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Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide

I: Assessment How do sexual interests cluster and relate to sexual offending behaviours against children?Introduction The current study Conclusion References Exploring and assessing the current sexual interest of men who have committed sexual and non-sexual violent offences Introduction Background Method Procedure Results References The role of PPG in sexological assessment and treatment of sexual offenders: a comparison of British and Czech practice Introduction Materials and methods Results Discussion: comparison of both practice systems Conclusion References Using the Explicit and Implicit Sexual Interest Profile in applied forensic or clinical contexts Paraphilic interests in forensic contexts Indirect latency-based measures of sexual interest in children Testing single cases with the Explicit and Implicit Sexual Interest Profile Using the Explicit and Implicit Sexual Interest Profile in court Conclusion Notes References Using the Rapid Serial Visual Presentation to detect sexual interest Why it is important to detect deviant sexual interest and how to detect it Attention-based measurement procedures Rapid Serial Visual Presentation procedure The attentional blink phenomenon Dual-target Rapid Serial Visual Presentation (dtRSPV) as an attention-based measurement procedure to detect Deviant Sexual Interest (DSI)Future directions Notes References Using eye-related measures to assess sexual interest Previously used assessments for sexual preference Measuring sexual preference with eye-tracking Measuring sexual preference using pupil dilation Limitations to eye-tracking Key conclusions and summary of recommendations for best practice References Sexual fantasy use as a proxy for assessing deviant sexual interest Introduction Sexual fantasy versus sexual fantasizing The role of sexual fantasizing in sex offending Assessing sexual fantasy use Issues and recommendations Conclusion Note References II: Management The treatment of sexual deviance within a therapeutic setting Introduction Treatment philosophy Description of strategies and exercises Summary References Compassion and acceptance as interventions for paraphilic disorders and sexual offending behaviour First wave Second wave The third wave: principles of relational frame theory and an evolutionary functional perspective ACT and CFT and their potential usefulness as therapies for paraphilia and offending ACT CFT A brief summary of ACT and CFT outcomes in mental health Compassion and acceptance integrated into contemporary rehabilitation practice Conclusion Note References A psychoanalytic approach to paraphilic disorders, perversions and other problematic sexual behaviours Introduction Forensic psychotherapy Paraphilias, paraphilic disorders and perversions – diagnostic controversy and confusion Psychoanalytic theories of perversion Perversion and paraphilic disorders: a contemporary clinical theory Psychoanalytically informed treatment of paraphilic disorders and perversions Challenges of treatment Conclusion Notes References Medication to manage problematic sexual arousal Introduction Measurements of problematic sexual arousal Clinical interviews Self-report measures of symptoms Self-report measures of consequences Comorbidity and wellbeing Psychological treatment of individuals convicted of sexual offences Medication to manage problematic sexual arousal Types of medication Hormonal therapy medications Selective serotonin reuptake inhibitors Side effects of medication Medication guidelines Evidence of effectiveness Conclusion References III: Approaches to assessment and management Introducing the multi-component framework of female sexual offending The extent of the problem – female perpetrators and their victims Females who offend using the Internet Theories of female sexual offending Gender equivalence Gendered perspectives – what does it mean to be female?Treatment Female sexual offending – where are we now?Introducing the multi-component framework of female sexual offending Conclusion References Trauma, adverse experiences, and offence-paralleling behaviour in the assessment and management of sexual interest Developmental accounts of offending Internal working models Links between trauma and offending Offence paralleling behaviour, trauma and the self-regulation model Trauma triggers Trauma triggers and OPB linked to sexual interest risk domains Sexual preoccupation Sexual preference for prepubescent or pubescent children Sexualized violence Paraphilic interest Illustrative fictional case example – Chris Conclusion References

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Trauma, adverse experiences, and offence-paralleling behaviour in the assessment and management of sexual interest
Lawrence Jones 13 This chapter will start by exploring the psychological mechanisms linking different kinds of trauma and risk propensity. The developmental contexts of offence related sexual interests will be explored as a critical factor in understanding the nature of sexual interest linked with offending....
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
Medication to manage problematic sexual arousal
Emma Marshall, Belinda Winder, Christine Norman and Nicholas Blagden Problematic sexual arousal can be separated into two categories; problematic sexual interests and problematic levels of arousal. Problematic sexual interests cover a wide range of sexual interests and behaviours,...
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
Medication to manage problematic sexual arousal
Evidence suggests that those diagnosed with sexual preoccupation may be unable to concentrate on the psychological interventions effectively as a result of their inability to control their sexual urges and intrusive thoughts (Aker-man, 2008; Marshall et al., 2006; Winder et al., 2017, 2014b). It is important...
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
Exploring and assessing the current sexual interest of men who have committed sexual and non-sexual violent offences
Geraldine Aker man, Jennifer Hardy and Paul Hamilton Assessing current sexual interest in men who have committed sexual offence can be somewhat problematic, particularly in relation to those who are serving probation, where disclosing offence-related sexual interest may lead to a serious penalty...
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
Using eye-related measures to assess sexual interest
Charlotte Wesson and Todd E. Hogue 6 There is an increasing tendency in the 21st century to turn to technology as a solution to a wide range of social and political problems. This predominance of addressing social issues through neuro-technical and robotic themes in the movies, mirrors the growth...
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
Sexual fantasy use as a proxy for assessing deviant sexual interest
Ross M. Bartels Sexual interest can be thought of as an evaluative construct regarding the sexual appeal of a particular target category (e.g. men, women, children) or behavioural category (e.g. dominance). If an example of one of these categories is thought of (internally) or observed (externally)...
(Assessing and Managing Problematic Sexual Interests: A Practitioner’s Guide)
My partner and I have different levels of sexual interest. How can we deal with sexual libido mismatch?
When partners in a romantic relationship have different levels of desire or interest in sexual activities, it may be traceable to larger, more serious issues in the relationship. Communication is the key when you disagree in this area. Many experts agree that the quality of your relationship with your...
(100 Questions and Answers about WomenвЂ™s Sexual Wellness and Vitality)
Assessment and Management of Sleep Disorders in Older Persons
The best method for detecting sleep-wake problems in ambulatory older people is simply to inquire about sleep on a regular basis. The clinician may do this initially during the patient visit. An alternative is to allow a staff member to administer a brief sleep questionnaire before or during routine...
(Geriatric rehabilitation : from bedside to curbside)
Establish efficient systems for senior officers to be able to identify and manage conflicts of interest
Among some of the most prominent anti-corruption policies are preventive measures aimed at promoting the integrity of senior officials and high-level civil servants. In the case of Tunisia, where the worst cases of corruption have involved these kinds of officials, it is critical that risks be adequately...
(OECD integrity review of Tunisia the public sector framework (preliminary version))
Assessing and managing risk
Risk assessment Risk assessment in mental health is traditionally divided into the actuarial approach, which measures static and historical factors associated with risk (such as age, gender, socio-economic status, and history of previous self-harm or risky behaviour), and the clinical...
(Medical psychotherapy)