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A Monograph . . .
The Incest Offender, the Victim, the Family
New Treatment Approaches

This monograph was developed after a l985 training institute, "The Incest Offender, The Victim, The Family: New Treatment Approaches" sponsored by MHA. As noted in the introduction to the monograph, the articles by Dr. Abel and Dr. Groth "provide the reader with syntheses of two different perspectives about the nature of the disorder and suggest solutions for treating the offender." These articles present their thinking and practice as of l985. Times and practice change and these articles do not necessarily reflect best practice in 2002. We will post a discussion of these articles written from the perspective of current practice. This monograph is presented now for its historical value, to raise awareness of these important issues and hopefully to stimulate discussion among interested individuals.

Two Training Institutes

Presented By: The Mental Health Association of Westchester County, Inc.
29 Sterling Avenue, White Plains, New York 10606
Esther D. Mallach, ACSW, CSW, Executive Director

For Professionals in Mental Health, Social Services, Education, Medicine, Nursing, Law Enforcement and the Clergy
October 1982

Faculty

Gene G. Abel, M.D.
Director, Behavior Medicine Unit
Emory University School of Medicine, Atlanta, Georgia
Former Director, Sexual Behavior Clinic
New York State Psychiatric Institute, New York, New York

A. Nicholas Groth, Ph.D.
Director, Sex Offender Program,
Somers State Prison, Connecticut
Co-Director, St. Joseph College Institute in the Treatment and Control of Child Sexual Abuse,
West Hartford, Connecticut

Contents of This Monograph

Acknowledgements

Foreword

Introduction
Dorothea Turkel, C.S.W., Editor

A Clinical Evaluation of Possible Sex Offenders
Gene G. Abel, M.D.

The Child Molester: Clinical Observations
A. Nicholas Groth, Ph.D.
William F. Hobson, M.S.
Thomas S. Gary, M.Ed.

Acknowledgements

The Mental Health Association is deeply grateful to the Children's Service League, Inc., whose commitment to children and generosity have made possible numerous educational and training programs on child abuse and neglect, two training institutes, "The Incest Offender, The Victim, The Family: New Treatment Approaches" and the publication of this monograph.

We thank Haworth Press, Inc., for permission to reprint the article submitted by A. Nicholas Groth, The Child Molester: Clinical Observations by A. Nicholas Groth, Ph.D., William F. Hobson, M.S. and Thomas S. Gary, M.Ed.

May 1985

Foreword

It is a privilege to have supported both the Mental Health Association's publication of this monograph and the two training institutes, "The Incest Offender, The Victim, The Family: New Treatment Approaches", attended by 200 professionals in mental health and related fields serving Westchester and surrounding counties. The Children's Service League, Inc., founded in 1942 as a voluntary non-profit organization, is made up of concerned, caring and committed persons dedicated to aid and encourage the healthy development of children and to protect their physical and mental well being. Our support for the Mental Health Association's education and training programs on child abuse and neglect and the publica- tion of this monograph help us to fulfill this purpose. Our mutually shared goal with the Association is the prevention and treatment of child abuse and neglect. We are proud of this alliance and gratified to join forces with the Association in accepting the challenge of working towards this worthy goal.

Faith Saunders, President
Children's Service League, Inc.

Introduction

The two articles in this monograph focus primarily on the treatment of child sexual abuse offenders. They were submitted by Directors of unique treatment programs as summaries of presentations made at The Mental Health Association's two day training institute, "The Incest Offender, The Victim, The Family: New Treatment Approaches", held in October 1982.

The first article, "A Clinical Evaluation of Possible Sex Offenders" was written by Gene G. Abel, M.D., former Director, Sexual Behavior Clinic, New York State Psychiatric Institute, and currently Director of Behavioral Medicine Unit, Emory University School of Medicine, Atlanta, Georgia. Dr. Abel describes his work in evaluating and treating paraphiliacs while at the Sexual Behavior Clinic and offers suggestions for some solutions to the problems presented by this difficult population.

A. Nicholas Groth, Ph.D. is one of three co-authors of "The Child Molester: Clinical Observations" published by Haworth Press, Inc. Dr. Groth submitted this article for publication because it reflects the material covered in his presentation at the training institute where he provided an overview of the researchers' understanding of the sexual offender of children and discussed the authors' experiences in treating this population.

Dr. Abel's and Dr. Groth's discussions of this problematic topic provide the reader with syntheses of two different perspectives about the nature of the disorder and suggest solutions for treating the offender.

This monograph is essential reading for mental health professionals who treat sexual offenders of children as well as for those who work with the victims, the families and the offenders in legal, law enforcement, medical, social, educational and rehabilitation services.

At long last, child sexual abuse is emerging in the professional and community consciousness as a serious social disorder and public health problem. The time is overdue for all of us to accept the challenge of developing and supporting prevention and treatment programs utilizing all involved disciplines and the community.

It is our hope that the publication of this material will stimulate further serious thought about this social problem and provide impetus to encourage the development of programs to help detect, treat and control child sexual abuse.

Dorothea Turkel, CSW
Coordinator, Children's Services
Mental Health Association of Westchester County, Inc.
Editor

Beginning of First Article, A Clinical Evaulation of Possible Sex Offenders
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