Psychological treatment of problematic sexual interests: cross-country comparison

Journal article


Klapilová, K., Demidova, L. Y., Swaby, H., Flinton, C. A., Weiss, P. and Fedoroff, J. P. 2019. Psychological treatment of problematic sexual interests: cross-country comparison. International Review of Psychiatry. 31 (2), pp. 1-21. https://doi.org/10.1080/09540261.2019.1591353
AuthorsKlapilová, K., Demidova, L. Y., Swaby, H., Flinton, C. A., Weiss, P. and Fedoroff, J. P.
Abstract

This paper reviews the use of psychotherapeutic approaches to treat individuals who have committed sex crimes and/or have problematic sexual interests (PSI); including types of psychotherapy used, descriptions of preventive and reintegration programmes, and highlighting specific theoretical controversies. In the second part, experts from Canada, the Czech Republic, Russia, the United Kingdom, and the United States, who participated in an International Consensus Meeting held in Prague (2017), summarize treatment programmes in their countries. The comparison revealed some general findings: each country has variability between its own programmes; most countries have different programmes for people who are in custody and who are in the community; the state-directed treatment programmes are primarily focused on criminal individuals, while non-criminal individuals are treated in preventive programmes and/or in special clinics or are untreated; the presence of PSI in patients is acknowledged in most programmes, although specific programmes exclusively for individuals with PSI rarely exist. Studies on effectiveness are difficult to compare due to methodologic, political, and cultural differences. Further communication between more countries to share knowledge about successful treatments and preventive approaches is needed, especially enhanced international collaboration between researchers and clinicians to verify the effectiveness of current clinical and experimental program, rs.

Keywords psychotherapeutic approaches; sex crimes; problematic sexual interests (PSI)
Year2019
JournalInternational Review of Psychiatry
Journal citation31 (2), pp. 1-21
PublisherRoutledge, Taylor and Francis Group
ISSN0954-0261
1369-1627
Digital Object Identifier (DOI)https://doi.org/10.1080/09540261.2019.1591353
Web address (URL)https://bgro.repository.guildhe.ac.uk/id/eprint/513/
http://dx.doi.org/10.1080/09540261.2019.1591353
Output statusPublished
Publication dates17 Feb 2019
Publication process dates
Accepted04 Mar 2019
Deposited10 Mar 2023
Permalink -

https://repository.derby.ac.uk/item/9x960/psychological-treatment-of-problematic-sexual-interests-cross-country-comparison

  • 15
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Identifying and working with appropriate treatment targets with people who are sexually attracted to children
Rebecca Lievesley, Craig Harper, Helen Swaby and Ellie Woodward 2022. Identifying and working with appropriate treatment targets with people who are sexually attracted to children. Journal of Sex & Marital Therapy . pp. 1-20. https://doi.org/10.1080/0092623x.2022.2149437
“Falling Through the Cracks”: A Retrospective Exploration of the Barriers to Help-Seeking Among Men Convicted of Sexual Crimes
Swaby, H. and Rebecca Lievesley 2022. “Falling Through the Cracks”: A Retrospective Exploration of the Barriers to Help-Seeking Among Men Convicted of Sexual Crimes. Sexual Abuse. pp. 1-48. https://doi.org/10.1177/10790632221146501
Primary Health Professionals’ Beliefs, Experiences, and Willingness to Treat Minor-Attracted Persons
Lievesley, R., Swaby, H., Harper, C.A. and Woodward, E. 2022. Primary Health Professionals’ Beliefs, Experiences, and Willingness to Treat Minor-Attracted Persons. Archives of Sexual Behavior. 51, p. 923–943. https://doi.org/10.1007/s10508-021-02271-7
The Internalization of Social Stigma Among Minor-Attracted Persons: Implications for Treatment
Swaby, H., Harper, C. A. and Lievesley, R. 2020. The Internalization of Social Stigma Among Minor-Attracted Persons: Implications for Treatment. Archives of Sexual Behavior. 49, p. 1291–1304. https://doi.org/10.1007/s10508-019-01569-x
Learning to “live upside down”: Experiencing the true and false self in psychotherapy training
Swaby, H. 2020. Learning to “live upside down”: Experiencing the true and false self in psychotherapy training. Psychotherapy and Politics International. 18 (2), pp. 1-15. https://doi.org/10.1002/ppi.1531
A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness
Postavaru, G.-I., Swaby, H. and Swaby, R. 2020. A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness. Palliative Medicine. 35 (2), pp. 1-19. https://doi.org/10.1177/0269216320979153
Sexual Crime and Circles of Support and Accountability
Swaby, H. Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability.
Circles of Support and Accountability, Assisted Desistance and Community Transition.
Blagden, N., Swaby, H. and Lievesley, R. 2018. Circles of Support and Accountability, Assisted Desistance and Community Transition. in: Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability London Palgrave Macmillam. pp. 25–41
Future Directions: Alternative Circles of Support and Accountability Models and Minority Groups.
Hocken, K., Good, C., Swaby, H., Webb, C., O'Connor, H. and Cox, K. 2018. Future Directions: Alternative Circles of Support and Accountability Models and Minority Groups. in: Swaby, H., Hocken, K., Lievesley, R., Blagden, N., Winder, B. and Banyard, P. (ed.) Sexual Crime and Circles of Support and Accountability London Palgrave Macmillam. pp. 171–200
"I kind of find that out by accident": probation staff experiences of pharmacological treatment for sexual preoccupation and hypersexuality
Swaby, H., Winder, B., Manby, E., Edwards, H. and Lievesley, R. 2018. "I kind of find that out by accident": probation staff experiences of pharmacological treatment for sexual preoccupation and hypersexuality. Journal of Forensic Practice. 25 (3), pp. 1-31. https://doi.org/10.1108/jfp-09-2017-0036
Evaluation of the use of pharmacological treatment with prisoners experiencing high levels of hypersexual disorder
Winder, B., Lievesley, R., Elliott, H., Hocken, K., Faulkner, J., Norman, C., Kaul, A. and Swaby, H. 2017. Evaluation of the use of pharmacological treatment with prisoners experiencing high levels of hypersexual disorder. Journal of Forensic Psychiatry and Psychology. 29 (1), pp. 1-31. https://doi.org/10.1080/14789949.2017.1337801
Working with transgendered sex offenders: Prison staff experiences
Marlow, K., Winder, B. and Swaby, H. 2015. Working with transgendered sex offenders: Prison staff experiences. Journal of Forensic Practice. 17 (3). https://doi.org/10.1108/jfp-02-2015-0013
Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality
Winder, B., Lievesley, R., Swaby, H., Norman, C. and Kaul, A. Wilcox, D. T., Garrett, T. and Harking, L. (ed.) 2014. Understanding the Journeys of High-Risk Male Sex Offenders Voluntarily Receiving Medication to Reduce Their Sexual Preoccupation and/or Hypersexuality. Hoboken, New Jersey Wiley.
Understanding service users' and therapists' experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders
Lievesley, R., Elliott, H.J., Winder, B., Norman, C. and Swaby, H. 2014. Understanding service users' and therapists' experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders. Journal of Forensic Psychiatry and Psychology. 25 (3). https://doi.org/10.1080/14789949.2014.909867
Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity
Winder, B., Lievesley, R., Kaul, A., Elliott, H.J., Thorne, K., Hocken, K. and Swaby, H. 2014. Preliminary evaluation of the use of pharmacological treatment with convicted sexual offenders experiencing high levels of sexual preoccupation, hypersexuality and/or sexual compulsivity. Journal of Forensic Psychiatry and Psychology. 25 (2). https://doi.org/10.1080/14789949.2014.903504