Home » News » Relationships » Sexuality » Can adult sex offenders be rehabilitated?

Can adult sex offenders be rehabilitated?

An editorial in the British Medical Journal poses the chilling question. According to the experts, psychological treatment for adult sex offenders can reduce reoffending rates but does not provide a cure.

Sexual offending is a public health issue and a social problem. Psychological treatment is widely used and is often mandated in the sentencing decision for sexual offenders. But just how effective are psychological treatment programs? Are they too readily accepted uncritically?

Specialists in psychology and criminology reviewed the evidence from published studies.

In an analysis of randomized controlled trials on behavioral treatments, they found that most studies were too small to be informative, although statistically significant improvements were recorded across some groups of offenders.

The largest, longest trial compared group therapy with no group therapy for 231 men guilty of child abuse, exhibitionism, or sexual assault. During the subsequent 10 years, a greater proportion of those allocated to group therapy were re-arrested, but this did not reach statistical significance.

However, evidence from these types of trials provides only a fraction of the knowledge needed, particularly on recidivism (used here to mean a repeat sexual offence), say the authors.

Treatment failure is associated with higher rates of recidivism, and offenders who successfully complete a treatment program reoffend less often and less seriously (that is non-sexual reoffending) than those who do not show that they have understood and worked through the relevant psychological issues.

Paedophilia cannot always be successfully treated, they write. Better understanding of the outcomes of treatments – either controlling and moderating or harming and worsening behavior – could at least focus on the most beneficial and cost effective interventions.

There is enormous political and institutional pressure to prove that treatment works. Assessment of all outcomes must take the expectations of researchers into account, and also offenders’ and therapists’ perceptions of treatment.

It should be possible to combine the strength of randomized controlled trials with the collection of good qualitative data and to ensure that psychological interventions for sexual offenders are assessed effectively, they conclude.

Source: British Medical Journal

Can adult sex offenders be rehabilitated?

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Can adult sex offenders be rehabilitated?. Psych Central. Retrieved on March 24, 2019, from
Scientifically Reviewed
Last updated: 8 Aug 2018
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.