BOOK
A Treatment Manual for Adolescents Displaying Harmful Sexual Behaviour
Paula Walker-Rhymes | Eamon McCrory
(2010)
Additional Information
Book Details
Abstract
A Treatment Manual for Adolescents Displaying Harmful Sexual Behaviour is a resource for clinicians working therapeutically with male adolescents who have shown harmful sexual behaviour (HSB). Comprised of a printed manual and with accompanying online downloadable material, it is designed to be delivered over 30 sessions across 4 modules, but can be adapted to suit the needs of individual adolescents.
The four modules address a range of clinical tasks, including: establishing rapport and a therapeutic alliance with the young person; developing the relationship skills of the young person and addressing their harmful sexual behaviour; the young person's feelings, thoughts and beliefs and developing their capacity to regulate emotions and sexual arousal; and issues of sexuality, dating, endings and relapse prevention. The printed manual outlines the background that any clinician delivering treatment needs to consider, including a description of key therapeutic techniques, practical advice on how to prepare for and deliver an intervention, overviews of the modules and sessions, and sample session plans. Each session plan is clearly written in a step-by-step format and is stored electronically online so they can be easily printed as often as required. The accompanying online downloadable material also contains 'Home Project' sheets (homework tasks to consolidate the in-session therapeutic work) as well as a specially commissioned 'Character Library' with cut-out figures and background scenes that can be used as tools for the young person to explore real and fictional scenarios.
This professional resource aims to provide the clinician with the tools to address adolescent harmful sexual behaviour within a broader social and emotional developmental context, and will aid those working with young people to motivate them to engage in a positive process of change.
Eamon McCrory is Consultant Clinical Psychologist based at NSPCC, Senior Lecturer in Developmental Neuroscience at University College London, UK and Head of Postgraduate Studies, at the Anna Freud Centre, UK.
This 30 week treatment manual represents a robust and user friendly synthesis of current thinking in work with young people with harmful sexual behaviour and offers practitioners from a range of disciplines an excellent tool and context to enable young people to develop a non-abusive and coherent sense of self. The manual is a significant contribution to the field.
From the Foreword by Jon Brown, Head of Strategy and Development, NSPCC, UK
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| A Treatment Manual for Adolescents Displaying Harmful Sexual Behaviour: Change for Good | 3 | ||
| Foreword | 12 | ||
| Chapter 1: Overview of the Manual | 14 | ||
| The structure of this book within the manual | 16 | ||
| Who should use this manual? | 16 | ||
| How should the intervention described in the manual be delivered? | 16 | ||
| Is the manual designed to be flexible? | 16 | ||
| What kind of young person is the manual designed to help? | 18 | ||
| How do the manual and CD-ROM inter-relate? | 18 | ||
| What is the character library and how should it be used? | 20 | ||
| The contents of the accompanying CD-ROM | 20 | ||
| Chapter 2: The Treatment Context | 22 | ||
| Treatment approaches | 23 | ||
| Cognitive Behavioural Therapy (CBT) | 24 | ||
| Attachment Theory | 26 | ||
| Mentalisation Theory | 26 | ||
| Psychodynamic Psychotherapy | 26 | ||
| Developmental context | 28 | ||
| Research context | 28 | ||
| Early maltreatment and adversity | 30 | ||
| Poor sexual boundaries | 30 | ||
| Mental health problems | 32 | ||
| Psychological and cognitive functioning | 32 | ||
| Typologies | 32 | ||
| Emerging personality disorder and psychopathy | 32 | ||
| ‘Early onset’ and ‘late onset’ groups | 34 | ||
| Females who sexually abuse | 34 | ||
| Treatment of young people with harmful sexual behaviour | 36 | ||
| Chapter 3: Preparing for Intervention | 38 | ||
| Prior assessment | 38 | ||
| Measuring risk | 42 | ||
| Preparing for therapy | 42 | ||
| Requirements for the clinician | 42 | ||
| Addressing child protection concerns | 42 | ||
| Coordination between professionals | 42 | ||
| Chapter 4: Delivering the Intervention | 46 | ||
| The aims of intervention | 46 | ||
| Developing a treatment formulation | 48 | ||
| Predisposing factors | 48 | ||
| Attachment and behavioural problems | 48 | ||
| Beliefs | 52 | ||
| Precipitating factors | 52 | ||
| Unmet goals | 52 | ||
| Strengths and protective factors | 52 | ||
| Overarching goals of treatment | 52 | ||
| Overarching Goal 1: Building a positive therapeutic alliance | 56 | ||
| Overarching Goal 2: Building systemic support | 56 | ||
| The delivery of a typical session | 58 | ||
| Preparation prior to a session | 58 | ||
| Delivery of a typical session | 58 | ||
| Tasks after a session is completed | 60 | ||
| Working in the room: Ten core treatment components | 60 | ||
| 1. Positive future vision | 60 | ||
| 2. Positive self-narrative | 60 | ||
| 3. Relationships | 62 | ||
| 4. Managing anger | 62 | ||
| 5. Insight: Impact of HSB on self | 64 | ||
| 6. Insight: Impact of HSB on victim | 64 | ||
| 7. Mentalisation ability | 64 | ||
| 8. Understanding and managing HSB | 66 | ||
| 9. Taking responsibility | 66 | ||
| 10. Healthy vs. harmful sexual behaviour | 68 | ||
| Adapting the manual | 68 | ||
| Changing the ordering or sequence of sessions | 68 | ||
| Adapting the manual for adolescents with learning\x02difficulties | 68 | ||
| Measuring change | 72 | ||
| The Strengths and Difficulties Questionnaire | 72 | ||
| Trauma Symptom Checklist for Children | 72 | ||
| Rosenberg Self-Esteem Scale | 72 | ||
| Adolescent Sexual Behavior Inventory | 72 | ||
| Child Behavior Checklist; Youth Self Report | 72 | ||
| The NCATS Assessment Questionnaire | 72 | ||
| Some thoughts on concurrent work with parents and carers | 75 | ||
| Chapter 5: Module Descriptions | 78 | ||
| Module 1: Engagement – Preparing the young person for change | 78 | ||
| Module 2: Relationships – Cultivating adaptive relationship skills | 84 | ||
| Module 3: Self-Regulation – ‘In the driving seat’ | 90 | ||
| Module 4: Road Map for the Future – Ending and relapse prevention | 96 | ||
| Appendix I: Sample Session Plans and Home Projects | 100 | ||
| Engagement Module Session 1: Making an Authentic Connection | 100 | ||
| Relationships Module Session 2: Taking Responsibility | 110 | ||
| Self-Regulation Module Session 6: Detective Work –Clues to My HSB | 124 | ||
| Road Map for the Future Session 4: Staying in the Driving Seat | 140 | ||
| Appendix II: Samples from the Character Library Material | 148 | ||
| References | 153 |