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对过去十年中关于性犯罪问题临床反应的研究进行的叙述性综述。

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade.

机构信息

Forensic Research Unit at the Institute of Mental Health Research, Royal Ottawa Mental Health Care Group, Ottawa, Ontario, Canada.

Sexual Behaviours Clinic at the Royal Ottawa Mental Health Care Group, Institute of Mental Health Research, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

Behav Sci Law. 2020 Mar;38(2):117-134. doi: 10.1002/bsl.2448. Epub 2020 Feb 6.

Abstract

Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010-2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords "treatment or therapy" and "sex offen*". The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the "average" natal-born male sex offender. Results showed that several meta-analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.

摘要

在过去的十年中,针对性犯罪者的治疗和方案的研究大大增加。本综述的目的是讨论在此期间(2010-2019 年)发表的与治疗提供者相关的研究。本综述中包含的文章是通过 PsycINFO 和 PubMed(Medline)使用关键词“治疗或疗法”和“性犯罪”搜索到的。纳入标准是讨论治疗性犯罪者的出版物(仅用英文书写)。排除了仅检查特殊人群的任何文章,例如那些仅检查女性、智力障碍、耳聋、青少年等性犯罪者的文章,因为这些群体的需求和反应因素可能与“普通”天生男性性犯罪者不同。结果表明,几项荟萃分析表明治疗可有效降低性复发率。最常用于性犯罪者的治疗是认知行为疗法,通常与药物治疗结合使用,以降低性冲动和/或性欲。本综述仅限于特定的关键搜索词。本综述的研究结果支持在治疗性犯罪者时使用治疗和社区重新融入方法,以防止性复发。

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