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Learning to control deviant sexual arousal by aversive treatment: Efficacy and limits. Barsetti, Ian *,1, Pettigrew, Frédéric*,1, Savard, Sylvain*,1, 1 Clinique La Macaza, La Macaza, Québec, Canada ABSTRACT- Numerous studies have shown that deviant sexual interests are an important feature of sexual abusers and should be targeted for treatement. Two meta-analysis (Hanson & Bussiere, 1996; Hanson & Morton-Bourgon, 2004)indicated that deviant sexual preferences were the single dynamic characteristic most predicitive of sexual recidivism. Different behavioral treatment modalities have been adopted sometimes without much research supporting their efficacy. Results observed on 123 consecutive subjects (pedophiles and rapists incarcerated for a minimum of 2 years) treated at La Macaza Clinic using aversive treatment will be presented. Results will be first presented in terms of the efficacy of the technique in reducing deviant sexual arousal. The discussion will center on the impact of the technique on deviant sexual arousal but also on the treatment process toward more general goals (like responsabilization for the offences). The limits of this specific technique will also be discussed. Key words: Paraphilia, Aversion therapy, Pedophilia, Rape, Treatment efficacy |
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