A controlled exposure technique in the elimination of exhibitionism

Wardlaw, Grant; Miller, Paulynne

doi:10.1016/0005-7916(78)90084-8

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…Lowenstein (1973) employed a reciprocal inhibition approach in his successful treatment of an exhibitionist, whereas Johnson (1977) treated a 32 year-old exhibitionist using short-term conjoint marital therapy to improve his marital and sexual relationship. Wardlaw and Miller (1978) reported positive results in the treatment of two offender and one non-offender exhibitionists with a covert aversive therapy technique first reported by Schaefer (1976). The ABA within-subjects design included a treatment which consisted of "practice" exhibitions under controlled conditions in which subjects exposed themselves while allowing themselves to experience the negative feelings they normally experienced after a public exhibition.…”

Section: Exhibitionismmentioning

confidence: 90%

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The treatment of sexual paraphilias: A review of the outcome research

Kilmann

Sabalis

Gearing³

et al. 1982

The Journal of Sex Research

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Studies which investigate the impact of treatment on subjects with singular and multiple sexual paraphilias (exhibitionism, fetishism, pedophilia, transvestism, voyeurism) are reviewed. A methodological evaluation was conducted with attention to six categories: design, subjects, therapists, treatment, time periods, and outcome measures. Subjects included sexual offenders and non-offenders. Most of the studies were single-case reports. The methodological shortcomings in the literature included the failure to control for social desirability factors, especially in the case of sex offenders, and the reliance upon verbal selfreports in the evaluation of outcome. Almost all of the studies found positive treatment effects, either immediately after treatment or at various follow-up periods. However, periodic booster treatment sessions sometimes were necessary with paraphilias of long duration. Across the paraphilias reviewed, the literature offered tentative support for the efficacy of a multiple behavioral treatment package specifically tailored to aspects of the patient's sexual arousal pattern. The elimination of variant sexual responses in conjunction with fostering appropriate, nonvariant sexual behavior is a relevant treatment strategy in some cases. Future research should use homogeneous experimental and control subjects, obtain a pre-therapy assessment of sexual and social functioning, specify treatment goals, and use multiple outcome measures. The importance of specifying subject variables for the goal of successful subjecttreatment matches is also suggested. As a step in that direction, a checklist which noted the psychological and situational correlates of the five predominant sexual paraphilias was derived from the literature.

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Section: Exhibitionismmentioning

confidence: 90%

“…A methodological strength is that some studies assessed outcome at several follow-up periods (e.g., Abel et al, 1970;Wardlaw & Miller, 1978). Some studies did not obtain outcome data immediately after the termination of treatment but only at the follow-up (e.g., Ritchie, 1968).…”

Section: Time Formatmentioning

confidence: 97%