The general objective of this paper is to examine the prescription of the mandatory death penalty for familial child rape using standards applied in clinical decision-making. Specifically, the objectives are: (1) to examine the effectivity of the death penalty in deterring incest/sexual offenses, (2) to examine the effectivity of therapy for sexual offenders, and (3) to describe the effects of the death penalty on the child victim-survivors of sexual abuse perpetrated by a family member.