ABSTRACT

In this chapter the role of trauma and adverse experiences triggering offence paralleling behaviour is explored in relation to the assessment and management of sexual arousal. A model of the impact of trauma on different evolved psychological systems and processes is explored. Links between different trauma related processes and offending processes are suggested. Monitoring offence paralleling behaviour is suggested as a method for establishing whether trauma related offending processes are in play and as a way of identifying relevant treatment targets or establishing if there has been change in a particular risk process for an individual case. In this chapter we track the generations of therapeutic interventions for people with paraphilic interests convicted of sexual offending, providing a timeline of changing practice over several decades. These shifts reflect fundamental paradigm movements in general psychotherapy. We also discuss two emerging therapy models underpinned by compassion science, mindfulness, acceptance techniques and values work, and consider how they could support people with paraphilia convicted of sexual offending lead more constructive, crime-free lives. Our intention is to highlight contemporary therapies that humanize human harming and suffering, and which not only dovetail with the ethos of a good-lives approach but also deepen agendas for working in strengths-based ways.