Beliefs, values, and action : the judgment model of cognitive distortions in sexual offenders

In this paper, we present the Judgment Model of Cognitive Distortions (JMCD), a new model of cognitive distortions that spans multiple levels of analysis and contains different types of judgments. This model proposes that cognitive distortions tend to cluster together in what we have termed Thematic Networks (TN): judgments about beliefs, values, and actions. We argue that the three sets of judgments cover all types of cognitive distortions apparent in sexual offenders including those revolving around content (i.e., asserting characteristics to people, the offender, the world) and cognitive operations (i.e., denial, minimization, rationalizations). Following a description of the JMCD, we demonstrate how it can account for the cognitive schemata identified in sexual offenders by researchers and clinicians. The paper concludes with a brief discussion of the clinical and research implications of the JMCD.

Psychological and interpersonal dimensions of sexual function and dysfunction

Introduction. There are limited outcome data on the etiology and efficacy of psychological interventions for male and female sexual dysfunction as well as the role of innovative combined treatment paradigms.
Aim. This study aimed to highlight the salient psychological and interpersonal issues contributing to sexual health and dysfunction, to offer an etiological model for understanding the evolution and maintenance of sexual symptoms, and to offer recommendations for clinical management and research.
Methods. This study reviewed the current literature on the psychological and interpersonal issues contributing to male and female sexual dysfunction.
Main Outcome Measure. This study provides expert opinion based on a comprehensive review of the medical and psychological literature, widespread internal committee discussion, public presentation, and debate.
Results. Medical and psychological therapies for sexual dysfunctions should address the intricate biopsychosocial influences of the patient, the partner, and the couple. The biopsychosocial model provides an integrated paradigm for understanding and treating sexual dysfunction.
Conclusions. There is need for collaboration between healthcare practitioners from different disciplines in the evaluation, treatment, and education issues surrounding sexual dysfunction. In many cases, neither psychotherapy alone nor medical intervention alone is sufficient for the lasting resolution of sexual problems. The assessment of male, female, and couples’ sexual dysfunction should ideally include inquiry about predisposing, precipitating, maintaining, and contextual factors. Research is needed to identify efficacious combined and/or integrated treatments for sexual dysfunction.