The long-term evaluation of a behavioral treatment program for child molesters

Recidivism data derived from various sources over a follow-up period of 1–11 yr, provided the basis for appraising the effectiveness of a comprehensive cognitive-behavioral treatment program for familial and nonfamilial child molesters. Unofficial records held by police and Children's Aid Societies proved to be the best data for estimating recidivism. These data revealed increases in recidivism with longer follow-up periods, but there were consistent advantages for the treated over the untreated patients. Men who had sexually abused the daughters of other people demonstrated the clearest treatment benefits. The younger offenders and those who had engaged in genital-genital contact with their victims were more likely to reoffend even if they were treated. Contrary to the expectations of behavior therapists, indices of deviant sexual preferences did not predict outcome.     

Conceptions of states and traits: dimensional attributes with ideals as prototypes

Traits and states are concepts that people use to both describe and understand themselves and others. We show that people view these concepts as prototype-based categories that have a graded internal structure and fuzzy boundaries and identify a set of attributes that define the prototypical cores of two categories: traits and states. Prototypical traits are stable, long-lasting, and internally caused. Prototypical states are temporary, brief, and caused by external circumstances. These prototypes are not defined by averages, as the family-resemblance principle would suggest, but by ideal (or extreme) attribute values. Like other ideal-based categories, traits and states serve particular goals. Trait concepts permit people to predict the present from the past; state concepts identify those behaviors that can be controlled by manipulating the situation. These two complementary schemas are part of the extensive theory of psychological causality that is implicit in language. Abstract social concepts differ from object categories in their category standards, the nature of their attributes, and the interrelations among those attributes.     

Some observations on control by spoken words in children's conditional discrimination and matching by exclusion

This study examined matching-to-sample procedures that might result in the emergence of conditional behavior never explicitly taught. Subjects were preschool children. Two pictures were displayed as comparisons on every trial, and samples were spoken words. In baseline training preceding each of three experiments, children learned to select pictures of a dog, a table, and a banana in response to their spoken English names. Thereafter, probe trials displayed novel comparisons with baseline comparisons: one novel comparison was displayed with the dog and another with the table. The three experiments differed primarily in the nature of the samples presented on probe trials. In Experiment 1, probe samples were novel words, "JAIJAI" and "BREEL." On the probes, each of seven subjects reliably selected the novel comparisons, apparently "excluding" the familiar ones. In Experiment 2, probe samples were from the subjects' baseline. On one probe, for example, the sample was "TABLE," and the subject had to choose either the dog or the novel picture. Exclusion was logically possible because the dog had always before been incorrect in the presence of "TABLE." Under these conditions, however, only two of nine children excluded reliably. In Experiment 3, probe samples were words that had never been samples on any matching-to-sample trial, but that had controlled the children's behavior in other settings. On one probe, for example, the sample was "PENCIL," and the subject had to choose either the dog or a novel picture. Subjects virtually always excluded the former and selected the latter. Unreliable exclusion in Experiment 2, therefore, apparently resulted because the probe samples had previously served also as samples on baseline trials. Spontaneous verbalizations recorded during probing provided further data consistent with this interpretation. The study helps to define variables controlling exclusion performances by showing that such performances are more likely to occur if the sample has no prior experimental history.     

The impact of the therapeutic environment

This paper emphasizes the impact of the setting, space, and general physical properties of the clinic upon the difficult patient's profound neediness and absence of inner regulatory structure. Moreover, the clinic's administrative style and requirements often related to fiscal restraints, demands for accountability for both how funds are spent and treatment outcome, all impinge upon the patient. Humanizing clinics so they have the capacity for psychotherapeutic holding and provision of safety for difficult patients are discussed in detail in this contribution.