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Kia Marama: A Cognitive-Behavioural Program for Incarcerated Child Molesters

Published online by Cambridge University Press:  06 October 2014

Stephen M. Hudson*
Affiliation:
University of Canterbury
William L. Marshall
Affiliation:
Queen's University, Ontario, Canada
Tony Ward
Affiliation:
University of Canterbury
Peter W. Johnston
Affiliation:
Kia Marama Special Treatment Unit, Rolleston Prison
Robin L. Jones
Affiliation:
Kia Marama Special Treatment Unit, Rolleston Prison
*
University of Canterbury, New Zealand
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Abstract

A comprehensive cognitive-behavioural treatment program for incarcerated child molesters is described. This program operates within Kia Marama, a medium-security unit for sex offenders in the New Zealand prison system. It lasts 32 weeks and includes a four-week assessment process both before and after the 24 weeks of intensive treatment. Treatment covers a variety of issues including distorted cognitions, sexual issues, victim empathy, social skills, problem solving, life skills, stress management, and relapse-prevention training. In addition, when offenders are released they are supervised by professionals trained in relapse-prevention procedures. As this program began in late 1989, it is too early to properly estimate its success, but similar programs in North America have produced promising outcome data, and what tentative evidence we have to date suggests that the program is valuable.

Type
Research Article
Copyright
Copyright © The Author(s) 1995

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References

REFERENCES

Abel, G.G., & Blanchard, E.B. (1974). The role of fantasy in the treatment of sexual deviation. Archives of General Psychiatry, 30, 467475.CrossRefGoogle ScholarPubMed
Briere, J., & Runtz, M. (1993). Childhood sexual abuse: Long-term sequelae and implications of psychological assessment. Journal of Interpersonal Violence, 8, 312330.Google Scholar
Cole, P.M., & Putnam, F.W. (1992). Effect of incest on self and social functioning: A developmental psychopathology perspective. Journal of Consulting and Clinical Psychology, 60, 174184.Google Scholar
Downs, W.R. (1993). Developmental considerations for the effects of childhood sexual abuse. Journal of Interpersonal Violence, 8, 331345.Google Scholar
D'Zurilla, T.J. (1986). Problem-solving therapy: A social competence approach to clinical intervention. New York: Springer.Google Scholar
Earls, C.M., & Marshall, W.L. (1983). The current state of technology in laboratory assessment of sexual arousal patterns. In Greer, J.G. & Stuart, I.R. (Eds.), The sexual aggressor: Current perspectives on treatment (pp. 336362). New York: Van Nostrand Reinhold.Google Scholar
Evans, R.L., & Dingus, C.M. (1989). Serving the vulnerable: Models for treatment of loneliness. In Hojat, M. & Crandall, R. (Eds. ), Loneliness: Theory, research, and applications (pp. 249256). Newbury Park, CA: Sage.Google Scholar
Hudson, S.M., Ward, T., & Marshall, W.L. (1992). The abstinence violation effect in sex offenders: A reformulation. Behaviour Research and Therapy, 30, 435441.Google Scholar
Johnston, P., Hudson, S.M., & Marshall, W.L. (1992). The effects of masturbatory reconditioning with nonfamilial child molesters. Behaviour Research and Therapy, 30, 559561.Google Scholar
Laws, D.R. (Ed.). (1989). Relapse prevention with sex offenders. New York: Guilford.Google Scholar
Laws, D.R., & Marshall, W.L. (1991). Masturbatory reconditioning: An evaluative review. Advances in Behaviour Therapy, 13, 1325.Google Scholar
Laws, D.R., & Osborne, C.A. (1983). How to build and operate a behavioral laboratory to evaluate and treat sexual deviance. In Greer, J.G. & Stuart, I.R. (Eds. ), The sexual aggressor: Current perspectives on treatment (pp. 293335). New York: Van Nostrand Reinhold.Google Scholar
Marques, J.K., Day, D.M., Nelson, C., & Miner, M.H. (1989). The sex offender treatment and evaluation program: Third report to the legislature in response to PC1365. Sacramento, CA: California State Department of Mental Health.Google Scholar
Marquis, J.N. (1970). Orgasmic reconditioning: Changing sexual choice through controlling masturbatory fantasies. Journal of Behaviour Therapy and Experimental Psychiatry, 1, 263271.Google Scholar
Marshall, W.L. (1979). Satiation therapy: A procedure for reducing deviant sexual arousal. Journal of Applied Behavioural Analysis, 12, 1022.Google Scholar
Marshall, W.L. (1989). Invited essay: Intimacy, loneliness, and sexual offenders. Behaviour Research and Therapy, 27, 491503.CrossRefGoogle Scholar
Marshall, W.L., & Barbaree, H.E. (1989). Sexual violence. In Howells, K. & Hollin, C. (Eds.), Clinical approaches to aggression and violence (pp. 205246). New York: Wiley.Google Scholar
Marshall, W.L., & Barbaree, H.E. (1990). Outcome of comprehensive cognitive-behavioural treatment programs. In Marshall, W.L., Laws, D.R., & Barbaree, H.E. (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 363385). New York: Plenum.Google Scholar
Marshall, W.L., & Barrett, S. (1990). Criminal neglect: Why sex offenders go free. Toronto: Doubleday.Google Scholar
Marshall, W.L., & Christie, M.M. (1982). The enhancement of social self-esteem. Canadian Counsellor, 16, 8289.Google Scholar
Marshall, W.L., & Christie, M.M., Lanther, R.D., & Cruchley, J. (1982). The nature of the reinforcer in the enhancement of social self-esteem. Canadian Counsellor, 16, 9096.Google Scholar
Marshall, W.L., & Eccles, A. (1991). Issues in clinical practice with sex offenders. Journal of Interpersonal Violence, 6, 6893.Google Scholar
Marshall, W.L., Eccles, A., & Barbaree, H.E. (1993). A 3-tiered approach to the rehabilitation of incarcerated sex offenders. Behavioral Sciences & the Law, 11, 441455.Google Scholar
Marshall, W.L., Hudson, S.M,. & Hodkinson, S. (1993). Problems of intimacy and attachment in juvenile sex offenders. In Barbaree, H.E., Marshall, W.L., & Hudson, S.M. (Eds.), The assessment and treatment of the juvenile sex offender (pp. 164181). New York: Guilford.Google Scholar
Marshall, W.L., Hudson, S.M., & Ward, T. (1992). Sexual deviance. In Wilson, P.H. (Ed.), Principles and practice of relapse prevention (pp. 235254). New York: Guilford.Google Scholar
Marshall, W.L., Hudson, S.M., & Jones, R. (1994). Empathy: The concept, its measurement, and its role in aggression and sexual offending. Submitted for publication.Google Scholar
Marshall, W.L., Hudson, S.M., & McDonald, E. (1993). Generalized empathy in child molesters. Journal of Child Sexual Abuse, 2, 6168.Google Scholar
Marshal, W.L., Jones, R., Ward, T., Johnston, P., & Barbaree, H.E. (1991). Treatment outcome with sex offenders. Clinical Psychology Review, 11, 465485.Google Scholar
Marshall, W.L., Ward, T., Jones, R., Johnston, P., & Barbaree, H.E. (1991, 04). An optimistic evaluation of treatment outcome with sex offenders. Violence Update, 19.Google Scholar
McFall, R.M. (1990). The enhancement of social skills: An information processing analysis. In Marshall, W.L., Laws, D.R., & Barbaree, H.E. (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 311330). New York: Plenum.Google Scholar
Novaco, R.W. (1975). Anger control: The development and evaluation of an experimental treatment. Lexington, MA: Heath.Google Scholar
Novaco, R.W., & Welsh, W.N. (1989). Anger disturbances: Cognitive mediation and clinical prescriptions. In Howells, K. & Hollin, C.R. (Eds.), Clinical approaches to violence (pp. 3960). New York: Wiley.Google Scholar
Pithers, W.D. (1990). Relapse prevention with sexual aggressors: A method of enhancing therapeutic gain and enhancing external supervision. In Marshall, W.L., Laws, D.R., & Barbaree, H.E. (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 343362). New York: Plenum.Google Scholar
Pithers, W.D., Martin, G.R., & Cumming, G.F. (1989). Vermont treatment program for sexual aggressors. In Laws, D.R. (Ed.), Relapse prevention with sex offenders (pp. 292310). New York: Guilford.Google Scholar
Rimm, D.C., & Masters, J.C. (1979). Behaviour therapy: Techniques and empirical findings (2nd Ed.). New York: Academic.Google Scholar
Robertson, D.B. (1990). Replication of child sex abuse in males. Unpublished MA thesis, University of Canterbury.Google Scholar
Seidman, B., Marshall, W.L., Hudson, S.M., & Robertson, P.J. (1994). An examination of intimacy and loneliness in sex offenders. Journal of Interpersonal Violence, 9, 518534.Google Scholar
Ward, T., Hudson, S.M., & France, K.G. (1993). Self-reported reasons for offending behavior in child molesters. Annals of Sex Research, 6, 139148.Google Scholar
Ward, T., & Hudson, S.M., & Marshall, W.L. (1994). The Abstinence Violation Effect in child molesters. Behaviour Research and Therapy, 32, 431437.Google Scholar
Ward, T., & Hudson, S.M., & Marshall, W.L. (1995). Cognitive distortions and affective deficits in sex offenders: A cognitive deconstructionist interpretation. Sexual Abuse: Research and Treatment, 7, 6783.Google Scholar
Williamson, D.A. (1985). Stress management training. In Bellack, A.S. & Hersen, M. (Eds.), Dictionary of behaviour therapy techniques (pp. 211212). New York: Pergamon.Google Scholar
Wilson, P.H. (Ed.) (1992). Principles and practice of relapse prevention. New York: Guilford.Google Scholar