Sexual Abuse: A Journal of Research and Treatment [saj] pp791-sebu-461978 April 6, 2003 13:42 Style ﬁle version Nov 28th, 2002
Sexual Abuse: A Journal of Research and Treatment, Vol. 15, No. 3, July 2003 (
A Clinical Model for the Treatment of Personality
Disordered Sexual Offenders: An Example
of Theory Knitting
and Daan van Beek
In this paper we present a clinical model for the treatment of personality dis-
ordered sexual offenders. The model is based on the theoretical assumption that
cognitive distortions emerge from more general explanatory theories. It seems that
the pathways of offending processes that are characterized by positive or nega-
tive affects can be found in all treated sex offenders regardless of their motivation.
We assume that these pathways are activated by cognitive distortions that illustrate
the underlying general explanatory theory held by the offender and that these dis-
tortions are typical for overall daily interpersonal behavior of the offender. This
means that, as predicted by our clinical model in the case of offenders with a
personality disorder, the type of explanatory cognition that is underlying their
sexual offenses is the same as the one that is underlying their general explanatory
theories. We will describe the clinical model and the treatment program used at
Forensic Psychiatric Hospital Center Veldzicht with a review of our experiences.
KEY WORDS: general explanatory theories; personality disorders; sex offenders; offense chain.
In 1998 Forensic Psychiatric Hospital Center (FPC) Veldzicht started group
treatment for adult male sexual offenders on the basis of a clinical model for
the treatment of personality disordered sexual offenders (Buschman, 1998). This
clinical model is built around the self-regulation model (Ward & Hudson, 1998a,b)
and is an example of theory knitting.
Dr S. van Mesdagkliniek, Engelse Kamp5, 9722 AX, Groningen, The Netherlands.
Dr Henri van der Hoevenkliniek, Willem Dreeslaan 2, 3515 GB, Utrecht, The Netherlands.
To whom correspondence should be addressed at Forensic Psychiatric Hospital Veldzicht, Ommerweg
67, 7707 AT Balkbrug, The Netherlands; e-mail: firstname.lastname@example.org.
2003 Plenum Publishing Corporation