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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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.
Although all participants were biologically male, gender neutral pronouns will be used throughout the current article.
3 All participant names used in the article are aliases. No real names were used to protect participants’ identities.
AL Code § 15-20A-26. (2016). Juvenile sex offender treatment; Risk assessment. https://law.justia.com/codes/alabama/2016/title-15/chapter-20a/section-15-20a-26/.
Abel, G. G., Blanchard, E. B., & Barlow, D. H. (1981). Measurement of sexual arousal in several paraphilias: The effects of stimulus modality, instructional set and stimulus content on the objective. Behaviour Research and Therapy, 19(1), 25–33. https://doi.org/10.1016/0005-7967(81)90109-1.
Association for the Treatment of Sexual Abusers. (2017). Adolescents who have engaged in sexually abusive behavior: Effective policies and practices. Retrieved from http://www.atsa.com/adolescents-engaged-in-sexually-abusive-behavior
Baer, D. M., Wolf, M. M., & Risley, T. R. (1987). Some still-current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 20(4), 313–327. https://doi.org/10.1901/jaba.1987.20-313.
Brandes, B. J., & Cheung, M. (2009). Supervision and treatment of juveniles with sexual behavior problems. Child and Adolescent Social Work Journal, 26(3), 179–196. https://doi.org/10.1007/s10560-009-0170-4.
Brogan, K. M., Falligant, J. M., & Rapp, J. T. (2017a). Interdependent group contingencies decrease adolescents’ disruptive behaviors during group therapy: A practitioner’s demonstration. Behavior Modification, 41, 405–421. https://doi.org/10.1177/0145445517693812.
Brogan, K. M., Rapp, J. T., Chinnappan, B., Edgemon, A. K., Almanza, A., Hamrick, S., . . . Burkhart, B. R. (2018a). A comparison of two brief preference assessments to a standard MSWO assessment for detained adolescent males. Manuscript submitted for publication.
Brogan, K. M., Rapp, J. T., Niedfeld, A. M., Coon, J. C., Everhart Newman, J. L., & Burkhart, B. R. (2017b). Increasing quiet compliance by detained male adolescents. Behavior Modification, 41, 788–807. https://doi.org/10.1177/0145445517716675.
Brogan, K. M., Richling, S. M., Rapp, J. T., Thompson, K. R., & Burkhart, B. R. (2018b). Activism and advocacy note: Collaborative efforts by the Auburn University applied behavior analysis program in the treatment of adolescents adjudicated for illegal sexual behavior. Behavior and Social Issues, 27, 11–13. https://doi.org/10.5210/bsi.v.27i0.8267.
Brusman Lovins, L., Yoder, J. R., & Berry, S. (2017). Evaluation I: Recidivism outcomes from a management program for youth who have committed a sexual crime. Journal of Offender Rehabilitation, 56(6), 394–411.
Carr, J. E. (2005). Recommendations for reporting multiple-baseline designs across participants. Behavioral Interventions, 20, 219–224. https://doi.org/10.1002/bin.191.
Carr, J. E., Nicolson, A. C., & Higbee, T. S. (2000). Evaluation of a brief multiple-stimulus preference assessment in a naturalistic context. Journal of Applied Behavior Analysis, 33, 353–357. https://doi.org/10.1901/jaba.2000.33-353.
Catania, A. C. (2013). Learning (interim 5th ed.). USA: Sloan Publishing.
Chivers, M. L., Seto, M. C., Lalumière, M. L., Laan, E., & Grimbos, T. (2010). Agreement of self-reported and genital measures of sexual arousal in men and women: A meta-analysis. Archives of Sexual Behavior, 39(1), 5–56. https://doi.org/10.1007/s10508-009-9556-9.
Coon, J., & Rapp, J. T. (2018). Application of multiple baseline designs in behavior analytic research: Evidence for the influence of new guidelines. Behavioral Interventions, 33, 160–172. https://doi.org/10.1002/bin.1510.
Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis. Upper Saddle River, NJ: Pearson.
Critchfield, T. S., & Kollins, S. H. (2001). Temporal discounting: Basic research and the analysis of socially important behavior. Journal of Applied Behavior Analysis, 34, 101–122. https://doi.org/10.1901/jaba.2001.34-101.
Dariotis, J. K., & Johnson, M. W. (2015). Sexual discounting among high-risk youth ages 18–24: Implications for sexual and substance use risk behaviors. Experimental and Clinical Psychopharmacology, 23(1), 49. https://doi.org/10.1037/a0038399.
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519–533. https://doi.org/10.1901/jaba.1996.29-519.
Department of Justice Office of Juvenile Justice and Delinquency Programs. (2017, September 15). Easy access to the census of juveniles in residential placement: 1997–2015. Retrieved from https://www.ojjdp.gov/ojstatbb/corrections/data.html
Dixon, M. R., Hayes, L. J., Binder, L. M., Manthey, S., Sigman, C., & Zdanowski, D. M. (1998). Using a self-control training procedure to increase appropriate behavior. Journal of Applied Behavior Analysis, 31, 203–210. https://doi.org/10.1901/jaba.1998.31-203.
Huddy, V., Kitchenham, N., Roberts, A., Jarrett, M., Phillip, P., Forrester, A., et al. (2017). Self-report and behavioural measures of impulsivity as predictors of impulsive behaviour and psychopathology in male prisoners. Personality and Individual Differences, 113, 173–177. https://doi.org/10.1016/j.paid.2017.03.010.
Jarmolowicz, D. P., Lemley, S. M., Mateos, A., & Sofis, M. J. (2016). A multiple-stimulus-without-replacement assessment for sexual partners: Purchase task validation. Journal of Applied Behavior Analysis, 49(3), 723–729. https://doi.org/10.1002/jaba.313.
Johnson, M. W., & Bickel, W. K. (2002). Within-subject comparison of real and hypothetical money rewards in delay discounting. Journal of the Experimental Analysis of Behavior, 77(2), 129–146. https://doi.org/10.1901/jeab.2002.77-129.
Johnson, M. W., Johnson, P. S., Herrmann, E. S., & Sweeney, M. M. (2015). Delay and probability discounting of sexual and monetary outcomes in individuals with cocaine use disorders and matched controls. PLoS One, 10(5), e0128641. https://doi.org/10.1371/journal.pone.0128641.
Jones, J., & Sullivan, P. S. (2016). Age-dependent effects in the association between monetary delay discounting and risky sexual behavior. SpringerPlus, 5(1), 852. https://doi.org/10.1186/s40064-016-2570-1.
Kazdin, A. (2011). Single-case research designs: Methods for clinical and applied settings (2nd ed.). New York, NY: Oxford University Press.
Lane, C., Goldstein, N. E., Heilbrun, K., Cruise, K. R., & Pennacchia, D. (2012). Obstacles to research in residential juvenile justice facilities: Recommendations for researchers. Behavioral Sciences & the Law, 30(1), 49–68. https://doi.org/10.1002/bsl.1991.
Laraway, S., Snycerski, S., Michael, J., & Poling, A. (2003). Motivating operations and terms to describe them: Some further refinements. Journal of Applied Behavior Analysis, 36, 407–414. https://doi.org/10.1901/jaba.2003.36-407.
Lawyer, S. R., & Schoepflin, F. J. (2013). Predicting domain-specific outcomes using delay and probability discounting for sexual versus monetary outcomes. Behavioural Processes, 96, 71–78. https://doi.org/10.1016/j.beproc.2013.03.001.
Letourneau, E. J., Henggeler, S. W., Borduin, C. M., Schewe, P. A., McCart, M. R., Chapman, J. E., & Saldana, L. (2009). Multisystemic therapy for juvenile sexual offenders: 1-year results from a randomized effectiveness trial. Journal of Family Psychology, 23(1), 89–102. https://doi.org/10.1037/a0014352.
Madden, G. J., Begotka, A. M., Raiff, B. R., & Kastern, L. L. (2003). Delay discounting of real and hypothetical rewards. Experimental and Clinical Psychopharmacology, 11(2), 139. https://doi.org/10.1037/1064-12220.127.116.11.
McCaul, K. D., Solomon, S., & Holmes, D. S. (1979). Effects of paced respiration and expectations on physiological and psychological responses to threat. Journal of Personality and Social Psychology, 37(4), 564. https://doi.org/10.1037/0022-3518.104.22.1684.
McClernon, F. J., Westman, E. C., & Rose, J. E. (2004). The effects of controlled deep breathing on smoking withdrawal symptoms in dependent smokers. Addictive Behaviors, 29(4), 765–772. https://doi.org/10.1016/j.addbeh.2004.02.005.
Miltenberger, R. G. (2016). Behavior modification: Principles and procedures (6th ed.). Belmont, CA: Wadsworth.
Newman, J. L. E., Larsen, J. L., Cunningham, K. B., & Burkhart, B. R. (2015). An examination of the factor structure of the Millon adolescent clinical inventory in a sample of detained adolescent boys. Psychological Assessment, 27(3), 1022. https://doi.org/10.1037/a0038779.
Novotny, M. A., Sharp, K. J., Rapp, J. T., Jelinski, J. D., Lood, E. A., & Steffes, A. K. (2014). False positives with visual analysis for nonconcurrent multiple baseline designs and ABAB designs: Preliminary findings. Research in Autism Spectrum Disorders, 8, 933–943. https://doi.org/10.1016/j.rasd.2014.04.009.
Polan, M. L., Desmond, J. E., Banner, L. L., Pryor, M. R., McCallum, S. W., Atlas, S. W., et al. (2003). Female sexual arousal: A behavioral analysis. Fertility and Sterility, 80(6), 1480–1487. https://doi.org/10.1016/S0015-0282(03)02210-6.
Rachlin, H. (2016). Self-control based on soft commitment. The Behavior Analyst, 39, 259–268. https://doi.org/10.1007/s40614-016-0054-9.
Rea, J. A., DeBriere, T., Butler, K., & Saunders, K. J. (1998). An analysis of four sexual offenders’ arousal in the natural environment through the use of a portable penile plethysmograph. Sexual Abuse: A Journal of Research and Treatment, 10(3), 239–255. https://doi.org/10.1023/A:1021322021823.
Reyes, J. R., Vollmer, T. R., & Hall, A. (2011). The influence of presession factors in the assessment of deviant arousal. Journal of Applied Behavior Analysis, 44, 707–717. https://doi.org/10.1901/jaba.2011.44-707.
Reyes, J. R., Vollmer, T. R., & Hall, A. (2016). Comparison of arousal and preference assessment outcomes for sex offenders with intellectual disabilities. Journal of Applied Behavior Analysis, 50, 27–37. https://doi.org/10.1002/jaba.364.
Roche, B., & Barnes-Holmes, D. (2002). Human sexual arousal: A modern behavioral approach. The Behavior Analyst Today, 3(2), 145. https://doi.org/10.1037/h0099973.
Sharma, L., Markon, K. E., & Clark, L. A. (2014). Toward a theory of distinct types of “impulsive” behaviors: A meta-analysis of self-report and behavioral measures. Psychological Bulletin, 140(2), 374–408. https://doi.org/10.1037/a0034418.
Watson, P. J., & Workman, E. A. (1981). The non-concurrent multiple baseline across-individuals design: An extension of the traditional multiple baseline design. Journal of Behavior Therapy and Experimental Psychiatry, 12, 257–259.
Zautra, A. J., Fasman, R., Davis, M. C., & Arthur, D. (2010). The effects of slow breathing on affective responses to pain stimuli: An experimental study. PAIN, 149(1), 12–18. https://doi.org/10.1016/j.pain.2009.10.001.
Zuckerman, M. (1971). Physiological measures of sexual arousal in the human. Psychological Bulletin, 75(5), 297. https://doi.org/10.1037/h0030923.
Conflict of Interest
All authors declare that they have no conflict of interest.
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.
Informed consent was obtained from all individual participants included in the study.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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
- Arousal suppression
- Juvenile Justice
- Sexual arousal