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This book integrates clinical and criminological concepts and knowledge to inform a more comprehensive and effective public policy approach to preventing child sexual abuse. It will be essential reading for anybody with interests in this field.

Orally administered Midazolam at dosages of 0.5, 0.6, and 0.75 mg/kg was used with 34 healthy, uncooperative pediatric dental patients. Effective pre‐operative sedation occurred within approximately 15 minutes with a 30‐ to 40‐mlnute duration of action. Blood pressure and respiration remained stable throughout. The numbers and types of procedures performed were dependent on the degree of sedation, the behavior of the patient, the experience of the operator, and the operator's ability to administer the medication. The ideal dosage appears to be 0.6 mg/kg, with an average change of 1.43 Frankel Units in behavior modification. A dosage of 0.5 mg/kg appears to yield erratic results, while a dosage of 0.75 mg/kg offers little advantage with greater potential for adverse reactions. The oral administration of Midazolam for pediatric patients with extreme behavioral problems, such as Attention Deficit Hyperactive Disorder, was of little advantage and may produce an idiosyncratic reaction. Midazolam's quick onset and short duration of action, coupled with its ideal properties of sedation, relaxation, and amnesia, offer a viable alternative for treating the anxious, uncooperative pediatric dental patient.

Sexually aggressive behavior is often facilitated and justified by distorted thinking and affective deficits. However, there is no clear conceptual model that accounts for the mechanisms which generate these phenomena and informs treatment goals. Sex offenders frequently demonstrate a number of underexplained features such as denial or minimization of offending, victim blaming, passivity, covert planning, dependence on immediate consequences, empathy and other emotional regulation deficits, intimacy and other social competency deficits, and, finally, alcohol and other drug problems. These features are usually seen as offense precursors. We argue that Baumeister's construct of cognitive deconstruction, the process by which people attempt to reduce the negative implications of self-awareness, provides both a middle-level theoretical explanatory framework that integrates these puzzles in a parsimonious way and a mechanism that suggests that these features may be consequences of, as well as precursors to, an offense. Suggestions for research and clinical practice are offered.