Abstract
Classical psychoanalysis has been unable to adequately address the underlying narcissistic character pathology in sex offenders and sufficiently reduce relapse. Recent theoretical constructs about the nature of attachments to others and the formation of self-esteem are discussed and applied to sexually exploitative behavior A new dimension of relapse prevention-the interpersonal dimension-is described, along with an enhanced explanation of the cycle of offending behavior and the nature of high-risk situations. Principles of change and recovery to follow in the treatment of the offender character pathology are also described This deeper theoretical understanding of the motivation of sex offenders has formed the basis for treatment developed by the Counseling and Psychotherapy Center (C.P.C.). Two cases serve to illustrate this theoretical approach.
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