THE TREATMENT OF 6 MEN WITH A LEARNING-DISABILITY CONVICTED OF SEX OFFENSES WITH CHILDREN

This paper describes a cognitive therapy for men with a learning disab ility convicted of sex offences against children. Methods are describe d which focus the session, emphasize confidentiality, ensure that the patient accepts responsibility for the offence, and deal with issues o f intent, harm done to the victim and sequences of offending behaviour . Methods for producing cognitive change are described. Patients were assessed regularly and data are presented in detail. While all six men showed improvement, there were several variables which interfered wit h the course of treatment. The study attempts to address two major pro blems in work with sex offenders: the difficulty of employing a contro lled treatment design and the importance of a long follow-up period.