Diagnostics and treatment of sex offenders

Stolpmann, Georg; Kahnt, N.; Müller, Isabel; Palmer, SC; Wernicke, Martina; Wulf, V.; Jordan, Kirsten; Müller, Jürgen

doi:10.1007/s00115-017-0313-3

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…However, while in the United States and Canada, community programs far outnumber residential treatment programs (40), availability in other countries is poor. For instance, outpatient treatment programs for CSAs and CSEMOs in Germany (e.g., the outpatient treatment center “ Prävention Sexuellen Missbrauchs ” [Prevention of Sexual Abuse; (41)], or the network “ Präventionsprojekt Dunkelfeld ” [Prevention Project Dark Field; (42)] were solely designed as prevention programs, meaning that they are not directed toward offenders with judicially imposed probation conditions and, in some cases, additionally also not toward offenders who are being prosecuted criminally. Although participation in these programs is, amongst others, related to a decrease in dynamic risk factor scores [e.g., the treatment center “Prevention of Sexual Abuse” reports a significant reduction of offense-supportive cognitions; t (16) = 3.951, p = 0.001, d = 1.98; (43)], many CSAs and CSEMOs cannot participate in these programs as they do not fulfill the inclusion criteria mentioned above (44).…”

Section: Who Seeks Treatment Finds An Open Door?mentioning

confidence: 99%

Web-Based Health Services in Forensic Psychiatry: A Review of the Use of the Internet in the Treatment of Child Sexual Abusers and Child Sexual Exploitation Material Offenders

et al. 2019

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In recent years, web-based health services for a variety of mental disorders have been developed and evaluated. Evidence suggests that guided internet-based therapy can be as effective as conventional face-to-face therapy. In forensic psychiatric practice, few web-based treatments have been implemented up to now. However, to our knowledge, there do not yet exist guided internet-based treatments for child sexual abusers and child sexual exploitation material offenders. This review aims at examining under what conditions patients are most likely to benefit from internet-based treatments. In addition, some computer-based health services in forensic psychiatry will be summarized and their potentials and weaknesses will be discussed. Subsequently, the review focuses on the implications for the development of online treatments for child sexual abusers as well as on a variety of ethical and legal issues that practitioners may encounter during the development, evaluation and delivery of online health services. The review will conclude with proposed quality standards for the development and implementation of web-based interventions for child sexual abusers and child sexual exploitation material offenders. By virtue of the low number of psychotherapists offering therapy to this clientele as well as individual barriers to seeking treatment such as fear of stigmatization, feelings of shame, long access routes, or limited mobility due to physical handicaps, the development of mental eHealth services in this sector could close an important healthcare gap. By increasing the density of supply, more child sexual abusers and child sexual exploitation material offenders would have the chance to engage in treatment and, ultimately, more incidents of sexual assault against minors could be prevented.

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Section: Who Seeks Treatment Finds An Open Door?mentioning

confidence: 99%

Web-Based Health Services in Forensic Psychiatry: A Review of the Use of the Internet in the Treatment of Child Sexual Abusers and Child Sexual Exploitation Material Offenders

et al. 2019

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Sexual interest and sexual self-control in men with self-reported sexual interest in children – A first eye tracking study

Jordan

Fromberger

Müller

et al. 2018

Journal of Psychiatric Research

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Similar Age Preference but Different Attentional Control in Mandatory Hospitalized Individuals who Have Committed Sexual Offenses Against Children and Non-hospitalized Individuals With Self-Reported Sexual Interest in Children

Jordan,

Müller,

Fromberger

et al. 2024

Sex Abuse

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Thirty-two forensic persons who have committed sexual offenses against children (FP-SOC), 26 non-forensic persons of whom most have committed sexual offenses against children (NFP-SOC), 14 forensic persons who have not committed sexual offenses against children but have committed other offenses (FP-NSOC), and 53 non-forensic persons who have not committed sexual offenses against children (NFP-NSOC) were instructed to solve a cognitive task, while sexual distractors were presented simultaneously. Behavioral performance and eye movements were measured. FP-SOC and NFP-SOC exhibit same age preference patterns for children and adults, but both groups differ significantly with respect to sexual attentional control. Moderate discrimination accuracy and moderate effect sizes resulted for sexual interest, and good discrimination accuracy and large effect sizes were found for attentional control. Good attentional control in the NFP-SOC, probably reflecting superior sexual self-control and self-regulation abilities, might contribute to a better recognition and control of environmental factors in sexual risk situations, preventing them from being detected and convicted. Otherwise, strong cognitive distortions might serve for them as offense justification. We conclude that those non-forensic persons with sexual offense histories against children (NFP-SOC) with sexual interest in children, good attentional self-control and strong cognitive distortions represent a problematic group which should receive more attention regarding further research but also therapy. Future studies should include more suitable and larger control groups, appropriate instruments to measure independent variables, and investigate whether different classifications of pedophilic interest would be better suited to describe the eye movement patterns of our study participants.

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Diagnostics and treatment of sex offenders

Cited by 4 publications

References 21 publications

Web-Based Health Services in Forensic Psychiatry: A Review of the Use of the Internet in the Treatment of Child Sexual Abusers and Child Sexual Exploitation Material Offenders

Web-Based Health Services in Forensic Psychiatry: A Review of the Use of the Internet in the Treatment of Child Sexual Abusers and Child Sexual Exploitation Material Offenders

Sexual interest and sexual self-control in men with self-reported sexual interest in children – A first eye tracking study

Similar Age Preference but Different Attentional Control in Mandatory Hospitalized Individuals who Have Committed Sexual Offenses Against Children and Non-hospitalized Individuals With Self-Reported Sexual Interest in Children

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