Notes the increase in the crime rate for female offenders over the past 15 yrs and describes the types of offenses for which women are most often convicted. It is suggested that occupational therapy can provide a normalizing environment for the female offender, preparing her to return to the community with positive personal assets and adaptive skills. The etiology and elements of incest, particularly mother-son and mother-daughter incest are described, as well as methods of treatment of the incest offender. Intervention by the occupational therapist in cases of female sexual offenders includes conducting a structured assessment interview related to the patient's occupational role and level of functioning (e.g., education, employment, personal and home management, interpersonal interaction, a personal appraisal), and general and specific treatment. The case illustration of a 32-yr-old woman convicted of incest and her treatment through occupational therapy are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)