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