Description of the Strategy

Imagery during masturbation and during interpersonal sexual activity is of paramount importance in treating the sexual offender. Fantasy sustains urge; thus, gaining access to such fantasies can be crucial in understanding sexual desires and reactions. However, clients' fantasies remain very much a private reserve of information, inaccessible to the treatment provider unless and until full trust is established. Therefore, the techniques described here must be approached cautiously only after building full rapport with the client. This is of special importance in working with the sexual offender, who, most often, does not enter treatment on an entirely voluntary basis.

Orgasmic reconditioning (OR), also called masturbatory reconditioning, has been described as a series of techniques for treating sexual offenders, the vast ...