Deck 14: Treating Clients Who Commit Sex Offenses

Question 1

Identify and discuss some of the ways that sex offending therapies have improved since the 1980s.

Answer 1

No Answer

Question 2

How might behavioral and physiological treatments be used today?

Answer 2

No Answer

Question 3

In what way do attachment disorders affect people who commit sex offenses?

Answer 3

No Answer

Question 4

Is it enough to require sex offending clients to participate in cognitive-behavioral programs and nothing else?

Question 5

Some believe that sex offending clients can be cured through punishment and "get tough" strategies alone. Do you agree?

Question 6

What problems with relapse prevention does the self-regulation model attempt to resolve?

Question 7

What are some differences between general typologies and typologies of females specifically?

Question 8

What types of criticisms have been voiced about the PPG and the polygraph?

Question 9

Typology, assessment, and treatment of juveniles who commit sexual offenses has long been mirrored after adults. What are key differences between juveniles and adults who commit sex offenses?

Question 10

How effective is sex offending treatment in comparison to general correctional treatment program?

Question 11

Why might treatment practitioners choose not to give sex offending clients the same risk assessment as they give to non-sex offending clients?

Question 12

Today's paradigms that seek to explain sex offending and inform treatment approaches are more complex than past theories, and account for the influence of learning, neurological impairments, the formation of cognitive distortions, attachment disorders, problems with intimacy, anxiety, and anger

Question 13

The majority of people who commit sexual offenses commit their crimes for the same reasons

Question 14

The same treatment methods can be used to treat all clients who commit sex offenses

Question 15

The use of polygraph investigations with clients who commit sex offenses has been shown to be completely reliable

Question 16

When chemical castration is used, it is most often on a voluntary basis and typically supplements newer psychotherapeutic treatments

Question 17

In cognitive behavioral therapy, role playing is intended to assist the client's efforts to understand the feelings of others and to develop empathy for them

Question 18

Cognitive behavioral approaches are usually employed exclusively and do not involve the use of any other modality of treatment

Question 19

Relapse prevention is always an effective technique to reduce recidivism amongst clients who commit sex offenses

Question 20

Dysfunctional self-regulation is evidenced by disinhibition, ineffective inhibition, or misdirection of skills toward antisocial goals

Question 21

Establishment of a therapeutic alliance is less critical with clients who commit sex offenses than other populations because their offenses often involve manipulation and exploitation of others

Question 22

When assessing clients who commit sex offenses, the information gained can be grouped into four areas: social history, psychological and social problems, sexual development, and sexual patterns of offending

Question 23

A thorough psychiatric examination is the most widely used technique to obtain information about the client, and it should be the first step of treatment

Question 24

Containment and civil commitment laws seek to rehabilitate clients who commit sex offenses through a range of criminal justice sanctions, services, and policies

Question 25

Research indicates that present treatment programs are more effective than those used prior to 1980

Question 26

Clients convicted of sex offenses who participate in cognitive and behavioral therapy groups show no change in recidivism rates when compared to non-treated inmates

Question 27

Insecure attachments promote:

A) behavioral dysregulation.
B) emotional dysregulation.
C) cognitive dysregulation.
D) all of the above

Question 28

Clients who commit sex offenses demonstrate a number of cognitive and emotional problems and many have been diagnosed with all but which of the following?

A) post-traumatic stress disorder
B) developmental disorders
C) personality disorders
D) mood disorders

Question 29

___________ pedophiles have been attracted to children rather than age-appropriate sexual partners for their entire lives, while __________ pedophiles have had age-appropriate partners, but experienced a number of stressors which have threatened their self-esteem and confidence, leading them to become sexually involved with children.

A) Fixated; regressed
B) Life-course; situational
C) Regressed; fixated
D) Career; circumstantial

Question 30

The use of shock treatment is most closely associated with which of the fol?lowing treatments?

A) covert sensitization
B) aversive imagery
C) aversion therapy
D) systematic reinforcement therapy

Question 31

_________ is a therapeutic intervention that pairs inappropriate sexual stimuli with imagined aversive consequences.

A) Application therapy
B) Covert sensitization
C) Flooding
D) Role-playing

Question 32

If the_________ are omitted and the client returns to earlier behaviors, the ___________will become weaker and weaker until it disappears.

A) Aversive stimuli; unconditioned stimulus
B) Aversive reinforcement; unconditioned strategies
C) Unconditioned stimulus; aversive stimuli
D) Unconditioned strategies; aversive stimuli

Question 33

The treatment strategy that is the most appropriate for changing beliefs and attitudes that serve to maintain deviant behaviors is:

A) cognitive.
B) psychoanalytic.
C) behavioral.
D) plethysmography.

Question 34

Cognitive strategies designed to challenge oclient's distorted thinking include:

A) empathy training.
B) role-playing.
C) social skills training.
D) all of the above

Question 35

_________ focuses on the effect that victimization has on survivors.

A) Covert sensitization
B) Social skills training
C) Mirroring
D) Empathy training

Question 36

_________ is a therapeutic intervention that assists clients' ability to understand the feelings of others and challenges clients' cognitive distortions.

A) Empathy training
B) Role-playing
C) Covert desensitization
D) Aversion therapy

Question 37

Relapse prevention programs for clients who commit sex offenses are designed to:

A) incapacitate clients so that they are unable to reoffend.
B) provide work opportunities so that clients will be too busy to reoffend.
C) prevent reoffending through chemical castration.
D) teach clients ways to avoid high-risk situations, or cope with high risk situations that cannot be avoided so that reoffending will be less likely.

Question 38

Which of the following is a type of symptom of dysfunctional self-regulation according to Ward and Hudson (2000)?

A) disinhibition, or loss of control over emotions/behavior
B) depressive symptoms
C) suicidality
D) identity disturbance, or persistently unstable self-image or sense of self

Question 39

______________ focuses on stress management, distress acceptance, and emotional control.

A) Aversive therapy
B) Dialectical Behavioral Therapy
C) Social skills training
D) Psychoanalytic therapy

Question 40

A thorough assessment of a client's psychological and social history will indicate:

A) family relationships.
B) emotional difficulties.
C) significant life events.
D) all of the above

Question 41

Which of the following items is not examined when assessing a client's sexual development?

A) toilet training experiences
B) adjustment to puberty
C) history of sexual victimization
D) attitudes toward sex

Question 42

Penile plethysmography:

A) is controversial because its use involves the presentation of deviant stimuli.
B) is one of the most reliable ways to determine whether a person is a sex offending client.
C) measures a person's arousal patterns by recording brain wave activity while the person sleeps.
D) all of the above

Question 43

Which of the following is a risk factor for recidivism unique to clients who commit sex offenses?

A) prior sex offenses
B) involvement of stranger victims
C) existence of any male victims
D) all of the above

Question 44

Which of the following is not a component of The Containment Approach?

A) an underlying philosophy that places a priority to client protection
B) reliance upon multiagency coordination and cooperation
C) a client supervision model that emphasizes risk management individualized to the needs of individuals who commit sex offenses
D) a consistent set of multi-agency policies and protocols

Question 45

In recent years, ______________ have been viewed as the "gold standard" for determining whether or not a program is effective in reducing client recidivism.

A) systematic reviews
B) quantitative analyses
C) meta-analyses
D) case studies

Question 46

Recent trends in research and assessment with clients who commit sex offenses include:

A) the increasing scope of sexual offending.
B) the rejection of typologies of clients who commit sex offenses.
C) the improvements in sex offending client registries.
D) all of the above