Sexual offenders: a clinical and therapeutic outlook, some theoretical considerations

C. BALIER (Proveyzieux)

Summary:
This research work, headed by A CIAVALDINI and M. GIRARD-KHAYAT, sheds light on the role of the transfero-contratransferential relationship as the foundation of psychological change in sexual offenders. Most of the subjects contemplated or even requested psychotherapeutic treatment after being confronted with their acts from a different perspective-not of legal sanctions but of a better understanding of what might possibly have happened inside them. The reason was, the relationship built during an interview which the research protocol defined as an in-depth investigation touched upon the Self cleavage process, the fundamental clinical element of this pathology. The denial of the reality onto which the cleavage is based was partly lifted, albeit at the cost of the investigator's involvement in a somewhat emotional experience. There lies the difference between the transfero-contratransferential relationship and the objective position of the cognitivist. Besides, sexuality, including its deviances, is to be viewed in the light of the Freudian acceptation of "sexual", not according to its sexual function. For these are actually "life impulses"-a mix of love and violence-which express the amazing ability of the subject to invest the environment from birth onwards. The desire for fusion, providing superlative pleasure, is coupled with the painful recognition of separateness, which in turn affords the pleasurable experience of rediscovering and creating the self. The offender, unable to solve these contradictions, resorts to barbaric solutions, i.e. rape, murder, child molestation. This confirms the value of the incest prohibition, which allows the construction of the psyche to take precedence over the destructive quest for the supreme, absolute pleasure of fusion. Such scrutinizing of the psyche is a difficult task, but one that challenges the therapist. That some of today's medical doctors should be prepared to consider penis implants on offenders who blame some genital deformity for their peculiar tastes is to many of us a disgrace.

 



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