Cover -- Title page -- Copyright page -- Contents -- About the Editors -- About the Contributors -- Foreword -- Preface -- Part I: Overview -- 1: The Continuing Need for Individualized Interventions with Sex Offenders -- Introduction -- Group Treatment -- Case Formulation -- The Structure of This Book -- References -- Part II: Context Issues -- 2: Motivation, Compassion, and Self-care in the Treatment of Sexual Offenders -- Introduction -- Background Information: Theoretical and Research Basis -- Case Introduction and History -- First Encounter: Presenting Complaints -- Assessment -- First encounter continued: case conceptualization -- Course of Treatment: Deepening Engagement -- Assessment of progress and barriers to care -- Follow-up -- Implications and Recommendations to Clinicians and Students -- References -- 3: Ethical Issues in the Treatment of Sex Offenders: Addressing the Dual Relationship Problem -- Introduction -- The Dual Relationship Problem in Sex Offender Treatment -- Contemporary Reponses to the Problem of Dual Relationships -- Single code primacy: mental health -- Single code primacy: criminal justice -- Hybrid codes -- A Framework for Addressing Dual Relationship Problems -- Moral Acquaintances and the Dual Relationship Problem: A Procedural Approach -- Conclusions -- Acknowledgement -- References -- 4: Standard Sex Offender Assessment, Supervision, and Group Treatment -- Introduction -- Theoretical and Research Developments -- Assessment -- Treatment -- Case Introduction -- History -- Assessment -- Case conceptualization -- Treatment -- Supervision -- Assessing treatment change -- Conclusion -- References -- Part III: Offender Issues -- 5: Treating Child Sex Abusers: A Person-Centered Approach -- Introduction -- Case Introduction -- Personal history -- Psychosexual development -- The role of sexual fantasy -- Offending history.

Risk assessment -- Case conceptualization -- Barriers to treatment and how to overcome them -- Treatment implications for Mr. P -- Course of treatment and assessment of progress -- Problems encountered -- Follow-up -- Conclusion -- Acknowledgement -- References -- 6: Treatment of Men Who Have Sexually Abused Adults -- Introduction -- Key Features of Men Who Rape -- Characteristics and interpersonal features -- Associated psychopathologies -- Treating Men Who Rape -- Theoretical Frameworks Underpinning Treatment -- Specific sexual offender models -- General rehabilitation approaches -- Case Study Description -- Background case presentation -- Previous sexual offense work -- Assessment -- Extended collaborative assessment -- Formulation -- Treatment -- Conclusion -- References -- 7: The Role of Case Studies in Work with Sexually Abusive Adolescents -- Introduction -- The Case Study Approach: Differences and Similarities -- Two Case Studies -- Case one introduction: Juan -- Case two introduction: Martin -- Recommendations to Clinicians -- Conclusion: Case Studies as a Driving Force in Understanding Juvenile Sexually Abusive Behavior -- References -- 8: Intervention Issues with a Sex Offender with Intellectual Disability -- Theoretical and Research Basis for Treatment -- Research on the efficacy of treatment -- Case Introduction -- History -- Assessment -- Case conceptualization and formulation -- Course of treatment and assessment of progress -- Complicating factors (including medical management) -- Review of progress -- Follow-up -- Recommendations to Clinicians and Students -- References -- 9: Working with Non-Contact (Offline) Sexual Offenders -- Theoretical and Research Basis for Treatment -- Case Introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress.

Complicating factors -- Access and barriers to care -- Follow-up -- Treatment implications -- Author's Note -- Acknowledgements -- References -- 10: Interventions with an Internet Sexual Offender -- Theoretical and Research Basis for Treatment -- Case Introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Access and barriers to care -- Follow-up -- Treatment implications of the case -- Recommendations to Clinicians and Students -- Acknowledgement -- References -- 11: Women Who Sexually Offend: A Case Study -- Introduction -- Who Are Female Sexual Offenders? -- Types of Female Sexual Offenders and Their Offense Process -- Assessment: Risk of Recidivism -- Clinical Factors to Consider Among Female Sexual Offenders -- Case Example: Michelle -- Risk assessment -- Treatment needs assessment and identification of other elements related to offending -- Recommendations for Students and Clinicians -- References -- 12: Working with a Sexual Offender with Bipolar Disorder -- Theoretical and Research Basis for Treatment -- Bipolar Disorder and Offending -- Bipolar Disorder and Sexual Offending -- Psychological Treatment -- Case Introduction -- Presenting complaints -- History -- Case conceptualization -- Assessment -- Course of treatment and assessment of progress -- Access and barriers to care -- Follow-up -- Treatment implications of the case -- Recommendations to Clinicians and Students -- References -- 13: Treating Professionals Who Are Sexually Involved with Their Clients -- Theoretical and Research Basis for Treatment -- Case Introduction -- Presenting complaint and history -- The initial encounter -- Explaining the fitness for duty evaluation to the professional -- Clinical presentation at the assessment.

Objective assessment of sexual interest and the validity of self-report -- The use of polygraphs in assessment -- Treatment considerations and case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Access and barriers to care -- Follow-up -- Treatment implications of the case -- Recommendations to Clinicians and Students -- References -- 14: Working with Zoosexual Offenders (Addressing High Levels of Deviance) -- Introduction -- Theoretical and Research Basis for Treatment -- Case Study 1: Mr. Z -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Access and barriers to care -- Follow-up -- Case Study 2: Mr. A -- Case introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Access and barriers to care -- Follow-up -- Case Study 3: Mr. B -- Case introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Access and barriers to care -- Follow-up -- Treatment Implications of the Case Studies -- Recommendations to Clinicians and Students -- Acknowledgements -- References -- 15: Psychopathy and Sexual Offending -- Introduction -- Theoretical and Evidence-Base for Treatment -- Psychopathy, sexual offending, and treatment -- Treating sexual offenders with psychopathic traits -- Concluding comments -- An Illustrative Case -- Presenting complaints -- History -- Assessment -- Case formulation -- Course of treatment and assessment of progress -- Follow-up -- Conclusions and practice recommendations -- References -- 16: Assessment and Treatment When Sex Is Attached to a Killing: A Case Study -- Introduction.

Classifying a Killing as Sexual -- Subgroups of sexual murder -- Assessing Risk -- Context -- Interview -- Case Study Where Sex Attached to a Killing -- Introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment -- Complicating factors -- Access and barriers to care -- Follow-up -- Treatment implications -- Recommendations to Clinicians and Students -- Managing risk with sexual murderers -- Information sharing -- Security options and release from custody -- Conclusion -- References -- Part IV: Specialized Interventions -- 17: Addressing Denial -- Theoretical and Research Basis for Treatment -- Case Introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors -- Treatment implications of the case -- Recommendations to Clinicians and Students -- References -- 18: Changing Deviant Sexual Interests: Masturbatory Reconditioning with a Child Molester -- Theoretical and Research Basis -- Directed masturbation -- Satiation therapy -- Case Introduction -- Presenting complaints -- History -- Assessment -- Case conceptualization -- Course of treatment and assessment -- Complicating factors -- Follow-up -- Treatment implications -- Recommendations to Clinicians -- References -- 19: Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality -- Theoretical and Research Basis for Treatment -- Case Introduction -- Presenting complaints -- Demographics and offense history -- Assessment of risk -- Case conceptualization -- Course of treatment and assessment of progress -- Complicating factors (including medical management) -- Access and barriers to care -- Follow-up -- Treatment implications of the cases -- Case Studies.

Case 1: Malcolm.