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.

Phase 1: From the Beginning to the Midpoint of Therapy

Phase 1: From the Beginning to the Midpoint of Therapy

Phase 1: From the beginning to the midpoint of therapy

Phase 1 for therapists links with the Phase 1 material in the personal relapse prevention manual (Manual, pp. 1–33), which is intended to motivate the perpetrator to identify his own pattern in detail. Working with some of the blocks to program receptivity, and ways of introducing and using the exercises are described in this section. The exercises can be given to the perpetrator all at once or individually, at the therapist's discretion.

During Phase 1, it is important that the offender recognize that the aim of therapy is self-control rather than cure. For offenders who are living in the community, some work on relapse prevention may need ...

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