Abstract
The modification of inappropriate sexual preferences is of central concern in many treatment programs for sex offenders (Abel, Becker, Cunningham-Rathner, Rouleau, Kaplan, & Reich, 1984; Borzecki, & Wormith, 1987; Griffiths, Quinsey, & Hingsburger, 1989; Marshall, Earls, Segal, & Darke, 1983; Quinsey, Chaplin, Maguire, & Upfold, 1987). This focus on inappropriate sexual interest follows from repeated observations that sex offenders, such as child molesters, rapists, and sadists, frequently report ruminating over sexual fantasies involving the types of behaviors in which they engage; moreover, the relative amount of sexual arousal elicited by deviant and nondeviant cues in phallometric assessment more consistently differentiates sex offenders from other males than any other measure yet tried (see Earls & Quinsey, 1985; Quinsey, 1984a, 1986, for reviews). The clinical importance of inappropriate sexual preferences is reflected in the definition of sexual deviations or paraphilias in DSM-III-R as disorders characterized by intense sexual urges or sexually arousing fantasies involving inappropriate objects or coercive sexual activities (American Psychiatric Association, 1987).
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References
Abel, G. G., Blanchard, E. B., Becker, J. V., and Djenderedjian, A. (1978). Differentiating sexual aggressiveness with penile measures. Criminal Justice and Behavior, 5, 315–332.
Abel, G. G., Becker, J. V., Cunningham-Rathner, J., Rouleau, J. L., Kaplan, M., and Reich, J. (1984). The treatment of child molesters. Unpublished manual, Behavioral Medicine Laboratory, Box AF, Emory University, Atlanta, Georgia.
Abel, G. G., Rouleau, J. L., and Cunningham-Rathner, J. (1986). Sexually aggressive behavior. In W. J. Curran, A. L. McGarry, and S. A. Shah (Eds.), Forensic psychiatry and psychology: Perspectives and standards for interdisciplinary practice (pp. 289–313 ). Philadelphia: Davis.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders. (3rd ed., revised). Washington, DC: Author.
Barlow, D. H. (1973). Increasing heterosexual responsiveness in the treatment of sexual deviation. Behavior Therapy, 4, 655–671.
Barlow, D. H. (1974). The treatment of sexual deviation: Towards a comprehensive behavioral approach. In K. S. Calhoun, H. E. Adams, and K. M. Mitchell (Eds.), Handbook of behavioral assessment (pp. 121–147 ). New York: Wiley.
Barlow, D. H., and Agras, W. S. (1973). Fading to increase heterosexual responsiveness in homosexuals. Journal of Applied Behavior Analysis, 6, 355–366.
Bond, I. K., and Evans, D. R. (1967). avoidance therapy: Its use in two cases of underwear fetishism. Canadian Medical Association Journal, 96, 1160–1162.
Borzecki, M., and Wormith, J. S. (1987). A survey of treatment programs for sex offenders in North America. Canadian Psychology, 28, 30–44.
Brownell, K. D., and Barlow, D. H. (1980). The behavioral treatment of sexual deviation. In A. Goldstein and E. B. Foa (Eds.), Handbook of behavioral interventions (pp. 604–672 ). New York: Wiley.
Brownell, K. D., Hayes, S. C., and Barlow, D. H. (1977). Patterns of appropriate and deviant sexual arousal: The behavioral treatment of multiple sexual deviations. Journal of Consulting and Clinical Psychology, 45, 1144–1155.
Cannon, D. S., Baker, J. B., Gino, A., and Nathan, P. E. (1986). Alcohol-aversion therapy: Relation between strength of aversion and abstinence. Journal of Consulting and Clinical Psychology, 54, 825–830.
Conrad, S. R., and Wincze, J. P. (1976). Orgasmic reconditioning: A controlled study of its effects upon the sexual arousal and behavior of adult male homosexuals. Behavior Therapy, 7, 155–166.
Earls, C. M. (1988). Deviant sexual arousal in sexual offenders. In R. Prentky and V. L. Quinsey (Eds.), Human sexual aggression: Current perspectives (pp. 41–48). Annals of the New York Academy of Sciences, Vol. 528.
Earls, C. M., and Castonguay, L. G. (1989). The treatment of a bisexual pedophile using olfactory aversion: A single case experimental design with a multiple baseline across behaviors. Behavior Therapy, 20, 137–146.
Earls, C. M., and Marshall, W. L. (1983). The current state of technology in the laboratory assessment of sexual arousal patterns. In J. G. Greer and I. R. Stuart (Eds.), Sexual aggression: Current perspectives on treatment (pp. 336–362 ). New York: Van Nostrand Reinhold.
Earls, C. M., and Quinsey, V. L. (1985). What is to be done? Future research on the assessment and behavioral treatment of sex offenders. Behavioral Sciences and the Law, 3, 377–390.
Earls, C. M., Quinsey, V. L., and Castonguay, L. G. (1987). A comparison of scoring methods in the measurement of penile circumference changes. Archives of Sexual Behavior, 6, 493–500.
Foote, W. E., and Laws, D. R. (1981). A daily alternation procedure for orgasmic reconditioning with a pedophile. Journal of Behavior Therapy and Experimental Psychiatry, 12, 267–273.
Freund, K. (1981). Assessment of pedophilia. In M. Cook and K. Howells (Eds.), Adult sexual interest in children (pp. 139–179 ). Toronto: Academic Press.
Freund, K., McKnight, C. K., Langevin, R., and Cibiri, S. (1972). The female child as a surrogate object. Archives of Sexual Behavior, 2, 119–133.
Freund, K., Chan, S., and Coulthard, R. (1979). Phallometric diagnosis with “non-admitters.” Behaviour Research and Therapy, 17, 451–457.
Griffiths, D., Quinsey, V. L., and Hingsburger, D. (1989). Community-based treatment of developmentally handicapped individuals displaying inappropriate sexual behaviors. Boston: Brooke.
Hallam, R., Rachman, S., and Falkowski, W. (1972). Subjective, attitudinal and physiological effects of electrical aversion therapy. Behaviour Research and Therapy, 10, 1–13.
Hayes, S. C., Brownell, K. D., and Barlow, D. H. (1983). Heterosocial-skills training and covert sensitization. Effects on social skills and sexual arousal in sexual deviants. Behaviour Research and Therapy, 21, 383–392.
Herman, S. H., Barlow, D. H., and Agras, W. S. (1974). An experimental analysis of classical conditioning as a method of increasing heterosexual arousal in homosexuals. Behavior Therapy, 5, 3347.
Kelly, R. J. (1982). Behavioral reorientation of pedophiliacs: Can it be done? Clinical Psychology Review, 2, 387–408.
Knopp, F. H. (1984). Retraining adult sex offenders: Methods and models. New York: Safer Society Press.
Laws, D. R. (1980). Treatment of bisexual pedophilia by a biofeedback-assisted self-control procedure. Behaviour Research and Therapy, 18, 207–211.
Laws, D. R., and Holmen, M. L. (1978). Sexual response faking by pedophiles. Criminal Justice and Behavior, 5, 343–356.
Laws, D. R., and O’Neil, J. A. (1981). Variations on masturbatory conditioning. Behavioural Psychotherapy, 9, 111–136.
Laws, D. R., and Osborn, C. A. (1983). How to build and operate a behavioral laboratory to evaluate and treat sexual deviance. In J. G. Greer Sr I. R. Stuart (Eds.), The sexual aggressor: Current perspectives on treatment (pp. 293–335 ). Toronto: Van Nostrand Reinhold.
MacCulloch, M. J., and Feldman, M. P. (1967). Aversion therapy in management of 43 homosexuals. British Medical Journal, 2, 594–597.
Maletzky, B. M. (1980). Self-referred versus court-referred sexually deviant patients: Success with assisted covert sensitization. Behavior Therapy, 11, 306–314.
Marks, I. M., and Gelder, J. L. (1967). Transvestism and fetishism: clinical and psychological changes during faradic aversion. British Journal of Psychiatry, 113, 711–729.
Marquis, J. N. (1970). Orgasmic reconditioning: Changing sexual object choice through controlling masturbation fantasies. Journal of Behavior Therapy and Experimental Psychiatry, 1, 263–271.
Marshall, W. L. (1971). A combined treatment method for certain sexual deviations. Behaviour Research and Therapy, 9, 293–294.
Marshall, W. L. (1979). Satiation therapy: A procedure for reducing deviant sexual arousal. Journal of Applied Behavior Analysis, 12, 10–22.
Marshall, W. L., and Christie, M. M. (1981). Pedophilia and aggression. Criminal Justice and Behavior, 8, 145–158.
Marshall, W. L., and Lippens, K. (1977). The clinical value of boredom: A procedure for reducing inappropriate sexual interests. Journal of Nervous and Mental Disease, 165, 283–287.
Marshall, W. L., Barbaree, H. E., and Christophe, D. (1986). Sexual offenders against female children: Sexual preferences for age of victims and type of behavior. Canadian Journal of Behavioural Science, 18, 424–439.
Marshall, W. L., Earls, C. M., Segal, Z., and Darke, J. (1983). A behavioral program for the assessment and treatment of sexual aggressors. In K. D. Craig and R. J. McMahon (Eds.), Advances in Clinical Behavior Therapy (pp. 148–174 ). New York: Brunner Mazel.
McGuire, R. J., Carlisle, J. M., and Young, B. G. (1965). Sexual deviations as conditioned behavior: A hypothesis. Behaviour Research and Therapy, 2, 185–190.
Monahan, J. (1981). Predicting violent behavior: An assessment of clinical techniques. Beverly Hills, CA: Sage.
Pithers, W. D., Marques, J. K., Gibatt, C. C., and Marlatt, A. (1983). Relapse prevention with sexual aggressives: A self-control model of treatment and maintenance of change. In J. G. Greer and I. R. Stuart (Eds.), The sexual aggressor: Current perspectives on treatment (pp. 214–239 ). New York: Van Nostrand Reinhold.
Quinsey, V. L. (1973). Methodological issues in evaluating the effectiveness of aversion therapies for institutional child molesters. Canadian Psychologist, 14, 350–361.
Quinsey, V. L. (1977). The assessment and treatment of child molesters: a review. Canadian Psychological Review, 18, 204–220.
Quinsey, V. L. (1980). The baserate problem and the prediction of dangerousness: A reappraisal. Journal of Psychiatry and Law, 8, 329–340.
Quinsey, V. L. (1984a). Sexual aggression: Studies of offenders against women. In D. Weisstub (Ed.), Law and mental health: International perspectives (Vol. 1; pp. 84–121 ). New York: Pergamon Press.
Quinsey, V. L. (1984b). Institutional release policy and the identification of dangerous men: A review of the literature. Criminologie, 17, 53–78.
Quinsey, V. L. (1986). Men who have sex with children. In D. N. Weisstub (Ed.), Law and mental health: International perspectives (Vol. 2; pp. 140–172 ). New York: Pergamon Press.
Quinsey, V. L., and Chaplin, T. C. (1988). Preventing faking in phallometric assessments of sexual preference. In R. Prentky and V. L. Quinsey (Eds.), Human sexual aggression: Contemporary perspectives (pp. 49–58). Annals of the New York Academy of Sciences, Vol. 528.
Quinsey, V. L., and Maguire, A. M. (1986). Maximum security psychiatric patients: Actuarial and clinical prediction of dangerousness. Journal of Interpersonal Violence, 1, 143–171.
Quinsey, V. L., and Marshall, W. L. (1983). Procedures for reducing inappropriate sexual arousal: An evaluation review. In J. G. Greer and I. R. Stuart (Eds.), The sexual aggressor: Current perspectives on treatment (pp. 267–289 ). New York: Van Nostrand Reinhold.
Quinsey, V. L., and Varney, G. W. (1976). Modification of preference in a concurrent schedule by aversive conditioning: An analog study. Bulletin of the Psychonomic Society, 7, 211–213.
Quinsey, V. L., Steinman, C. M., Bergersen, S. G., and Holmes, J. (1975). Penile circumference, skin conductance, and ranking responses of child molesters and “normals” to sexual and nonsexual visual stimuli. Behavior Therapy, 6, 213–219.
Quinsey, V. L., Bergersen, S. G., and Steinman, C. M. (1976). Changes in physiological and verbal responses of child molesters during aversion therapy. Canadian Journal of Behavioral Science, 8, 202–212.
Quinsey, V. L., Chaplin, T. C., and Carrigan, W. F. (1980). Biofeedback and signaled punishment in the modification of inappropriate sexual age preferences. Behavior Therapy, 11, 567–576.
Quinsey, V. L., Chaplin, T. C., Maguire, A. M., and Upfold, D. (1987). The behavioral treatment of rapists and child molesters. In E. K. Morris and C. J. Braukmann (Eds.), Behavioral approaches to crime and delinquency: Application, research, and theory (pp. 363–382 ). New York: Plenum.
Rachman, S., and Teasdale, J. (1969). Aversion therapy and behavioral disorders: An analysis. Coral Cables, Florida: University of Miami Press.
Sachs, D. A., and Keller, J. (1972). Intensity and temporal characteristics of the CER paradigm with humans. Journal of General Psychology, 86, 181–188.
VanDeventer, A. D., and Laws, D. R. (1978). Orgasmic reconditioning to redirect sexual arousal in pedophiles. Behavior Therapy, 9, 748–765.
Wydra, A., Marshall, W. L., Earls, C. M., and Barbaree, H. E. (1983). Identification of cues and control of sexual arousal by rapists. Behaviour Research and Therapy, 21, 469–476.
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Quinsey, V.L., Earls, C.M. (1990). The Modification of Sexual Preferences. In: Marshall, W.L., Laws, D.R., Barbaree, H.E. (eds) Handbook of Sexual Assault. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0915-2_16
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