Treatment Of Child Sexual Abuse Research Articles

A Review of Academic Use of the Term "Minor Attracted Persons".

Although it originated within online pro-pedophile groups, the term "minor attracted person" (MAPs) has been adopted by some academic researchers as a neutral and non-stigmatizing alternative to the term "pedophile." The transferral of this term from pedophile advocates to academic scholarship has been highly controversial. Claims that the use of the term "minor attracted people" normalizes or endorses pedophilia deserve closer scrutiny. This paper is based on a rapid evidence review of all peer-reviewed papers between 2015 and 2023 that used variants of the term "minor attracted" in their title and/or abstract. After screening, 30 studies were identified for review. Our analysis took a thematic approach to understanding the construction and use of the term MAPs in this scholarship. The analysis found that the term MAPs was operationalized in different and contradictory ways, however, the literature broadly agreed that MAPs constitute an oppressed sexual minority who are subject to undue stigmatization and discrimination. We point to the similarities between this sympathetic framing of MAPs and the political goals of the pro-pedophile advocacy groups that created the term MAPs, and from which many MAPs studies recruit their research participants. The review concludes that, in the absence of adequate self-reflexivity and awareness of bias, academic collaborations with pro-pedophile groups can produce work that minimizes the risk and harm of child sexual abuse and has the potential to delegitimize child sexual abuse prevention and treatment efforts.

"Everything Is Changing, We Need to Adapt": Between Tradition and Modernity-Educators Coping with Child Sexual Abuse.

Socio-cultural contexts are formative to how teachers understand, conceptualize, and act when contending with child sexual abuse (CSA) cases among their students. The purpose of the present study was to investigate the experiences of Druze Arab teachers in Israel coping with cases of CSA among their students and the meaning they attribute to CSA in the context of socio-cultural change. Semi-structured interviews were conducted with 12 female Druze elementary school teachers. All of the participants taught in schools located in Druze villages, where the children of Druze families comprise the majority of the student body. The analysis used a thematic approach. The analysis revealed that a transition between tradition and modernity in the Druze socio-cultural group was the central conceptual framework through which the teachers' narratives regarding CSA emerged. As an emblem of modernity, increasing openness around sexual topics was perceived as simultaneously favorable and threatening to both the welfare of children and the well-being of the community. Coping with CSA was viewed as a negotiation between closed (traditional) and open (modern) society, as well as silence and dialogue regarding CSA. This study highlights the importance of preventing teachers' cultural biases from affecting their contributions to CSA interventions, as well as how religion can be a source of strength when confronting CSA. Implications for policy and developing bottom-up, culturally sensitive training, practice, and interventions are discussed.

Private clinical psychologists’ role in evaluation and treatment of childhood sexual abuse: A mixed methods study

BackgroundPsychologists play a significant role in addressing sexual violence against children and adolescents (SVCA) in Brazil. Most literature focuses on the role of public service psychologists in the intervention, resulting in the need to explore the role private clinical psychologists’ (PCP) play in SVCA treatment. ObjectiveThe study aims to: 1) investigate a possible relationship between sociodemographic factors, professional profiles, beliefs about SVCA, and PCPs’ decision to report the abuse, and 2) understand the role PCPs play in evaluating, reporting, and treating cases of SVCA. Participants and settingThe study sampled Brazilian PCPs. The quantitative phase consisted of 409 psychologists, and the qualitative phase consisted of 8 psychologists. MethodsThe study used a mixed-methods sequential explanatory design to achieve its goals. The quantitative phase consisted of the Sociodemographic and Professional Questionnaire, Scenario 7, and the Sexual Abuse Belief Scale (SABS) measures. The qualitative phase consisted of individual semi-structured interviews. ResultsThe descriptive statistics and a binary logistic regression model illustrated factors increasing the likelihood of reporting SVCA by PCPs, including a history of treating confirmed sexual violence cases, taking a course on sexual violence, receiving SVCA information during undergraduate studies, having a master and doctoral degree, and having a single relationship status. The thematic analysis resulted in four themes: The definition of sexual violence, the selectivity of the cases, educational under-preparation, and the need to build a performance network. ConclusionPCPs require professional development to treatment SVCA, and schools of Psychology need to improve their curriculum regarding SVCA education.

"We Need to Raise Awareness and Never Give Up": Israeli Druze and Muslim Arab Kindergarten Teachers' Proactivity When Facing the Sexual Abuse of Their Students.

Kindergarten teachers are expected to lead the intervention process in cases of child sexual abuse (CSA) in their kindergarten. This study examines the proactive role of Druze and Muslim Arab kindergarten teachers in addressing and coping with the CSA of their kindergarten students in Israel. A qualitative thematic analysis was used to investigate the semi-structured interviews conducted with eight Druze Arab and six Muslim Arab kindergarten teachers. Three distinct themes were revealed. The first theme described the participants' fear and concern for their personal children and themselves when dealing with CSA incidents involving their students. The second and third themes described their proactive coping on two fronts: (1) inside their homes to protect their own children and (2) as educators within religious communities, using professional and religious principles to support CSA survivors and raise awareness among parents. The results emphasized the personal burden on kindergarten teachers coping with CSA in their kindergarten and, as mainly expressed by Druze kindergarten teachers, the contribution of religious values to CSA intervention and prevention processes among their students and communities. Thus, there is a need for comprehensive support that considers ethnic and religious characteristics and will be available to kindergarten teachers facing CSA in their kindergarten.

Modesty, religion, and community: Therapists' perspectives regarding the treatment of child sexual abuse in the ultra-orthodox community

BackgroundReligion is a significant cultural component that impacts child sexual abuse (CSA) in various ways, including its definition, perception, and treatment. This study focuses on the Jewish ultra-Orthodox community in Israel, a strictly religious, segregated, and close-knit community with unique cultural practices and beliefs that impact children's safety and vulnerability to CSA. ObjectiveThis qualitative study aimed to explore therapists' perceptions and ascribed meanings of CSA treatment within the ultra-Orthodox community. Participants and settingThirty in-depth interviews were conducted with therapists working with the ultra-Orthodox community in Israel. MethodsThe interviews were analyzed using thematic qualitative analysis. ResultsThree central axes pertinent to the treatment of CSA in the ultra-Orthodox community were discovered: 1) religious interventions, 2) modest approach, relating to the community's taboo attitude towards sexuality; and 3) the collectivistic nature of the community. The results include specific effect sizes and their statistical significance. ConclusionsThe discussion explores the findings in light of the literature on CSA among religious minority communities and connects them to the unique underlying perception of sexuality in the ultra-Orthodox community. Specific ramifications and recommendations for practice are then considered, alongside the limitations and directions for future study.

“I was the only one talking about the abuse”: Experiences and perceptions of survivors who underwent child sexual abuse as boys

ObjectiveEmpirical literature on child sexual abuse (CSA) has traditionally focused on the CSA of girls. Much less is known about the CSA of boys, specifically about the survivors' experiences. The current study was designed to examine the experiences and perceptions of male adult survivors who underwent CSA as boys. MethodFifty-one written narratives were collected from survivors who experienced CSA as boys as part of the Israeli Independent Public Inquiry into CSA. A qualitative inductive thematic analysis guided the data analysis. ResultsThe findings highlighted CSA survivors' experiences of not understanding and confusion about the abuse while highlighting the context in which the abuse took place. The findings also emphasized the exploitation of power and the survivors' difficulty identifying being sexually abused during physical fights or public events. Moreover, the survivors referred to their surroundings' failure to notice the abuse and their struggle to establish their identity and overcome the abuse consequences, their loneliness and pain. ConclusionThe present findings advance the literature on the CSA of boys by examining narratives written by male CSA survivors. They highlight the potentially destructive role of the heteronormative and conventional masculinity discourse for male CSA survivors, which often enabled the continuation of abuse and challenges that survivors continued to face throughout their lives. The findings also stress society's crucial role in CSA prevention and treatment and the need for public education to challenge societal perceptions regarding the CSA of boys.

Facilitators and Barriers to Child Sexual Abuse Interventions: A Qualitative Study of Interventions in Iran

Background: Child sexual abuse is a public health problem in most countries. Sensitization, research, and programs for identifying and preventing child sexual abuse have been carried out at the national level with increased political and social awareness and international commitments to decline its consequences. Objectives: This study investigated the facilitators and barriers to community-based interventions for child sexual abuse. Methods: Semi-structured interviews were conducted between September 2021 and March 2022 with 15 purposefully selected experts. The interviews were audio-recorded, transcribed, and analyzed using the content analysis method. Results: Several barriers and facilitators affected child sexual abuse interventions. The barriers included: (1) sociocultural challenges; (2) legal challenges and gaps; and (3) managerial-structural challenges, while the facilitators were: (1) the improvement of the quality of provided services; and (2) facilitative role of the law. Conclusions: Social interventions for child sexual abuse could consider some items to improve implementation, namely as follow: (1) the intersectional cooperation of organizations and beneficiaries to conduct child abuse interventions for children and their families at the local and national levels; (2) the implementation of empowerment activities for the return of children and parents to the community after child sexual abuse; and (3) the revision of the laws and establishment of more deterrent punishments.

Cross-country Comparison on Taiwan and Malaysia Preschool Educators in Preventing Children’s Sexual Abuse: Cognition and Practice

<p>本研究旨在探討臺灣與馬來西亞教保服務人員，對幼兒性不當對待防治認知與實踐的表現及差異。首先訪談2位臺灣教保服務人員，根據訪談結果與相關文獻，初擬問卷24題，接著請2位臺灣、4位馬來西亞學術與實務工作者進行專家審核以建立效度。隨後對51位臺灣與53位馬來西亞教保服務人員進行預試，以項目分析、雙變數相關分析、信度分析、因素分析進行刪題，以Cronbach α進行信度考驗，形成24題正式問卷，之後對471位臺灣與353位馬來西亞教保服務人員進行正式施測。研究結果發現：兩國教保服務人員，在幼兒性不當對待防治的認知與實踐存在差異；且臺灣的認知與實踐皆優於馬來西亞。根據研究結果，事後訪談4位教保服務人員，補充造成該結果的原因。本研究提出相關建議，供教育行政單位與未來相關研究參考。</p> <p> </p><p>This study examined the performances and differences between Taiwanese and Malaysian preschool educators in their cognition and practice of prevention and treatment of child sexual abuse, especially for preschoolers. We initially interviewed two Taiwanese preschool educators. Based on the interview results and related literature, a preliminary 24-item questionnaire was drafted, and then two Taiwanese and four Malaysian academics and practitioners were invited to participate in expert validity. A preliminary test was conducted on 51 Taiwanese and 53 Malaysian preschool educators. Through an item analysis, bivariate correlation analysis, reliability analysis, and factor analysis, some items in the questionnaire  were deleted. A formal 24-item questionnaire was developed using Cronbach’s alpha tests for further reliability verification. Subsequently, a formal survey was conducted on 471 Taiwanese and 353 Malaysian preschool educators. The research results reveal that preschool educators in both countries showed differences between their cognition and practice in the prevention and treatment regarding child sexual abuse. In addition, Taiwanese preschool educators demonstrated a better performance than their Malaysian counterparts in both cognition and practice. According to the results of the study, four preschool educators were interviewed afterward to add to the reasons of such results. Suggestions for the promotion of preventing children’s sexual abuse were offered in terms of subjects, the combination of teaching and researching for university teachers, and future research.</p> <p> </p>

Effectiveness of school-based child sexual abuse intervention among school children in the new millennium era: Systematic review and meta-analyses.

IntroductionSchool-based child sexual abuse intervention programs were developed to educate the school children to protect them from sexual abuse. The programs were evaluated to make sure the interventions were effective in reducing child sexual abuse cases (CSA). This review aimed to determine the effectiveness of the school-based child sexual abuse intervention programs in the new millennium era (2000–2021) in improving the knowledge, skills, and attitude of school children under 18 years old toward child sexual abuse.MethodsA systematic search was conducted through MEDLINE (PubMed), EBSCO, and SCOPUS databases to collect full English articles related to school-based CSA intervention programs published from 2000 to 2021.ResultsA total of 29 studies from randomized control trial and quasi-experimental from several countries was analyzed. Comparisons within group of pre-post intervention for knowledge, skills, and attitude were measured by standardized mean difference (SMD) and 95% CI of −1.06 (95% CI: −1.29, −0.84), −0.91 (95% CI: −1.2, −0.61), and −0.51 (95% CI: −3.61, 0.58), respectively. Meanwhile for between intervention and control group comparisons, the SMD of knowledge was 0.9 (95% CI: 0.63, 1.18), skills was 0.39 (95% CI: 0.07, 0.71), and attitude was 1.76 (95% CI: 0.46, 3.07).ConclusionThe programs were found to be effective in improving the knowledge, skills, and attitude of the students from pre-intervention to post-intervention and between the intervention and control groups.Systematic Review Registration: www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022312383, identifier: CRD42022312383.

Five year cost savings of a multimodal treatment program for child sexual abuse (CSA): a social return on investment study

BackgroundSpecialized mental health services for the treatment of Child Sexual Abuse (CSA) are generally expensive and labour intensive. They require a trauma-informed approach that may involve multiple services and therapeutic modalities, provided over the course of several months. That said, given the broad-ranging, long term negative sequelae of CSA, an evaluation of the cost-benefit analysis of treatment is clearly justified.MethodsWe performed a Social Return on Investment (SROI) analysis of data gathered as part of the treatment program at the Be Brave Ranch in Edmonton, Canada to determine the value-for-money of the services provided. We endeavoured to take a conservative, medium-term (5 year) perspective; this is in contrast to short term (1–2 year) effects, which may rapidly dissipate, or long term (15–20 year) effects, which are likely diffuse and difficult to measure. As such, our analysis was based on an average annual intake of 100 children/adolescents (60:40 split) and their families, followed over a five-year timeframe. Financial proxies were assigned to benefits not easily monetized, and six potential domains of cost savings were identified.ResultsOur analyses suggest that each dollar spent in treatment results in an average cost savings of $11.60 (sensitivity analysis suggests range of 9.20–12.80). The largest value-for-money was identified as the domain of crisis prevention, via the avoidance of rare but costly events associated with the long term impacts of CSA. Somewhat surprisingly, savings related to the area of criminal justice were minimal, compared to other social domains analysed. Implications are discussed.ConclusionsOur results support the cost effectiveness of the investment associated with specialized, evidence-based early interventions for CSA. These approaches alleviate severe, negative outcomes associated with CSA, resulting in both economic savings and social benefits. These findings rest upon a number of assumptions, and generalizability of these results is therefore limited to similar programs located in comparable areas. However, the SROI ratio achieved in this analysis, in excess of $11:1, supports the idea that, while costly, these services more than pay for themselves over time.

School-based Child Sexual Abuse Interventions: A Systematic Review and Meta-analysis

Purpose The purposes of this systematic review were to systematically summarize components in existing school-based child sexual abuse (CSA) prevention programs and identify predictors for program effectiveness. Method Building upon the most comprehensive systematic review on this topic, we conducted systematic searches in both English-language from September 2014 to October 2020 and Chinese-language from inception to October, 2020. Meta-regressions were performed to identify predictors for program effectiveness. Results Thirty-one studies were included with a total sample size of 9049 participants. Results from meta-analyses suggested that interventions are effective in increasing participants’ CSA knowledge as assessed via questionnaires ( g = 0.72, 95% CI [0.52–0.93]) and vignette-based measures ( g = 0.55, 95% CI [0.35–0.74]). Results from meta-regression suggested that interventions with more than three sessions are more effective than interventions with fewer sessions. Interventions appear to be more effective with children who are 8 years and older than younger children. Discussion CSA is a global issue that has significant negative effects on victims’ physical, psychological, and sexual well-being. Our findings also provide recommendations for future research, particularly in terms of optimizing the effectiveness of school-based CSA prevention programs, and the better reporting of intervention components as well as participant characteristics.

Child sexual abuse detection in the pediatric emergency room

BackgroundChildren who report sexual abuse are often first evaluated in a Pediatric Emergency Room (ER). ObjectiveThis study aims to describe clinical characteristics and management among these children. Participants and methodsA retrospective review of child sexual abuse (CSA) cases in the ER of a tertiary hospital in Madrid over a 9-year period (January 2011 to April 2020) was conducted. 213 children up to 16 years old were included. Descriptive statistics were performed. ResultsAn 83% of victims were girls, of whom 97.7% reported physical contact. The mean age was 8.5 ± 4.4 years, with two peaks of incidence at ages of 3 and 13. Aggressors were known by the victim in 77.8% of cases. Anogenital lesions were present in 39.9% of children who described physical contact, of which 31.7% were suspicious or specific of CSA. We obtained positive microbiological samples in 41 patients, with 14.6% specific findings for sexually transmitted infections (STIs). 23,9% received prophylaxis for bacterial STIs and 13.6% against HIV. 59.6% were followed-up in outpatient clinics. Since our protocol renovation in 2019, we observe a statistically significant increase in microbiological detection (p < .005) and outpatient follow-up (p < .001). ConclusionsSTIs screening should always be done when physical contact is reported for eventual treatment and perpetrator prosecution, as physical lesions are frequently not found. The optimal treatment of CSA requires the use of renewed specific protocols and the involvement of multidisciplinary trained teams to ensure adequate medical and personal care.

Parenting Stress in Non-Offending Caregivers of Sexually Abused Children

ABSTRACT The non-offending caregiver (NOC) population is under studied despite their role in the recovery of child victim-survivors of sexual abuse. Research suggests that NOCs experience significant distress following a child’s disclosure of sexual abuse. Trauma has been demonstrated to negatively impact the caregiver-child relationship. This study informs about common NOC stress reactions in response to child sexual abuse (CSA) disclosures and has clinical implications for treating families affected by CSA. Participants included 66 NOCs (age 23–66, M = 41.09, SD = 10.26) who participated in clinical intakes at a CSA treatment program and completed a self-report measure of parenting stress. Depending on the child’s age, NOCs were administered either the Parenting Stress Index-fourth edition, Short Form (PSI-4-SF) or the Stress Index for Parents of Adolescents (SIPA). NOCs reported higher than average parenting stress. Statistically significant differences between the clinical and normative samples were found on all PSI-4-SF domains and on majority of SIPA domains. High to Clinically Significant scores were reported by 42% of NOCs for Parent-Child Dysfunctional Interaction. Stress related to their child’s social withdrawal was reported by 56% of NOCs. This study provides comparison data for evaluations of NOCs. NOCs may require treatment and family-based approaches are implicated.

Acute shame in response to dissociative detachment: evidence from non-clinical and traumatised samples

ABSTRACT Two studies employed a dissociative detachment induction technique to examine if experiences of dissociation increased acute shame feelings. Study 1 recruited college participants, while Study 2 enlisted adults attending treatment for childhood sexual abuse. Two hypotheses were explored: (1) more shame would be reported following a dissociative detachment induction than a relaxation induction; and (2) shame would increase when detachment was induced in the relationship context of a close other than when alone. Study 1 (N = 81) effectively induced detachment and participants reported higher shame in this condition compared to the relaxation condition. This effect was maintained when state anxiety was controlled. The relationship context produced no impact on dissociation or shame. Attributions around feeling flawed predominantly linked detachment experiences with subsequent shame feelings. In Study 2 with clinical participants (N = 28), regression analyses showed state shame was predicted by acute detachment after controlling for state anxiety, gender, and trait shame and dissociation. The most common appraisals offered for why detachment led to feelings of shame was being flawed and exposed. Collectively, our findings suggest that increased acute shame results from detachment experiences, making more specific the relationship between shame and dissociation.

The Effect of Parent-Child Communication on Self-Protection Skills at Pre-schoolers: The Body Safety Training Interventions in Turkey

Objective: Parents are key partners in preventing child sexual abuse (CSA). Body safety tarining (BST) aims to preventing CSA. The first aim is to examine parents knowledge of CSA and interventions of the BST. Secondly, to ev aluate the effect of parents' BST interventions on giving the child self-protection skills. Method: Sample included 92 parents and their 3-to 6 year-old preschool children. In the first stage of the study, WIST (What If Situations Test) was applied to the pre-schoolers. Secondly, data were collected from the parents about the knowledge of CSA and BST interventions. Results: Parents' have high CSA knowledge (M = 7.33 SD = 1.31). The proportion of parents who have knowledge BST is limited (32.6%). However, despite this limited knowledge, the number of those who talk to the child is higher (82.6%). There was no difference between the WIST sub-scale score; appropriate recognition, inappropriate recognition, saying, telling skills and Personal Safety Questionnaire (p &gt; 0.05). The scores of doing and reporting skills were found to be statistically significant high (p &lt; 0.05). Conclusions: Parents have high CSA knowledge, but the impact of BST interventions to their children on gaining the ability to self-protection skills is limited.

Childhood Sexual Abuse, Spirituality/Religion, Anxiety and Depression in a Jewish Community Sample: the Mediating Role of Religious Coping.

Childhood sexual abuse (CSA) is a pervasive problem impacting a broad range of mental health outcomes. Previous research has shown that spiritual and religious (S/R) factors both positively and negatively relate to mental health issues among survivors of CSA, but mediating mechanisms of effect are unclear. The present study examined CSA, anxiety, depression, and positive/negative religious coping among 372 Jewish community members with and without CSA histories. Individuals who experienced CSA endorsed significantly higher anxiety and depression as well as negative religious coping than those without CSA. Negative religious coping mediated the relationship between CSA and anxiety and depression. We discuss clinical and social implications of these findings, including the need to address S/R factors in treatment of CSA, especially within religious communities. Further research examining abuser identity, survivors' disclosure experience, and other S/R mediators of effect is warranted.

Estimation of the Development of Depression and PTSD in Children Exposed to Sexual Abuse and Development of Decision Support Systems by Using Artificial Intelligence

ABSTRACT The most common diagnoses after childhood sexual abuse are Post-Traumatic Stress Disorder and depression. The aim of this study is to design a decision support system to help psychiatry physicians in the treatment of childhood sexual abuse. Computer aided decision support system (CADSS) based on ANN, which predicts the development of PTSD and Major Depressive Disorder, using different parameters of the act of abuse and patients was designed. The data of 149 girls and 21 boys who were victims of sexual abuse were included in the study. In the designed CADDS, the gender of the victim, the type of sexual abuse, the age of exposure, the duration until reporting, the time of abuse, the proximity of the abuser to the victim, number of sexual abuse, whether the child is exposed to threats and violence during the abuse, the person who reported the event, and the intelligence level of the victim are used as input parameters. The average accuracy values for all three designed systems were calculated as 99.2%. It has been shown that the system designed by using these data can be used safely in the psychiatric assessment process, in order to differentiate psychiatric diagnoses in the early post-abuse period.

Some Impediments to Child Sexual Abuse Interventions and Corresponding Social Work Implications: Reflections on the Zimbabwean Victim Friendly System

Child sexual abuse is a multifaceted children’s rights issue and a global problem of considerable extent. It has adverse effects for child survivors and their ecological environments. Using qualitative data from a multiple-case study research project, the current paper discusses some of the impediments hindering effective service provision within the institutional arrangements that respond to child sexual abuse cases in Zimbabwe. The Victim Friendly System is a confluence of multisectoral and multistakeholder professionals from different governmental and nongovernmental organizations that offer integrated and coordinated services targeting primary, secondary and tertiary levels of child sexual abuse prevention and mitigation. While the Victim Friendly System has made significant strides in providing better service delivery outcomes to direct and indirect victims of child sexual abuse, there remains some service provision gaps that hinder its effectiveness. These impediments include limited coverage of services due to an urban bias, services remaining largely unknown to the public owing to poor visibility, and the cost burden associated with accessing services. The authors argue that these gaps constrain children’s access to muchneeded intervention. This constitutes rights violations for CSA survivors. The paper ends by discussing corresponding implications for social work practice.

Retreat Intervention Effectiveness for Female Survivors of Child Sexual Abuse

Purpose: Childhood sexual abuse (CSA) is a widespread issue that can have detrimental effects on adult well-being. As demand for CSA treatment is high, it is important for clinicians to understand what forms of interventions are effective. Method: This quasi-experimental study examined the effectiveness of a 4-day retreat intervention for 986 adult female CSA survivors. Multilevel growth curve modeling was used to analyze treatment group effects, and paired-sample t tests were used for the wait-list group. Results: The intervention significantly reduced post-traumatic stress disorder symptoms (Cohen’s d = 0.69) and increased life satisfaction (Cohen’s d = 0.98), social support (Cohen’s d = 0.20), and coping self-efficacy (Cohen’s d = 1.14); these changes were maintained 1-year postintervention. The wait-list group did not report statistically significant changes across time. Discussion: Findings suggest retreat interventions may be a promising form of CSA treatment and encourage more empirical work on retreat interventions across diverse samples and settings.

EMDR Treatment of Childhood Sexual Abuse for a Child Molester: Self-Reported Changes in Sexual Arousal

Expanding on previous findings that eye movement desensitization and reprocessing (EMDR) therapy may alter deviant sexual arousal in adult child molesters with a history of childhood sexual abuse (CSA), this article describes the changes reported following the application of EMDR therapy to the memories of CSA in an adult male who had sexually offended against prepubescent children. The client had previously completed a cognitive behavioral intervention to address his offending behavior. EMDR therapy took place over 11 months and consisted of 32 sessions, including preparation and review phases. The aim of the therapy was to alleviate current reported distress and symptoms of posttraumatic stress disorder (PTSD) related to his memories of CSA. The client reported positive changes in emotional, cognitive, and physiological functioning, consistent with reductions on a range of subscales of the Trauma Symptom Inventory 2 and the Inventory of Altered Self-Capacities. However, on completion of therapy, he also reported a reduction in the frequency and strength of sexual arousal to children, which was maintained at a 3-year follow-up, although this was not a target for treatment. The experiences described during the EMDR process by this client are discussed and related to the adaptive information processing (AIP) model and previous findings on reported changes in sexual arousal in this client group.