Abstract: Provides a brief overview of the growing body of evidence that a proportion of adult sexual offenders present with some localized form of brain pathology, often left temporal lobe, that may, in part, explain the presence of gender dysphoria and the attraction to deviant behavior patterns in sexually anomalous men who prefer child surrogate partners or unsuspecting women. The techniques employed rely on social skill training, psychodramatic role plays (using a doll or mannequin), stress reduction and anger management, empathy training, guided visualization, neurolinguistic programming, cognitive restructuring, sketches of covert fantasies or deviant actions for group discussion, and victim-perpetrator role reversal, selectively applied within the context of a relapse prevention model for adult sexual offenders. (PsycINFO Database Record (c) 2005 APA, all rights reserved).