title: [Change events during the psychotherapy process of a patient detained by court order due to sexual offences in a high security forensic clinic].
abstract: BACKGROUND
  Psychotherapy of sex offenders is effective and reduces relapse rates when compared with untreated controls. As compared to the effectiveness of psychotherapy at large, however, effect sizes are much lower.
  
  
  OBJECTIVE
  To provide evidence for change processes in a therapy with a sex offender.
  
  
  METHODS
  This is an exploratory single case study in which the Therapeutic Cycles Model (TCM)--developed for general psychotherapy and based on emotional experience and cognitive mastery--is being applied. In addition to the computer assisted approach of the TCM clinical ratings are used as independent criteria.
  
  
  RESULTS
  The predicted relationship between the phases of the TCM, the rating for Quality of Sessions and the Therapeutic Alliance was observed.
authors.affiliation: Hohenfeld-Klinik für Psychosomatik, Bad Camberg.
authors.forename: Mechthild
authors.initials: M
authors.lastname: Böhmer
authors.forename: Erhard
authors.initials: E
authors.lastname: Mergenthaler
authors.forename: Friedemann
authors.initials: F
authors.lastname: Pfäfflin
mesh_terms: D000342:Affective Symptoms / Q000523:psychology / Q000628:therapy; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003674:Defense Mechanisms; D001330:Electronic Data Processing; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D006801:Humans; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010378:Pedophilia / Q000523:psychology / Q000628:therapy; D011340:Problem Solving; D011613:Psychotherapy / Q000331:legislation & jurisprudence / Q000379:methods*; D055502:Secondary Prevention; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000523:psychology*; D012984:Software
vernacular_title: Veränderungsprozesse im Verlauf der Psychotherapie eines wegen Sexualdelikten im Massregelvollzug untergebrachten Patienten.