“…Some commentators note that this may be due in part to the difficulties encountered by therapists in developing and sustaining "empathic relationships" with these clients due to the nature of their offending (Day, 1999, p. 94;Mitchell & Melikian, 1995), a phenomenon that is further exacerbated by sexual offenders' tendency toward isolation and their inability to form relationships with adults (Erooga, 1994). Moreover, where research has been undertaken, sample sizes are small and relate to outpatient or specialist institutional treatment settings (Day, 1999;Drapeau, Korner, & Brunet, 2004;Hamilton, 1998;Lawson, 2003;Pribyl, 1998;Thomson, 1993).…”