Tuesday, October 22, 2013

High-Profile Cases in Congress and the Church (Part Nine)

Level One

These behaviors are legal and generally seen as culturally acceptable; however, they can be devastating when used compulsively. 
  • Masturbation 
  • Serial relationships
  • Adult pornography 
  • Cybersex (chat rooms, avatar on-line gaming)
  • Affairs
  • Fantasy
  • Cross-dressing
Level Two

These behaviors violate the most significant boundaries. If caught, the perpetrators can face severe legal consequences.
  • Rape
  • Incest
  • Molestation
  • Cybersex (involving underage children or adolescents) 
In the assessment process, I look for patterns and treatment modalities that can best serve the patient. It is important to note that there have been two approaches to treating sexual offenders. The first is "the offender's model," largely used in criminal settings such as with incarcerated or paroled clients.   This model has historically been cognitive/behavioral model, meaning it addresses the thoughts that generate the individual's behavior. The cognitive/behavioral model can be an effective modality.

Many treatment centers and practitioners are expanding their programs, as explained by Barbara Schwartz in the book The Sex Offender: Corrections, Treatment and Legal Practice, "Society cannot afford to lock up all offenders forever. Instead, it should determine how offenders can be rehabilitated using a "whole system" or "integrative approach to treatment."

An integrated model is more congruent with the "addictions model" used at The Meadows because it focuses on the patient's behavior as it relates to his underlying trauma. The goal is the integration of the whole person: body, mind, and spirit.

No matter what model or combination of models is implemented, each case needs individual assessments to determine appropriate treatment planning to best serve the patient's long-term goals.

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