Cognitive-interpersonal psychotherapy of sexual offender: a case report - 27/06/08
Résumé |
Objective |
The present work aims to describe the Cognitive Interpersonal Psychotherapy (CIP) applied to Sexual Offenders (SO). SOs are often referred to group psychotherapy when they are in prison. Marshall created a specific cognitive psyvhotherapeutic treatment to 1) enhance SOʼs selfesteem, 2) change cognitive distortions, 3) improve the empathy with victims, 4) provide SOs with a better intimacy, 5) change their dysfunctional sexual preferences, 6) prevent crime relapses. A case report will be introduced and discussed to evidence the features of clinical relevance of CIP and its limitations.
Materials and methods |
Case-report. L., a 65 years-old man convicted with paedophilia. He has been perpetrating sexual offences to a 6 years-old child since 2000 to 2005. L. received a psychotherapeutic treatment based on CIP to solve his sexual obsessions and his trait anxiety.
Diagnosis was gathered using his personal history, several interviews, the Genogram and direct observation.
Results |
A sexual hyper arousal was detected in every domain of L.ʼs life. He had an anxious style of attachment. A treatment based on individual sessions (2 a month) was begun. The first goal was an improvement of understanding the consequences of criminal acts using psycho-educational techniques. The second aim was to reduce anxiety to solve his erectile dysfunction of psychic origin working about cognitive distortions. Actually L. is treated also with antidepressant therapies.
Conclusions |
Sexual Obsessive worries have been reduced and L.ʼs marital relationship improved, giving L. a better intimacy. Therapeutic goals seem to be partially reached and we can hypothesize a good prognosis.
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Vol 17 - N° S1
P. 8-9 - janvier-mars 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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