Prävention sexuellen Kindesmissbrauchs im Dunkelfeld – das Hamburger
                Modell

Briken, Peer; Berner, Wolfgang; Flöter, Annika; Jückstock, Vivian; Franqué, Fritjof von

doi:10.1055/s-0043-121680

Cited by 13 publications

(4 citation statements)

References 14 publications

(8 reference statements)

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“…Following this rationale, the web-based intervention concentrates only on empirically supported risk factors as well as on treatment methods that have empirical support for the respective risk factors. All web-based intervention modules use already developed therapeutic concepts and are partly based on already established community-based treatment programs ( 48 , 49 ). These concepts have been adapted for web-based interventions and the specific sample of the trial.…”

Section: Methods and Analysismentioning

confidence: 99%

@myTabu—A Placebo Controlled Randomized Trial of a Guided Web-Based Intervention for Individuals Who Sexually Abused Children and Individuals Who Consumed Child Sexual Exploitation Material: A Clinical Study Protocol

et al. 2021

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Background: There is a high demand for evidence-based and cost-effective treatment concepts for convicted individuals who sexually abused children (ISAC) and individuals who consumed child sexual exploitation material (ICCSEM) under community supervision (CS). The @myTabu-consortium developed a guided web-based intervention for convicted ISAC and ICCSEM under CS consisting of six online modules targeting psychological meaningful risk factors. The study aims to evaluate the effectiveness of this guided web-based intervention in reducing dynamic risk factors and the risk to re-offend compared to a placebo condition. Furthermore, these dynamic risk factors are measured before and after every module to evaluate their individual effectiveness to reduce the respective risk factor as well as risk to re-offend. This clinical trial protocol describes the planned methods as well as the intervention concept.Methods: The methodological design is a placebo controlled randomized add-on trial (N = 582) with follow-ups at 8 points in time. The placebo condition controls for attention and expectation effects and comprises the same amount of modules with a comparable temporal effort as the experimental intervention. The trial is conducted as an add-on to community supervision as usually done. Primary outcomes are dynamic risk factors assessed by self-report risk assessment tools and officially recorded re-offenses.Discussion: To the best of our knowledge, the study is the first to compare the (cost-) effectiveness of a guided web-based intervention for convicted ISAC and ICCSEM under community supervision against a placebo condition. Methodological limitations (e.g., potential ceiling- or volunteers-effects) are discussed.Clinical Trial Registration: German Clinical Trial Register (DRKS 00021256). Prospectively registered: 24.04.2020.

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Section: Methods and Analysismentioning

confidence: 99%

@myTabu—A Placebo Controlled Randomized Trial of a Guided Web-Based Intervention for Individuals Who Sexually Abused Children and Individuals Who Consumed Child Sexual Exploitation Material: A Clinical Study Protocol

et al. 2021

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“…There are no systematic studies on the effectiveness of psychodynamic therapy. However, many practice institutions in Europe still work with a psychodynamic understanding of patients and partly also with modern therapy methods based on psychodynamic theories (Briken, 2018). These treatment approaches originate mainly from treatment of patients with severe personality disorders, especially BPDs.…”

Section: Psychodynamic-based Psychotherapymentioning

confidence: 99%

“…These treatment approaches originate mainly from treatment of patients with severe personality disorders, especially BPDs. Therapeutic techniques include transference-focused psychotherapy (Briken, 2018;Gibbels, Kneer, Hartmann, & Krueger, 2019) and mentalization-based psychotherapy (Bateman & Fonagy, 2008). The latter has been used in patients with antisocial personality disorder (Bateman & Fonagy, 2016).…”

Section: Psychodynamic-based Psychotherapymentioning

confidence: 99%

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Fedoroff

Briken

2020

Behavioral Sci & The Law

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Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010–2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords “treatment or therapy” and “sex offen*”. The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the “average” natal‐born male sex offender. Results showed that several meta‐analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.

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“…Both initiatives provide confidential support to those concerned about their sexual interests or behaviours; they also provide information to the general public regarding their role in helping prevent CSA. It should be noted that multiple German institutions, such as the Institute for Sexual Research and Forensic Psychiatry Hamburg, have provided therapeutic services for MAP who are not involved with the legal system since the 1960s (Briken, 2018). A complete listing of all secondary prevention initiatives worldwide is outside the scope of this article.…”

Section: Examples Of Secondary Prevention Initiativesmentioning

confidence: 99%

Primary and secondary prevention of child sexual abuse

Knack

Winder

Murphy

et al. 2019

International Review of Psychiatry

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The high prevalence rates and numerous consequences associated with child sexual abuse makes preventing these offences a societal priority. Prevention strategies have traditionally involved only tertiary interventions, implemented by the criminal justice system after an offence has occurred. More recently, some have argued for a public health approach to preventing child sexual abuse, which includes interventions at the primary and secondary levels. Secondary prevention aims to provide treatment and support to those at-risk of sexually offending before any involvement with the legal system. Increased demand for secondary prevention services and early results from current initiatives demonstrate that at-risk individuals are willing to seek treatment without external pressure from the legal system, and often report numerous treatment-related benefits. These findings support the need for widespread implementation of primary and secondary prevention initiatives. The safety of children requires that we, as a society, stop merely reacting to sexual offences, and instead begin implementing proactive evidence-based strategies that can prevent even initial incidents of child sexual abuse. This article explores some of the many benefits and barriers associated with primary and secondary prevention, as well as strategies for overcoming these barriers. Recommendations for the development and implementation of prevention initiatives are also included.

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Prävention sexuellen Kindesmissbrauchs im Dunkelfeld – das Hamburger Modell

Cited by 13 publications

References 14 publications

@myTabu—A Placebo Controlled Randomized Trial of a Guided Web-Based Intervention for Individuals Who Sexually Abused Children and Individuals Who Consumed Child Sexual Exploitation Material: A Clinical Study Protocol

@myTabu—A Placebo Controlled Randomized Trial of a Guided Web-Based Intervention for Individuals Who Sexually Abused Children and Individuals Who Consumed Child Sexual Exploitation Material: A Clinical Study Protocol

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Primary and secondary prevention of child sexual abuse

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