Factors related to motivation to change and therapeutic alliance among men early in treatment following perpetration of child sexual abuse
Bibliographic record
Abstract
The objective of this study was to investigate relationships between criminal history, cognitive distortions, social climate, motivation to change and therapeutic alliance at an early stage of treatment among people incarcerated for child sexual abuse. To do so, 223 men (Mage = 47, range = 19–76 years) who took part in a treatment programme in Quebec, Canada, following perpetration of child sexual abuse were included in the study. Individual factors (number of prior offences; cognitive distortions), social climate, and their association with motivation and therapeutic alliance were examined. Multiple linear regressions revealed that participants with fewer cognitive distortions who perceived social climate more positively were more motivated to change and had a better alliance with their therapist. Participants with higher motivation also established better therapeutic alliances with programme staff. This study provides new knowledge on two major components of successful treatment and highlights the importance of a positive environment in forming therapeutic alliance.PRACTICE IMPACT STATEMENT Treatment providers should be mindful that the same cognitive distortions that are likely to be treatment targets can also be obstacles to motivation and the development of the therapeutic alliance. In terms of the treatment environment, providing a safe, open, and supportive social climate between inmates and programme staff contributes to higher motivation and better therapeutic alliance.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".