Tackling child sexual abuse (4/5): Therapists wanted!

In the fourth in a series of five blogs, Juliet Grayson discussed the StopSO method and provided advice for those who want to apply it. The main focus of StopSO UK’s work with sexual offenders and many of their families is “Stopping the First Offence.” Additionally, it was stressed how crucial it is for therapists to be ready in order to respond appropriately when someone confides in them about having troubling sexual thoughts. This will help prevent clients from hastily terminating their sessions after noticing a shocked look on the therapist’s face, a therapist who stutters, or some other “judgemental” reaction. Clients frequently tell StopSO that they withdrew after they witnessed a therapist reacting in this way that they didn’t approve. Their courage to seek assistance from a different therapist took years to acquire.


Tackling child sexual abuse (1/5): Paedosexuality

The focus of this article is one of Juliet Grayson’s five blogs. It had a strong concentration on sexual offending and encouraged therapists to engage with client groups to prevent the first offence rather than waiting until a crime is committed. Additionally, the terms “paedophile” and “child molester” are frequently misused, which discourages people from getting help out of fear of being misunderstood. Child molestation is not considered paedophilia; rather, it refers to someone who is attracted to children. On the other hand, not all child abusers are MAPs or paedophiles. The term “paedosexual” might be used to lessen the stigma attached to the term “paedophilia”. Paedosexuality is not a choice; the decision is whether or not to engage in it. So, in order to reduce the sexual abuse of children, a safe place for clients to come for therapy is important.


The psychotherapists: Working with sex offenders

In addition to addressing sex offenders and non-offending paedophiles, this study made therapy recommendations for the aforementioned profiles. Additionally, it was mentioned that certain skills, such as empathy, congruence, the capacity for reflection, mindfulness, and distress tolerance, are essential for therapists. The awareness of criminogenic factors such as abnormal sexual preferences, obsessive sexual behavior, attitudes that support sexual crime, a lack of close adult relationships, an antisocial lifestyle, impulsivity and poor self-control, unstable employment, negative peer associations, substance abuse, and subpar problem-solving skills are also helpful. According to research, addressing these issues can be the most effective strategy to stop reoffending. Most significantly, it emphasized the idea that StopSO is steadfastly committed to providing in-person treatment for anyone who experiences sexual attraction to children but is unsure of how to get help.

2015 The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the treatment of adolescent sexual offenders with paraphilic disorders

The main goal of these recommendations was to assess the effectiveness of pharmacological treatments for adolescents with paraphilic disorders who are sexual offenders or at-risk of becoming sexual offenders. Treatments that are psychosocial and psychotherapeutic were also examined. Particularly when compared to adults, adolescents with paraphilic illnesses pose a different therapeutic challenge. Additionally, the majority of the published treatment programmes have made use of psycho-educational, familial, and cognitive behavioral interventions. Adolescent psychological therapy is based on the idea that sexually inappropriate behavior can be controlled by the offender and that more mature behaviors can be taught. These recommendations’ major goals are to raise the standard of care and support medical professionals in making clinical judgements and viability. An algorithm is proposed for the treatment of paraphilic disorders in adolescent sexual offenders or those who are at risk.

2014 Through the eyes of the wounded: A narrative analysis of children’s sexual abuse experiences and recovery process.

Several children who have experienced sexual abuse undergo counselling, but the scholarly literature significantly lacks their own opinions on the assault, the consequences of disclosing it, and the healing process. By examining the trauma narratives that kids wrote as part of a therapy session, this study filled this gap. Three themes emerged from the qualitative analysis: memories of the abuse, the disclosure and its consequences, and the healing process. In order to improve the effectiveness of the care given, counselling experts are given recommendations based on descriptions of children’s thoughts, feelings, and beliefs regarding their experiences.

2012 Wise mind risky mind: A conceptualization of dialectical behavior therapy concepts and its application to sexual offender treatment.

This essay intends to provide a reconceptualization of dialectic behavior therapy (DBT), “wise mind risky mind,” and its application to the treatment of sexual offenders. This reframing may offer an alternate way of viewing the therapy of sexual offenders and shows some potential in tackling problems with general, affective, cognitive, and sexual dysregulation. The wise mind risky mind dialectical construct offer clients and therapists a shared language that captures and validates the experiential challenges that clients have in successfully regulating their risk for sexual offence. Clients can benefit from help controlling issues with dysregulation in a variety of domains by incorporating DBT ideas into conventional programmes for treating sexual offenders. When addressing the dynamics of sexual offending, it can also provide a more comprehensive therapy approach.

2011 Sexual function in women with a history of intra-familial childhood sexual abuse

In this study, the relationship between sexual issues and the degree of CSA was examined, as well as sexual function in women who had experienced severe intra-familial childhood sexual abuse (CSA). Due to severe CSA, which in turn led to dissatisfaction in their sexual life, a few number of women were given special attention in their psychotherapy. Both physical discomfort from affectionate touching and sexual dysfunction affected these ladies. Taking this into consideration, it went on to stress the significance of addressing sexuality and performing sexuality screenings in treatment.

2012 The profile and treatment of male adolescent sex offender

This article lists the most notable traits of male adolescent ex-offenders, including their backgrounds in family and school, their sexual attitudes, social skills and relationships, other criminal behaviors, psychiatric diagnoses, and most importantly cognitive distortions based on false assumptions and misinformation. Additionally, it implies that effective self-interventions against relapse and reoffending must be developed along with a foundation of morality, remorse and empathy for victims, knowledge of sexuality, and fundamental interpersonal skills. Treatment must also mandate accountability and the correction of thinking errors.

2010 Male victims of male sexual assault; A review of psychological consequences and treatment.

Women’s sexual assault and rape have received a lot of attention from society, in contrast to male sexual assault, which is rarely addressed. By underlining the effects of sexual assault on males as well as the effects of MSA in terms of self-disclosure and psychological repercussions, this essay aims to further the conversation. There were also two main schools of thought that were discussed; the first one claimed that MSA is a sexually motivated crime that primarily involves homosexual men, while the other claimed that MSA is a reflection of issues with power, aggression, and domination and that its perpetrators are typically heterosexual men. MSA has a number of negative effects, including shame, despair, anger, sexual dysfunction, and self-doubt for the victim. Asides the consequences of male sexual assault, this paper extended its research to the effective treatment interventions for the related consequences.

2009 When sex becomes a duty

It is more like a sexual and relationship therapy that discussed the dysfunction of sexual desire in people and came to the conclusion that women are more prone to it than males. It also looked at how these distressingly lowered levels of sexual desire affect men and women, as well as how they view and analyze their experiences in the context of modern culture and society.