Cochrane Database of Systematic Reviews 2003
DOI: 10.1002/14651858.cd004858
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Psychological interventions for those who have sexually offended or are at risk of offending

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Cited by 40 publications
(30 citation statements)
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“…Although it is not possible to experimentally manipulate risk factors in sexual offending research, an experimental design could be used as part of an intervention study for sexualized behavior (Cicchetti & Hinshaw, 2002), and this may provide valuable information about mediating risk mechanisms. Randomized intervention studies for sexual offenders are rare because of the ethical difficulties of randomizing to a no-treatment condition (Kenworthy, Adams, Bilby, Brooks-Gordon, & Fenton, 2004). Furthermore, while these studies may tell us about the factors that maintain sexual offending, they may be less informative about its development.…”
Section: Implications For the Five Methodological Problemsmentioning
confidence: 99%
“…Although it is not possible to experimentally manipulate risk factors in sexual offending research, an experimental design could be used as part of an intervention study for sexualized behavior (Cicchetti & Hinshaw, 2002), and this may provide valuable information about mediating risk mechanisms. Randomized intervention studies for sexual offenders are rare because of the ethical difficulties of randomizing to a no-treatment condition (Kenworthy, Adams, Bilby, Brooks-Gordon, & Fenton, 2004). Furthermore, while these studies may tell us about the factors that maintain sexual offending, they may be less informative about its development.…”
Section: Implications For the Five Methodological Problemsmentioning
confidence: 99%
“…Intentionally restricting Up2U to one-half of these cases was justifiable since we did not know whether the treatment actually reduces victimisation or whether it has harmful effects. This is supported by evidence-based practice reviewers who argue that with otherwise untested programmes, the only ethical option is to provide treatment within a well-controlled evaluative study (Feder et al, 2008;Kenworthy et al, 2004). This allows providers to be clear that the intervention is being tested, and avoids offering victim partners and taxpayers false expectation of safety or protection.…”
Section: Protecting Against Prior Between-group Differencesmentioning
confidence: 99%
“…However, despite published outcome studies describing as many as 20,000 offenders who have completed custody-based group therapy treatment programmes worldwide, there is very little evidence that psychological treatments in custody reduces the risk of sexual recidivism. 10 The failure of custody-based programmes to show a significant effect on recidivism may be in part because treatment has not been specific to the individual offender's needs. For example, if the basis of the sexual behaviour towards children is in response to symptoms of a psychotic illness, a treatment programme that involves disclosure, victim empathy, identifying triggers for offending and other components of a relapse-prevention model may not be appropriate.…”
Section: Preventative Detention For Treatmentmentioning
confidence: 99%