Patterns of appropriate and deviant sexual arousal: The behavioral treatment of multiple sexual deviations.

Brownell, Kelly D.; Hayes, Steven C.; Barlow, David H.

doi:10.1037/0022-006x.45.6.1144

Cited by 58 publications

(33 citation statements)

References 24 publications

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“…Only a few of the single-case studies used within-subject research designs (e.g., Brownell, Hayes, & Barlow, 1977).…”

Section: Designmentioning

confidence: 99%

“…Most of the behavioral studies attempted to eliminate the variant sexual response(s) and increase more appropriate sexual responsiveness (Abel et al, 1970;Brownell et al, 1977;Lambley, 1974;Moss et al, 1970). Some research (Gershman, 1970) was designed to change variant fantasies, while some studies attempted to change both fantasy and overt behavior (Evans, 1968).…”

Section: Treatmentmentioning

confidence: 99%

“…The treatment format in many studies (e.g., Brownell et al, 1977;Wijesinghe, 1977) included the "homework assignment" of various exercises (e.g., self-administered covert sensitization, masturbation to appropriate stimuli) which were to be conducted by the subjects between treatment sessions; the adherence to such assignments was not monitored in some of the studies. Nevertheless, a strength of the literature is the fact that many of the studies in the last 5 years, especially the studies which used behavioral treatments, specified the treatment procedures in sufficient detail to allow for meaningful replication.…”

Section: Treatmentmentioning

confidence: 99%

“…It is logical to assume that these subjects probably believed that they would obtain real and/or potential benefits from the legal process if they reported a positive treatment outcome. Some studies (e.g., Brownell et al 1977) used re-arrest rate as an outcome measure. This measure would not necessarily reflect the actual cessation of paraphiliac behavior.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…This measure would not necessarily reflect the actual cessation of paraphiliac behavior. Other measures included a reduction in paraphiliac fantasies (Miller & Haney, 1976), follow-up interviews (Beigel, 1967), semantic differentials (Marks, Gelder, & Bancroft, 1970), behavioral observations (Callahan & Leitenberg, 1973), MMPI scores (Hughes, 1977), card sort scores (Brownell et al, 1977), mood scores (Hallam & Rachman, 1972), and penile response measures . The use of penile response measure to assess actual improvement is of questionable validity (see Farkas, 1978) since some men are able to inhibit consciously their erections during the presentation of visually erotic material.…”

Section: Outcome Measuresmentioning

confidence: 99%

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The treatment of sexual paraphilias: A review of the outcome research

Kilmann

Sabalis

Gearing³

et al. 1982

The Journal of Sex Research

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Studies which investigate the impact of treatment on subjects with singular and multiple sexual paraphilias (exhibitionism, fetishism, pedophilia, transvestism, voyeurism) are reviewed. A methodological evaluation was conducted with attention to six categories: design, subjects, therapists, treatment, time periods, and outcome measures. Subjects included sexual offenders and non-offenders. Most of the studies were single-case reports. The methodological shortcomings in the literature included the failure to control for social desirability factors, especially in the case of sex offenders, and the reliance upon verbal selfreports in the evaluation of outcome. Almost all of the studies found positive treatment effects, either immediately after treatment or at various follow-up periods. However, periodic booster treatment sessions sometimes were necessary with paraphilias of long duration. Across the paraphilias reviewed, the literature offered tentative support for the efficacy of a multiple behavioral treatment package specifically tailored to aspects of the patient's sexual arousal pattern. The elimination of variant sexual responses in conjunction with fostering appropriate, nonvariant sexual behavior is a relevant treatment strategy in some cases. Future research should use homogeneous experimental and control subjects, obtain a pre-therapy assessment of sexual and social functioning, specify treatment goals, and use multiple outcome measures. The importance of specifying subject variables for the goal of successful subjecttreatment matches is also suggested. As a step in that direction, a checklist which noted the psychological and situational correlates of the five predominant sexual paraphilias was derived from the literature.

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“…Only a few of the single-case studies used within-subject research designs (e.g., Brownell, Hayes, & Barlow, 1977).…”

Section: Designmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

See 3 more Smart Citations

The treatment of sexual paraphilias: A review of the outcome research

Kilmann

Sabalis

Gearing³

et al. 1982

The Journal of Sex Research

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show abstract

Research directions in the evaluation and treatment of sex offenders: An analysis

Grossman¹

1985

J. Hist. Behav. Sci.

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Research directions in the evaluation and treatment of sex offenders: An analysis

Grossman

1985

Behavioral Sci & The Law

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A review of the research on early and current techniques for evaluating and treating male sex offenders is presented, with emphasis on biological and behavioral therapies. Biological techniques found to be most promising include two types of antiandrogen hormone therapy: medroxyprogesterone acetate and cyproterone acetate. Behavioral techniques which have produced evidence of effectiveness include methods to eliminate deviant sexual behavior and methods to increase appropriate sexual behavior. The methodological shortcomings in the research of both biological and behavioral therapies are discussed, and new directions for future research are proposed.

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Patterns of appropriate and deviant sexual arousal: The behavioral treatment of multiple sexual deviations.

Cited by 58 publications

References 24 publications

The treatment of sexual paraphilias: A review of the outcome research

The treatment of sexual paraphilias: A review of the outcome research

Research directions in the evaluation and treatment of sex offenders: An analysis

Research directions in the evaluation and treatment of sex offenders: An analysis

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