The records of 377 men civilly committed under Illinois ’ Sexually Violent Persons Act were compa... more The records of 377 men civilly committed under Illinois ’ Sexually Violent Persons Act were compared with similar published samples from seven other states. Civilly com-mitted sexual offenders in Illinois were more likely to be diagnosed with any personality disorder and more likely to exceed the cutoff score for psychopathy than similar offenders in other states. The authors then present a national composite of demo-graphic, victim, and diagnostic information on men referred or pursued for civil com-mitment in eight states to better understand how these individuals differ from sex offender populations in correctional settings. Results suggest that there may be less victim specificity in sexually violent person (SVP) populations, as although nearly 50% of SVPs are diagnosed with pedophilia, 80 % had committed at least one sexual offense against a child or adolescent victim. Across all samples, 72.7 % of SVPs were diagnosed with a personality disorder, with antisocial personality dis...
This investigation examines the delivery of immediate, in-session feedback using the "bug-in~f.he... more This investigation examines the delivery of immediate, in-session feedback using the "bug-in~f.he-ear" (BITE) as an instructional technique in conjunction with live supervision during the counseling practicum. The study was conducted to explore an effective means of supervisor intervention which did not disrupt the counseling session. Few empirical investigations have been conducted in this area, and previous studies on this instructional aid used in models of live supervision were largely narrative in design. Counseling self-efficacy, trainee anxiety, and counseling performance were examined for twenty graduate student counselor trainees enrolled in the department of counseling at a northern plains university. Ten participants received immediate feedback via the BITE in conjunction with a live supervision model of training during the first half of 10 practicum sessions conducted at a community counseling clinic. Ten participants serving as controls received live supervision without the BITE feedback during their 10 sessions. Results indicated that participants who received immediate feedback via the BITE demonstrated significantly greater increases in counseling self-efficacy throughout the course o f the investigation than did the control group participants. Changes in participant anxiety levels did not differ significantly between groups. BITE or no-BITE feedback condition, changes in counseling self-efficacy and changes in anxiety level combined to account for significant portions of the variance in participants' scores on two measures of xi counseling performance. Participants reported no adverse effects due to the immediate feedback, although problems with the physical equipment were noted. A series of exploratory analyses based on previous BITE investigations were also conducted. Attempts to theoretically explain the benefits of incorporating immediate feedback in live supervision using Bandura's (1977) self-efficacy theory are presented. Implications for the training of graduate students in the counseling practicum and suggestions for future research in this area are discussed.
This investigation examines the delivery of immediate, in-session feedback using the “bug-in-the-... more This investigation examines the delivery of immediate, in-session feedback using the “bug-in-the-ear” (BITE) as an instructional technique in conjunction with live supervision during the counseling practicum. The study was conducted to explore an effective means of supervisor intervention which did not disrupt the counseling session. Few empirical investigations have been conducted in this area, and previous studies on this instructional aid used in models of live supervision were largely narrative in design. Counseling self-efficacy, trainee anxiety, and counseling performance were examined for twenty graduate student counselor trainees enrolled in the department of counseling at a northern plains university. Ten participants received immediate feedback via the BITE in conjunction with a live supervision model of training during the first half of 10 practicum sessions conducted at a community counseling clinic. Ten participants serving as controls received live supervision without ...
Given the high rates of insecure attachment and adverse childhood experiences in men who sexually... more Given the high rates of insecure attachment and adverse childhood experiences in men who sexually abuse, this pilot study examined whether an eight-month course of relationship-focused group therapy could make a positive impact on insecure attachment as a barrier to treatment engagement. Fifty subjects were identified by treatment teams as failing to make progress and/or engage meaningfully in a facility-based, sex offense-specific treatment program for civilly committed men who sexually offend. The subjects were assigned to five simultaneous new "motivational" groups that applied interpersonal-focused group therapy that emphasized interpersonal relating rather than criminogenic offense behavior. Participants showed significant improvement on the Secure Attachment subscale and three Secure items of the Relationship Styles Questionnaire (RSQ), suggesting that group-centered group promoted positive gains in interpersonal attachment, particularly in terms of reduced loneliness, reduced fear of acceptance, and greater comfort in depending on others. Participants assessed as having made good progress in the pilot treatment also showed significant improvement on a fourth Secure subscale item pertaining to greater ease with emotional closeness. Results further suggested that groups with better overall ratings of therapeutic climate using the Group Climate Questionnaire (GCQ) generally showed more movement toward secure attachment.
International journal of offender therapy and comparative criminology, 2014
The purpose of this study was to obtain feedback from civilly committed sex offenders (N = 113) a... more The purpose of this study was to obtain feedback from civilly committed sex offenders (N = 113) about the components of treatment that they believed to be most important and helpful in preventing reoffense. Participants were also asked to rate their satisfaction with the treatment process and therapists. Victim empathy and accountability were rated as the most important elements of treatment, along with skills for preventing relapse and methods for controlling sexual arousal. There was a fairly robust correlation between client perceptions of importance and satisfaction on most treatment components. Some clients expressed concerns about respect, confidentiality, and judgmental attitudes of some therapists. Because civilly committed sex offenders are considered to be among the most likely to reoffend, strategies are discussed for engagement of this population in a meaningful process of change.
International journal of offender therapy and comparative criminology, 2012
The records of 377 men civilly committed under Illinois' Sexually Violent Persons Act were co... more The records of 377 men civilly committed under Illinois' Sexually Violent Persons Act were compared with similar published samples from seven other states. Civilly committed sexual offenders in Illinois were more likely to be diagnosed with any personality disorder and more likely to exceed the cutoff score for psychopathy than similar offenders in other states. The authors then present a national composite of demographic, victim, and diagnostic information on men referred or pursued for civil commitment in eight states to better understand how these individuals differ from sex offender populations in correctional settings. Results suggest that there may be less victim specificity in sexually violent person (SVP) populations, as although nearly 50% of SVPs are diagnosed with pedophilia, 80% had committed at least one sexual offense against a child or adolescent victim. Across all samples, 72.7% of SVPs were diagnosed with a personality disorder, with antisocial personality disor...
I review the recent literature related to the assessment, treatment, and management of transgende... more I review the recent literature related to the assessment, treatment, and management of transgender individuals who sexually harm. There are no empirical research studies directly focused on the care of this group of individuals that have only recently been identified as an important sub-population among people who sexually harm. Related empirical research and other important professional literature do exist to inform clinicians regarding treatment guidelines for transgender mental healthcare. Research is needed to determine how best to assess sexual violence recidivism risk and to distinguish unique treatment needs for transgender individuals who sexually harm. Strength-based approaches to the treatment of sexual violence can help organize treatment approaches to assist transgender individuals in avoiding future incidents of sexually harmful behavior.
This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological... more This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological adjustment. Results indicated statistically significant relationships between the experience of child sexual abuse and subsequent difficulties in psychological ...
The records of 377 men civilly committed under Illinois ’ Sexually Violent Persons Act were compa... more The records of 377 men civilly committed under Illinois ’ Sexually Violent Persons Act were compared with similar published samples from seven other states. Civilly com-mitted sexual offenders in Illinois were more likely to be diagnosed with any personality disorder and more likely to exceed the cutoff score for psychopathy than similar offenders in other states. The authors then present a national composite of demo-graphic, victim, and diagnostic information on men referred or pursued for civil com-mitment in eight states to better understand how these individuals differ from sex offender populations in correctional settings. Results suggest that there may be less victim specificity in sexually violent person (SVP) populations, as although nearly 50% of SVPs are diagnosed with pedophilia, 80 % had committed at least one sexual offense against a child or adolescent victim. Across all samples, 72.7 % of SVPs were diagnosed with a personality disorder, with antisocial personality dis...
This investigation examines the delivery of immediate, in-session feedback using the "bug-in~f.he... more This investigation examines the delivery of immediate, in-session feedback using the "bug-in~f.he-ear" (BITE) as an instructional technique in conjunction with live supervision during the counseling practicum. The study was conducted to explore an effective means of supervisor intervention which did not disrupt the counseling session. Few empirical investigations have been conducted in this area, and previous studies on this instructional aid used in models of live supervision were largely narrative in design. Counseling self-efficacy, trainee anxiety, and counseling performance were examined for twenty graduate student counselor trainees enrolled in the department of counseling at a northern plains university. Ten participants received immediate feedback via the BITE in conjunction with a live supervision model of training during the first half of 10 practicum sessions conducted at a community counseling clinic. Ten participants serving as controls received live supervision without the BITE feedback during their 10 sessions. Results indicated that participants who received immediate feedback via the BITE demonstrated significantly greater increases in counseling self-efficacy throughout the course o f the investigation than did the control group participants. Changes in participant anxiety levels did not differ significantly between groups. BITE or no-BITE feedback condition, changes in counseling self-efficacy and changes in anxiety level combined to account for significant portions of the variance in participants' scores on two measures of xi counseling performance. Participants reported no adverse effects due to the immediate feedback, although problems with the physical equipment were noted. A series of exploratory analyses based on previous BITE investigations were also conducted. Attempts to theoretically explain the benefits of incorporating immediate feedback in live supervision using Bandura's (1977) self-efficacy theory are presented. Implications for the training of graduate students in the counseling practicum and suggestions for future research in this area are discussed.
This investigation examines the delivery of immediate, in-session feedback using the “bug-in-the-... more This investigation examines the delivery of immediate, in-session feedback using the “bug-in-the-ear” (BITE) as an instructional technique in conjunction with live supervision during the counseling practicum. The study was conducted to explore an effective means of supervisor intervention which did not disrupt the counseling session. Few empirical investigations have been conducted in this area, and previous studies on this instructional aid used in models of live supervision were largely narrative in design. Counseling self-efficacy, trainee anxiety, and counseling performance were examined for twenty graduate student counselor trainees enrolled in the department of counseling at a northern plains university. Ten participants received immediate feedback via the BITE in conjunction with a live supervision model of training during the first half of 10 practicum sessions conducted at a community counseling clinic. Ten participants serving as controls received live supervision without ...
Given the high rates of insecure attachment and adverse childhood experiences in men who sexually... more Given the high rates of insecure attachment and adverse childhood experiences in men who sexually abuse, this pilot study examined whether an eight-month course of relationship-focused group therapy could make a positive impact on insecure attachment as a barrier to treatment engagement. Fifty subjects were identified by treatment teams as failing to make progress and/or engage meaningfully in a facility-based, sex offense-specific treatment program for civilly committed men who sexually offend. The subjects were assigned to five simultaneous new "motivational" groups that applied interpersonal-focused group therapy that emphasized interpersonal relating rather than criminogenic offense behavior. Participants showed significant improvement on the Secure Attachment subscale and three Secure items of the Relationship Styles Questionnaire (RSQ), suggesting that group-centered group promoted positive gains in interpersonal attachment, particularly in terms of reduced loneliness, reduced fear of acceptance, and greater comfort in depending on others. Participants assessed as having made good progress in the pilot treatment also showed significant improvement on a fourth Secure subscale item pertaining to greater ease with emotional closeness. Results further suggested that groups with better overall ratings of therapeutic climate using the Group Climate Questionnaire (GCQ) generally showed more movement toward secure attachment.
International journal of offender therapy and comparative criminology, 2014
The purpose of this study was to obtain feedback from civilly committed sex offenders (N = 113) a... more The purpose of this study was to obtain feedback from civilly committed sex offenders (N = 113) about the components of treatment that they believed to be most important and helpful in preventing reoffense. Participants were also asked to rate their satisfaction with the treatment process and therapists. Victim empathy and accountability were rated as the most important elements of treatment, along with skills for preventing relapse and methods for controlling sexual arousal. There was a fairly robust correlation between client perceptions of importance and satisfaction on most treatment components. Some clients expressed concerns about respect, confidentiality, and judgmental attitudes of some therapists. Because civilly committed sex offenders are considered to be among the most likely to reoffend, strategies are discussed for engagement of this population in a meaningful process of change.
International journal of offender therapy and comparative criminology, 2012
The records of 377 men civilly committed under Illinois' Sexually Violent Persons Act were co... more The records of 377 men civilly committed under Illinois' Sexually Violent Persons Act were compared with similar published samples from seven other states. Civilly committed sexual offenders in Illinois were more likely to be diagnosed with any personality disorder and more likely to exceed the cutoff score for psychopathy than similar offenders in other states. The authors then present a national composite of demographic, victim, and diagnostic information on men referred or pursued for civil commitment in eight states to better understand how these individuals differ from sex offender populations in correctional settings. Results suggest that there may be less victim specificity in sexually violent person (SVP) populations, as although nearly 50% of SVPs are diagnosed with pedophilia, 80% had committed at least one sexual offense against a child or adolescent victim. Across all samples, 72.7% of SVPs were diagnosed with a personality disorder, with antisocial personality disor...
I review the recent literature related to the assessment, treatment, and management of transgende... more I review the recent literature related to the assessment, treatment, and management of transgender individuals who sexually harm. There are no empirical research studies directly focused on the care of this group of individuals that have only recently been identified as an important sub-population among people who sexually harm. Related empirical research and other important professional literature do exist to inform clinicians regarding treatment guidelines for transgender mental healthcare. Research is needed to determine how best to assess sexual violence recidivism risk and to distinguish unique treatment needs for transgender individuals who sexually harm. Strength-based approaches to the treatment of sexual violence can help organize treatment approaches to assist transgender individuals in avoiding future incidents of sexually harmful behavior.
This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological... more This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological adjustment. Results indicated statistically significant relationships between the experience of child sexual abuse and subsequent difficulties in psychological ...
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