Table of Contents

Acknowledgments ix

About the Editors xi

About the Contributors xiii

Introduction xv

Part One The Problem

1 Sexually Abusive Youth: Defining the Problem and the Population 3
Gail Ryan

2 Incidence and Prevalence of Sexual Offenses Committed by Juveniles 9
Gail Ryan

Part Two Causes: Theory and Research

3 Theories of Etiology 15
Gail Ryan

4 Sexuality in the Context of Development From Birth to Adulthood 31
Floyd M. Martinson with contemporary additions by Gail Ryan

5 Deviancy: Development Gone Wrong 55
Brandt R. Steele and Gail Ryan

6 Typology Research: Refining Our Understanding of a Diverse Population 70
Tom Leversee

7 Static, Stable, and Dynamic Factors Relevant to Abusive Behaviors 80
Gail Ryan

8 Patterns of Affect and Cognition: Dynamics Associated With Behavior 101
Gail Ryan

9 Habituated Patterns: The Sexual Abuse Cycle 116
Sandy Lane and Gail Ryan

10 The Families of Sexually Abusive Youth 147
Gail Ryan

Part Three Consequences of Juvenile Sexual Offending

11 Consequences for Those Victimized and Those Who Offend 167
Gail Ryan

12 Juvenile Justice, Legislative, and Policy Responses to Juvenile Sexual Offenses 183
Christopher Lobanov-Rostovsky

Part Four Correction: Differential Interventions

13 Comprehensive and Individualized Evaluation and Ongoing Assessment 201
Tom Leversee

14 Comprehensive Service Delivery With a Continuum of Care 224
Steven Bengis

15 Adult Responsibilities: Abuse-Specific Supervision and Care 231
Gail Ryan

Part Five Treatment: Integrating Theory and Method in A Goal-oriented Approach

16 Therapeutic Relationships and the Process of Change 253
Kevin M. Powell

17 Integrating Theory and Method: Goal-Oriented Treatment 263
Gail Ryan, Tom Leversee, and Sandy Lane

18 Sexuality: The Offense-Specific Component of Treatment 311
Gail Ryan, Tom Leversee, and Sandy Lane

19 Brain Development and Function: Neurology and Psychiatry in the Treatment of Sexually Abusive Youth 344
Tom Leversee and Gail Ryan

20 Family Therapy: A Critical Component in Treatment of Sexually Abusive Youth 357
Jerry Thomas, in Cooperation with the Editors

21 Special Populations: Children, Female, Developmentally Disabled, and Violent Youth 380
Gail Ryan, Tom Leversee, and Sandy Lane

Part Six Perpetration Prevention

22 The Public Health Approach: Primary, Secondary, and Tertiary Perpetration Prevention 417
Gail Ryan

Part Seven Working with Sexual Abuse

23 The Impact of Sexual Abuse on the Interventionist 441
Gail Ryan, Sandy Lane, and Tom Leversee

Name Index 457

Subject Index 471

About the Author

GAIL RYAN, MA, is a Director of the Perpetration Prevention Program at the Kempe Center for Prevention and Treatment of Child Abuse and Neglect in Denver and an Assistant Clinical Professor in the Department of Pediatrics at the University of Colorado School of Medicine. She has facilitated the National Adolescent Perpetration Network for more than twenty-five years. TOM LEVERSEE, LCSW, is an adjunct professor at the University of Denver Graduate School of Social Work and a member of the Colorado Sex Offender Management Board. Retired from the Colorado Division of Youth Services, he is author of the therapy curriculum and student manual, Moving Beyond Sexually Abusive Behavior. SANDY LANE, BSN, is retired from the Colorado Division of Youth Services. She also served as the clinical coordinator at RSA, Inc., one of the largest private agencies treating those who sexually offend in Colorado.