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Sexual pleasure as forbidden secret: a single-case study into emotion-focused therapy with an emotionally avoidant client who committed sexual offences
Journal of Sexual Aggression ( IF 1.217 ) Pub Date : 2022-01-07 , DOI: 10.1080/13552600.2021.2019845
Ellen Gunst 1 , Mattias Desmet 2 , Jeanne C. Watson 3 , Jochem Willemsen 4 , Tom Loeys 5 , Siebrecht Vanhooren 6
Affiliation  

ABSTRACT

A major challenge in offender therapy is to facilitate clients’ emotional engagement, especially with clients who over-regulate their affect. It has been suggested that treatments that focus on improving clients’ affect regulation (AR) and deepen client’s emotional experience during treatment may enhance treatment outcomes. In this systematic mixed-methods case study the role of Emotion-Focused Therapy (EFT) to change clients’ problems with AR during inpatient treatment for individuals who committed sexual offences against children was investigated. It was observed that clients’ over-regulation of affect was coupled with a lack of connection to a part of the self that was deemed unacceptable. Over the course of treatment, this hidden part of self that had instigated the misbehaviour became more accepted and integrated. Verbatim clinical vignettes are included to illuminate key interventions, hindrances, and possible mechanisms of change. Quantitative analysis showed significant change in AR based on self-report and observation.



中文翻译:

性快感是被禁止的秘密:以情绪为中心的治疗的一个案例研究,对象是一个情绪回避性犯罪的来访者

摘要

罪犯治疗的一个主要挑战是促进客户的情感参与,尤其是与过度调节情感的客户。有人建议,专注于改善客户的情感调节 (AR) 和加深客户在治疗期间的情绪体验的治疗可能会提高治疗效果。在这个系统的混合方法案例研究中,调查了情绪聚焦疗法 (EFT) 在对儿童实施性犯罪的个人进行住院治疗期间改变客户 AR 问题的作用。据观察,客户对情感的过度调节伴随着与被认为不可接受的自我部分的联系缺乏。在治疗过程中,煽动不当行为的这个隐藏的自我部分变得更加被接受和整合。包括逐字记录的临床小插图,以阐明关键干预措施、障碍和可能的变化机制。根据自我报告和观察,定量分析显示 AR 发生了显着变化。

更新日期:2022-01-07
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