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Sexual offender treatment efficacy revisited

  • Clinical And Research Articles
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Sexual Abuse: A Journal of Research and Treatment

Abstract

Several authors have recently addressed current views of sexual offender treatment efficacy. Some maintain that offenders can gain from treatment while others argue that the vast majority cannot. Some researchers say that the field of sexual offender treatment is too new to be able to determine whether or not treatment works. This latter group notes that most studies in this field have not yet reached the point at which meta-analytic techniques can be applied; for this reason no definitive statements can be made about the utility of treatment. The present analysis examines the issues from a slightly different perspective. Data from a large group of studies are combined to identify patterns which can be examined later in more detail. More specifically, 79 sexual offender treatment outcome studies are reviewed, encompassing 10,988 subjects. Recidivism rates for treated versus untreated offenders are investigated according to age of offender, age of victim, offense type, type of treatment, location of treatment, decade of treatment, and length of follow-up. Each study is used as the unit of analysis, and studies are combined according to the number of treated versus untreated subjects who reoffended in each category. Clinical implications are drawn from these results.

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References

  • Abel, G., Mittelman, M., Becker, J., Rathner, J. & Rouleau, J.-L. (1988). Predicting child molesters’ response to treatment. In R. Prentky & V. Quinsey (Eds.),Human sexual aggression: Current perspectives (Annals of the New York Academy of Sciences, Vol. 528, pp. 223–233.) New York: New York Academy of Sciences.

    Google Scholar 

  • Agee, V. (1985). Program I: The sex offender group. In F. H. Knopp (Ed.),Remedial intervention in adolescent sex offenses: Nine program descriptions (pp. 118–137). Syracuse, NY: Safer Society Press.

    Google Scholar 

  • Becker, J. (1990). Treating adolescent sexual offenders.Professional Psychology Research and Practice, 21, 362–365.

    Article  Google Scholar 

  • Berenson, D. (1985). Program H: Intensive change sex offenders’ program. In F. H. Knopp (Ed.),Remedial intervention in adolescent sex offenses: Nine program descriptions (pp. 103–117). Syracuse, NY: Safer Society Press.

    Google Scholar 

  • Berlin, F. (1989). Special considerations in the psychiatric evaluation of sexual offenders against minors. In R. Rosner & H. Schwartz (Eds.),Juvenile psychiatry and the law (pp. 119–132). New York: Plenum Press.

    Google Scholar 

  • Berliner, L., Miller, L. L., Schram, D., & Miloy, D. (1991, June).The special sex offender sentencing alternative: A study of decision-making and recidivism. Report to the Washington State Legislature.

  • Borduin, C., Henggeler, S., Blaske, D., & Stein, R. (1990). Multisystemic treatment of adolescent sexual offenders.International Journal of Offender Therapy and Comparative Criminology, 34, 105–113.

    Article  Google Scholar 

  • Brannon, J., & Troyer, R. (1991). Peer group counseling: A normalized residential alternative to the specialized treatment of adolescent sex offenders.International Journal of Offender Therapy and Comparative Criminology, 35, 225–234.

    Article  Google Scholar 

  • Brecher, E. (1978).Treatment programs for sex offenders. National Institute of Law Enforcement and Criminal Justice, U.S. Department of Justice: U.S. Government Printing Office.

  • Bremer, J. (1992). Serious juvenile sex offenders: Treatment and long-term follow-up.Psychaitric Annals, 22, 326–332.

    Google Scholar 

  • Cabeen, C., & Coleman, J. (1961). Group therapy with sex offenders: Description and evaluation of a group therapy program in an institutional setting.Journal of Clinical Psychology, 17, 122–129.

    Article  PubMed  Google Scholar 

  • Cox, D., & Daitzman (Eds.). (1980).Exhibitionism: Description, assessment, and treatment. New York: Garland Press.

    Google Scholar 

  • Davidson, P. (1984, March).Behavioral treatment for incarcerated sex offenders: Post release outcome. Paper presented at a Conference on Sex Offender Assessment and Treatment, Kingston, Ontario.

  • Dix, G. (1976). Differential processing of abnormal sex offenders: Utilization of California’s mentally disordered sex offenders program.Journal of Criminal Law and Criminology, 67, 233–243.

    Article  Google Scholar 

  • Doshay, L. (1969).The boy sex offender and his later career. Montclair, NJ: Patterson Smith. (Original work published in 1943)

    Google Scholar 

  • Dwyer, S. M., & Myers, S. (1990). Sex offender treatment: A six-month to ten-year follow-up study.Annals of Sex Research, 3, 305–318.

    Article  Google Scholar 

  • Edson, C. (1990, December).History, philosophy and organization of the Jackson County Oregon Sex Offender Treatment program. Paper presented at the Sex Offender Treatment Skills for Professionals Conference at the National Institute of Corrections.

  • Eldridge, H., & Gibbs, P. (1987). Strategies for preventing reoffending: A course for sex offenders.Probation Journal, 34, 7–9.

    Article  Google Scholar 

  • Evans, D. (1970). Subjective variables and treatment effects in aversion therapy.Behaviour Research and Therapy, 8, 147–152.

    Article  PubMed  Google Scholar 

  • Evans, D. (1980). Electrical aversion therapy. In D. Cox & R. Daitzman (Eds.),Exhibitionism: Description, assessment, and treatment (pp. 85–122). New York: Garland Press.

    Google Scholar 

  • Farrell, K., & O’Brien, R. (1988).Sexual offenses by youth in Michigan: Data, implications and policy recommendations. Report to the Michigan Legislature. Detroit, MI: Safer Society Resources of Michigan.

    Google Scholar 

  • Festinger, L. (Ed.) (1980).Retrospections on social psychology. New York: Oxford University Press.

    Google Scholar 

  • Florida Department of Health and Rehabilitative Services (1976).Evaluation of sex offender rehabilitation programs in the State of Florida. Tampa, FL: Mental Health Program Office.

    Google Scholar 

  • Florida Department of Health and Rehabilitative Services (1984).Status of the sex offender treatment programs, fiscal year 1983–84, and addendum (Annual report to the Florida Legislature). Tampa, FL: Alcohol, Drug Abuse and Mental Health Program Office.

    Google Scholar 

  • Freeman-Longo, F., Bird, S., Stevenson, W., & Fiske, J. (1995).1994 nationwide survey of treatment programs & models: Serving abuse-reactive children and adolescent & adult sex offenders. Brandon, VT: Safer Society Press.

    Google Scholar 

  • Frisbie, L., & Dondis, E. (1965).Recidivism among treated sex offenders (Research Monograph No. 5). California Department of Mental Hygiene.

  • Furby, L., Weinrott, M., & Blackshaw, L. (1989). Sex offender recidivism: A review.Psychological Bulletin, 105, 3–30.

    Article  PubMed  Google Scholar 

  • Galaway, A., & Steele, N. (1992).Transitional sex offenders program (TSOP)—Minnesota Correctional Facility—Lino Lakes, Minnesota.

  • Gordon, A. (1989). Regional Psychiatric Centre (Prairies).Forum on Corrections Research, 1, 20–21.

    Google Scholar 

  • Gordon, A., Holden, R., & Leis, T. (1991). Managing and treating sex offenders: Matching risk and needs with programming.Forum on Corrections Research, 3, 7–11.

    Google Scholar 

  • Graham, K. (1994). The sexual addiction model in treatment of incarcerated offenders: A study on recidivism.Sexual Addiction & Compulsivity, 1, 1–6.

    Google Scholar 

  • Groth, N. (1982).Sex offender program. Unpublished manuscript.

  • Hackett, T. (1971). The psychotherapy of exhibitionists in a court clinic setting.Seminars in Psychiatry, 3, 297–306.

    PubMed  Google Scholar 

  • Hagan, M., King, R., & Patros, R. (1994). The efficacy of a serious sex offenders treatment program for adolescent rapists.International Journal of Offender Therapy and Comparative Criminology, 38, 141–150.

    Article  Google Scholar 

  • Hall, G. C. N. (1995). Sexual offender recidivism revisited: A meta-analysis of recent treatment studies.Journal of Consulting and Clinical Psychology, 63, 802–809.

    Article  PubMed  Google Scholar 

  • Hanson, R. K. (1997). How to know what works with sexual offenders.Sexual Abuse: A Journal of Research and Treatment, 9, 129–145.

    Google Scholar 

  • Hanson, R. K., Steffy, R., & Gauthier, R. (1993). Long-term recidivism of child molesters.Journal of Consulting and Clinical Psychology, 61, 646–652.

    Article  PubMed  Google Scholar 

  • Hanson, R. K., Gordon, A., Harris, A., Marques, J., Murphy, W., Quinsey, V., & Seto, M. (1997).Collaborative data base of sex offender treatment outcome. Unpublished manuscript.

  • Haversack, G. (1985). Program F: Sexuality therapy group. In F. H. Knopp (Ed.),Remedial intervention in adolescent sex offenses: Nine program descriptions (pp. 83–90). Syracuse, NY: Safer Society Press.

    Google Scholar 

  • Jones, I., & Frei, D. (1977). Provoked anxiety as a treatment of exhibitionism.British Journal of Psychiatry, 131, 295–300.

    Article  PubMed  Google Scholar 

  • Knopp, F. H. (1984).Retraining adult sex offenders: Methods and models (rev. ed.). Syracuse, NY: Safer Society Program of the New York State Council of Churches (revised 1988).

    Google Scholar 

  • Knopp, F. H. (1985). Recent developments in the treatment of adolescent sex offenders. In E. otey & G. Ryan (Eds.),Adolescent sex offenders: Issues in research and treatment (pp. 1–108). Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • Knopp, F. H. (Ed.) (1985).Remedial intervention in adolescent sex offenses: Nine program descriptions. Syracuse, NY: Safer Society Program of the New York State Council of Churches.

    Google Scholar 

  • Konopasky, R., Cann, S., & Curry, D. (1991). The Nova Scotia sexual behaviour clinic: Evaluation, 1 September 1990–31 March 1991.Forum on Corrections Research, 3, 12–15.

    Google Scholar 

  • Kozol, H., Boucher, R., & Garogalo, R. (1972). The diagnosis and treatment of dangerousness.Crime and Delinquency, 18, 371–392.

    Article  Google Scholar 

  • Kroth, J. (1979).Child sexual abuse: Analysis of a family therapy approach. Springfield, IL: Charles C Thomas.

    Google Scholar 

  • Lang, R., Pugh, G., & Langevin, R. (1988). Treatment of incest and pedophilic offenders: A pilot study.Behavioral Sciences & the Law, 6, 239–255.

    Article  Google Scholar 

  • Maletzky, B. (1974). “Assisted” covert sensitization in the treatment of exhibitionism.Journal of Consulting and Clinical Psychology, 42, 34–40.

    Article  PubMed  Google Scholar 

  • Maletzky, B. (1977). “Booster” sessions in aversion therapy: The permanency of treatment.Behavior Therapy, 8, 460–463.

    Article  Google Scholar 

  • Maletzky, B. (1980). Assisted covert sensitization. In Cox, D., & Daitzman, R. (Eds.),Exhibitionism: Description, assessment, and treatment (pp. 187–251). New York: Garland Press.

    Google Scholar 

  • Marques, J. (1994).Sex offender treatment and evaluation project. California State Department of Mental Health.

  • Marques, J. (1995).Reoffense rates for all matched subjects & reoffense rates for child molesters. Unpublished manuscript.

  • Marshall, W., & Anderson, D. (1996). An evaluation of the benefits of relapse prevention programs with sex offenders.Sexual Abuse: A Journal of Research and Treatment, 8, 209–221.

    Article  Google Scholar 

  • Marshall, W., & Barbaree, H. (1988). The long-term evaluation of a behavioral treatment program for child molesters.Behaviour Research and Therapy, 26, 499–511.

    Article  PubMed  Google Scholar 

  • Marshall, W., & Barbaree, H. (1988). An outpatient treatment program for child molesters. In R. Prentky & V. Quinsey (Vol. Eds.),Human sexual aggression: Current perspectives (Annals of the New York Academy of Sciences, Vol. 528, pp. 205–213). New York: New York Academy of Sciences.

    Google Scholar 

  • Marshall, W., Eccles, A., & Barbaree, H. (1991). The treatment of exhibitionists: A focus on sexual deviance versus cognitive and relationship features.Behaviour Research and Therapy, 29, 129–135.

    Article  PubMed  Google Scholar 

  • Mathis, J., & Collins, M. (1970). Mandatory group therapy for exhibitioinists.American Journal of Psychiatry, 126, 1162–1166.

    PubMed  Google Scholar 

  • McGurk, B., Thornton, D., & Williams, M. (Eds.) (1987).Applying psychology to imprisonment: Theory and practice. London: Her Majesty’s Stationery Office.

    Google Scholar 

  • Miner, M., & Dwyer, S. M. (1995). Analysis of dropouts from outpatient sex offender treatment.Journal of Psychology and Human Sexuality, 7, 77–93.

    Article  Google Scholar 

  • Mohr, J., Turner, R., & Jerry, M. (1964).Pedophilia and exhibitionism. Toronto: University of Toronto Press.

    Google Scholar 

  • Morrow, W., & Peterson, D. (1966). Follow-up of discharged psychiatric offenders—“Not guilty by reason of insanity” and “criminal sexual psychopaths.”Journal of Criminal Law, Criminology and Police Science, 57, 31–34.

    Article  Google Scholar 

  • Nutbrown, V., & Stasiak, E. (1987).A retrospective analysis of O.C.I. cost effectiveness 1977–81. Ontario Correctional Institute (Research Monograph 2).

  • O’Brien, M. (1985). Program C: Program for healthy adolescent sexual expression. In F. H. Knopp (Ed.),Remedial intervention in adolescent sex offenses: Nine program descriptions (pp. 64–72). Syracuse, NY: Safer Society Press.

    Google Scholar 

  • Otey, E., & Ryan, G. (Eds.) (1985).Adolescent sex offenders: Issues in research and treatment. Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • Pacht, A., Halleck, S., & Ehrmann, J. (1962). Diagnosis and treatment of the sexual offender: A nine-year study.American Journal of Psychiatry, 118, 802–808.

    PubMed  Google Scholar 

  • Perkins, D. (1987). A psychological treatment programme for sex offenders. In B. McGurk & D. Thornton (Eds.),Applying psychology to imprisonment: Theory and practice (pp. 191–217). London: Her Majesty’s Stationery Office.

    Google Scholar 

  • Pierson, T. (1988).MOSOP: Missouri sexual offender program. 1989 updated figures for Missouri sex offender study. Report. Pacific, MO.

  • Pithers, W. (1991).Vermont Treatment Program for Sexual Aggressors: Program evaluation. Unpublished manuscript.

  • Prentky, R., & Burgess, A. (1990). Rehabilitation of child molesters: A cost-benefit analysis.American Journal of Orthopsychiatry, 60, 108–117.

    Article  PubMed  Google Scholar 

  • Prentky, R., & Knight, R. (1991). Identifying critical dimensions for discriminating among rapists.Journal of Consulting and Clinical Psychology, 59, 643–661.

    Article  PubMed  Google Scholar 

  • Prentky, R., & Knight, R. (1994).A 24-year follow-up of (variably) treated sex offenders: Methodological issues in determining recidivism rates. Paper presented at the 13th Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abusers, San Francisco, CA, Nov.

  • Prentky, R., & Quinsey, V. (Vol. Eds.) (1988). Human sexual aggression: Current perspectives (Annals of the New York Academy of Sciences, Vol. 528). New York: New York Academy of Sciences.

    Google Scholar 

  • Quinsey, V., Chaplin, T., & Carrigan, W. (1980). Biofeedback and signaled punishment in the modification of inappropriate sexual age preferences.Behavior Therapy, 11, 567–576.

    Article  Google Scholar 

  • Reddon, J. (1994).An evaluation of the Phoenix Program for Sex Offender Treatment. Final report for the Solicitor General of Canada. Edmonton, Alberta.

  • Robinson, D. (1995).The impact of cognitive skills training on post-release recidivism among Canadian federal offenders. Research report. Ottawa, Ontario.

  • Roether, H., & Peters, J. (1972). Cohesiveness and hostility in group psychotherapy.American Journal of Psychiatry, 128, 1014–1017.

    PubMed  Google Scholar 

  • Romero, J., & Williams, L. (1983). Group psychotherapy and intensive probation supervision with sex offenders.Federal Probation, 47, 36–42.

    Google Scholar 

  • Rooth, F., & Marks, M. (1974). Persistent exhibitionism: Short-term response to aversion, self-regulation, and relaxation treatments.Archives of Sexual Behavior, 3, 227–248.

    Article  PubMed  Google Scholar 

  • Rosen, I. (1979a). Exhibitionism, scopophilia, and voyeurism. In I. Rosen (Ed.),Sexual deviation (2nd ed.) (pp. 139–194). Oxford: Oxford University Press.

    Google Scholar 

  • Rosen, I. (Ed.). (1979b).Sexual deviation (2nd ed.). Oxford: Oxford University Press.

    Google Scholar 

  • Rosner, R., & Schwartz, H. (Eds.) (1989).Juvenile Psychaitry and the Law. New York: Plenum Press.

    Google Scholar 

  • Schram, D., & Milloy, D., & Rowe, W. (1991).Juvenile sex offenders: A follow-up study of reoffense behavior. Report of the Washington State Institute of Public Policy.

  • Seligman, M. (1995). The effectiveness of psychotherapy: The Consumer Reports Study.American Psychologist, 50, 965–974.

    Article  PubMed  Google Scholar 

  • Serrill, M. (1974). Treating sex offenders in New Jersey: The ROARE program.Corrections Magazine, 1, 13–24.

    Google Scholar 

  • Short, A., & Halvorsen, D. (1991). Repeat offenders.Minnesota Star Tribune, Nov. 11, p. 2.

  • Smets, A., & Cebula, C. (1987). A group treatment program for adolescent sex offenders: Five steps toward resolution.Child Abuse & Neglect, 11, 247–254.

    Article  Google Scholar 

  • Smiley, W. (1989). Regional Psychiatric Centre (Pacific).Forum on Corrections Research, 1, 20.

    Google Scholar 

  • Smith, T., & Wolfe, R. (1988). A treatment model for sexual aggression.Journal of Social Work and Human Sexuality, 7, 149–164.

    Google Scholar 

  • Sohn, D. (1995). Meta-analysis as a means of discovery.American Psychologist, 50, 108–110.

    Article  Google Scholar 

  • Sturgeon, V., & Taylor, J. (1980). Report of a five-year follow-up study of mentally disordered sex offenders released from Atascadero State Hospital in 1973.Criminal Justice Journal, 4, 31–63.

    Google Scholar 

  • Travin, S., Bluestone, H., Coleman, E., Cullen, K., & Melella, J. (1985). Pedophilia: An update on theory and practice.Psychiatric Quarterly, 57, 89–103.

    Article  PubMed  Google Scholar 

  • Wickramasekera, I. (1980). Aversive behavior rehearsal: A cognitive-behavioral procedure. In D. Cox & R. Daitzman (Eds.),Exhibitionism: Description, assessment, and treatment (pp. 123–149). New York: Garland Press.

    Google Scholar 

  • Witzig, J. (1968). The group treatment of male exhibitionists.American Journal of Psychiatry, 125, 179–186.

    PubMed  Google Scholar 

  • Wolfe, R., & Marino, D. (1975). A program of behavior treatment for incarcerated pedophiles.American Criminal Law Review, 13, 69–83.

    Google Scholar 

  • Zuskin, R. (1992). Developing insight in incestuous fathers.Journal of Offender Rehabilitation, 18, 205–216.

    Article  Google Scholar 

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  1. Sex Offender Treatment Program, Oshkosh Correctional Institution, P.O. Box 3530, 54903-3530, Oshkosh, Wisconsin

    Margaret A. Alexander

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Alexander, M.A. Sexual offender treatment efficacy revisited. Sex Abuse 11, 101–116 (1999). https://doi.org/10.1007/BF02658841

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