What Happens to Therapists Who Work with Sex Offenders?

Following pilot interviews, 24 experienced therapists working with sex offenders were surveyed regarding the personal impact of this work. Clients' criminality is often the target for change, and therapists become socializing agents. Client traits of irresponsibility, lack of change motivation and self centeredness affect the therapy process. The majority of therapists reported a shift in their perspective, becoming discouraged about client change. Half of the therapists experienced emotional hardening, rising anger and confrontation. Over one-third suffered frustration with the correctional system or society. One third, female therapists in particular, reported increased suspiciousness and vulnerability. Several adjustment phases were reported. Upon initial exposure to this work, many therapists experienced "shock," bewilderment and vulnerability. A period of professional "mission" followed, including hopes for effectiveness, non-judgmental work ethics and empathy for clients. Next, a surfacing of repressed emotions was reported, including "anger" and cynicism, often leading to "erosion," a sense of disenchantment. One quarter of the study sample experienced burnout. An alternative to burnout is adaptation: a lowering of expectations, objective detachment, acceptance of the human dark side. Other coping strategies include work diversification and increased support systems.