Cited by 17Psychopathy, Forensic Psychiatry, Sexual OffendingSexuality, Behavior, and TechnologySexual Assault and Victimization Studies

High risk sexual fantasies and sexual offending: An overview of fundamentals and interventions

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Rossegger, Astrid, Bartels, Ross M., Endrass, Jérôme, Borchard, Bernd, Singh, Jay P.·2021·Sexual Offending: Theory, Research, and Prevention

Abstract

Although deviant sexual fantasizing has been found to be an etiological factor for sexual offending, not all deviant sexual fantasies increase risk equally. The aim of the present overview is to provide readers with an introduction to key terminology, a primer on central clinical theories, and a summary of the research literature on “high risk” sexual fantasies over the past 50 years. First, the important difference between “sexual fantasy” and “sexual fantasizing” is described. Second, the link between sexual fantasizing and sexual offending is discussed, with a focus on principle moderators such as physiological reaction, personality profile, and offense-supportive beliefs. Third, the different methods used to assess sexual fantasies are discussed. Fourth, the principles and techniques behind four evidence-based approaches to treating “high risk” sexual fantasies are discussed: (1) the behavioral approach, (2) the cognitive approach, (3) the imagination approach, and (4) the mindfulness-based approach. Finally, a call is issued for practice-based quantitative and qualitative research to further explore this clinical phenomenon. The findings of such investigations would advance the field’s understanding of assessment, management, and monitoring best practices for this important forensic population.

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  • Repeated fantasy can strengthen the tendency to enact it in behavior.

    “It appears that, given appropriate circumstances, repeated fantasy can strengthen the tendency to enact it in behavior, (Rossegger et al., 2021).”

    From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Rossegger et al., 2021

  • In people with problematic sexuality and where the fantasy is sexually arousing and hedonically positive, there is a tendency to enact in behavior the content of the fantasy.

    “In people with problematic sexuality and where the fantasy is sexually arousing and hedonically positive, there is a tendency to enact in behavior the content of the fantasy (Rossegger et al., 2021).”

    From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Rossegger et al., 2021

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  1. Allen, A., Katsikitis, M., Millear, P., & McKillop, N. (2020). Psychological interventions for sexual fantasies and implications for sexual violence: A systematic review. Aggression and Violent Behavior, 55, Article 101465. https://doi.org/10.1016/j.avb.2020.101465 · DOI
  2. Bailey, J. M., Bernhard, P. A., & Hsu, K. J. (2016). An Internet study of men sexually attracted to children: Correlates of sexual offending against children. Journal of Abnormal Psychology, 125, 989-1000. https://doi.org/10.1037/abn0000213 · DOI
  3. Bartels, R., & Beech, A. (2016). Theories of deviant sexual fantasy. In A. Beech & T. Ward (Eds.), The Wiley handbook on the theories, assessment and treatment of sexual offending (pp. 165-186).
  4. Bartels, R. M., Beech, A. R., & Harkins, L. (2021). Understanding sexual thoughts and sexual fantasizing: The Dual-Process Model of Sexual Thinking. In L. Craig & R. M. Bartels (Eds.), Sexual deviance: Understanding and managing deviant sexual interests and paraphilic disorders (pp. 53-66). Wiley Blackwell.
  5. Bartels, R. M., & Gannon, T. A. (2011). Understanding the sexual fantasies of sex offenders and their correlates. Aggression and Violent Behavior, 16, 551-561. https://doi.org/10.1016/j.avb.2011.08.002 · DOI
  6. Bartels, R. M., Harkins, L., & Beech, A. R. (2020). The influence of fantasy proneness, dissociation, and vividness of mental imagery on male's aggressive sexual fantasies. Journal of Interpersonal Violence, 35, 964-987. https://doi.org/10.1177/0886260517691523 · DOI
  7. Bartels, R. M., Harkins, L., Harrison, S. C., Beard, N., & Beech, A. R. (2018). The effect of bilateral eye-movements versus no eye-movements on sexual fantasies. Journal of Behavior Therapy and Experimental Psychiatry, 59, 107-114. https://doi.org/10.1016/j.jbtep.2018.01.001 · DOI
  8. Bartova, K., Androvicova, R., Krejcova, L., Weiss, P., & Klapilova, K. (2021). The prevalence of paraphilic interests in the Czech population: Preference, arousal, the use of pornography, fantasy, and behavior. Journal of Sex Research, 58, 86-96. https://doi.org/10.1080/00224499.2019.1707468 · DOI
  9. Baughman, H. M., Jonason, P. K., Veselka, L., & Vernon, P. A. (2014). Four shades of sexual fantasies linked to the Dark Triad. Personality and Individual Differences, 67, 47-51. https://doi.org/10.1016/j.paid.2014.01.034 · DOI
  10. Beech, A., Fisher, D., & Ward, T. (2005). Sexual murderers' implicit theories. Journal of Interpersonal Violence, 20, 1366-1389. https://doi.org/10.1177/0886260505278712 · DOI
  11. Beech, A. R., Ward, T., & Fisher, D. (2006). The identification of sexual and violent motivations in men who assault women: Implication for treatment. Journal of Interpersonal Violence, 21, 1635-1653. https://doi.org/10.1177/0886260506294242 · DOI
  12. Dafoe, T. (2011). Mindfulness meditation: A new approach to working with sexual offenders [Master's thesis, University of Toronto]. University of Toronto TSpace Repository. http://hdl.handle.net/1807/27315
  13. Dombert, B., Schmidt, A. F., Banse, R., Briken, P., Hoyer, J., Neutze, J., & Osterheider, M. (2016). How common is men's self-reported sexual interest in prepubescent children? Journal of Sex Research, 53, 214-223. https://doi.org/10.1080/00224499.2015.1020108 · DOI
  14. Dwyer, S. M., & Myers, S. (1990). Sex offender treatment: A six-month to ten-year follow-up study. Annals of Sex Research, 3, 305-318. https://doi.org/10.1177/107906329000300303 · DOI
  15. Gannon, T. A., Olver, M. E., Mallion, J. S., & James, M. (2019). Does specialized psychological treatment for offending reduce recidivism? A meta-analysis examining staff and program variables as predictors of treatment effectiveness. Clinical Psychology Review, 73, Article 101752. https://doi.org/10.1016/j.cpr.2019.101752 · DOI
  16. Gee, D. G., Devilly, G. J., & Ward, T. (2004). The content of sexual fantasies for sexual offenders. Sexual Abuse, 16, 315-331. https://doi.org/10.1177/107906320401600405 · DOI
  17. Gee, D., Ward, T., & Eccleston, L. (2003). The function of sexual fantasies for sexual offenders: A preliminary model. Behaviour Change, 20, 44-60. https://doi.org/10.1375/bech.20.1.44.24846 · DOI
  18. Gray, N. S., Watt, A., Hassan, S., & MacCulloch, M. J. (2003). Behavioral indicators of sadistic sexual murder predict the presence of sadistic sexual fantasy in a normative sample. Journal of Interpersonal Violence, 18, 1018-1034. https://doi.org/10.1177/0886260503254462 · DOI
  19. Greendlinger, V., & Byrne, D. (1987). Coercive sexual fantasies of college men as predictors of self- reported likelihood to rape and overt sexual aggression. Journal of Sex Research, 23, 1-11. https://doi.org/10.1080/00224498709551337 · DOI
  20. Helmus, L., Hanson, R. K., Babchishin, K. M., & Mann, R. E. (2013). Attitudes supportive of sexual offending predict recidivism: A meta-analysis. Trauma, Violence & Abuse, 14, 34-53. https://doi.org/10.1177/1524838012462244 · DOI
  21. Hudson, S. M., Wales, D. S., Bakker, L., & Ward, T. (2002). Dynamic risk factors: The Kia Marama evaluation. Sexual Abuse, 14, 103-119. https://doi.org/10.1177/107906320201400203 · DOI
  22. Jackson, R. L., & Hess, D. T. (2007). Evaluation for civil commitment of sex offenders: A survey of experts. Sexual Abuse, 19, 425-448. https://doi.org/10.1177/107906320701900407 · DOI
  23. Joyal, C. C., Cossette, A., & Lapierre, V. (2015). What exactly is an unusual sexual fantasy? Journal of Sexual Medicine, 12, 328-340. https://doi.org/10.1111/jsm.12734 · DOI
  24. Klein, V., Schmidt, A. F., Turner, D., & Briken, P. (2015). Are sex drive and hypersexuality associated with pedophilic interest and child sexual abuse in a male community sample? PLoS One, 10, Article e0129730. https://doi.org/10.1371/journal.pone.0129730 · DOI · Paper page
  25. Knight, R. A., Prentky, R. A., & Cerce, D. D. (1994). The development, reliability, and validity of an inventory for the Multidimensional Assessment of Sex and Aggression. Criminal Justice and Behavior, 21, 72-94. https://doi.org/10.1177/0093854894021001006 · DOI
  26. Laws, D. R., & Marshall, W. L. (1991). Masturbatory reconditioning with sexual deviates: An evaluative review. Advances in Behaviour Research and Therapy, 13, 13-25. https://doi.org/10.1016/0146-6402(91)90012-Y Leitenberg, H., & Henning, K. (1995). Sexual fantasy. Psychological Bulletin, 117, 469-496. https://doi.org/10.1037/0033-2909.117.3.469 · DOI
  27. Little, C. A., & Byers, E. S. (2000). Differences between positive and negative sexual cognitions. The Canadian Journal of Human Sexuality, 9, 167-179.
  28. Maletzky, B. M. (1985). Orgasmic reconditioning. In A. Bellack & M. Hersen (Eds.), Dictionary of behaviour therapy techniques (pp. 157-158). Pergamon.
  29. Mann, R. E., Hanson, R. K., & Thornton, D. (2010). Assessing risk for sexual recidivism: Some proposals on the nature of psychologically meaningful risk factors. Sexual Abuse, 22, 191-217. https://doi.org/10.1177/1079063210366039 · DOI
  30. Marks, D. F. (1973). Visual imagery differences and eye movements in the recall of pictures. Perception & Psychophysics, 14, 407-412. https://doi.org/10.3758/BF03211175 · DOI
  31. Marquis, J. N. (1970). Orgasmic reconditioning: Changing sexual object choice through controlling masturbation fantasies. Journal of Behavior Therapy and Experimental Psychiatry, 1, 263-271. https://doi.org/10.1016/0005-7916(70)90050-9 · DOI
  32. Marshall, W. L., & Lippens, K. (1977). The clinical value of boredom: A procedure for reducing inappropriate sexual interests. The Journal of Nervous and Mental Disease, 165, 283-287. https://doi.org/10.1097/00005053-197710000-00009 · DOI
  33. McKibben, A., Proulx, J., & Lusignan, R. (1994). Relationships between conflict, affect and deviant sexual behaviors in rapists and paedophiles. Behaviour Research and Therapy, 32, 571-575. https://doi.org/10.1016/0005-7967(94)90147-3 · DOI
  34. McSherry, B. (2014). Managing fear: The law and ethics of preventative detention and risk assessment. Routledge.
  35. Morina, N., Lancee, J., & Arntz, A. (2017). Imagery rescripting as a clinical intervention for aversive memories: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 55, 6-15. https://doi.org/10.1016/j.jbtep.2016.11.003 · DOI · Paper page
  36. Moyano, N., & Sierra, J. C. (2016). Sexual victimisation, sexual cognitions, desire and excitation/ inhibition in community Spanish male and female sexual aggressors. Journal of Sexual Aggression, 22, 36-51. https://doi.org/10.1080/13552600.2014.996614 · DOI
  37. Noorishad, P. G., Levaque, E., Byers, E. S., & Shaughnessy, K. (2019). More than one flavour: University students' specific sexual fantasies, interests, and experiences. The Canadian Journal of Human Sexuality, 28, 143-158. https://doi.org/10.3138/cjhs.2019-0024 · DOI
  38. O'Donohue, W., Letourneau, E. J., & Dowling, H. (1997). Development and preliminary validation of a paraphilic sexual fantasy questionnaire. Sexual Abuse, 9, 167-178. https://doi.org/10.1177/107906329700900302 · DOI
  39. Polaschek, D. L., & Gannon, T. A. (2004). The implicit theories of rapists: What convicted offenders tell us. Sexual Abuse, 16, 299-314. https://doi.org/10.1177/107906320401600404 · DOI
  40. Rhue, J. W., & Lynn, S. J. (1987). Fantasy proneness and psychopathology. Journal of Personality and Social Psychology, 53, 327-336. https://doi.org/10.1037/0022-3514.53.2.327 · DOI
  41. Shingler, J. (2009). Managing intrusive risky thoughts: What works? Journal of Sexual Aggression, 15, 39-53. https://doi.org/10.1080/13552600802542011 · DOI
  42. Singh, N. N., Lancioni, G. E., Winton, A. S., Singh, A. N., Adkins, A. D., & Singh, J. (2011). Can adult offenders with intellectual disabilities use mindfulness-based procedures to control their deviant sexual arousal? Psychology, Crime & Law, 17, 165-179. https://doi.org/10.1080/10683160903392731 · DOI
  43. Skovran, L. C., Huss, M. T., & Scalora, M. J. (2010). Sexual fantasies and sensation seeking among psychopathic sexual offenders. Psychology, Crime & Law, 16, 617-629. https://doi.org/10.1080/10683160902998025 · DOI
  44. Smid, W. J., & Wever, E. C. (2019). Mixed emotions: An incentive motivational model of sexual deviance. Sexual Abuse, 31, 731-764. https://doi.org/10.1177/1079063218775972 · DOI
  45. Smith, D., & Over, R. (1987). Correlates of fantasy-induced and film-induced male sexual arousal. Archives of Sexual Behavior, 16, 395-409. https://doi.org/10.1007/BF01541422 · DOI
  46. Szumski, F., Bartels, R. M., Beech, A. R., & Fisher, D. (2018). Distorted cognition related to male sexual offending: The multi-mechanism theory of cognitive distortions (MMT-CD). Aggression and Violent Behavior, 39, 139-151. https://doi.org/10.1016/j.avb.2018.02.001 · DOI
  47. Tozdan, S., Dekker, A., Neutze, J., Santtila, P., & Briken, P. (2020). Sexual interest in children among women in two nonclinical and nonrepresentative online samples. Sexual Medicine, 8, 251-264. https://doi.org/10.1016/j.esxm.2020.01.007 · DOI
  48. Turner-Moore, T., & Waterman, M. (2017). Men presenting with sexual thoughts of children or coercion: Flights of fancy or plans for crime? Journal of Sexual Medicine, 14, 113-124. https://doi.org/10.1016/j.jsxm.2016.11.003 · DOI
  49. Visser, B. A., DeBow, V., Pozzebon, J. A., Bogaert, A. F., & Book, A. (2015). Psychopathic sexuality: The thin line between fantasy and reality. Journal of Personality, 83, 376-388. https://doi.org/10.1111/jopy.12110 · DOI
  50. Ward, T. (2000). Sexual offenders' cognitive distortions as implicit theories. Aggression and Violent Behavior, 5, 491-507. https://doi.org/10.1016/S1359-1789(98)00036-6 · DOI

Cited by

Sorted by citations

Authors
Rossegger, A., Bartels, R. M., Endrass, J., Borchard, B., & Singh, J. P.
Affiliations
  • University of Konstanz (DE)
  • University of Lincoln (GB)
Venue
Sexual Offending: Theory, Research, and Prevention
Published
2021-06-15
Volume
16
ISSN
2699-8440 (ISSN-L)
OpenAlex
W3170886119
Cited by
17
References
3
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 3
FWCI
1.71
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Sexual Offending Theory Research and Prevention (publishedVersion, cc-by)
  • Lincoln Repository (University of Lincoln) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • PsychOpen Gold (Leibniz Institute for Psychology) (submittedVersion, cc-by)
  • Psychology Archives (cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
Keywords
sexual offending, behavior therapy, cognitive intervention, mindfulness-based interventions, physiological arousal, personality profiles

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