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

I: AssessmentHow do sexual interests cluster and relate to sexual offending behaviours against children?IntroductionThe current studyConclusionReferencesExploring and assessing the current sexual interest of men who have committed sexual and non-sexual violent offencesIntroductionBackgroundMethodProcedureResultsReferencesThe role of PPG in sexological assessment and treatment of sexual offenders: a comparison of British and Czech practiceIntroductionMaterials and methodsResultsDiscussion: comparison of both practice systemsConclusionReferencesUsing the Explicit and Implicit Sexual Interest Profile in applied forensic or clinical contextsParaphilic interests in forensic contextsIndirect latency-based measures of sexual interest in childrenTesting single cases with the Explicit and Implicit Sexual Interest ProfileUsing the Explicit and Implicit Sexual Interest Profile in courtConclusionNotesReferencesUsing the Rapid Serial Visual Presentation to detect sexual interestWhy it is important to detect deviant sexual interest and how to detect itAttention-based measurement proceduresRapid Serial Visual Presentation procedureThe attentional blink phenomenonDual-target Rapid Serial Visual Presentation (dtRSPV) as an attention-based measurement procedure to detect Deviant Sexual Interest (DSI)Future directionsNotesReferencesUsing eye-related measures to assess sexual interestPreviously used assessments for sexual preferenceMeasuring sexual preference with eye-trackingMeasuring sexual preference using pupil dilationLimitations to eye-trackingKey conclusions and summary of recommendations for best practiceReferencesSexual fantasy use as a proxy for assessing deviant sexual interestIntroductionSexual fantasy versus sexual fantasizingThe role of sexual fantasizing in sex offendingAssessing sexual fantasy useIssues and recommendationsConclusionNoteReferencesII: ManagementThe treatment of sexual deviance within a therapeutic settingIntroductionTreatment philosophyDescription of strategies and exercisesSummaryReferencesCompassion and acceptance as interventions for paraphilic disorders and sexual offending behaviourFirst waveSecond waveThe third wave: principles of relational frame theory and an evolutionary functional perspectiveACT and CFT and their potential usefulness as therapies for paraphilia and offendingACTCFTA brief summary of ACT and CFT outcomes in mental healthCompassion and acceptance integrated into contemporary rehabilitation practiceConclusionNoteReferencesA psychoanalytic approach to paraphilic disorders, perversions and other problematic sexual behavioursIntroductionForensic psychotherapyParaphilias, paraphilic disorders and perversions – diagnostic controversy and confusionPsychoanalytic theories of perversionPerversion and paraphilic disorders: a contemporary clinical theoryPsychoanalytically informed treatment of paraphilic disorders and perversionsChallenges of treatmentConclusionNotesReferencesMedication to manage problematic sexual arousalIntroductionMeasurements of problematic sexual arousalClinical interviewsSelf-report measures of symptomsSelf-report measures of consequencesComorbidity and wellbeingPsychological treatment of individuals convicted of sexual offencesMedication to manage problematic sexual arousalTypes of medicationHormonal therapy medicationsSelective serotonin reuptake inhibitorsSide effects of medicationMedication guidelinesEvidence of effectivenessConclusionReferencesIII: Approaches to assessment and managementIntroducing the multi-component framework of female sexual offendingThe extent of the problem – female perpetrators and their victimsFemales who offend using the InternetTheories of female sexual offendingGender equivalenceGendered perspectives – what does it mean to be female?TreatmentFemale sexual offending – where are we now?Introducing the multi-component framework of female sexual offendingConclusionReferencesTrauma, adverse experiences, and offence-paralleling behaviour in the assessment and management of sexual interestDevelopmental accounts of offendingInternal working modelsLinks between trauma and offendingOffence paralleling behaviour, trauma and the self-regulation modelTrauma triggersTrauma triggers and OPB linked to sexual interest risk domainsSexual preoccupationSexual preference for prepubescent or pubescent childrenSexualized violenceParaphilic interestIllustrative fictional case example – ChrisConclusionReferences

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