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Clinical Case Studies
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Covert Association

A Case Demonstration With a Child Molester

W.L. Marshall

Queen's University, Kingston, Canada

This article describes the application of a procedure derived from Cautela's covert sensitization, which expands the behavioral chain leading to the terminal behavior and dispenses with the need for the consequences to be repeatedly experienced as aversive. Covert association was applied to a child molester who abused boys. Results indicate that treatment produced a significant reduction in urges and fantasies relating to boys and reduced sexual responding to boys. Other features of the intervention produced an increased comfort by the client concerning his adult homosexual orientation and more effective social functioning. The covert association procedure is recommended for wider use.

Key Words: covert • treatment • child molestation • fantasies • phallometry

Clinical Case Studies, Vol. 6, No. 3, 218-231 (2007)
DOI: 10.1177/1534650105280329


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