Pathways to Healthy Sexuality

Pathways to Healthy Sexuality, by psychologist and licensed sex offender treatment provider Matthew Ferrara, guides sex offenders participating in outpatient or inpatient treatment into rebuilding their lives and changing their desires. This revolutionary manual uses both cognitive therapy and cutting-edge treatments to lead the offender through a series of therapeutic experiences designed to reduce the chance of another sexual offense. Upbeat and positive, Pathways to Healthy Sexuality is designed to give offenders confidence and self-respect, bringing them even closer to their goal of “No More Victims.”

This workbook was created in 1989 and it has undergone even revisions over the decades since its release. In its current form, Pathways incorporates traditional therapy assignments such as thought journal, triple column technique and Offense Summary Worksheet. Pathways also contains new assignments based upon the pathways concept introduced by Ward & Hudson. These assignments include Goal Activation, Goal Cancelation, and Getting Off My Pathway.

Pathways also includes a checklist for tracking assignment completion, which can dovetail with treatment planning. It is also possible to use the test at the end of the workbook to determine how much knowledge clients have retained.

Pathways to Healthy Sexuality Table of Contents

LETTER TO A FELLOW TRAVELER
1
INTRODUCTION
2
HELP FROM ADAM
5
ASSIGNMENT TRACKING FORM
6
MODULE ONE: ORIENTATION LESSON ONE
First Assignment
10
Thinking Errors
11
Thought Journal
15
Deviant and Healthy Sexuality
17
Healthy Sexual Behavior
19
MODULE TWO: ORIENTATION LESSON TWO
Honesty
21
You Have to Think before You Act
23
The Why Sandwich
27
ACE: Self-Control Techniques
30
MODULE THREE: ORIENTATION LESSON THREE
Guidelines you must follow to Be Happy and Successful
34
What is Different about Sex Offender Treatment
41
Reminders for Success
43
MODULE FOUR: ORIENTATION LESSON FOUR
The Containment Model
45
Your Role as a Member of the Containment Team
47
MODULE FIVE: OVERCOMING THINGS THAT KEEP YOUR DEVIANCE ALIVE
Introduction
54
Daily Assignment: Thought Journal
59
Daily Assignment: Triple Column Technique
61
Daily Assignment: Impulse Log
62
Daily Assignment: Relationship Log
63
MODULE SIX: DISCOVERING AND UNDERSTANDING YOUR PROBLEM WITH
DEVIANT SEX
Overview
65
My Thoughts before My Offense
68
The Way I Felt about My Sex Offense
70
My Fantasies about the Victim
71
My Double Life
72
Offense Summary Worksheet
74
Help from Chance
77
Preparing for the Polygraph Exam for the Offense Summary Worksheet
78
What I Learned about Myself from My Offense Summary Worksheet
80
Sex History Questionnaire
82
Preparing for the Polygraph Exam of My Sex History
88
Sex History Summary
90
What I Learned about Myself from My Sex History
93
MODULE SEVEN: PLANS FOR HAPPINESS AND SUCCESS
Overview
95
Help from Daniel
96
Pathways to Deviant Sex
97
The Steps on My Pathway
100
Coping with Goal Cancellation
105
Coping with High-Risk Situations
107
Coping with Goal Activation
109
My Plan for Getting Off the Pathway to Deviant Sex
112
Clarification Letter
113
Discharge Summary
115
MODULE EIGHT: IDENTIFY A SUPPORT GROUP
Overview
116
You Need the Help of Those Who Love You
117
Source of Support
119
Track Identification
121
Letter to Your Support Group
122
Understanding the Chaperon Process
124
The Chaperon Contract
126
High Risk Plan
129
Employment Guidelines
130
Holiday Plan
131
MODULE NINE: CHAPERON TRAINING
Overview
132
What is a Chaperon?
133
How to Respond to Loved Ones who Commit Sex Offenses
135
Who Commits Sex Offenses?
137
Why Does a Person Commit a Sex Offense?
140
Patterns of Deviant Sex
143
How do You Respond?
147
Forgiveness Letter
149
Sex Offender Therapy
150
How to be Part of the Treatment Team
154
High Risk Situations
158
Dealing with High Risk Situations
160
Signs of Trouble
163
Things You Should Talk About
167
Steps for Increased Contact with Potential Victims
169
MODULE TEN: MAINTAINING THE CHAPERON RELATIONSHIP
Overview
174
Self-Monitoring of the Chaperon Contract
175
Chaperon Contract Log
176
Constant Companion
179
Watch Out for Splitting
181
Social Support Problem-Solving
182
MODULE ELEVEN: AFTERCARE
Overview
185
Coping with Relapse
186
Rules that I Have Made for Myself
188
My High-Risk Situations
189
Measurement Tools
Module Tests
190
Measuring Progress in Treatment
195
Appendix A: Core Workbook Assignment Tracking Form
196
Appendix B: Good Life Module Tests Tracking Form
199
Appendix C: Stable 2007 and Acute 2007 Risk Ratings
200