This paper provides a brief overview of the growing body of evidence that a proportion of adult sexual offenders present with some localized form of brain pathology, often left temporal lobe, that may, in part, explain the presence of gender dysphoria and the attraction to deviant behaviour patterns in sexually anomalous men who prefer child surrogate partners or unsuspecting women. Given the treatment-resistant stance of many sexual offenders, certain treatment techniques are illustrated that have some proven merit. Such partially impaired men are amenable to action-oriented, visual (right-brain) training methods that compare favourably with traditional verbally-mediated, insight-orientated approaches. The techniques employed rely on social skill training, psychodramatic role plays (using a doll or mannequin), stress reduction and anger management, empathy training, guided visualization, neurolinguistic programming (NLP), cognitive restructuring, sketches of covert fantasies or deviant actions for group discussion, and victimpelpetrator role reversal, selectively applied within the context of a relapse prevention (RP) model for adult sexual offenders.