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Challenging Sexual Behaviour in Children and Adolescents: Where to Begin

Challenging Sexual Behaviour in Children and Adolescents: Where to Begin. Dr. Patrick Randall. Overview. How do you decide?. Consent. Contact is unwanted Boundary violation Informed consent Age of consent. Equality. Physical size Authority Power Relationship Cognitive capacity.

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Challenging Sexual Behaviour in Children and Adolescents: Where to Begin

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  1. Challenging Sexual Behaviour in Children and Adolescents: Where to Begin Dr. Patrick Randall

  2. Overview

  3. How do you decide?

  4. Consent • Contact is unwanted • Boundary violation • Informed consent • Age of consent

  5. Equality • Physical size • Authority • Power • Relationship • Cognitive capacity

  6. Coercion • Threats • Manipulation • Blackmail • Rewards

  7. Complicating Factors • Some sexual pre-occupation is normal • Some sexual behaviour is expected • Self regulation difficulties • Poor social judgement • Lack of regard for authority • Poor problem solving skills • Paraphilias

  8. Solutions • Isolation? • Punishment? • Psychotherapy? • Function of behaviour?

  9. Protective Factors • Caregivers • Family environment • School • Psychological stability

  10. JSOAP-II • 1. Sexual Drive/Preoccupation Scale • 1. Prior Legally Charged Sex Offenses • 2. Number of Sexual Abuse Victims • 3. Male Child Victim • 4. Duration of Sex Offense History • 5. Degree of Planning in Sexual Offense(s) • 6. Sexualized Aggression • 7. Sexual Drive and Preoccupation • 8. Sexual Victimization History

  11. Impulsive/Antisocial Behavior Scale • 9. Caregiver Consistency • 10. Pervasive Anger • 11. School Behavior Problems • 12. History of Conduct Disorder • 13. Juvenile Antisocial Behavior • 14. Ever Charged or Arrested Before Age 16 • 15. Multiple Types of Offenses • 16. History of Physical Assault and/or Exposure to Family Violence

  12. 3. Intervention Scale • 17. Accepting Responsibility for Offense(s) • 18. Internal Motivation for Change • 19. Understands Risk Factors • 20. Empathy • 21. Remorse and Guilt • 22. Cognitive Distortions • 23. Quality of Peer Relationships

  13. 4. Community Stability/Adjustment Scale • 24. Management of Sexual Urges and Desire • 25. Management of Anger • 26. Stability of Current Living Situation • 27. Stability in School • 28. Evidence of Positive Support Systems

  14. Thank you! • Questions?

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