Therapists who work with sex offenders most often use cognitive behavioral therapies in their treatment approach. However, therapists working with sex offenders may be missing a salient component of treatment for sexual offenders. Recent research has shown that recidivism rates for sex offenders may be related in part to intimacy deficits and the inability to establish healthy, committed relationships. It may, therefore, be beneficial to add a systemic approach emphasizing relationships in treating sex offenders. Family systems theory focuses, not on the individual alone, but on the family as an emotional system. Research suggests a continuum of emotional development in all humans which labels their level of differentiation of self. The level of differentiation describes both the ability to separate one’s cognitive process from one’s emotional process (intrapersonal) and the ability to balance one’s autonomy and connection in important relationships (interpersonal). The inclusion of differentiation and intimacy skills modules with the traditional behavior treatment may prove effective, as well as individualizing treatment and the potential to improve sex offender partner relationships. This article discusses the current cognitive behavioral therapy models and the inclusion of a family systems therapy approach in the treatment of sex offenders. References