Therapeutic engagement styles of child sexual offenders in a group treatment program: a grounded theory study.
It is widely observed that child sexual offenders typically exhibit considerable reluctance to self-disclose at a level that reflects the full reality of their offending. Their successful engagement in relapse prevention-based programs is therefore problematic. This paper describes a study involving men undertaking a prototypical group treatment program, facing the challenge of revealing to others the details of their offense process. A procedure was developed to access their covert responses at the time of this encounter. From a grounded theory analysis, participants were found to employ various strategies to manage situations where self-disclosure was required. Four distinct disclosure management styles emerged: exploratory, oppositional, evasive, and placatory; the latter three of which appear unfavorable to effective engagement in treatment. As well as suggesting ways of influencing disclosure management style, analysis indicated that it might be possible to predict these different orientations during routine assessment.
Frost
Andrew
A
Kia Marama Special Treatment Unit, Corrections Psychological Service, Rolleston, New Zealand. andrew.frost@corrections.govt.nz
D000328:Adult; D000368:Aged; D000739:Anecdotes as Topic; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007179:Incest / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D010342:Patient Acceptance of Health Care; D010378:Pedophilia / Q000523:psychology / Q000628:therapy*; D011615:Psychotherapy, Group / Q000379:methods*; D012307:Risk Factors; D012649:Self Concept; D013997:Time Factors; D014342:Truth Disclosure