Cognitive/Behavioral Approaches to the Treatment Adult Sex Offenders

Witt, Philip H.; Greenfield, Daniel P.; Hiscox, Sean P.

doi:10.1177/009318530803600205

Cited by 4 publications

(4 citation statements)

References 21 publications

(21 reference statements)

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“…This adds to the body of evidence that CBT effects may be robust to types of offending; suggesting its potential for adoption as part of comprehensive treatments to reduce recidivism. Results of the current review support earlier findings supporting the efficacy of CBT as a treatment for sexual offenders (Aytes et al, 2001;Craig et al, 2003;Hall, 1995b;Hanson et al, 2002;Witt et al, 2008).…”

Section: Discussionsupporting

confidence: 84%

“…A unique contribution of this study was to confirm CBT effects with moderate-and high-risk offenders in which comparison groups were used and with extended followup periods. The importance of similar treatment and comparison groups within sexual offense investigations has long been acknowledged (Craissati, South, & Bierer, 2009;Hall, 1995b;Hanson et al, 2002;Marques, Day, Nelson, & West, 1994;Witt et al, 2008) as poorly matched comparison groups have commonly been a major weakness of recidivism studies. Similarly lack of evidence of the long-term effects of CBT interventions with moderate-and high-risk sexual offenders has been a limitation of related studies.…”

Section: Discussionmentioning

confidence: 99%

“…Its major mechanisms of action include preventing relapse into criminal behaviors by reducing deviant social attitudes, enhancing behavioral self-efficacy through a variety of decisional risk-weighting techniques to maximize prosocial outcomes, and maintaining behavioral recovery from criminogenic need impulses (Landenberger & Lipsey, 2005). With sexual offender populations, enhancing decisional choice in the face of criminogenic impulses is at a premium for preventing reoffending and thus strategies and techniques learned through CBT can be an integral component of preventive or rehabilitative therapy to reduce risk of recidivism (Burdon & Gallagher, 2002;Lipsey, & Landenberger, 2006;Schmucker & Losel, 2015;Waldram, 2010;Witt, Greenfield, & Hiscox, 2008).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cognitive-Behavioral Therapy Efficacy for Reducing Recidivism Rates of Moderate- and High-Risk Sexual Offenders: A Scoping Systematic Literature Review

Mpofu

Athanasou

Rafe

et al. 2016

Int J Offender Ther Comp Criminol

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This literature scoping review compared recidivism rates of moderate- and high-risk sexual offenders who received cognitive-behavioral therapy (CBT) oriented treatments. Ten empirical studies from 2001 to 2014 were selected for review that met the following criteria: (a) Treatment program included a CBT-based intervention with a comparative intervention; (b) participants included adult, male, moderate- and high-risk sexual offenders only; and (c) follow-up data for up to 12 months. Data were analyzed using a summative metric for recidivism rate comparisons ( N = 3,073 for CBT and N = 3,588, for comparison approaches). Sexual offense recidivism rates varied from 0.6% to 21.8% (with CBT) and from 4.5% to 32.3% (with comparison intervention). The within-sample median rate of violent recidivism with a history of sexual offense was 21.1% (with CBT) versus 32.6% (comparison). Sexual offenders had a general felonies (within-sample) median recidivism rate of 27.05% (with CBT) versus 51.05% (comparison). The evidence supports the conclusion that CBT in its various forms is an efficacious treatment modality to prevent offense recidivism by sexual offenders. Suggestions for future research are considered.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cognitive-Behavioral Therapy Efficacy for Reducing Recidivism Rates of Moderate- and High-Risk Sexual Offenders: A Scoping Systematic Literature Review

Mpofu

Athanasou

Rafe

et al. 2016

Int J Offender Ther Comp Criminol

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“…It is well established that treatment providers must attenuate the risk of harm to society by delivering effective evidence-based treatments to sex offenders. Cognitive-behavioral therapies (CBT) are widely considered the mainstream treatment modality applied to rehabilitate general populations of sex offenders (Keeling, Rose, & Beech, 2008; Wilson, Bouffard, & Mackenzie, 2005; Witt, Greenfield, & Hiscox, 2008). Concerns have arisen, however, surrounding the applicability of traditional CBT modalities to populations of sex offenders, with intellectual and developmental disabilities (IDD; Keeling, Rose, & Beech, 2006a).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Behavioral Health Interventions for Sex Offenders With Intellectual Disabilities

Marotta

2016

Sex Abuse

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This article reviews evaluation studies of programs designed to treat sex offenders with intellectual and developmental disabilities (IDD) published in peer-reviewed journals between 1994 and 2014. The design of this study is mirrored after PRISMA (Preferred Reporting of Items for Systematic Reviews and Meta-Analyses) recommendations for conducting a systematic literature review. The study design, study setting, characteristics of participants, type of treatment, and intervention procedures comprise areas of focus for evaluating the implementation of treatment programs. Therapeutic outcomes include changes in attitudes consistent with sex offending, victim empathy, sexual knowledge, cognitive distortions, and problem sexual behaviors. Eighteen treatment evaluation studies were identified from the United States, the United Kingdom, Australia, and New Zealand. Cognitive-behavioral treatments were the most commonly delivered treatment modality to sex offenders with IDD. Other less common treatments were dialectical behavioral therapy, problem solving therapy, mindfulness, and relapse prevention. No randomized controlled trials were identified. The most common designs were multiple case studies and pre- and post-treatment assessments with no control and repeated measures follow-up. Small sample sizes, no control groups, and wide variation in treatment length and follow-up time complicate the qualitative synthesis of study findings. Short follow-up times introduce the potential for bias in conclusions surrounding treatment efficacy for many of the studies reviewed in this analysis. The overall quality of studies examining treatments for sex offenders with IDD is poor and requires further development before rendering firm conclusions about the effectiveness of interventions for this population.

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Public attitudes toward teenagers with paedophilia: a qualitative examination

Jimenez-Arista,

Caldera

2023

Journal of Sexual Aggression

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Cognitive/Behavioral Approaches to the Treatment Adult Sex Offenders

Abstract: This article presents an overview of psychotherapeutic treatment modalities of adult sex offenders. It considers recent developments in treatment methods; discusses methods of measuring therapeutic change; presents a discussion of evaluation and outcome studies of these modalities.

Cited by 4 publications

References 21 publications

Cognitive-Behavioral Therapy Efficacy for Reducing Recidivism Rates of Moderate- and High-Risk Sexual Offenders: A Scoping Systematic Literature Review

Cognitive-Behavioral Therapy Efficacy for Reducing Recidivism Rates of Moderate- and High-Risk Sexual Offenders: A Scoping Systematic Literature Review

A Systematic Review of Behavioral Health Interventions for Sex Offenders With Intellectual Disabilities

Public attitudes toward teenagers with paedophilia: a qualitative examination

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