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[Relapse
Prevention Model] [Practical
Therapist & Client Workbook] [Consent
Form] [Treatment
Contract] [Urge
Control Contract] [Mediation]
Welcome to James' Therapy Corner. Hello, my name is "Jim",
a.k.a., Ngiap Jong, Yeyong, or James Loh. I am interested in health, mental health,
spirituality, and human sexuality issues, and especially the effects of all types
of trauma on the minds and bodies of survivors, and the treatment of sexual and
other types offenders. Identifying and communicating effective treatment protocol
for sexual offenders is, in part, what I hope this home page accomplishes. I have
included some of what I have written about my experience on this issue here in
my home page. Also, I have included mediation as a platform to help clients navigate
and return to live in their community and home. Please feel free to write me with
your comments, concerns, questions and suggestions. Also, write and tell me about
home pages that you think would be of interest to me or visitors of my home page.
Since I haven't had time to thoroughly check out the mental health and miscellaneous
"links", I would appreciate any help I can get. So, just drop me an
e-mail when you find any problematic links.
Special note to survivors: Please make sure that "support"
is available to you before venturing to any abuse/support websites!
GET TO YOUR CLIENT
- You must know your client before you begin. Kick off
with a paper chase. Include previous records, police report, crown counsel
brief, victim impact statement, collateral reports, and treatment reports
(psychological, psychiatric, individual & family functioning, &
community assessment). Listen carefully to THE
STORY.
- Treatment
& Related Forms. Sign the Treatment & Urge contracts. Emphasize
the issues of limited confidentiality. Take this opportunity to educate
clients and their partners and/or parents about sexual offending (SO) treatment,
and about yourself, focusing on your experience in sexual offender specific
treatment. Inform them about the treatment expectations (e.g., homework,
3rd party verification). Introduce the idea of spousal and/or family support
group. Talk to them about your professional relationship with the police,
judge, probation and parole officer, Family & Children's Services,
school, and other judiciary systems.
- Structured Clinical Interview. Check for cognitive functioning,
any L.D.'s, personality, learning style, level of denial and knowledge
of victim impact, victim empathy, victim safety, accurate sexual knowledge,
sex history, probation & parole conditions, useage of illicit substance
and alcohol consumption, hostility and anger management, family functioning
and support, world views re: sex, sexuality, power & control, treatment
and general readiness for treatment.
- Use of Self Reports: Multiphasic Sex Inventory (MSI).
Social Avoidance & Distress Scale. Abel & Becker Cognitions Scale.
Interpersonal Reactivity Index. Dyadic Adjustment Scale. Taylor-Johnson
Temperament Analysis. Buss-Durkee Hostility Inventory. Attitudes Toward
Women Scale. Abel Assessment for Interest in Paraphilias.
TREATMENT ISSUES &
NEW SKILLS
- Motivation, Internal Barriers, External Barriers, and
Victim Resistance. Map the thoughts, feelings, & behaviours, for planning,
during the offense(s), and after. Teach new skills, such as: Anger Management,
Assertiveness Training, Perspective Taking, Problem Solving, Identification
and Expression of Feelings, Effective Work and/or Study Habits, Age Appropriate
Peer Skills, Sexual Knowledge, Self Responsibility and Intimacy. Management
of Deviant Sexual Arousal and Desire, Enhance Appropriate Peer Sex &
Sexuality, Enhance Boundary Skills. Identification of victim impact (immediate,
short term, and long term). Map Current Maintenance Behaviours, Identify
SUD's & High Risk Elements, Identify High Risk Situations. Must Develop
Escape & Avoidance Plan. Identify people who can help with your problem.
List the people you can contact if and when an urge hits. Apology Letter
to all your victims, including their parents and all people you lied to.
LIFESTYLE CHANGES
- Work on achieving in your job. Develop structured leisure
activities. Abstain from alcohol. Improve on Communication (No More Secrets).
Develop identity of a non-sexual offending fellow. Don't be alone with
vulnerable people. When someone says "No", you "STOP!"
SPECIALIZED SEXUAL
OFFENDING SPECIFIC TREATMENT
- Plethysmography (Phallometric Assessment). Deviant Arousal
Re-conditioning (i.e., Covert Sensitization, Self-Administered Punishers).
THIRD PARTY VERIFICATION
- Discuss sexual offense cycle with other group members
and significant others. Tell relapse prevention plan to partner and/or
parents, probation or parole officer, and at least a friend. Must confirm
with the person that he/she is willing to be your contact & support.
Approach your contact person when you have an urge to offend again. Check
in with your therapist regularly, and until at least two years after discharge.
PRACTISE RESTITUTION
- Show respect and good manners to all people. Volunteer
for a good cause at least once a year. Donate money to women & children
shelters.
CONTINUED ABSTINENCE
- Questions & Issues (to be addressed with yourself,
contact person, significant others, and therapist): What keeps you from
sexually offending, again? What are you thinking nowadays when you are
not sexually offending? How do you feel now that you are not sexually offending?
What are you doing that make you so sure you are not sexually offending?
How have you setup your life to stop you from sexually offending? List
healthy activities you participate in & healthy outlets for your upsets.
Who are your friends (provide their names, telephone numbers, & addresses).
Who do you talk with about positive and negative things? What high risk
situations do you try to avoid? What things in your life are still problematic
for you? Write rules for staying away from potential victims. Write rules
for when you at work, going to & fro work, and leisure. Give your probation/parole
officer and/or therapist a detailed breakdown of your activities and the
people who can verify your movement.
MAINTENENCE/SUPPORT GROUP
- Join a maintenance group for support. Go to it at least
monthly for the first two years after discharge. Thereafter, attend when
deemed necessary.
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Sexual Offending Specific Treatment] [The
Associated Clinical Professionals] [Mediation] [Links to Relevant URL'S]
This page was created by James Loh
Copyright © 1996
