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Trauma, Violence, & Abuse, Vol. 1, No. 3, 203-222 (2000)
DOI: 10.1177/1524838000001003001

Improving the Effectiveness of Sexual Offender Treatment

WILLIAM L. MARSHALL

Queen's University

GERIS A. SERRAN

University of Ottawa

The development of cognitive behavioral treatment programs for sexual offenders is outlined, and various issues concerning these treatments are appraised. Suggestions are made for modifying the extent of treatment, and some of the assumptions underlying present treatment are questioned. For example, the need to address all instances of offending and the relevance of planning and deviant fantasizing are considered, and the empirical bases for these issues are examined. Suggestions are made concerning several components and targets of treatment, and additional targets are identified. In particular, the process of treatment, rather than simply the procedures, are emphasized, and proposals are offered for maximizing the value of these influences.

Key Words: treatment • effectiveness • extent • polygraphy • fantasy • planning • empathy • denial • self-esteem • coping • relapse prevention • process • closed versus open groups


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