Summary
Contents
Subject index
Providing step-by-step guidelines for relapse prevention with adult male sex offenders who abuse children, the Maintaining Change for Adult Male Perpetrators of Child Sexual Abuse is based on Hilary Eldridge's experience of piloting this unique cognitive-behavioral treatment approach in community-based, secure hospital, and prison sex offender programs. The book is designed to be used in conjunction with the three-phased program of its companion, A Personal Manual for Maintaining Change. In Maintaining Change for Adult Male Perpetrators of Child Sexual Abuse, Eldridge presents the theoretical base for using relapse prevention, including information on the relapse process and its implications for assessment of perpetrator patterns, as well as interventions in those patterns and maintenance of change. The book provides the therapist or counselor with guidelines, suggestions, and descriptions covering rationale for the exercises used in each phase, how to introduce the exercises, how to deal with client questions and resistance, different ways of explaining the material, and sample therapist-client dialogues. Well integrated into existing programs, this treatment package is ideal for all who work in a professional capacity with adult male sex offenders and provides a clear map for the excursion into uncharted territories of personal change. This is a professional book for client-oriented self-management or therapy to be supervised by social workers, mental health agencies, prison staff, hospital staff, probation officers, psychologists, and other health care professionals. It also makes an excellent training resource or textbook for therapists, counselors, social workers, nurses, and other mental health professionals.
Increasing the Emphasis on Maintenance as the Offender Progresses through Therapy
Increasing the Emphasis on Maintenance as the Offender Progresses through Therapy
Figure 1 displays the change process through which an offender appears to pass in making progress toward an offense-free life. The process is not linear At times, progress seems rapid, but newborn thinking is fragile and painful, and the offender may slip back into comfortable old ideas before taking the next step forward. The experience of two steps forward and one step back is very common. The change process usually develops as described below.
Word and Thinking Change
The perpetrator admits some offense behavior, and begins to accept responsibility for it. He also begins to develop a conscious understanding of his particular pattern of offending, to recognize ...
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