Sexual Abuse and the Sexual Offender: Common Man or Monster?

257 Pages·2016·4.87 MB·English

by  Barry Maletzky

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CHAPTERTITLE I
SEXUAL ABUSE
AND THE
SEXUAL OFFENDER
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FORENSIC PSYCHOTHERAPY MONOGRAPH SERIES
Series Editor: Professor Brett Kahr
Honorary Consultant: Dr Estela V. Welldon
Other titles in the Series
Violence: A Public Health Menace and a Public Health Approach
Edited by Sandra L. Bloom
Life Within Hidden Walls: Psychotherapy in Prisons
Edited by Jessica Williams Saunders
Forensic Psychotherapy and Psychopathology: Winnicottian Perspectives
Edited by Brett Kahr
Dangerous Patients: A Psychodynamic Approach to Risk Assessment
and Management
Edited by Ronald Doctor
Anxiety at 35,000 Feet: An Introduction to Clinical Aerospace Psychology
Robert Bor
The Mind of the Paedophile: Psychoanalytic Perspectives
Edited by Charles W. Socarides
Violent Adolescents: Understanding the Destructive Impulse
Lynn Greenwood
Violence in Children: Understanding and Helping Those Who Harm
Edited by Rosemary Campher
Murder: A Psychotherapeutic Investigation
Edited by Ronald Doctor
Psychic Assaults and Frightened Clinicians:
Countertransference in Forensic Settings
Edited by John Gordon and Gabriel Kirtchuk
Forensic Aspects of Dissociative Identity Disorder
Edited by Adah Sachs and Graeme Galton
Violence in Children: Understanding and Helping Those Who Harm
Edited by Rosemary Campher
Playing with Dynamite: A Personal Approach to the Psychoanalytic
Understanding of Perversions, Violence, and Criminality
Estela V. Welldon
The Internal World of the Juvenile Sex Offender: Through a Glass Darkly
then Face to Face
Timothy Keogh
Disabling Perversions: Forensic Psychotherapy with People with Intellectual
Disabilities
Alan Corbett
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SEXUAL ABUSE
AND THE
SEXUAL OFFENDER
Common Man or Monster?
Barry Maletzky
Forensic Psychotherapy Monograph Series
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First published in 2016 by
Karnac Books Ltd
118 Finchley Road, London NW3 5HT
Copyright © 2016 to Barry Maletzky.
The right of Barry Maletzky to be identified as the author of this work has
been asserted in accordance with §§77 and 78 of the Copyright Design and
Patents Act 1988.
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise,
without the prior written permission of the publisher.
British Library Cataloguing in Publication Data
A C.I.P. for this book is available from the British Library
ISBN 978 1 78220 389 6
Edited, designed and produced by The Studio Publishing Services Ltd
www.publishingservicesuk.co.uk
email: [email protected]
Printed in Great Britain
www.karnacbooks.com
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CONTENTS
ACKNOWLEDGMENTS vii
ABOUT THE AUTHOR ix
SERIES EDITOR’S FOREWORD xi
by Brett Kahr
FOREWORD xv
by W. L. Marshall
INTRODUCTION
Dispelling the myths xix
CHAPTER ONE
Judge the act, not the actor 1
CHAPTER TWO
There is more than one type of sexual 7
offender—and it makes a bigdifference
CHAPTER THREE
How common is sexual offending? 19
v
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vi CONTENTS
CHAPTER FOUR
The possible origins of sexual offending 27
CHAPTER FIVE
Who sexually offends? Who might? The assessment 39
of the sexual offender
CHAPTER SIX
The examination of the sexual offender 49
CHAPTER SEVEN
Treating the sexual offender: cognitive techniques 73
CHAPTER EIGHT
Treating the sexual offender: experiential techniques 103
CHAPTER NINE
Treating the sexual offender: ancillary techniques 115
CHAPTER TEN
The frequency, duration, and cost of sexual 131
offender treatment programs
CHAPTER ELEVEN
The overall philosophy and rationale of sexual 141
offender treatment programs
CHAPTER TWELVE
Can sexual offenders ever be successfully treated? 153
CHAPTER THIRTEEN
The outliers: unusual offenders, female offenders, 163
youth who offend, clergy, and the like
CHAPTER FOURTEEN
Attempting to prevent sexual abuse 205
EPILOGUE 217
BIBLIOGRAPHY 219
INDEX 225
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ACKNOWLEDGMENTS
No work such as this can be the product of one person. Here, I would
like to recognize my long-term colleague, Cynthia Steinhauser, Ph.D.,
LCSW, as having contributed to the richness of information provided
in this text. She has succeeded me as Director of the Sexual Abuse
Clinic in Portland, OR, and her contributions, especially in the chapter
on assessment, have been invaluable.
My gratitude also extends to Professor Brett Kahr, Series Editor for
Karnac Books’ Forensic Therapy Monograph Series for his insightful
comments in the Foreword and to William L. Marshall, Ph.D., a giant
in our oft-neglected field, for his Foreword as well. I am almost
embarrassed by his overly flattering introduction to this work.
In addition, this book would not be available were it not for the
guidance and assistance of the staff at Karnac Books. Special thanks
should go to Rod Tweedy, Editor, for his steadfast attention and
prompt responses to my often rambling e-mails from across the sea. I
am also indebted to Cecily Blench, this work’s Project Manager, and to
Oliver Rathbone of Karnac for his constant oversight.
I would be seriously remiss in not acknowledging the assistance of
Kate Pearce of Karnac’s Editorial Office, and The Studio Publishing
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viii ACKNOWLEDGMENTS
Services, Ltd. for their careful editing, unscrambling my often con-
voluted sentences, blessedly suggesting trimming where necessary
and poring over the tables and frequent misalignments of the figures.
Without Karnac staff’s assistance, this manuscript might well languish
on some less devoted publishers’ desks for generations.
Finally, I cannot sufficiently emphasize the contributions my many
colleagues have made in contributing their skills, insights, and hard
work, both in their clinical practices and their research projects, which
have been crucial in shaping my ideas in the fields of assessing and
treating sexual offenders. This is not easy work, nor, much of the time
is it pleasant when compared to the usual practices of psychology or
psychiatry. To those friends, I must say a simple thank you for, to list
them all, would unduly prolong this text—but you already know who
you are. Many thanks to you all!
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ABOUT THE AUTHOR
Barry Maletzkygraduated from Columbia University with a B.A. and
from the State University of New York, Stony Brook Medical School,
with an M.D. He completed a residency in psychiatry at the Oregon
Health Sciences University in 1971. Following two years of service in
the military, he entered the practice of psychiatry in Portland, OR in
1973. Dr. Maletzky began specializing in several fields in psychiatry,
including the treatment of severe depression, the use of electrocon-
vulsive therapy, and the assessment and treatment of sexual offend-
ers. In 1978, he founded the Sexual Abuse Clinic to treat sexual
offenders and their victims. Since that time, the clinic has become one
of the largest and most established such clinics in the world.
Dr. Maletzky has conducted clinical research projects since his resi-
dency days. He is the author of over sixty-five articles in peer-reviewed
medical journals, ten chapters in edited textbooks, and six original
textbooks of psychiatry in various subspecialties. He is the recipient of
numerous military and civilian awards, including the Dean’s Award
from OHSU. He partially retired in 2007 in order to devote more time
to his teaching, research, volunteer, and consulting activities, includ-
ing work with those just released from prison, those who subsist below
the poverty line, and those within the LGBT community.
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