title: A plan analysis of pedophile sexual abusers' motivations for treatment: a qualitative pilot study.
abstract: Many authors have suggested adapting treatment programs to the specific needs of sexual abusers. However, little research has been conducted to understand what these patients seek in therapy or what elements play a key role in keeping them in treatment. In this pilot study, fifteen (N=15) pedophile sexual abusers from La Macaza clinic for sexual abusers were interviewed. Plan analysis was used to investigate the most prevalent components involved in staying in or leaving therapy. Results suggest that many components involved in the plans leading to doing and to avoiding treatment were similar. Differences were found in regards to the outcome of confrontations with the therapists, a tendency to isolate and overcomply, guilt related to the abuse, a need for a stable environment, and a need to be accepted. These results are discussed along with possible ways to improve the patients' involvement in treatment.
authors.affiliation: McGill University, 3700 McTavish Street, Montréal, Québec, Canada. martin.drapeau@mcgill.ca
authors.forename: Martin
authors.initials: M
authors.lastname: Drapeau
authors.forename: Annett
authors.initials: A
authors.lastname: Körner
authors.forename: Luc
authors.initials: L
authors.lastname: Granger
authors.forename: Louis
authors.initials: L
authors.lastname: Brunet
authors.forename: Franz
authors.initials: F
authors.lastname: Caspar
mesh_terms: D000328:Adult; D002648:Child; D015928:Cognitive Behavioral Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010347:Patient Care Planning; D010352:Patient Dropouts / Q000523:psychology; D010378:Pedophilia / Q000523:psychology* / Q000534:rehabilitation; D010552:Personality Assessment; D010865:Pilot Projects; D011329:Prisoners / Q000331:legislation & jurisprudence / Q000523:psychology*; D012307:Risk Factors; D055502:Secondary Prevention; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000523:psychology*; D016896:Treatment Outcome