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Item Sexual violence and secondary prevention : an exploration of opportunities and barriers to implementing a secondary prevention approach to harmful sexual behaviour in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University, Wellington, New Zealand(Massey University, 2019) Hutton, HeathSexual violence is a highly prevalent issue that has wide-ranging social and economic impacts. Research suggests that approximately one in three women and one in seven men experience sexual victimisation during their lifetime. Victimisation is related to various lifelong impacts on physical and mental health. Research has shown that children and youth are responsible for a significant proportion of harmful sexual behaviour, including approximately 50% of all offences against children. With an increasing focus on the public health approach to the prevention of sexual violence, it is timely to explore the opportunities that secondary prevention presents. This thesis interviewed eight clinicians about their views on implementing secondary targeted prevention approaches in New Zealand. Thematic analysis identified two main themes in their responses, comprehensiveness and early intervention. These are discussed in relation to what clinicians thought was needed in New Zealand, and what barriers and opportunities existed to the realisation of this approach. This thesis provides an overview of the key issues that need to be considered by policy makers in the development of new prevention strategies and initiatives in the area of sexual violence. It highlights the various socio-cultural factors that will need to be adequately addressed by any approach that hopes to meet the diverse, and often conflicting, needs of individuals, families, and communities.Item Evaluation of the Good Way model : a treatment approach for young people with harmful sexual behaviour : a thesis presented in partial fulfilment of the requirements for the degree of Doctorate in Clinical Psychology, Massey University, Auckland, New Zealand(Massey University, 2015) Weedon, VictoriaAdolescents with harmful sexual behaviour (HSB) have been identified as perpetrating a significant amount of child sexual abuse, and while treatment programmes have become more available, evaluation studies of these have lagged far behind. The primary aim of the research reported in this thesis was to evaluate the effectiveness of the Good Way model (GWM) intervention developed by Ayland and West (2006) for adolescent boys undergoing treatment for HSB. The GWM is advanced as a strengths-- based cognitive behavioural approach which meets recommended key programme priorities for the treatment of youth with HSB. This study examined the effectiveness of the GWM within two community--based treatment programmes in New Zealand: WellStop, which is based in Wellington; and STOP, which is based in Christchurch. The participants were 12 male youths aged between 11 and 17 years and their families. Five participants were intellectually disabled. The study was carried out over a three-- year period and by the end of the study, nine participants had completed treatment, two remained in treatment, and one had dropped out due to the impact of unstable placements. The average treatment length was 7.5 months. Treatment effectiveness was examined within a multiple--baseline design framework. In this study the magnitude of experimental change was largely established via visual analysis, the percentage of data points exceeding the median (PEM), and Cohen’s d. The results imply a functional relationship between GWM treatment and the reduction of HSB and an increase in positively occurring behaviours related to strengths and resiliency. Positive results were obtained from measures focusing on outcome and therapeutic alliance. There was also evidence for change in individual participants across measures of internalising--type problems. Overall, the findings indicate that the introduction of the GWM intervention targeted the problem behaviour appropriately and that it was well received by participants.Item Towards a typology of youth sexual harmers in Aotearoa, New Zealand : a thesis presented in partial fulfillment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Palmerston North, New Zealand(Massey University, 2010) Dillon, Stephanie KimSixty seven characteristics, and demographic and offence data were used to explore patterns of similarity amongst a sample of 195 male youths aged 6-17 years who had been referred for treatment because of their sexually harmful behaviour. The overarching aim of the study was to investigate the possibility of developing a typology of youth sexual harmers in order to enhance assessment and treatment. Archival data were collected from three specialist treatment agencies providing services to nine locations across New Zealand. The characteristics were chosen to highlight a broad range of functioning and incorporated personality traits, social and family factors, education and developmental factors, mental health issues and antisocial behaviour as well as sexual behaviour and prior victimisation. Hierarchical cluster analysis was employed to determine whether certain characteristics and youth were similar and whether these similarities indicated clinically relevant profiles of youth were present within the sample. A review of the analysis suggested seven themes of characteristics were present: Sexual Deviancy and Delinquency, Trauma and Neglect, Sexual Abuse and Family Mental Health, Mood Disregulation, Personality and Social Deficits, Developmental Deficits, and Family Aggression and Abuse. A review of the analysis of the youth indicated four profiles of sexually harmful youth in this sample: Depressed Relationship Seeking, Trauma Reactive, Hostile/Versatile, and Controlling/Entitled. Demographic and offence data for each profile indicated within profile similarity, also. The analyses enabled a review of the inter-relationship of multiple characteristics and highlighted the way in which certain characteristics and life experiences can influence behaviour and learning. The results imply an inclusive typology of young sexual harmers is possible and this has implications for the assessment and treatment of these youth. Assessments that can define profiles may enhance treatment planning and delivery.