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Variations on Masturbatory Conditioning*

Published online by Cambridge University Press:  16 June 2009

D. R. Laws  and
J. A. O'Neil
D. R. Laws
Affiliation:
Sexual Behavior Laboratory, Atascadero State Hospital, U.S.A.
J. A. O'Neil
Affiliation:
Sexual Behavior Laboratory, Atascadero State Hospital, U.S.A.
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Extract

Four pedophiles, one sado-masochist, and one rapist were treated by varying different aspects of a single paradigm of masturbatory conditioning. In the basic paradigm, subjects masturbate to ejaculation while speaking their fantasies aloud. Weekly blocks of five trials with a deviant theme are alternated with weekly blocks where the theme is nondeviant. Evaluation sessions to assess levels of response to deviant and nondeviant slide stimuli are typically conducted later in each treatment day. The usual result is an increase in nondeviant arousal with a concomitant decrease in deviant arousal.

Variations in the masturbation procedure included shortening the treatment week from 5 days to 2 or 3, alternating themes on a daily rather than weekly basis, and omitting the use of deviant imagery. In the evaluation sessions variations included the preparation of individually tailored audiotaped fantasies precisely expressive of the subjects' interests, the use of videotaped simulations of rape, assault, and consenting intercourse, and obtaining numerous measures of the subjects' cognitive changes during the treatment process. All six subjects showed the effect of decreasing their deviant sexual arousal and increasing their nondeviant arousal. The results were discussed from various viewpoints employing a cognitive-behavioral model.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 9 , Issue 2 , April 1981 , pp. 111 - 136
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1981

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