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Using Arousal Suppression Exercises to Decrease Inappropriate Sexual Arousal in Detained Adolescent Males: Three Clinical Demonstrations

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Abstract

Reyes, Vollmer, and Hall (2011) found that 2 arousal suppression strategies, 1 of which involved counting backward from 100 to 0, decreased sexual arousal for 2 male sex offenders with intellectual disabilities. In the current clinical study, we taught 3 adolescent males who had been adjudicated for illegal sexual behavior to self-report arousal when they were presented with sexually arousing visual stimuli. Based on the procedures in the Reyes et al. (2011) study, we taught participants to count backward from 100 to 0 when they verbally reported a criterion level of sexual arousal in the presence of visual media. Subsequently, we gradually faded therapists’ instructions for 2 participants until they independently used the arousal suppression exercise. Results showed that each participant’s self-reported sexual arousal decreased upon implementation of treatment relative to baseline. Decreased sexual arousal continued even under conditions of faded therapist instructions for 2 participants. The relative merits of using self-report measures are discussed.

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Notes

  1. Laws regarding consent and age of consent differ by state. In Alabama, where the study was conducted, 16 is the age of consent. This means that any individual under the age of 16 may not consent to any sexual acts.

  2. Although all participants were biologically male, gender neutral pronouns will be used throughout the current article.

  3. 3 All participant names used in the article are aliases. No real names were used to protect participants’ identities.

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Correspondence to John T. Rapp.

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All authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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The authors would like to thank the Alabama Department of Youth Services for their support, as well as the students who participated in the study.

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Brogan, K.M., Rapp, J.T., Niedfeld, A.M. et al. Using Arousal Suppression Exercises to Decrease Inappropriate Sexual Arousal in Detained Adolescent Males: Three Clinical Demonstrations. Behav Analysis Practice 13, 348–359 (2020). https://doi.org/10.1007/s40617-020-00408-z

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  • DOI: https://doi.org/10.1007/s40617-020-00408-z

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