprised 19.1% of the sample and displayed elevated rates of adverse childhood experiences and psychopathology. Contrary to previous research, participants with ID were no more likely to offend against children than those without ID. These findings help to elucidate the etiology of offending behavior among those with ID and inform on potential targets for intervention.

Working alongside people with intellectual disabilities who have had difficult experiences: Reflections on trauma-informed care within a service context

2021 ◽  
pp. 174462952098771
Author(s):  
Elisabeth Goad
Keyword(s):  
Intellectual Disabilities ◽  
Systems Approach ◽  
Traumatic Experiences ◽  
Childhood Experiences ◽  
Trauma Informed Care ◽  
Adverse Childhood ◽  
Conference Presentations ◽  
Trauma Informed ◽  
People With Intellectual Disabilities ◽  
Whole Systems

People with intellectual disabilities are more likely to experience adverse childhood experiences than those in the general population. Additionally, the conceptualization of ‘trauma’ is far broader than traditionally understood in order to encompass the far reaching relational nature of people with intellectual disabilities traumatic experiences. This reflective account details the first steps one service took to embrace trauma-informed care as a whole systems approach. The paper is a response to calls following conference presentations about our work, to share the process of the beginning of this journey, it also aims to provide key learning points, practical considerations and questions for reflection in order to support other services to begin their own relationships with trauma-informed care.

Sex Offender Registration: Implications and Difficulties for Ireland

2000 ◽  
Vol 10 (1) ◽  
pp. 75-102 ◽  
Author(s):  
Anne-Marie McAlinden
Keyword(s):  
Sex Offenders ◽  
Sexual Offenders ◽  
Sex Offender ◽  
Sexual Offending ◽  
Social Constructionist ◽  
Sex Offender Registration ◽  
Socially Constructed ◽  
Justice Process ◽  
Criminal Justice Process ◽  
The Media

This paper explores the implications and difficulties of a system of sex offender registration for the two jurisdictions of Ireland. From the orthodox perspective, registration appears justified. Sexual offending has increase and this is used by the media to generate a ‘moral panic’. However, in terms of Blumer's (1971) developmental perspective, sexual offenders in the community have been socially constructed in Ireland, as a problem requiring specific action. This perspective most adequately explains the formulation of legislation. Arguments expounded in favour of registration include the supposedly high recidivism among sex offenders, the inadequacy of supervision provisions and the resulting need to ‘track’ the offender for public protection. Yet a plethora of obstacles which were not considered at the time the legislation was being formulated, such as cost and inadequate policing resources, may impede its effectiveness in aiding law enforcement and reduce it to symbolic significance only. Given these difficulties, I argue that registration is not an appropriate response to the problem of released sexual offenders in Ireland. Rather, from the social constructionist perspective, I suggest that it is better to ‘treat’ the sex offender through less formal and stringent means in the community, away from the criminal justice process.

The Use of Leuprolide Acetate in the Management of High-Risk Sex Offenders

Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 930-951 ◽  
Author(s):  
Alessandra Gallo ◽  
Jeffrey Abracen ◽  
Jan Looman ◽  
Elizabeth Jeglic ◽  
Robert Dickey
Keyword(s):  
Sex Offenders ◽  
Sexual Offenders ◽  
Sex Offender ◽  
Behavioral Therapy ◽  
A Priori ◽  
Dependent Measure ◽  
Leuprolide Acetate ◽  
Offender Treatment ◽  
Term Outcome ◽  
Long Term Outcome

The present study investigates whether leuprolide acetate (Lupron) adds to the efficacy of traditional sex offender treatment. A group of sex offenders receiving both Lupron and cognitive behavioral therapy (CBT; n = 25) were compared with a group of sex offenders receiving only CBT ( n = 22). Treated subjects were compared with norms available with reference to the Static-99R, as well as compared with a sample of untreated, nonsexual violent offenders ( n = 81), to provide baseline data regarding risk of violent recidivism. Results indicated that subjects receiving Lupron were at significantly higher risk of recidivism and significantly more likely to be diagnosed with a paraphilia than subjects receiving only CBT, a priori. Both treated groups of sexual offenders recidivated at substantially lower rates than predicted by the Static-99R. Currently, this study represents the only, long-term outcome study on Lupron administration using officially recorded recidivism as the primary dependent measure.

Adverse Childhood Experiences and Traumatic Stress Disorders

2021 ◽  
Author(s):  
Damion J. Grasso
Keyword(s):  
Adverse Childhood Experiences ◽  
Research Priorities ◽  
Stress Disorders ◽  
Traumatic Experiences ◽  
School Age Children ◽  
Future Research ◽  
Risk And Resilience ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Adolescents And Adults

Adverse childhood experiences (ACEs) refer to a broad range of events that can reflect physical or psychological threats to safety, as well as deprivation of basic needs, essential resources, or caregiving necessary for children to thrive and attain healthy development. ACEs can constitute potentially traumatic experiences or nontraumatic adversities with the potential to exacerbate trauma-related impairment or compromise trauma recovery and resilience. This chapter explores ACEs in the context of trauma and trauma-related impairment across the life span. It covers research employing variable- and person-centered analytic strategies for quantifying cumulative and unique constellations of ACEs that probabilistically co-occur, contemporaneously or across development, to influence risk and resilience. Studies examining intergenerational patterns and biological correlates are introduced and progress toward delineating causal risk mechanisms discussed. In addition, several existing tools and methods for assessing ACEs in young and school-age children, adolescents, and adults are summarized. Clinical and public health implications of ACE screening in healthcare, schools, and other settings are considered, as is the clinical application of research on ACEs in trauma-specific prevention and treatment. The chapter concludes with a focus on future research priorities.

Fear and loathing in the community: sexual offenders and desistance in a climate of risk and ‘extreme othering’

2016 ◽  
Author(s):  
Jacky Burrows
Keyword(s):  
Social Networks ◽  
Sex Offenders ◽  
Sexual Offenders ◽  
Sex Offender ◽  
The Public ◽  
Large Numbers ◽  
Master Status ◽  
The Media ◽  
The Government ◽  
Mainstream Society

This chapter focuses attention on sex offenders who, perhaps more than any other 'type' of offender, have been systematically vilified, demonised, and ostracised from mainstream society. The author argues that, for once, the public, the media, the government, and – worryingly – large numbers of professionals seem to be in agreement that such 'othering' is entirely right and proper in what are seen to be the larger interests of public protection. The author explores the implications of this deeply entrenched culture for ‘would-be desisters’ and suggests ways forward that offer individuals opportunities to uncouple from the ‘master status’ of sex offender and to build positive social networks.

The Impact of Interpersonal Style on Ruptures and Repairs in the Therapeutic Alliance Between Offenders and Therapists in Sex Offender Treatment

Sexual Abuse ◽  
2015 ◽  
Vol 29 (7) ◽  
pp. 709-728 ◽  
Author(s):  
Rachael Watson ◽  
Stuart Thomas ◽  
Michael Daffern
Keyword(s):  
Sex Offenders ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Sexual Offenders ◽  
Group Treatment ◽  
Sex Offender ◽  
Psychological Treatment ◽  
Offender Treatment ◽  
Interpersonal Style ◽  
The Impact

The therapeutic relationship is a critical component of psychological treatment. Strain can occur in the relationship, particularly when working with offenders, and more specifically, those offenders with interpersonal difficulties; strain can lead to a rupture, which may affect treatment participation and performance. This study examined ruptures in the therapeutic relationship in sexual offenders participating in offense-focused group treatment. Fifty-four sex offenders rated the therapeutic alliance at the commencement and completion of treatment; at the completion of treatment, they also reported on the occurrence of ruptures and whether they believed these ruptures were repaired. Ruptures were separated by type, according to severity—Each relationship was therefore characterized as experiencing no rupture, a minor rupture, or a major rupture. Offender characteristics including interpersonal style (IPS) and psychopathy were assessed at the commencement of treatment; their relationship with ruptures was examined. Results revealed that more than half of the offenders (approximately 55%) experienced a rupture in the therapeutic alliance, with one in four of these ruptures remaining unresolved. Offenders who did not report a rupture rated the therapeutic alliance significantly higher at the end of treatment compared with those offenders who reported a rupture that was not repaired. Offenders who reported a major rupture in the therapeutic relationship were higher in interpersonal hostility and hostile-dominance. No interpersonal or offense-specific factors affected the likelihood of a rupture repair.

EMDR Case Formulation Tool

2019 ◽  
Vol 13 (3) ◽  
pp. 221-231
Author(s):  
Ines Santos
Keyword(s):  
Information Processing ◽  
Clinical Applications ◽  
Traumatic Experiences ◽  
Case Formulation ◽  
Clinical Tool ◽  
Case Examples ◽  
Negative Beliefs ◽  
Psychological Difficulties ◽  
Adaptive Information Processing ◽  
Emdr Therapy

This article describes a diagrammatic clinical tool to be used when formulating cases in eye movement desensitization and reprocessing (EMDR) therapy. Based on the Adaptive Information Processing (AIP) model, the EMDR Case Formulation Tool is a way of illustrating psychological difficulties, mapping out the relationships between six key elements: unprocessed traumatic experiences, triggers, intrusions, negative beliefs, and symptoms, as well as resilience. From the diagrammatic formulation, a narrative formulation can be developed. The case formulation tool can be shared with the client, used to guide treatment planning, in supervision, and in case consultations. The use of the tool is explained and its clinical applications demonstrated with case examples.

Sex-Role Orientation and Attachment Styles of Sex Offenders

2012 ◽  
Vol 110 (2) ◽  
pp. 624-638 ◽  
Author(s):  
Mary M. Schneck ◽  
Thomas G. Bowers ◽  
Maria A. Turkson
Keyword(s):  
Gender Roles ◽  
Sex Offenders ◽  
Attachment Styles ◽  
Sex Offender ◽  
Sex Role ◽  
Role Orientation ◽  
Sex Offending ◽  
Sex Role Orientation ◽  
Offending Behavior ◽  
History Of

Given the increase of individuals who have a history of sexual offenses, there has been an increase in research on the etiology of sex-offending behavior. The present purpose was to evaluate the relationship between sex-role orientation and attachment styles of males who were sex offenders. Analysis yielded statistically significant differences between comparison ( n = 22) and clinical groups ( n = 21) in gender roles, with little sign of the androgynous gender type for sex offenders. The offender group showed significantly lower frequency of androgyny scores and significantly higher scores on feminine and undifferentiated orientations, supporting the theoretical view of sex offenders as being “cross-sex-typed.” In addition, the sex offender group had a significantly higher mean score on anxious-avoidant relationship attachment. Based on the present findings, there appears to be a need to help sex offenders explore how their gender roles may relate to their sex-offending behavior and assist sex offenders in the development of adaptive relationships with reduced anxiety and ambivalence.

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