Program Abstract/ Program Description
EMDR and Sex Offender Treatment Part 1: Sexual offending etiology and the use of EMDR in the treatment of sexual offenders is an advanced workshop enabling EMDR therapy clinicians to work effectively with clients who are sex offenders, community members with some of the most rigid post-conviction restrictions. Part 1 of a two-part series, this course provides a foundation of sex offender theory and a review of the EMDR treatment of sex offenders.
Theoretical models of sex offending etiology offer EMDR treatment providers a foundational understanding of factors contributing to criminal behaviors and a clear pathway to target selection. Dynamic risk factors (in addition to pointing to EMDR targets) are related to recidivism (Van den Berg, van Beek, Bouman, Janssen, Smid, & Gijs, 2024; Van den Berg, van Beek, Smid & Borsboom, 2020; Van denBerg, Kossakowski, Smid, Babchishin, Borsboom, Janssen, van Beek, & Gijs, 2022), presenting the EMDR therapist with a strong justification for treatment. A knitting approach draws from prominent models of sex offender drivers to ultimately coalesce in The Pathways Model (Ward & Siegert, 2002), a multifactorial model that attributes sexual offenses to cultural values and systems of belief, family dynamics, developmental issues, biology, and situational elements. The origin of the driver is the treatment target in EMDR (Ricci & Clayton, 2016). Additional factors which contribute to sexual offense behaviors include implicit beliefs, vulnerabilities, and self-regulation style (Ricci, Clayton, & Shapiro, 2006; Ricci & Clayton, 2016). These allow for offense behaviors in the right circumstances or when triggered by idiosyncratic cues (Ricci & Clayton, 2016). Early maladaptive schemas have also been the focus of the etiology of compulsive sexual behaviors (Efrati, Shukron, & Epstein, 2020; Keulen-de Vos, Giesbers, & Hulsken, 2023).
Given the severity of consequences of sexual offences (Finkelhor, Turner, & Colburn, 2024), there is a paucity of research and case studies exclusively on the EMDR treatment of sexual offenders. Nevertheless, there are several well-documented cases of the use of EMDR to treat sexual offenses that will be reviewed. Ricci & Clayton (2008) used a penile plethysmograph and the Sex Offender Treatment Rating scale as measures of improvement in the use of EMDR in the treatment of child molesters. A reduction of a child molester’s pathological sexual arousal was achieved over the course of 32 EMDR sessions (Wright & Warner, 2020). EMDR was employed to treat sex addiction, a common correlate to sexual offending (Cox & Howard, 2007). Ten Hoor (2013) used EMDR effectively to focus precisely on the cognitive distortions of a sex offender. Dohrmann (2009) proffered a dissertation in which EMDR was implemented and a reduction in risk of offending was found. Finley’s dissertation (2002) found that justifications for offender behavior were reduced using EMDR. Finley’s paper cites criminogenic factors developed by Hartung and Philbrick (1997) to assist in the effective use of EMDR with convicts with a history of trauma, addiction, dissociation, and personality disorders. Given the overwhelmingly prevalent use and harmful role of sexual fantasy in some sexual offenders, bilateral stimulation was used to diminish vividness, sensations, pleasure, emotional intensity, and sexual arousal of sexual fantasies (Bartels, Harkins, Harrison, Beard, and Beech, 2018; Allen, McKillop, Katsikitis, and Millear, 2022). Robert Miller (2010) developed the EMDR Impulse-Control Protocol, based on his Feeling-State theory of impulse control disorders. Sexual offense behaviors themselves may elicit traumatic memories at levels of other traumatizing events (Clark, Tyler, Gannon & Kingham, 2014), and EMDR was used to treat these offense-related traumatic memories. These theoretical models and studies will provide participants with a solid foundation for the EMDR treatment of sexual offenders.
Course Objectives
Upon completing this course, participants will be able to:
- Recall six drivers of sex offending.
- Compare the purpose of standard treatment for sex offenders to EMDR therapy for sex offenders.
- Describe how bilateral eye movements may impair deviant sexual fantasies and decrease the desire to engage in sexually fantasized phenomena.
Schedule
Friday, March 21, 2025
Course runs in Pacific Time.
Time: |
Course Content: |
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8:45 – 9:00am |
Attendance - Check in between 8:45 and 9:00 for attendance and to clear up any tech issues before we begin. |
9:00 - 10:30am 90 min |
Introductions
Foundations of sex offender theory
Drivers of sex offending and their relevance to EMDR target selection
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10:30am - 10:45am 15 min |
Break |
10:45am - 12:15pm 90 min |
Standard treatment versus EMDR therapy for sex offenders Review of EMDR treatment of sex offenders
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12:15-12:30 pm 15 min |
Q & A and Wrap Up |
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Total: |
3 hours |