Art Therapy is a psychotherapeutic process involving the use of art materials. The art therapy case studies of three paraphilic clients is reviewed. Based on a model of art therapy that considers the process, the artwork and the triangular (client, therapist and the artwork) relationship, the case study reviews and explores the treatment of a voyeuristic, an exhibitionistic and a transvestic client. In their artwork, important material emerged. In this thesis, the material is initially viewed as a secret, as it emerged not in words but in the artwork. The study offers insights about three paraphilias based on the casework material. The study also contributes to an understanding of how art therapists may work with clients who have sexual troubles. / Master of Arts (Hons.) (Art therapy)

This study utilized a qualitative/phenomenological research methodology to study the development of child molestation. Five volunteer male juvenile perpetrators of child molestation and their consenting family members participated in three one-on-one in-depth interviews. The juveniles were referred by juvenile justice departments in Texas. The investigation was pursued along three paths: (1) what factors in the perpetrators' life experiences may have influenced the formation of molesting thought and behavior patterns? (2) how did the perpetrators construe social relationships? (3) in developing sexual preference, what process did the perpetrators utilize to achieve the degree of sexual arousal needed to motivate the act of molestation? During analysis, 16 categories and 9 subcategories were developed from the data; these were evaluated in order to address the lines of inquiry listed above. Factors contributing toward deviancy were identified: these included general environmental factors and relationship issues with both parents and peers. The data also elucidated the perpetrators' characteristic ways of viewing themselves and other people, as well as the strategies that they relied upon to cope with their lives. These same strategies were subsequently used in their molesting. The results revealed that the answers to the investigational questions posed above were synthesized by the individual across the lifespan, with origins in childhood when the concepts of self, others, social convention and interpersonal relationships were forming. It is likely that the typical interest in sexual expression that occurs at the onset of puberty was a catalyst that facilitated molesting behavior. The lack of ability to interact successfully with age mates appeared to influence the perpetrators' selection of children as targets. Recommendations were presented for consideration by the mental health and criminal justice communities based on the findings. Also, preventative measures for the public sector were offered.

Thesis (M.A.)--University of Toronto, 2004. / Adviser: Kari Dehli.

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Chapter 16 describes the clinical case of an adult male who meets diagnostic criteria for pedophilia and who has acted on his pedophilic interests on several known occasions. It addresses important historical and clinical characteristics of the case, as well as treatment efforts and indicators of risk. It also discusses the application of empirically supported practices and clinical science to the assessment, treatment, and risk management of this client, highlighting what is known from the scientific literature, and future directions that will aid in the clinical care of individuals with pedophilic diagnoses.

Pedophiles are the most stigmatized population in society (Jahnke, Imhoff, & Hoyer, 2015; Sanghara & Wilson, 2006). Social worker’s responsibility is to maintain standards and treat individuals with dignity and respect (NASW, 2017). It is important to explore bias against pedophiles because studies have shown bias is linked to offender recidivism rates (Jahnke, Schmidt, Geradt, & Hoyer, 2015). Social workers may unintentionally inhibit pedophiles from seeking treatment if they hold strong biases against them which could potentially negatively impact child abuse rates. The purpose of this study was to identify bias reduction techniques so that they could possibly be implemented in the social work field. Experienced social workers and social work students were interviewed so that the origins of and methods to combat bias could be explored. Themes among interviewee responses were identified and the importance of Opening a Dialogue eclipsed the need to utilize bias reduction techniques.

This study addresses the problem of the assessment of child molesters. The research questions in this study specifically address the assessment of child molester personality and its relationship to demographic, personal, criminal offense, and treatment progress variables.The purpose of the study was to replicate cluster analyses done with the Minnesota Multiphasic Personality Inventory (MMPI) in child molester populations using the revised and re-nonmed Minnesota Multiphasic Personality Inventory-2 (MMPI-2), and also, to identify other variables that are associated with particular profile patterns in child molesters.This study examined the archival records of 91 adult male child molesters who were involved in a communitybased sexual abuse treatment program between 1990 and 1993. Information analyzed included the MMPI-2, demographic, personal, and criminal offense data obtained from the child molesters' treatment files, and therapist ratings on the Treatment Progress Rating Scale which is an 11-point scale based on behaviors that the child molester reveals in treatment.The data from the MMPI-2 scales were cluster analyzed, yielding four homogeneous profile subgroups. Three of these four subgroups closely resembled those found in earlier MMPI research with child molesters. Discriminant analysis and chi square analyses were used to examine variables that differentiated the profile groups of child molesters derived in the cluster analysis. Results indicated that the derived groups significantly differed in terms of their reported history of having been sexually abused as a child. Analysis of variance (ANOVA) using the Scheffe procedure revealed that child molesters with within normal limits MMPI-2 profiles were less likely to report a history of childhood sexual abuse than were child molesters with more elevated profiles. ANOVA with repeated measures was used to analyze child molester progress in treatment as a function of MMPI-2 profile group. Although the analysis revealed that significant treatment progress was made for the overall sample, the groups did not significantly differ in terms of their treatment progress. / Department of Counseling Psychology and Guidance Services

Child sexual abusers have typically been studied as a homogeneous group, comparing them with non-child sexual abusers. The present study was designed to examine the heterogeneity of child sexual abusers on a measure of psychopathology, the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), the revised version of the MMPI. MMPI-2 profiles of 106 child sexual abusers in treatment for their offenses were cluster analyzed. Three clusters were obtained from the data, suggesting that child sexual abusers are heterogeneous as measured by the MMPI-2. The clusters were F-8-7-6 (n=15), elevated 4 scale (n=29), and within normal limits (n=62). A discriminant function generated by cluster membership was able to accurately classify 98.11% of the sample.The three clusters were replicated in an independent sample (n=50) drawn from the same population. The discriminant function generated on the derivation sample was applied to the validation sample, correctly classifying 80.00% of the subjects.The mean MMPI-2 profiles for the clusters in this study did not replicate mean profiles of clusters derived from similar research using the MMPI, indicating that the two instruments may not be equivalent for use in research using multivariate statistical techniques.The three clusters were tested against amount of self-reported sexual psychopathology as measured by the Multiphasic Sex Inventory (MSI). Discriminant function analysis indicated that cluster membership did predict degree of sexual psychopathology. In essence, the more elevated the mean MMPI-2 cluster profile, the more sexual psychopathology was reported. The clusters did not differ with regard to progress in treatment (though there were definite trends toward significant group differences in the data), nor did they differ with regard to victim and offender demographics. They did, however, differ with regard to level of intelligence, with the F-8-7-6 group being significantly lower in intelligence than the other two groups.The results of this study indicate that child sexual abusers are heterogeneous with regard to their MMPI-2 profiles, and that this heterogeneity can be used to form homogeneous groups. Additionally, homogeneous groups of child sexual abusers can be expected to differ on the basis of general psychopathology and sexual psychopathology. / Department of Counseling Psychology and Guidance Services

This pilot study was designed to collect and analyze a broad range of descriptive data on out-patient pedophiles. Eighteen males with at least one legally charged pedophilic offense (excluding incest) participated in the research. Seven of the subjects sexually molested a male child (homosexual pedophiles) and eleven subjects sexually molested a female child (heterosexual pedophiles). / Subjects were administered the Millon Clinical Multiaxial Inventory (MCMI) and the Narcissistic Personality Inventory (NPI). Subjects and their therapists also participated in a structured interview which sought data on psycho-social and offense variables. / Analysis of the MCMI results found that when profile configurations were compared, the homosexual group showed higher mean sub-scale elevations, a more cohesive pattern of sub-scale elevations, and significantly higher sub-scale scores for Passive-Aggressive personality as a feature. The heterosexual group shared Avoidant/Dependent features of personality with the homosexual group but individual profile configurations were much less homogeneous in sub-scale elevations. The analysis of the NPI results found no significant difference between the groups. A comparison of the structured interview data for the groups strongly suggests that homosexual offenders are more structured in their pedophilic interest than heterosexual offenders. / The results are discussed in relation to the validity of the fixated/regressed model for homosexual and heterosexual pedophiles, respectively. The relationship between personality, aetiology of pedophilic behavior, and offense pattern is considered. Implications and suggestions for future research are outlined.

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