State of the Art Treatment Options for Actual and Potential Sexual Offenders and New Prevention Strategies.

Sexual violence is a significant and devastating issue for men and women throughout the world. Its consequences are not only disastrous for victims of sexual violence but are also extremely costly (estimated cost of $41,000 per rape) for society. Successful treatment of sexual offenders is therefore an important goal for society as well as for victims and offenders themselves. Over the years, multiple treatment approaches for sex offenders have been developed. Treatment programs range from the risk-need-responsivity (RNR) model, which focuses on providing tailored treatment for high-risk and low-risk offenders, to psychodynamic models. This article presents an overview for clinicians of state-of-the-art offender treatment, describing the most common treatment approaches, in particular the RNR model, cognitive-behavioral programs (relapse prevention programs, sexual offender treatment programs), psychodynamic approaches (transference-focused psychotherapy, mentalization-based therapy), the Good Lives Model, as well as pharmacological options. In addition, it provides an evaluation of the various treatment programs. However, given the fact that most acts of sexual violence will never be reported to the police, the question arises if treating convicted perpetrators is enough. Do we need rather-in terms of preventive work-a program for potential sexual offenders and men with delinquent sexual fantasies? Given the prevalence of sexual violence and its impact on victims, society, and the medical community, it would be remiss not to try to reach potential/unconvicted perpetrators. This article offers novel ideas and a project the goal of which is to prevent sexual offenses against women by introducing the "I CAN CHANGE" program from Hannover Medical School.

Preventing Sexual Abuse: Perspectives of Minor-Attracted Persons About Seeking Help.

The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their (a) formal and informal experiences with help-seeking for minor attraction, (b) perceived barriers to seeking help for concerns about minor attraction, and (c) treatment priorities as identified by consumers of these services. A nonrandom, purposive sample of MAPs (n = 293, 154 completed all questions) was recruited via an online survey. Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful. Characteristics of helpful therapeutic encounters included nonjudgmental attitudes, knowledge about minor attraction, and viewing clients in a person-centered and holistic way. Barriers to help seeking included uncertainty about confidentiality, fear of negative reaction or judgment, difficulties finding a therapist knowledgeable about MAPs, and financial constraints. Understanding or reducing attraction to minors were common treatment goals, but participants also prioritized addressing general mental health and well-being related to depression, anxiety, loneliness, and low self-esteem. Implications for effective and ethical counseling and preventive interventions for MAPs are discussed.

Real-time functional magnetic imaging-brain-computer interface and virtual reality promising tools for the treatment of pedophilia.

This chapter proposes a prospective view on using a real-time functional magnetic imaging (rt-fMRI) brain-computer interface (BCI) application as a new treatment for pedophilia. Neurofeedback mediated by interactive virtual stimuli is presented as the key process in this new BCI application. Results on the diagnostic discriminant power of virtual characters depicting sexual stimuli relevant to pedophilia are given. Finally, practical and ethical implications are briefly addressed.

Pedofilia: análise contra a castração química de pedófilos / Pedophilia: analysis against pedophilic chemical castration

Objetivos: discorrer os principais motivos em ser contra a castração de pedófilos. Metodologia: estudo de revisão deliteratura, com coleta de dados por meio da WEB da National Library of Medicine (PubMed), do site da Biblioteca Virtualem Saúde (BVS), utilizando os seguintes descritores: pedofilia, transtorno, castração e tratamento. Resultados: baseandoseno fato que a pedofilia independe do ato sexual propriamente dito, para se caracterizar, e que é classificada comotranstorno de personalidade e comportamento de preferência sexual, em adulto, é que fundamenta a defesa da tese deque a castração não é solução para este problema, tão pouco melhor escolha, pois, mesmo com tal procedimento, oindivíduo mantém sua personalidade de pedófilo, sendo viável ao profissional de saúde tratar de seres patológicos e nãoapenas do que o afeta, pois um dos preceitos do cuidar é atender cada cliente de maneira holística e humanizada.Conclusão: não é com um método centralizado apenas no biológico que se resolve um problema de origempsicossomática, entretanto, por ser reconhecido mundialmente como um distúrbio, é necessário o cuidar continuado, umavez que não existe ex-pedófilo.

Verbascum thapsus "quand le verbe claironne" / Verbascum thapsus "when the verb annunciates"

Verbascum thapsus, le bouillon blanc, est une plante poussant dans le lieux incultes de toute l'Europe. On l'appelle aussi Molène ou herbe de Saint-Fiacre. Elle était connue des... (AU)

The treatment of incest offenders--a hypnotic approach: a brief communication.

Incest has become more prominent in public awareness over the past 15 years. The major focus of this interest has been on the incest survivor. The incest offender has received less attention. A hypnotic approach to treating incest offenders is outlined that involves a seven-stage approach. A case example is presented and future research directions suggested.