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Journal of Interpersonal Violence
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Assessment and Treatment of Sex Offenders in the Czech Republic and in Eastern Europe

PETER WEISS

Charles University, Czech Republic

The author describes the experiences with the comprehensive therapeutic program for sexual offenders in the Czech republic. Since 1976, specialized departments for treatment of these patients were established in psychiatric hospitals. The treatment is imposed by the court per the recommendation of forensic experts—especially for paraphilic offenders. As a rule, inpatient therapy is followed by treatment in outpatient sexological departments. The therapeutic goals are as follows: adjustment of behavior, acquisition of information, overcoming defensive mechanisms and creating insight, strengthening of conscious control, changes in attitudes and values, sexual adaptation, and social reintegration. These goals are achieved by means of a set of diagnostic, psychotherapeutic, pharmacotherapeutic, and social measures including penile plethysmography, individual and group psychotherapy (in their psychodynamic and cognitive-behavioral forms), antiandrogen suppression, and social interventions. The recidivity rate has been relatively low (less than 20%) and justifies the existence of this specialized form of treatment.

Journal of Interpersonal Violence, Vol. 14, No. 4, 411-421 (1999)
DOI: 10.1177/088626099014004004
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