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While most sexual offender treatment programs take an aggressive, confrontational approach that targets the offenders' denial, research has indicated that this common approach does not appreciably alter actual risk factors related to reoffense rate. Furthermore, this approach can alienate and demoralize offenders. Over the past 40 years, William L. Marshall and colleagues have developed and refined a motivational, strength-based approach emphasizing warmth, empathy, and support for the offenders. Backed by research, this positive approach does not ignore risk factors but presents them to clients as targets for the development of strengths rather than as deficits to be overcome. Such programs in both prison and community settings achieve a broad range of treatment targets and appear to reduce recidivism for both sexual and nonsexual crimes.
This landmark volume challenges how sexual offender treatment is typically conducted. It is thought-provoking reading for psychologists, psychiatrists, social workers, counselors, and parole and probation officers working with sexual offenders.
I Research and Theory on Sexual Offender Treatment 29
Chapter 1 Assessment 31
Chapter 2 Procedural Features of Treatment 47
Chapter 3 Personal and Interpersonal Factors 63
Chapter 4 Problems With Current Cognitive-Behavioral Approaches 77
Chapter 5 Evaluation of Sexual Offender Treatment Programs 91
II The Rockwood Psychological Services Programs 111
Chapter 6 Rockwood Preparatory Program 113
Chapter 7 Rockwood Primary Program 125
Chapter 8 Rockwood Deniers' Program 163
Afterword: Summary and Implications for Future Treatment and Research 173
Appendix: Therapist Rating Scale-2 179
About the Authors 259