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Trauma, Violence, & Abuse
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What's this?

Treatment of Sexual Offenders With Psychopathic Traits

Recent Research Developments and Clinical Implications

Jeffrey Abracen

Central District Parole, Correctional Service of Canada, AbracenJA{at}csc-scc.gc.ca

Jan Looman

Regional Treatment Centre (Ontario), Sex Offender Treatment Program

Calvin M. Langton

University of Toronto, Canada, University of Nottingham, UK, Nottinghamshire Healthcare Trust, UK

This article provides a review of recent literature related to the treatment of psychopathy in forensic settings, with particular focus on studies with sexual offenders. The lack of empirical support for the position that psychopaths are untreatable is noted, and data suggesting optimism is discussed. Research demonstrating an interaction between psychopathy and substance abuse and between psychopathy and sexual deviance is also presented. Both substance abuse disorders and inappropriate arousal are frequently encountered in high-risk groups of sexual offenders. These topics are of relevance, in that the question of whether treatment is beneficial with high-risk sexual offenders, including those who are psychopathic, cannot be answered unless groups presenting with typical concurrent disorders (paraphilias, substance abuse, dependence) are discussed. It is argued that, although the evidence is still preliminary, there is reason for optimism with reference to whether psychopathic sexual offenders are responsive to treatment, including offenders presenting with concurrent disorders.

Key Words: treatment • psychopath • sexual offender • substance abuse • sexual deviance

This version was published on July 1, 2008

Trauma, Violence, & Abuse, Vol. 9, No. 3, 144-166 (2008)
DOI: 10.1177/1524838008319633


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[Abstract] [PDF]