ABSTRACT

This chapter proposes the importance of regarding sexual violence as complex, requiring careful formulation, identification, and implementation of treatment. It summarizes what areas should be considered as part of treatment with the client who has committed sexual violence. The chapter considers how best to engage with the client in such treatment endeavours. Treatment approaches consistent with the Risk-Need-Responsivity principles have been demonstrated to lead to reductions in sexual offence recidivism. In terms of re-entry the integrated theory of desistance from sex offending emphasises that poor re-entry planning predicted sexual recidivism in addition to the contribution of measures of static and dynamic risk factors. The future of treatment for sexual violence should focus on attending to the personal functions of offending for the individual, based on acknowledging a complex range of factors. The model incorporates the key factors identified as being important in sexual recidivism. These factors are: general antisociality, deviant sexual arousal, problematic attitudes and problems with self-regulation.