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16-01-2015, 17:14   #1
JuliusCaesar
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Treating paedophiles

There was an article/letter in the BPS magazine which mentioned Project Dunkelfeld - a free German psychotherapeutic programme to treat paedophiles and prevent child abuse. I googled it and found a presentation by some of those involved - it looks very interesting. Here's a recent article.

Remember that this is the Science > Psychology forum, and not a forum for hysteria.
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16-01-2015, 17:20   #2
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Quote:
Therapy for pedophiles/hebephiles in the Dunkelfeld can alter child sexual offending DRF and reduce-related behaviors.
What does it mean by "DRF"?
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16-01-2015, 17:26   #3
 
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Not coming from this with psychological expertise, but with a background in criminology it definitely looks promising. Honestly I am surprised the programme has been able to operate at all given the aforementioned hysteria.
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16-01-2015, 17:43   #4
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Brilliant- I heard about this a while back and have told others about it but could never remember what it was called or any other details!

Thanks for linking.
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16-01-2015, 20:44   #5
The Black Oil
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DRF seems to be dynamic risk factors, as per the study link.

I heard about this somewhere - I think in the media - This American Life, possibly.

Less on topic, but I'm reminded of the COPINE project that used to be in Cork. Not sure it's still on the go. There are a few papers around that I had a look at whilst in college, not something you'd sit down and read at your leisure.

http://online.liebertpub.com/doi/abs...93103321168009

http://www.probation.ie/pws/websitep...HEL+QUAYLE.pdf

http://www.researchgate.net/publicat...cycle_of_abuse

Also, Louis Theroux has a documentary from a few years back wherein he spends time in a prison with sexual offenders. There's a psychologist in that uses some sort of method (maybe this) to work with the men. Part of the assessment involves - at least in the documentary - checking their physical response in the trouser department.
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18-01-2015, 19:28   #6
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14.5% of the sample were 'diagnosed' as being sexually attracted to adults?

Also worrying is that only eighty participants completed the treatment with 203 being labelled 'treatment deniers' - anyone know what this means specifically? I can only access the slideshow.
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19-01-2015, 10:23   #7
JuliusCaesar
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Here's the abstract of the study linked above (there have been other studies too):
Quote:

Original Research
The German Dunkelfeld Project: A Pilot Study to Prevent Child Sexual Abuse and the Use of Child Abusive Images

Klaus M. Beier MD, PhD,
Dorit Grundmann MSc,
Laura F. Kuhle MSc,
Gerold Scherner MSc,
Anna Konrad MSc and
Till Amelung MD*

Article first published online: 4 DEC 2014

DOI: 10.1111/jsm.12785

© 2014 International Society for Sexual Medicine

Issue
Cover image for Vol. 11 Issue 12 The Journal of Sexual Medicine

Keywords:

Pedophilia;
Prevention;
Therapy;
Child Sexual Abuse;
Child Abusive Images

Abstract

Introduction
Sexual interest toward prepubescents and pubescents (pedophilia and hebephilia) constitutes a major risk factor for child sexual abuse (CSA) and viewing of child abusive images, i.e., child pornography offenses (CPO). Most child sexual exploitation involving CSA and CPO are undetected and unprosecuted in the “Dunkelfeld” (German: “dark field”).

Aim
This study assesses a treatment program to enhance behavioral control and reduce associated dynamic risk factors (DRF) in self-motivated pedophiles/hebephiles in the Dunkelfeld.

Methods
Between 2005 and 2011, 319 undetected help-seeking pedophiles and hebephiles expressed interest in taking part in an anonymous and confidential 1-year-treatment program using broad cognitive behavioral methodology in the Prevention Project Dunkelfeld. Therapy was assessed using nonrandomized waiting list control design (n = 53 treated group [TG]; n = 22 untreated control group [CG]).

Main Outcome Measures
Self-reported pre-/posttreatment DRF changes were assessed and compared with CG. Offending behavior characteristics were also assessed via self-reporting.

Results
No pre-/postassessment changes occurred in the control group. Emotional deficits and offense-supportive cognitions decreased in the TG; posttherapy sexual self-regulation increased. Treatment-related changes were distributed unequally across offender groups. None of the offending behavior reported for the TG was identified as such by the legal authorities. However, five of 25 CSA offenders and 29 of 32 CPO offenders reported ongoing behaviors under therapy.

Conclusions
Therapy for pedophiles/hebephiles in the Dunkelfeld can alter child sexual offending DRF and reduce-related behaviors. Unidentified, unlawful child sexual exploitative behaviors are more prevalent in this population than in officially reported recidivism. Further research into factors predictive of problematic sexual behaviors in the Dunkelfeld is warranted.

Beier KM, Grundmann D, Kuhle LF, Scherner G, Konrad A, and Amelung T. The German Dunkelfeld Project: A pilot study to prevent child sexual abuse and the use of child abusive images. J Sex Med **;**:**–**.
Yes, it's not clear what "ongoing behaviours" means in the abstract - could be anything from actual offending to masturbation.

But at this point any treatment is better than NO treatment. These are mostly self-identified men, who are uncomfortable about their orientation - uncomfortable enough to contact the treaters voluntarily and attend for treatment.


I don't think the project in UCC continued beyond the principal researchers leaving to go to another university - I may be wrong though.
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02-02-2015, 20:26   #8
The Black Oil
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Originally Posted by Valmont View Post
14.5% of the sample were 'diagnosed' as being sexually attracted to adults?

Also worrying is that only eighty participants completed the treatment with 203 being labelled 'treatment deniers' - anyone know what this means specifically? I can only access the slideshow.
Curious about this, too. I've emailed the researchers to ask.
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04-02-2015, 15:12   #9
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It's especially puzzling considering all of the subjects were volunteers who wanted help, why would they then 'deny' the treatment offered? Could it be that it wasn't effective and the researchers have ran around the issue with the mother of all euphemisms? Anyway I don't know but I'll be curious to see what they say.
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09-02-2015, 19:00   #10
The Black Oil
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I'm going to do some more digging on the Project as there was some stuff on Google Scholar when I checked a few weeks back.

Anyway, I got a response from them. Didn't think I would as I had to use a contact form thing.

Quote:
"Treatment deniers“ are those potential participants who took part in the first interview and were principally eligible for treatment offered at our site. Nevertheless many of those cannot participate in therapy sessions on a regular basis as they might live too far away, may meanwhile have found a treatment option closer to their home, cannot organize participation due to job duties etc. Generally spoken these are those people who meet the inclusion criteria, get the information that we would offer them participation in the program but deny or have to deny due to different reasons and respond “ no thank you, at the moment I cannot participate “ – it has to be stated that those who deny treatment are always welcome to contact us in future to see how we can support or take up therapy if their perequisites change…

Best regards

g.scherner
Sounds like quite practical reasons, then.

Last edited by The Black Oil; 09-02-2015 at 19:42.
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24-06-2015, 19:25   #11
The Black Oil
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Although the individual is deceased and afaik, the inquiry historical, I don't want to delve into the particular case that's in the news headlines at the moment.

There's talk of this individual having been 'diagnosed' a paedophile. a) how, outside of a conviction, is such behaviour observed and b) what are the criteria for the dx, if this process still occurs?
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24-06-2015, 19:26   #12
 
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Is it BS?
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25-06-2016, 09:31   #13
The Black Oil
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Recent BBC documentary about treating sex offenders. It was on after midnight, so I didn't listen live. MP3 link here.
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29-06-2016, 20:39   #14
The Black Oil
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Gave that a listen this morning. Sobering and non-sensationalist, as expected. I'm going to send the link to the researcher whose email I quoted earlier in the thread. I thought the Dutch "Stop It Now", perspective was very interesting including that they didn't seem to get any backlash about it, if I understood correctly.
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16-10-2016, 15:08   #15
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Long, but worthwhile piece in the Irish Times - interviews with people who have been abused and those who work in the area.

Quote:
In the UK the Stop It Now! helpline encourages men or their families who are concerned about potentially harmful behaviour to get help before a child is abused. In Germany, Prevention Project Dunkelfeld offers therapy to paedophiles and hebephiles who have not offended.

In Ireland clinicians have lobbied for a Stop It Now! programme, to little avail. Keith O’Reilly, the Temple Street social worker, and Nick Bankes, the clinical psychologist, are among those who have called for more therapeutic interventions to stop potential abusers from ever offending and stop existing abusers from reoffending.
And the usual Irish story, a lack of resources.

Coming up next week.

Quote:
Beyond Redemption?, a Would You Believe? special on RTÉ One at 10.15pm on Thursday, October 20th, looks at the way we deal with sex offenders who have been released back into society
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