Keeling Jenny A, Rose John L
Department of Psychology, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
Sex Abuse. 2005 Oct;17(4):407-23. doi: 10.1177/107906320501700405.
The adaptation of relapse prevention theory to sexual offending (W. D. Pithers, J. K. Marques, C. C. Gibat, & G. A. Marlatt, 1983) has represented an important movement in cognitive-behavioural treatment for sexual offenders. However, this model of relapse prevention has been criticised for its limited view and oversimplification of the relapse prevention process (R. K. Hanson, 2000; T. Ward & S. M. Hudson, 1996). As a result, T. Ward and S. M. Hudson (2000a) have developed a multiple pathway model of the relapse prevention process based on self-regulation theory. Although this model continues to be empirically validated on sexual offenders (J. A. Bickley & A. R. Beech, 2002; T. Ward, S. M. Hudson, & J. C. McCormick, 1999), there has been no empirical research regarding the application of this theory to intellectually disabled sexual offenders. This paper discusses whether the characteristics of offenders in each of the relapse offence pathways, as described by T. Ward and S. M. Hudson (2000a), may be similar to the characteristics of intellectually disabled sexual offenders. From a review of the literature, it appears that the intellectually disabled sexual offender may be most likely to offend via the approach-automatic pathway or the avoidant-passive pathway. The potential treatment implications of the self-regulation model for intellectually disabled sexual offenders is discussed, as well as the need for empirical evaluation with regards to the application of this model to the intellectually disabled sexual offender population.
将复发预防理论应用于性犯罪（W. D. 皮瑟斯、J. K. 马克斯、C. C. 吉巴特和G. A. 马尔拉特，1983年）代表了性犯罪者认知行为治疗中的一项重要进展。然而，这种复发预防模式因其对复发预防过程的观点有限且过于简化而受到批评（R. K. 汉森，2000年；T. 沃德和S. M. 哈德森，1996年）。因此，T. 沃德和S. M. 哈德森（2000a）基于自我调节理论开发了一种复发预防过程的多途径模型。尽管该模型在性犯罪者中仍得到实证验证（J. A. 比克利和A. R. 比奇，2002年；T. 沃德、S. M. 哈德森和J. C. 麦科米克，1999年），但尚未有关于该理论应用于智力残疾性犯罪者的实证研究。本文讨论了T. 沃德和S. M. 哈德森（2000a）所描述的每种复发犯罪途径中犯罪者的特征是否可能与智力残疾性犯罪者的特征相似。从文献综述来看，智力残疾性犯罪者似乎最有可能通过接近自动途径或回避被动途径实施犯罪。文中讨论了自我调节模型对智力残疾性犯罪者的潜在治疗意义，以及对该模型应用于智力残疾性犯罪者群体进行实证评估的必要性。
