In most compulsive sex offenders, regardless of the therapeutic setting, “resistance” is most often the primary barrier to therapeutic insight or change.

This has certainly been true in my experience with hospital, correctional, and private settings. The need to develop a method of eliminating this barrier is paramount to any successful treatment. Part of the reason for this resistance is the compulsive sex offender’s major use of denial as a primary defense mechanism. The more intense the guilt he is experiencing, the stronger the denial, and consequently the greater the resistance.