🔑 Key Definitions
Good Lives Model (GLM) 🌟: Strengths-based approach to sex offender treatment - focus on achieving primary goods (universal human needs) through prosocial pathways
Anti-androgens 💉: Medications that reduce testosterone to decrease sexual drive (cyproterone, medroxyprogesterone)
❤️🔥 Sex Offender Characteristics
- Heterogeneous group - Different types of offenders
- Cognitive distortions - Beliefs supporting offending
- Empathy deficits - Lack of victim empathy
- Poor self-regulation - Impulse control problems
- Attachment issues - Early relational problems
💊 3 Types of Medications
- 1. SSRIs (Antidepressants) - Reduce urges, help impulse control, fewer side effects
- 2. Anti-androgens - Reduce testosterone (cyproterone, medroxyprogesterone) - significant side effects
- 3. LHRH Agonists - "Chemical castration" - dramatic testosterone reduction, serious side effects, ethical issues
🎯 Good Lives Model (GLM) Components
- Focus on strengths, not just deficits
- Primary goods = universal human needs
- Prosocial pathways to achieve goods
- Motivation through positive goals
- Complementary to other approaches
💡 Exam Tips
- Sex offender treatment = most challenging area in forensic psychology
- GLM = strengths-based, primary goods, prosocial pathways
- Recidivism reduction is MODEST (10-15%) - not dramatic!
- CBT-based programs show BEST results
- Medication ALONE is insufficient - needs psychological treatment too
- Ethical issues: consent, coercion, side effects, long-term effects
- Group treatment is standard for sex offenders