“…Furthermore, a recent meta-analysis found that programs that utilize arousal reconditioning had larger treatment effects (Gannon et al, 2019). As cognitive distortions can start and maintain sexual offense patterns (Hazama & Katsuta, 2019;O'Ciardha & Ward, 2013), CBT is often included in sex offender treatment programs to address cognitive distortions (Friestad, 2012). In Western cultures, the most common cognitive distortions were denial or minimization of guilt, problematic sexual interests, harm to victims, responsibility for the offenses, and need for treatment (Nunes & Jung, 2013).…”