This paper reviews the use of psychotherapeutic approaches to treat individuals who have committed sex crimes and/or have problematic sexual interests (PSI); including types of psychotherapy used, descriptions of preventive and reintegration programs and highlighting specific theoretical controversies. In the second part, experts from Canada, Czech Republic, Russia, United Kingdom, and the United States, who participated in an International Consensus Meeting held in Prague (2017), summarize treatment programs in their countries. The comparison revealed some general findings: each country has variability between its own programs; most countries have different programs for people who are in custody and who are in the community; the state-directed treatment programs are primarily focused on criminal individuals while non-criminal individuals are treated in preventive programs and/or in special clinics or are non-treated; the presence of PSI in patients/clients is acknowledged in most programs, although specific programs exclusively for individuals with PSI rarely exist. Studies on effectiveness are difficult to compare due to methodologic, political and cultural differences. Further communication between more countries to share knowledge about successful treatments and preventive approaches is needed, especially enhanced international collaboration between researchers and clinicians to verify the effectiveness of current clinical and experimental programs.
We discuss the problem of interpersonal interaction in the perpetrators of sexual crimes against children. The purpose of the study was to examine the abilities evolved as important factors of interpersonal interaction disorders and of sexual crime predictors: decentration, identification and recognition of emotions and empathy. The experimental study sample comprised 26 people who have committed sexual offenses against children and held stationary comprehensive examination on the basis of V.P. Serbskiy State Research Center of Social and Forensic Psychiatry (14 of them were diagnosed with pedophilia). The control group (N = 21) consisted of people who have never held criminally liable. The study showed that the greatest deficits in the studied abilities were demonstrated by the criminals without pedophilia. Individuals with pedophilia have difficulty recognizing their own and others’emotional state, but at the same time demonstrate higher rates of decentration and empathy, even in comparison with the control group.
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