Sexual Functioning in the Treatment of Sex Offenders

This chapter addresses a range of factors that interfere with normative sexual functioning and that have been shown to characterize sex offenders. First, descriptions of features that are involved in healthy sexuality are described. These features are discussed as normative and include effective communication, mutual focus during sex, mutual self-disclosure regarding sexual needs, mutual and solitary masturbation, and, most importantly, information about activities during sex that facilitate mutual sexual pleasure. A description is provided of the normative male and female sexual arousal patterns and desire for sex, and also behaviours that facilitate mental satisfaction. Homosexual relations are presented as normative and as involving issues similar to heterosexual activities (e.g., expressions of love and affection, mutual respect and concern, communication). Sexual preoccupation is outlined and strategies for managing these excessive desires are noted. Finally deviant sexual interests are noted and strategies for changing these interests are described. Keywords: deviant interests; healthy sex; masturbatory reconditioning; sexual preoccupation; sexual response patterns