Behavioral Medicine Program

KRUEGER-KAPLAN BEHAVIORAL MEDICINE PROGRAM
SERVICES PROVIDED FOR INDIVIDUALS WITH PARAPHILIAS OR ATYPICAL OR COMPULSIVE SEXUAL FANTASIES OR BEHAVIOR.

ASSESSMENT:
Each individual undergoes an extensive intake evaluation in order to determine specific treatment needs. The evaluation includes clinical interviews, psychometric testing and objective techniques (psychophysiological measurement) to assess sexual interest patterns involving hypersexual or atypical or compulsive sexual behavior.
TREATMENT: Our treatment program focuses on behavioral training to teach individuals how to control their sexual impulses and is based on a conceptual model that was developed during more than 20 years of clinical research.

The multi-component treatment strategy includes:

Social Skills Training: Many individuals with compulsive or atypical sexual fantasy or behavior lack the social skills they need to develop healthy pro-social relationships.

Assertiveness Training: Some individuals with compulsive or atypical sexual fantasy or behavior don’t know how to vent anger, communicate feelings or get their emotional needs met appropriately. Through role-playing skills are learned to express feelings appropriately.

Cognitive Restructuring: Most individuals with compulsive or atypical sexual fantasy or behavior justify their behavior by rationalizations. Cognitive restructuring helps the patient rethink faulty ideas and attitudes.

Sexual Education: For adolescents, a sex education course is taught. When necessary, adults will also receive sex education as well as treatment for any sexual dysfunction they may have.

Additional Treatment: Treatment also includes marital and family therapy as well as individual and/or group treatment to help family members cope with the stress associated with a partner who has a deviant sexual interest.

Medication Treatment: some patients may be treated with this or other anti-testosterone drugs in order to help them control dangerous sexual urges. Psychopharmacological assessment and treatment with the full range of agents are also available if indicated.

We have found that these treatment components are highly effective at reducing inappropriate sexual interests and behaviors with adolescents and adults.

Satiation: This behavioral technique teaches the patient to make his deviant sexual fantasies boring so that they are no longer erotic.

Covert Sensitization: This behavioral technique teaches patients to recognize early deviant impulses, fantasies, and thoughts and connect negative images with them to disrupt their pattern.

PROGRAM: Both individual and group therapy is available. Group sessions meet weekly for approximately 1 year. Individual sessions are included additionally, or instead of group sessions, as dictated by individual treatment assessment and planning. Once therapy is completed, monthly follow-up relapse prevention sessions are designed to maintain treatment gains.

Both Dr. Kaplan and Dr. Krueger are available for consultation and court testimony, and have worked closely with prosecutors, defense attorneys, judges, victims, and perpetrators.

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Meg Kaplan, Ph.D., is Director of the Sexual Behavior Clinic at the New York State Psychiatric Institute. She has worked with sex offenders since 1980 and is recognized as a researcher in the assessment and treatment of sex offenders. She is also an Associate Clinical Professor of Psychology in Psychiatry at the College of Physicians and Surgeons, Columbia University . She is on the board of the New York State ATSA.

Richard B. Krueger, M.D., has been assessing and treating sex offenders since 1985, and is the Medical Director of the Sexual Behavior Clinic at New York State Psychiatric Institute. He is an Associate Clinical Professor of Psychiatry at Columbia University , College of Physicians and Surgeons. Additionally, he is an Attending Psychiatrist at New York-Presbyterian Hospital. He is an expert on the psychopharmacology of sex offenders. Dr. Krueger is also a boardmember and Vice President of the New York State ATSA.

Douglas Martinez, Ph.D., has experience in the assessment and treatment of sexual offenders. He is a member of ATSA and been treating sex offenders and victims of sexual abuse since 1984.

TO REFER A PATIENT: Please contact Drs. Krueger or Kaplan at the information listed on the contact page.

For more information, please e-mail Dr. Krueger at rbk1@cumc.columbia.edu or Dr. Kaplan at msk2@cumc.columbia.edu