It is estimated that relapse prevention methods are employed in more than 90% of all North American sex offender treatment programs (of which there are more than 2,000). Comparable statistics are true in most industrialized countries around the world. Over the last decade a great deal has been learned about the treatment of sexual offenders, and particularly about relapse prevention. This sourcebook provides clinicians with the most current, practical information about working with sex offenders to prevent relapse. It reflects the advances and insights of the past decade since the publication of Relapse Prevention with Sex Offenders, focusing on the major reconceptualizations, revisions, and innovations that will chart treatment programs for the first decade of the new millennium.
Part I: Relapse Prevention in Historical Perspective
Part II: A Revisionist Critique
- Chapter 2: What is So Special About Relapse Prevention?
- Chapter 3: Do Relapse Prevention Components Enhance Treatment Effectiveness?
- Chapter 4: Relapse Prevention and Harm Reduction: Areas of Overlap
Part III: Conceptual and Clinical Revisions
- Chapter 5: A Self-Regulation Model of Relapse Prevention
- Chapter 6: Relapse Prevention: Assessment and Treatment Implications
- Chapter 7: Behavioral Economics: Understanding Sexual Behavior, Preference, and Self-Control
Part IV: Clinical Innovations: Assessment and Treatment
- Chapter 8: Empathy Inhibition, Intimacy Deficits, and Attachment Difficulties in Sex Offenders
- Chapter 9: The Role of Cognitive Distortions in Relapse Prevention Programs
- Chapter 10: Managing Resistance and Rebellion in Relapse Prevention Intervention
- Chapter 11: Complementing Relapse Prevention with Medical Intervention
- Chapter 12: Competency-Based Assessment
- Chapter 13: Contextual Issues in Relapse Prevention Treatment
- Chapter 14: External Supervision: How can it Increase the Effectiveness of Relapse Prevention?
Part V: Sexual Preference Assessment
- Chapter 15: Remaking Penile Plethysmography
- Chapter 16: Polygraphy: Assessment and Community Monitoring
- Chapter 17: The Abel Screen: A Nonintrusive Alternative?
Part VI: Programs: Major Interventions Using Relapse Prevention
- Chapter 18: Preventing Relapse in Sex Offenders: What We Learned from SOTEP's Experimental Treatment Program
- Chapter 19: An Evidence-Based Relapse Prevention Program
Part VII: Relapse Prevention Applied to Special Populations
- Chapter 20: Relapse Prevention with Adolescent Sex Offenders
- Chapter 21: Treatment of the Developmentally Disabled Sex Offender
- Chapter 22: Relapse Prevention with Sexual Murderers
- Chapter 23: Replacing the Function of Abusive Behaviors for the Offender: Remaking Relapse Prevention in Working with Women who Sexually Abuse Children
- Chapter 24: Holism, Wellness, and Spirituality: Moving from Relapse Prevention to Healing
Part VIII: The Bottom Line
- Chapter 25: Maintaining Relapse Prevention Skills and Strategies in Treated Child Abusers
- Chapter 26: How does Recidivism Risk Assessment Predict Survival?
- Chapter 27: Treatment Outcome and Evaluation Problems (and Solutions)
Part IX: The Way Forward