Fantasy Management in sex offender treatment

Sexual fantasies of sex offenders are a difficult therapeutic issue. First, there is not much we know about sexual fantasies in general. In the second place, the question rises as to what role sexual fantasies play as a risk factor in sexual abuse. And third, there's the difficult task for therapists on how they may affect sexual fantasies of their client (if they choose at all to address the issue). In this article we reflect on how to manage fantasies, which possibly sustain a relapse arousal pattern, therapeutically.