Prävention sexuellen Kindesmissbrauchs im Dunkelfeld – das Hamburger Modell

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

doi:10.1055/s-0043-100462

Cited by 12 publications

(7 citation statements)

References 13 publications

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“…According to Hanson et al (17) these principles "should be a major consideration in the design and implementation of treatment programs for sexual offenders" (17) (p. 865). Consequently, different treatment providers around the world have been using them for their conception of sexualforensic psychotherapy (16,(18)(19)(20). The RNR-principles can be defined as follows (21):…”

Section: Introductionmentioning

confidence: 99%

Mandated or Voluntary Treatment of Men Who Committed Child Sexual Abuse: Is There a Difference?

Franqué

Briken

2021

Front. Psychiatry

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Child sexual abuse is associated with multiple and often severe consequences for people who are affected by it. From the perspective of indicative prevention, the treatment of people who have sexually abused children represents one important strategy, with the assumption that there is often a risk for sexual recidivism. However, there is still very limited knowledge about how men who have not been convicted of child sexual abuse but participate in voluntary treatment (here called non-forensic clients) differ from those who have been convicted and undergo mandated treatment (here called forensic clients). This study compared 22 forensic and 22 non-forensic clients regarding pedophilic interests, static and dynamic risk factors, responsivity features, and treatment progress during an individualized treatment based on the principles of risk, need, and responsivity. We found neither differences in the rates in the DSM-5 diagnosis of pedophilic disorder, nor in risk and responsivity associated scores at the beginning of treatment. In both groups, a low to moderate risk for sexual re-offending was estimated. Both groups improved their functioning on dynamic risk and responsivity factors under treatment, while age at the beginning of therapy also had a positive effect on all outcomes. Non-forensic clients had a higher amount of responsivity associated resources than forensic clients during treatment. The limitations of these results and their implications for further research and prevention approaches are discussed.

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Section: Introductionmentioning

confidence: 99%

Mandated or Voluntary Treatment of Men Who Committed Child Sexual Abuse: Is There a Difference?

Franqué

Briken

2021

Front. Psychiatry

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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: The Web-based Intervention @Mytabu (Experimental Condition)mentioning

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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“…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, ). These treatment approaches originate mainly from treatment of patients with severe personality disorders, especially BPDs.…”

Section: Treatment Studiesmentioning

confidence: 99%

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

Section: Treatment Studiesmentioning

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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Prävention sexuellen Kindesmissbrauchs im Dunkelfeld – das Hamburger Modell

Cited by 12 publications

References 13 publications

Mandated or Voluntary Treatment of Men Who Committed Child Sexual Abuse: Is There a Difference?

Mandated or Voluntary Treatment of Men Who Committed Child Sexual Abuse: Is There a Difference?

@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

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