Ganzarain and Buchele saw twenty incest offenders in group psychotherapy under court order. They found that major obstacles in the early phase of the work were resentful passivity on the part of the offenders and countertransference on the part of the medicolegal team. As treatment progressed, four clinical issues became evident: perversions, sociopathy, low self-esteem, and substance abuse. With the support of the therapeutic group, these involuntary, resistive patients made modest progress in controlling their inappropriate sexual urges and dealing with their narcissistic psychopathology.

There is a short, well selected bibliography on psychodynamic issues in incest.