Kingston Drew A, Yates Pamela M, Olver Mark E
Integrated Forensic Program, Royal Ottawa Health Care Group, Brockville, Ontario, Canada University of Ottawa Institute of Mental Health Research, Ottawa, Ontario, Canada
Cabot Consulting and Research Services, Ottawa, Ontario, Canada.
Sex Abuse. 2014 Oct;26(5):429-49. doi: 10.1177/1079063213495896. Epub 2013 Aug 5.
The self-regulation model (SRM) is a nine-phase, four-pathway offense process model designed specifically for sexual offenders that is now being applied to the treatment of this group in many settings and jurisdictions. In the present prospective study, we evaluated the validity and utility of the SRM in a sample of 275 adult male sexual offenders treated within the Correctional Service of Canada. Results indicated that participation in treatment resulted in moderate to large sized improvements from pretreatment to posttreatment on a dynamic risk assessment measure and several self-reported treatment targets. These changes were, in some cases, differentially associated with self-regulation pathways, suggesting that offense pathway is a clinically relevant variable when evaluating treatment change and in conceptualizing sexual offender treatment. In terms of outcome, individuals following the approach pathways, particularly the approach-automatic pathway, demonstrated higher failure rates than individuals following avoidant pathways. However, many of these differences were less pronounced when taking risk for recidivism into account. Implications of these findings for the effective assessment and rehabilitation of sexual offenders are discussed.
自我调节模型（SRM）是一个专门为性犯罪者设计的九阶段、四途径犯罪过程模型，目前在许多机构和司法管辖区被应用于该群体的治疗。在本前瞻性研究中，我们评估了SRM在加拿大惩教署接受治疗的275名成年男性性犯罪者样本中的有效性和实用性。结果表明，参与治疗使动态风险评估指标和几个自我报告的治疗目标从治疗前到治疗后有中度到大幅改善。在某些情况下，这些变化与自我调节途径存在差异关联，这表明犯罪途径在评估治疗变化和概念化性犯罪者治疗时是一个临床相关变量。在结果方面，遵循趋近途径的个体，尤其是趋近-自动途径的个体，比遵循回避途径的个体表现出更高的失败率。然而，在考虑再犯风险时，许多这些差异就不那么明显了。讨论了这些发现对性犯罪者有效评估和康复的意义。
