Combining cognitive‐behavioral therapy and pharmacotherapy in the treatment of pedophilic incest offenders

Abstract

Treatment programs for incest offenders traditionally do not differentiate between pedophilic and nonpedophilic perpetrators. This oversight has failed to meet the specialized needs of pedophilic incest offenders, who differ from other incest as well as nonfamilial sex offenders in important ways. This paper describes a treatment intervention combining cognitive‐behavioral therapy and pharmacotherapy for the specialized treatment needs of the pedophilic incest offender. A case report is presented to illustrate the use of combined treatment and to highlight indicators for this strategy.

Men who molest their sexually immature daughters: is a special explanation required?

“…The pedophilia explanation received the most support. The present data support the findings of others who have stressed the importance of sexual deviance (Abel et al, 1981; Frude, 1982; Menard & Johnson, 1992; Stermac & Hucker, 1988). Although not as sexually deviant as extrafamilial offenders, the intrafamilial offenders were clearly sexually deviant as a group.…”

The Use of Leuprolide Acetate in the Management of High-Risk Sex Offenders

“…There is some evidence to suggest that a multidisciplinary approach to treatment, consisting of both medication management and empirically supported CBT approaches, may be the most effective strategy for the management of high-risk sexual offenders. A number of authors have cited the importance of using pharmacological treatments as an adjunct to psychological interventions (Briken & Kafka, 2007; Harrison, 2010; Lösel & Schmucker, 2005; Raymond et al, 2001; Saleh & Berlin, 2003; Schober et al, 2005; Stermac & Hucker, 1988). Namely, professionals working with sexual offenders have reported that sex drive reducing medications have helped limit the influence of deviant sexual thoughts or fantasies.…”