title: A 25-year follow-up of cognitive/behavioral therapy with 7,275 sexual offenders.
abstract: Outcome data are presented, grouped into 5-year cohorts, for 7,275 sexual offenders entering a cognitive/behavioral treatment program. Assessment variables included treatment completion, self-admission of covert and/or overt deviant behaviors, the presence of deviant sexual arousal, or being recharged for any sexual crime (regardless of plea or conviction). It proved possible to follow 62% for the cohort at 5 years after initiating treatment, but follow-up completion rates decreased with time. Outcomes were significantly different based on offender subtype, with child molesters and exhibitionists achieving better overall success than pedophiles or rapists. Prematurely terminating treatment was a strong indicator of committing a new sexual offense. Of interest was the general improvement of success rates over each successive 5-year period for many types of offenders. Unfortunately, failure rates remained comparatively high for rapists (20%) and homosexual pedophiles (16%), regardless of when they were treated over the 25-year period. Implications for clinical practice and future research are drawn.
authors.affiliation: Oregon Health Sciences University, USA. marbar@easystreet.com
authors.forename: Barry M
authors.initials: BM
authors.lastname: Maletzky
authors.forename: Cynthia
authors.initials: C
authors.lastname: Steinhauser
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010262:Paraphilic Disorders / Q000523:psychology / Q000628:therapy*; D010352:Patient Dropouts / Q000523:psychology; D012189:Retrospective Studies; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000523:psychology*; D017211:Treatment Failure