treatments

Cognitive-behavioral treatment for rapists: Can we do better?

A review of treatment studies with rapists suggests that the currently used cognitive-behavioral treatment strategies remain limited in their success. This article proposes that some reasons for the limited success may be that current treatment approaches do not adequately address the heterogeneity of the population, emphasize changing patterns of physiological arousal and cognitive distortions rather than psychological acceptance, and neglect to address differences in the function of sexually aggressive behavior among individuals.

Prevalence of premilitary adult sexual victimization and aggression in a Navy recruit sample

1,832 female (aged 17-34 yrs) and 1,754 male (aged 17-34 yrs) U.S. Navy recruits were surveyed for premilitary histories of adult sexual assault. Ss completed a survey designed to estimate rates for experiences as victims (females) and perpetrators (males) of attempted and completed rape since the age of 14 yrs. Results show that 45.5% of the females reported being the victim of attempted (9.4%) or completed rape (36.1%) before entering the Navy. Male recruits' self-reports indicated that 14.8% admitted perpetrating attempted (3.5%) or completed rape (11.3%) before entering the Navy.

Health and social care staff responses to working with people with a learning disability who display sexual offending type behaviours

Examined the responses of 81 social care staff (SCS) and 15 nursing staff (NS) providing support in the community to clients with a learning disability who had offended or displayed a sexual offense behavior. The range of behaviors including rape, sexual assault and exposure. While 59% of the SCS were currently supporting a client who had offended, only 22.9% had received training in this area. None of the NS had received training. Both groups expressed low levels of confidence in supporting this client group.

Intimate partner sexual assault against women: Frequency, health consequences, and treatment outcomes.

OBJECTIVE: To describe the characteristics and consequences of sexual assault within intimate relationships specific to racial or ethnic group, compare the findings to a similar group of physically assaulted-only women, and measure the risk of reassault after victim contact with justice and health services, METHODS: A personal interview survey of 148 African-American, Hispanic, and white English- and Spanish-speaking abused women seeking a protection order.

Rape-related HIV risk concerns among recent rape victims

A sample of 62 recent rape victims who had received postrape medical care were interviewed an average of 6 weeks after being raped (M=37.3 days, SD=19.3 days) to examine fear or concern about contracting HIV as a result of rape. Fifty-seven out of 62 women (91.9%) reported some degree of initial fear or postrape concern about contracting HIV as a result of the rape, and 45 out of 62 women (72.6%) reported that they were extremely fearful or concerned about contracting HIV. Women who were extremely fearful or concerned about contracting HIV were more likely to have been raped by a stranger.

Rape prevention: Methodological problems and new directions

Interventions targeting males and aimed at the primary prevention of rape are reviewed. Etiological accounts of rape have largely ignored situational variables, situation by person interactions, and the development of an appropriate taxonomy of rapists. Psychometrically adequate dependent measures of rape proclivity have yet to be developed. Most existing rape prevention research fails to distinguish between statistically and clinically significant results and fails to assess the durability of any treatment effects.

Adult victims of sexual assault: Acute medical response and police reporting among women consulting a center for victims of sexual assault

Background: The medical response to adult sexual assault should comprise: the collection of forensic evidence, the treatment of injuries, and follow-up counselling. In the past, victims of sexual assault reporting directly to the police may not have received this total medical care. The Copenhagen Center for Victims of Sexual Assault at Rigshospitalet, Denmark offers a 24-h service. Medical treatment and psychosocial follow up is offered independent of police reporting.

How to Answer the Question, Does Sex Offender Treatment Work?

Although sex offender treatment is an established clinical specialty, evidence regarding its effectiveness has been slow to accumulate. One ongoing treatment outcome study, California's Sex Offender Treatment and Evaluation Project (SOTEP), is used to highlight several problems that are inherent in this type of research, and to illustrate that even well-designed studies make only a limited contribution to our empirical database on treatment effectiveness. SOTEP findings are also used to show that the broad question, Does sex offender treatment work?

Sexual harassment: A review of the literature

Reviews the published research on sexual harassment. Definitional, epidemiological, etiological, treatment, and prevention issues are examined as well as the literature on the effects of sexual harassment. Suggestions for future research are provided. Although there are many controversies concerning the definition of sexual harassment, it is clear that there are subtypes of sexual harassment, such as gender harassment, unwanted sexual attention, and sexual coercion.

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