Daphne project: 2002-004

List of Resources - Spanish partners

sexual problems bibliography

The list presented below contains some references ofempirical studies on ACT applied to sexual problems ( i. e. exhibitionist) as well as in other psychological disorder in which the destructive experiential avoidance is the central functional component.

  • Bach, P. & Hayes, Steven C. (2002). The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70 (5), 1129-1139.
  • Batten, S. V., & Hayes, S. C. (in press). Acceptance and Commitment Therapy in the treatment of co-morbid substance abuse and posttraumatic stress disorder: A case study. Clinical Case Studies.
  • Biglan, A. (1989). A contextual approach to the clinical treatment of parental distress. In G. H. S. Singer & L. K. Irvin (Eds.), Support for caregiving families: Enabling positive adaptation to disability (pp. 299-311). Baltimore, MD: Brookes.
  • Bond, F. W. & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156-163.
  • Bond, F. W. & Bunce, D. (in press) The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology.
  • Bond, F. & Hayes, S. C. (2002). ACT at work. In F. Bond & W. Dryden (Eds.), Handbook of Brief Cognitive Behaviour Therapy. Chichester, England: Wiley
  • Brian P. Marx, B. P. & Sloan, D. M. (in press) The role of emotion in the psychological functioning of adult survivors of childhood sexual abuse. Behavior Therapy
  • Dougher, M. J. & Hackbert, L. (1994). A behavior-analytic account of depression and a case report using acceptance-based procedures. The Behavior Analyst, 17, 321-334.
  • Feldner, M. T., Zvolensky, M. J., Eifert, G. H., & Spira, A. P. (2003). Emotional avoidance: An experimental tests of individual differences and response suppression during biological challenge. Behaviour Research and Therapy, 41, 403-411.
  • García, J.M. & Pérez, M. (2001). ACT as a treatment for psychotic symptoms. The case of auditory hallucinations. Análisis y Modificación de Conducta, 27, 113, 455-472.
  • Gutiérrez, O., Luciano, C., Rodriguez, M., & Fink, B. (in press). Comparison between and acceptance-based and a cognitive-control-based protocols for coping with pain. Behavior Therapy.
  • Hayes, S. C. & Pankey, J. (2002) Experiential avoidance, cognitive fusion, and an ACT approach to anorexia nervosa. Cognitive and Behavioral Practice, 9, 243-247.
  • Hayes, S.C., Bissett, R., Korn, Z., Zettle, R. D., Rosenfarb, I., Cooper, L., & Grundt, A. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49(1), 33-47.
  • Heffner, M., Sperry, J., Eifert, G. H. & Detweiler, M. (2002). Acceptance and Commitment Therapy in the treatment of an adolescent female with anorexia nervosa: A case example. Cognitive and Behavioral Practice, 9, 232-236.
  • Korn, Zamir (1997). Effects of acceptance/commitment and cognitive behavioral interventions on pain tolerance. HofstraUniversity.
  • Metzler, C.W., Biglan, A., Noell J., Dennis, V. A., & Ochs, L. (2000). A randomized controlled of a behavioral among adolescents reduce high-risk sexual behavior among adolescents in STD clinics. Behavior Therapy, 31, 27-54.
  • Luciano, C. & Cabello, F. (2001). Bereavement and Acceptance and Commitment Therapy (ACT). Análisis y Modificación de Conducta, 27, 113, 399-424.
  • Luciano, C., Gómez, S., Hernández, M., & Cabello, F. (2001). Alcoholism, Experiential Avoidance, and Acceptance and Commitment Therapy (ACT). Análisis y Modificación de Conducta, 27, 113, 333-372.
  • Luciano, C., & Gutiérrez, O. (2001). Anxiety and Acceptance and Commitment Therapy (ACT). Análisis y Modificación de Conducta, 27, 113, 373-398.
  • Luciano, C., Visdómine, J.C., Gutiérrez, O., & Montesinos, F. (2001). ACT and chronic pain. Análisis y Modificación de Conducta, 27, 113, 473-502.
  • McCracken, L. M. (1998). Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74, 21-27.
  • Montesinos, F., Hernández, B., & Luciano, C. (2001). Application of Acceptance and Commitment Therapy (ACT) in cancer patients. Análisis y Modificación de Conducta, 27, 113, 503-524.
  • Orsillo, S. M. & Batten, S. J. (2002). ACT as treatment of a disorder of excessive control: Anorexia. Cognitive and Behavioral Practice, 9, 253-259.
  • Orsillo, S. M., Roemer, L., & Barlow, D. H. (2003). Integrating acceptance and mindfulness into existing cognitive-behavioral treatment for GAD: A case study. Cognitive and Behavioral Practice, 10, 223-230.
  • Paul, R. H., Marx, B. P. & Orsillo, S. M. (1999). Acceptance-based psychotherapy in the treatment of an adjudicated exhibitionist: a case example. Behavior Therapy, 30, 149-162.
  • Roemer, E. & Orsillo, S. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68.
  • Strosahl, K. D., Hayes, S. C., Bergan, J., & Romano, P. (1998). Does field based training in behavior therapy improve clinical effectiveness? Evidence from the Acceptance and Commitment Therapy training project. Behavior Therapy, 29, 35-64.
  • Wilson, K. G. & Roberts, M. (2002). Core principles in Acceptance and Commitment Therapy: An application to anorexia. Cognitive and Behavioral Practice, 9, 237-243.
  • Wulfert, E., Greenway, D. E., & Dougher, M. J. (1996). A logical functional analysis of reinforcement-based disorders: alcoholism and pedophilia. Journal of Consulting Clinical Psychology, 6, 1140-1151.
  • Zaldívar, F. & Hernández, M. (2001). Acceptance and Commitment Therapy (ACT): Application to an experiential avoidance with agoraphobic form. Análisis y Modificación de Conducta, 27, 113, 425-454.
  • Zettle, R. D. (2003). Acceptance and Commitment Therapy (ACT) versus systematic desensitization in treatment of mathematics anxiety. The Psychological Record, 53 (2), 197-215.
  • Zettle, R. D., & Raines, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438-445.
  • Zettle, R. D. & Hayes, S. C. (1986). Dysfunctional control by client verbal behavior: The context of reason giving. The Analysis of Verbal Behavior, 4, 30-38.

Spanish books on Internet addiction

  • Echeburúa, E. (1994). Evaluación y tratamiento de los trastornos adictivos. Fundación Universidad Empresa: Madrid.
  • Estallo, J. A. (1997). Ciberaddicción: ¿una nueva ludopatía?. Retrieved October, 2003 from
  • Echeburúa, E. (1999). “¿Adicciones sin drogas?. Las nuevas adicciones: juego, sexo, comida,...”. Desclees.

Other articles, paper, etc, on sexuality, Internet and paedophilia.

  • Save the children European group. (2003). Position paper on child pornography and Internet-related sexual exploitation of children. Retrieved November, 2003 from.
  • Cornwell, B., & Lundgren, D. C. (2001). Love on the Internet: involvement and misrepresentation in romantic relationships in cyberspace vs. real space.
  • Horley, J. (2000).Cognitive supportive of child molestation. Aggression and violent behavior, 5, 6, 551-564.
  • Blummenthal, S., Gudjonsson, G, & Burns, J. (1999). Cognitive distortions and blame attribution in sex offenders against adults and children. Child Abuse & Neglect 23: 129-143.
  • Hasting, T., Anderson, S. J., & Hemphill, P. (1997). Comparisons of daily stress, coping problems behavior, and cognitive distortions in adolescent sexual offenders and conduct-disordered youth. Sexual Abuse: A Journal Of Research and Treatment, 9, 1, 29-42.
  • Hayashino, D. S., Húrtele, S. K., & Klebe, K., J.(1995). Child molesters: an examination of cognitive factors. Journal of Interpersonal Violence, 10, 100-106.
  • Pollock, N. L., & Hashmall, J. M. (1991). The excuses of child molesters. Behavioral Sciences and the Law, 9, 1, 53-59.
  • Bullough, E. V. L., & Bullough, B. (1996). Problems of research into adult/child sexual interaction. Issues in child abuse accusations, 8, 2.
  • Schlank, A. M., & Shaw, T. (1996). Treating sexual offenders who deny their quilt: a pilot study. Sexual abuse: A Journal of Research and Treatment, 8, 1, 17-23
  • Ward, T. & Hudson, S. & France, K. (1998). Self reported reasons for offending behavior in child molesters. Annals of Sex Research, 6, 139-148
  • Ward, T., Hudson, S. M., Johnston, L. & Marshall, W. L. (1995). Cognitive distortions and affective deficits in sex offenders: a cognitive deconstructionist interpretation. Sexual abuse: A Journal of Research and Treatment, 7, 67-83
  • Ward, T., Hudson, S. M., Johnston, L. & Marshall, W. L. (1997). Cognitive distortions in sex offenders: An integrative review. Clinical Psychology Review, 17, 479-507
  • Garland, R. J. & Dougher, M. J. The abused/abuser hypothesis of child sexual abuse: A critical review of theory and research. In Feierman, J. (ED.), Pedophilia: biosocial dimensions, New York: Springer-Verlag, 1990, pp. 488-509
  • Hall, G. C. N., Hirschman, R., & Oliver, L.L. (1995). Sexual arousal and arousability to pedophilic stimuli in a community sample of normal men. Behavior Therapy, 26, 1995, 681-694
  • Mantovany, F. (2001). Cyber-attraction: the emergence of computer-mediated communication in the development of interpersonal relationships. In L. Anolli, R. Cicero and G. Rivas (Eds), Say not to say: new perspectives on miscommunication(pp. 236-250).IOS Press. Retrieved October 2003 from

With regard to follow-up studies, very few variables have been clearly shown to predict recidivism in child molesters. In spite of the process of Cybersex assessment remains in its formative stages, it is very important to examine the relationship between compulsive Internet use and adult sexual interest in children, in order to increasing shift toward efficacy relapse prevention strategies.

Listed here are a number of articles and studies on risk assessment and recidivism in sexual offenders and child molesters.

Hall, G. C. N. (1995). Sex offender recidivism revisited: A meta-analysis of recent Treatment studies. Journal of consulting and Clinical Psychology, 63, 802-809.

Hanson, R. K., Steefy, R. A., & Glauthier, R. (1993). Long-term recidivism of child molesters. Journal of Consulting and Clinical Psychology, 61, 4, 646-652.

Hanson, R. K., & Bussière, M. T. (1998). Predicting relapse: A meta-analysis of sexual offender recidivism studies. Journal of Consulting and Clinical Psychology, 66, 2, 348-362.

Hanson, R. K. & Harris, A. (1998). Dynamic Predictors of sexual recidivism, Cat. No. JS 42-82/1998-01E. Ottawa: Department of the Solicitor General Canada.

Hanson, R. K., Scott, H., & Steffy, R. A. (1995). A comparison of child molesters and non-sexual criminal: risk predictors and long-term recidivism. Journal of research in crime and delinquency, 32, 325-337.

Hanson, K. (2000). Risk assessment. Association for the treatment of sexual abusers. Retrieved December 2003 from

Lievore, D. (2003). Recidivism of sexual assault offenders: rates, risk factors and treatment efficacy. Australian Institute of Criminology. Retrieved October 2003, from

Marques, J., & Nelson, C. (1992). The relapse prevention model: can it work with sex offenders. In Peters, R. D., McMahon, R. J., & Quinsey, V. L., Aggression & violence throughout the life span (pp. 222-243). New Bury Park, CA: Sage.

Mitchell, K. J., Finkelhor, D, & Wolak, J. (2001). Risk factors for and impact of online sexual solicitation of youth. Journal of the American Medical Association, 285, 3011-3014

Prentky, R. A., Lee, A.F.S., Knight, R. A., & Cerce, D. (1997). Recidivism rates among child molesters and rapists: a methodological analysis. Law and human behavior, 21, 635-659.

National Probation directarate (2002). The treatment and risk management of sexual offenders in custody, and in the community. Retrieved November 2003, from file)

Prentky, R. A., Knight, R. A., & Lee, A. F. S. (1997). Risk factors associated with recidivism among extrafamiliar child molesters. Journal of Consulting and Clinical Psychology, 65, 1, 141-149.

Quinsey, V. L., Harris, G. T., Rice, M. E., & Cormier, C. A. (1998). Violent Offenders: Appraising and managing risk. Washington, DC: American Psychological Association.

Quinsey, V., Rice, M., & Harris, G. (1995). Actuarial prediction of sexual recidivism. Journal of Interpersonal Violence, 10, 85-105.

Rice, M. E., Quinsey, V. L., Harris, G. T. (1991). Sexual recidivism among child molesters released from a maximum security psychiatric institution. Journal of Consulting and Clinical Psychology, 39, 3, 381-386.

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