The treatment of men with a learning disability convicted of exhibitionism

Lindsay, William R.; Marshall, Imelda; Neilson, Clare; Quinn, Kathleen; Smith, Anne H. W.

doi:10.1016/s0891-4222(98)00010-9

Cited by 101 publications

(62 citation statements)

References 10 publications

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“…The findings are that positive changes brought about by the intervention are not significant or long lasting. Lindsay and the Dundee research group present a series of studies, focusing initially on exhibitionists (Lindsay & Marshall, 1998) and offences against children (Lindsay, Neilson, & Morrison, 1998). Repeated assessments are used in both to provide control within participants, carried out by assessors who are blind to previous treatment progress.…”

Section: Studiesmentioning

confidence: 99%

The effectiveness of treatment for male sex offenders with learning disabilities: A review of the literature

Courtney¹,

Rose²

2004

Journal of Sexual Aggression

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Background. A variety of research designs have been employed to explore the efficacy of the wide range of interventions for sex offenders with learning disabilities. This paper reviews these studies to consider the efficacy of such treatments. Methods. Computerized searches and less formal literature gathering led to the identification of 31 studies that reported outcome. Results. Many of the studies are methodologically flawed through failure to use a control group, small sample size, variations in inclusion criteria and definitions of learning disabilities and sexual offending, and lack of standardized outcome measures. Some credible studies have found better and more durable attitudinal change with treatment lasting at least two years. Conclusion. It is suggested that this area of work has still to establish a rigorous evidence base. The review concludes with some suggestions for future research and a consideration of the continued importance of this research.

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Section: Studiesmentioning

confidence: 99%

The effectiveness of treatment for male sex offenders with learning disabilities: A review of the literature

Courtney¹,

Rose²

2004

Journal of Sexual Aggression

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“…In cases where exhibitionism is the predominant behavior, close assessment would be required to determine whether a specific pattern of arousal was associated with the act of exposure itself, and in such cases, cognitive-behavioral programs tailored to exhibitionists with cognitive impairments [47] would be an important treatment alternative to consider. Moreover, the current program is unlikely to assist people who report post-injury hypersexuality, characterized by prominent sexual compulsions [6], for whom pharmacotherapy is more likely to be the first line of treatment [11].…”

Section: Discussionmentioning

confidence: 99%

Remediating Serious Inappropriate Sexual Behavior in a Male with Severe Acquired Brain Injury

Kelly¹,

Simpson

2011

Sex Disabil

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Inappropriate sexual behaviors such as sexual talk, non-genital and genital touching (non-consensual), exhibitionism and coercive sexual behavior are consistently reported sequelae of severe Acquired Brain Injury (ABI). A single-case experimental design was employed to evaluate the relative effectiveness of environmental controls and facilitated access to a sex worker in the management of inappropriate sexual behavior displayed by a male with ABI. Environmental controls comprised behavioral strategies commonly employed to manage disinhibited behavior secondary to ABI such as redirection, cueing appropriate behavior, and verbal feedback. An additional component, facilitated visits to a sex worker, provided a comparison treatment. The introduction of a sex worker contributed to the reduction and eventual extinction of inappropriate behaviors. Improvements were maintained at follow-up probes 1 and 2 years later. The social validity of the intervention is evaluated, and the legal, safety and ethical issues raised by facilitating access to a sex worker are carefully addressed.

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“…She reported positive results from the intervention, with most subjects receiving increased community access. Lindsay, Marshall, Neilson, Quinn, andSmith (1998), Lindsay, Neilson, Morrison, and, and Lindsay, Olley, Jack, Morrison, and Smith (1998) reported a series of case studies on men with ID who had offended against children, exhibitionists and stalkers. These authors employed a cognitive therapy intervention in which various forms of denial and mitigation of the offence were challenged over treatment periods of up to 3 years.…”

Section: Inappropriate Sexual Behaviour and Sexual Offendingmentioning

confidence: 99%

Adaptations and Developments in Treatment Programmes for Offenders with Developmental Disabilities

Lindsay

2009

Psychiatry, Psychology and Law

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This article reviews the development and evaluation of treatment programmes for offenders with intellectual and developmental disabilities (ID). Prevalence studies have shown that a significant percentage of individuals in the criminal justice system have ID and that around 50% of those individuals, if untreated, will go on to re-offend. Over the past 15-20 years, adaptations have been made to assessments that are relevant to offending issues. These include assessments for anger and aggression, a range of psychiatric symptoms, sexual offending and criminal thinking. Generally, the results have been positive, with assessments showing good reliability, internal consistency and the integrity of the factor structures. Adaptations to treatment methods include simplification of communication and the methods of cognitive therapy, alterations in the use of recording and assessment techniques and promoting motivation in participants. A review of a range of treatment interventions showed that successful case studies have been reported in the fields of anger and violence, inappropriate sexual behaviour, fireraising and social problem-solving/criminal thinking. Controlled trials have produced robust results in showing the effectiveness of programmes for anger and violence. Controlled comparisons also suggest the effectiveness of sex offender treatment programmes, although the integrity of these studies is not as good as that of the work on anger and violence. In other areas there is a dearth of experimental controlled validation of the effectiveness of programmes. With regard to long-term follow-up, sex offender programmes and anger management programmes have been shown to produce significant reductions in offending up to 12 years after referral.

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The treatment of men with a learning disability convicted of exhibitionism

Cited by 101 publications

References 10 publications

The effectiveness of treatment for male sex offenders with learning disabilities: A review of the literature

The effectiveness of treatment for male sex offenders with learning disabilities: A review of the literature

Remediating Serious Inappropriate Sexual Behavior in a Male with Severe Acquired Brain Injury

Adaptations and Developments in Treatment Programmes for Offenders with Developmental Disabilities

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