title: Working positively with sexual offenders: maximizing the effectiveness of treatment.
abstract: In this article, the authors draw on literatures outside sexual offending and make suggestions for working more positively and constructively with these offenders. Although the management of risk is a necessary feature of treatment, it needs to occur in conjunction with a strength-based approach. An exclusive focus on risk can lead to overly confrontational therapeutic encounters, a lack of rapport between offenders and clinicians, and fragmented and mechanistic treatment delivery. The authors suggest that the goals of sexual offender treatment should be the attainment of good lives, which is achieved by enhancing hope, increasing self-esteem, developing approach goals, and working collaboratively with the offenders. Examples are provided of how these targets may be met. When this is done within a therapeutic context where the treatment providers display empathy and warmth and are rewarding and directive, the authors suggest that treatment effects will be maximized.
authors.affiliation: Rockwood Psychological Services, Kingston, Ontario, Canada.
authors.forename: William L
authors.initials: WL
authors.lastname: Marshall
authors.forename: Tony
authors.initials: T
authors.lastname: Ward
authors.forename: Ruth E
authors.initials: RE
authors.lastname: Mann
authors.forename: Heather
authors.initials: H
authors.lastname: Moulden
authors.forename: Yolanda M
authors.initials: YM
authors.lastname: Fernandez
authors.forename: Geris
authors.initials: G
authors.lastname: Serran
authors.forename: Liam E
authors.initials: LE
authors.lastname: Marshall
mesh_terms: D000987:Antisocial Personality Disorder / Q000517:prevention & control / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D005555:Forensic Psychiatry / Q000379:methods; D006801:Humans; D008960:Models, Psychological; D020380:Needs Assessment / Q000592:standards; D011369:Professional-Patient Relations; D018570:Risk Assessment; D012307:Risk Factors; D055502:Secondary Prevention; D012742:Sex Offenses / Q000517:prevention & control / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology