It's been over 20 years since I've been in treatment, though "Aftercare" was just a few years ago for me.
I stand by treatment as it has reduced recidivism to single digits; so it must work. Because it works, it seems very clear to me that it's beneficial for society and individuals alike. But nothing is ever perfect and no one set of "anything" can meet every need for every individual.
The first providers in my institution emphasized thoughts, feelings, emotions, beliefs; but a year or two later, they lost the contract and another provider was brought in. The new provider stood firm on the Freeman-Longo model, emphasizing risk identification, escape/avoidance and behavior. I did not formally go through the 2nd program, but obtained and devoured the material on my own voluntary steam; and was, of course, heavily introduced to it through the "aftercare" groups.
I found it very helpful; but I do have my own criticisms; these are my 3 major reservations:
1. "One size fits all" doesn't work. The freeman-longo model of cyclic behavior doesn't fit everyone and it is silly to believe that ever offender out there is more or less identical. While I certainly employed the interventions and risk identification components in that material, I don't fit his "trigger - build up - acting out" model. I understand Canada has performed long-term research on sexual offenders and have presented other models. One model is like the "Solar System"; with the Sun at the center (being our attraction) and several factors "orbiting" that sun; with the 1st four "planets" being something like "Victim Selected", "Opportunity", etc. When the planets and sun line up, that is when the offense occurs. As you can probably ascertain, these 2 models are different. (If anyone knows of this model, I'd like to see it and study it more deeply). I guess my point is, then, is that "one size doesn't fit all" and that treatment may be more effective without dogmatically clinging to one particular model; but instead seeking to find the model that fits and designing our strategies around what does fit instead of cramming square pegs into round holes.
2. The Avoidance/Escape model is shame-based. Excessive shame, as I have (and probably still do) endure has problems of its own. It says that we are defective and if we wind up in the wrong place and time under the wrong situations, we will re-offend because that is our basal nature as sick human beings. A recent experience of mine has demonstrated to me that this is not necessarily true. A firm in Florida, YouTube channel SOTV, postulates an approach that is not shame-based and uses other methods rather than avoidance/escape. I'm insatiably curious; but also hesitant to look at it, as the Avoidance/Escape model has worked for me; and to replace or incorporate something that does work for something that doesn't work is unthinkable. But maybe there is a balance that can be struck, and I certainly don't subscribe to the idea of throwing away willy-nilly what does work just because of how it makes us feel. At odds here.
3. Toooo much emphasis on thought-policing. Too much concern about the influence of deviant fantasies. We're going to have them. Some more than others. But to jump from "you had dirty thoughts last night" to "OMG, you're on the verge of assaulting someone; don't you see how dangerous this is!?" is an overreach. The existence of non-offenders who enjoy their deviant fantasies, as well as former offenders who still fantasize yet have existed for decades after treatment without re-offending causes me to question the wisdom of this train of thought. Maybe this goes back to the "one size fits all" as I can certainly see that deviant fantasies may be problematic and trouble for some.
Anyway. I'm just curious as it's been a long time and would like to hear and possibly discuss what treatment was like for others at different times and places.