Abstract
In treatment of criminal offenders, especially those with a history of violence, it is essential that the clinician pay close attention to the criminal act itself. This area is often overlooked or avoided by practitioners who focus entirely on history, antecedents, current functioning, and problems of daily life. Important as these areas are, this paper suggests that a first step should be a detailed history of the criminal act, in a process requiring the client to “walk the therapist through the crime.” This procedure provides invaluable information both for assessing treatability and for evaluating change. The history and walk-through can be used as an adjunct to the therapist's primary clinical model, whatever it may be. Material presented is drawn from the author's experience at Atascadero State Hospital, California, the state's primary institution for sex offenders and the criminally insane.
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