Data were obtained through structured interviews with participants, and questions investigated how therapists maintained genuine caring for offender clients. Treatment goals for offenders included reducing or eliminating denial of personal responsibility, understanding the dynamics of the offense situation, establishing victim empathy, preparing and participating in an apology session with the victim, and drafting a sound plan to prevent further sexual abuse. Analysis of interview transcripts yielded four general themes describing therapist attitudes and behavior: (1) develop a positive view of perpetrators; (2) manage dysfunctional client behaviors and beliefs; (3) control personal reactivity; and (4) acknowledge limitations of therapy. Despite their attempts to develop a positive view of offender clients and care about them in a way that promoted healing, therapists realized that offender treatment had its limitations. Clinical implications of the research findings are discussed. 15 references and 2 tables