Child Abuse Potential: A Comparison of Subtypes of Maritally Violent Men and Nonviolent Men

Researchers have demonstrated an overlap between husband-to-wife violence and child abuse, but we know little about which maritally violent men are at greatest risk for engaging in child abuse. This study examined child abuse potential across 4 subtypes of maritally violent men (i.e., family only, low level antisocial, borderline/dysphoric, and generally violent/antisocial; Holtzworth-Munroe et al., and 2 comparison groups of nonviolent men (i.e., maritally distressed or not), using the Child Abuse Potential Inventory (CAP; J. S. Milner [1986])). The results revealed that the borderline/dysphoric batterer subtype had significantly higher child abuse potential scores than all of the other violent subtypes and the nonviolent comparison groups. Theoretical and clinical implications are briefly discussed.     

Exploring the Effect of Arrest Across a Domestic Batterer Typology

While arrest is a common intervention utilized in intimate partner violence, it is not known if this strategy affects all types of offenders equally. The present study used data from three of the Spousal Assault Replication Program (SARP) studies to examine the deterrent effect of arrest on four different batterer subtypes (those identified by Holtzworth‐Munroe and Stuart, 1994) among a sample of 2,412 heterosexual male batterers. The results indicated that arrest increased the recidivism of IPV for two of the batterer subtypes (generally violent/antisocial and low‐level antisocial subtypes), suggesting the need for pre‐trial protection of victims.     

Decoding Deficits of Different Types of Batterers During Presentation of Facial Affect Slides

The ability to decode emotional cues is associated with both personality disorders and violence. This study investigated whether subtypes of intimate partner abusers differ in their ability to label facial affect displays. Intimate partner violent (IPV; n = 69) and nonviolent (NV; n = 32) men were asked to label slides of facial affect. Cluster analyses classified the IPV men into three different types as per the Holtzworth-Munroe and Stuart (1994; Typologies of male batterers: three subtypes and the differences among them. Psychological Bulletin, 116, 476–497) typology: family-only (FO), borderline or dysphoric (BD), and generally violent or antisocial (GVA). Overall, IPV men did not make more errors decoding facial affect slides than did NV men. However, GVA batterers showed deficits while BD batterers were particularly accurate in identifying emotions. Clinical implications are that emotional recognition skills training techniques may be useful for GVA batterers only.     

Antisocial personality disorder comorbid with borderline pathology and psychopathy is associated with severe violence in a forensic sample

Background: Evidence suggests the relationship between personality disorder (PD) and violence in offenders might be clarified by considering sub-groups of PD offenders defined by patterns of PD comorbidity. Aim: to identify patterns of PD comorbidity associated with severe violence, defined by its severity, quantity and age of onset (Violence Index: VI) in a forensic sample of 100 PD offenders. Methods: Correlations were first computed between VI and a range of personality and criminological variables; next, patients with antisocial/borderline comorbidity were compared with other PD patients; finally, regression analysis was conducted to identify unique predictors of VI. Results: The antisocial deviance factor of psychopathy and antisocial/borderline comorbidity were each significantly and independently associated with severe violence. Patients showing both a high psychopathy score and antisocial/borderline comorbidity had a significantly greater VI than those without these characteristics. Conclusion: PD patients with high psychopathy co-occurring with borderline and antisocial PDs show a criminal profile characterised by a high degree of serious violence.     

Classifying partner femicide

The heterogeneity of domestic violent men has long been established. However, research has failed to examine this phenomenon among men committing the most severe form of domestic violence. This study aims to use a multidimensional approach to empirically construct a classification system of men who are incarcerated for the murder of their female partner based on the Holtzworth-Munroe and Stuart (1994) typology. Ninety men who had been convicted and imprisoned for the murder of their female partner or spouse in England were identified from two prison samples. A content dictionary defining offense and offender characteristics associated with two dimensions of psychopathology and criminality was developed. These variables were extracted from institutional records via content analysis and analyzed for thematic structure using multidimensional scaling procedures. The resultant framework classified 80% (n = 72) of the sample into three subgroups of men characterized by (a) low criminality/low psychopathology (15%), (b) moderate-high criminality/ high psychopathology (36%), and (c) high criminality/low-moderate psychopathology (49%). The latter two groups are akin to Holtzworth-Munroe and Stuart's (1994) generally violent/antisocial and dysphoric/borderline offender, respectively. The implications for intervention, developing consensus in research methodology across the field, and examining typologies of domestic violent men prospectively are discussed.     

Mortality among habitually violent offenders.

There are no published studies about mortality among habitually violent offenders, although it would be essential to take into account the possibly higher mortality rate of this population, when the incidence of committing violent offenders is calculated as a function of age. We studied mortality during the age range 30-50 years among 102 habitually violent male offenders, who were considered to be dangerous to the lives of other people, during the 24.5-year period 1971-1995 (in the range 3.5 months-24.5 years, the average prison time was 6 years, 7 months and 11 days). In Finland, the death rate in the group of men aged 30-50 years is 3.7/1000/year, but among these habitually violent male criminals, the mortality rate was observed to be 18.1/1000/year. Therefore, the relative risk for dying in this age group was 4.9-fold when compared with the normal male population aged 30-50 years. A finding of this magnitude has a substantial effect, when the real incidence of committing homicides or other violent offenses is calculated as a function of age. This is an important issue in forensic psychiatry, since it is generally believed that the incidence of committing violent crimes is decreased between the ages of 30 and 50 years, and age is used as one predictive factor when the risk of forthcoming violent behavior is assessed.     

Risk-Need-Responsivity applications of the MMPI-2 in sexual offender assessment

The present investigation examined the risk, need, and responsivity (RNR) correlates of MMPI-2 scores in a Canadian sample of 349 federally incarcerated sex offenders, followed up prospectively 19 years post-release. In terms of responsivity indicators, more serious profile patterns were associated with younger age, single marital status, lower education, and lower cognitive ability; the scales generally had weak associations with sex offender treatment completion or change. With respect to criminogenic risk and need, Scales F, 4, 6, 8, and 9 and combinations therein had significant associations with structured measures of sex offender risk, and in turn, consistently predicted sexual or violent recidivism over 5 and 10-year follow-ups. Several of these predictive associations were maintained even after controlling for static and dynamic risk factors. Finally, model based clustering of the MMPI-2 scales generated three clusters termed disordered, emotionally distressed, and predominantly antisocial (non-disordered) subtypes. Although comparatively higher rates of violent recidivism were found with the disordered subtype, this group did not have higher levels of risk and need, broadly speaking, than the other subtypes. The RNR implications of the results are discussed in terms of forensic applications of MMPI-2 with sex offender populations.     

Domestically and generally violent forensic psychiatric outpatients: personality traits and behavior

A group of 63 domestically violent patients and a group of 103 generally violent patients at a Dutch forensic psychiatric outpatient clinic are examined with regard to personality traits and problem behaviors to develop treatment programs for domestically violent patients. The domestically violent patients are more unstable from a psychological viewpoint but not more inclined to anger than the average Dutch male. They report less anxiety in situations in which criticism can be given but more anxiety in situations in which someone can be given a compliment. When comparing domestically violent patients with generally violent patients, domestically violent patients score lower on anger as disposition and on aggressive behavior than the generally violent patients do. However, both groups do not differ from each other in their score on the dimension of psychopathy.     

Diagnostic profiles of civilly committed sexual offenders in Illinois and other reporting jurisdictions: what we know so far

The records of 377 men civilly committed under Illinois' Sexually Violent Persons Act were compared with similar published samples from seven other states. Civilly committed sexual offenders in Illinois were more likely to be diagnosed with any personality disorder and more likely to exceed the cutoff score for psychopathy than similar offenders in other states. The authors then present a national composite of demographic, victim, and diagnostic information on men referred or pursued for civil commitment in eight states to better understand how these individuals differ from sex offender populations in correctional settings. Results suggest that there may be less victim specificity in sexually violent person (SVP) populations, as although nearly 50% of SVPs are diagnosed with pedophilia, 80% had committed at least one sexual offense against a child or adolescent victim. Across all samples, 72.7% of SVPs were diagnosed with a personality disorder, with antisocial personality disorder the most prevalent.     

Cross-validation of the self-appraisal questionnaire: a tool for assessing violent and nonviolent recidivism with female offenders

The Self-Appraisal Questionnaire (SAQ) is a 72-item self-report measure designed to predict violent and nonviolent recidivism among adult male criminal offenders. It was administered to 91 female offenders incarcerated in Pennsylvania and 183 incarcerated in Singapore correctional systems. Results indicated that the SAQ has sound psychometric properties, with acceptable reliability and concurrent and predictive validity for assessing violent and nonviolent recidivism. There were no significant differences between the scores of African American and Asian offenders and the responses of the White offenders. Similar to the findings from male offenders, the present results provide some support for the validity of the SAQ in the prediction of violent and nonviolent recidivism risk among White, African American, and Asian female offenders.     

Evidence-based practice in group work with incarcerated youth

As a result of the Youth Criminal Justice Act's increased focus on restorative justice, treatment, rehabilitation, and reintegration of youth, many more juvenile offenders require mental health services while resident in youth detention facilities [Youth Criminal Justice Act (2002, c.1). Ottawa: Department of Justice Canada. Retrieved September 19, 2008 from http://laws.justice.gc.ca/en/Y-1.5]. Several common characteristics such as violence, aggression, and other antisocial behaviors, associated with criminal behavior, have been identified among male and female offenders. Dialectical behavior therapy, originally developed by Linehan [Linehan, M. M., 1993a. Cognitive–behavioural treatment of borderline personality disorder. New York: Guildford Press] for chronically parasuicidal women diagnosed with borderline personality disorder, has been successfully modified for use with other populations, including violent and impulse-oriented male and female adolescents residing in correctional facilities. The intent of this article is to encourage the wider use of dialectical behavior therapy (DBT) with young offenders. It includes an extensive review of the evidence-base to date and describes some of the creative modifications that have been made to standard DBT program format to meet the particular needs of various groups in both Canada and the United States. In keeping with the movement toward more evidence-based practice, the authors argue that DBT is a promising approach in group work with incarcerated adolescents and should be more widely used.     

Rationalizing criminal behaviour: the influence of criminal sentiments on sociomoral development in violent offenders and nonoffenders

Cognitive developmental theory suggests that mature-level sociomoral reasoning (Stages 3 and 4) can provide a protective factor, or buffer, against antisocial and violent criminal behavior. This study explored whether the influence of internalised criminal sentiments could undermine this buffer. The sample was high-risk men and women offenders (n = 99) convicted of serious violent index offences, and men and women nonoffender university students (n = 101). Moral reasoning was measured using the Sociomoral Reflection Measure-Short Form, whereas criminal sentiments were assessed using the Criminal Sentiments Scale. Based on moral reasoning development level the sample was classified into groups: mature- or immature-level moral reasoners. The results suggested that mature-level sociomoral development might not protect a person from identifying with criminal others, and that law violation could be rationalized regardless of sociomoral level. Gender differences were neither expected nor found. The applied implications of the findings are considered.     

Mortality among habitually violent offenders

There are no published studies about mortality among habitually violent offenders, although it would be essential to take into account the possibly higher mortality rate of this population, when the incidence of committing violent offenders is calculated as a function of age. We studied mortality during the age range 30–50 years among 102 habitually violent male offenders, who were considered to be dangerous to the lives of other people, during the 24.5-year period 1971–1995 (in the range 3.5 months–24.5 years, the average prison time was 6 years, 7 months and 11 days). In Finland, the deathrate in the group of men aged 30–50 years is 3.7/1000/year, but among these habitually violent male criminals, the mortality rate was observed to be 18.1/1000/year. Therefore, the relative risk for dying in this age group was 4.9-fold when compared with the normal male population aged 30–50 years. A finding of this magnitude has a substantial effect, when the real incidence of committing homicides or other violent offenses is calculated as a function of age. This is an important issue in forensic psychiatry, since it is generally believed that the incidence of committing violent crimes is decreased between the ages of 30 and 50 years, and age is used as one predictive factor when the risk of forthcoming violent behavior is assessed.     

Socially desirable responding and psychometric assessment of dynamic risk in sexual offenders against children

Does socially desirable responding (SDR) represent a threat to the validity of dynamic risk assessment in sex offenders’ self-reports? We studied a sample of men (N?=?218) who completed a psychometric assessment battery while enrolled at Kia Marama, a prison-based treatment program for sexual offenders against children. SDR, as measured by the Marlowe-Crowne scale, was elevated compared to non-offender samples, increased from pre- to post-treatment, and was negatively correlated with dynamic risk (rs?=??.30 to ?.40), consistent with previous research. Measures of dynamic risk factors derived from the psychometric battery were correlated with sexual recidivism, but correlations were little changed when variance associated with SDR was removed using a regression procedure [Mills, J. F., &; Kroner, D. G. (2006). Impression management and self-report among violent offenders. Journal of Interpersonal Violence, 21(2), 178–192.]. These results suggest that there is a substantial component of the variance in psychometric self-reports of sexual offenders that is associated with SDR (approximately 10%), but that it does not compromise the predictive or construct validity of dynamic risk measures derived from these reports.     

Female impulsive aggression: A sleep research perspective

The rate of violent crimes among girls and women appears to be increasing. One in every five female prisoners has been reported to have antisocial personality disorder. However, it has been quite unclear whether the impulsive, aggressive behaviour among women is affected by the same biological mechanisms as among men. Psychiatric sleep research has attempted to identify diagnostically sensitive and specific sleep patterns associated with particular disorders. Most psychiatric disorders are typically characterized by a severe sleep disturbance associated with decreased amounts of slow wave sleep (SWS), the physiologically significant, refreshing part of sleep. Among men with antisocial behaviour with severe aggression, on the contrary, increased SWS has been reported, reflecting either specific brain pathology or a delay in the normal development of human sleep patterns. In our preliminary study among medication-free, detoxified female homicidal offenders with antisocial personality disorder, the same profound abnormality in sleep architecture was found. From the perspective of sleep research, the biological correlates of severe impulsive aggression seem to share similar features in both sexes.     

Comparing Sexuality,Aggressiveness, and Antisocial Behavior of Alleged Juvenile Sexual and Violent Offenders,

Sexual delinquency in juveniles is insufficiently explored in regard to the specificity of offender characteristics. The aim is to investigate relevant areas for juvenile sexual offending in a precourt, pretreatment group. Thirty‐two alleged juvenile sexual offenders (ASO) referred to by police were compared with 32 juvenile nonsexual violent offenders (VNO) on standardized measures of aggressiveness and psychopathology, antisocial behavior, substance use problems, and sexuality. Less externalizing disorders and antisocial behavior were found among the ASOs than among the VNOs. The ASO group was sexually less experienced, had less trust in their relationship abilities, fewer victimization experiences, and reported more sexual deviance, while pornography use and obscene calls were reported less often. Few juvenile sexual offenders had severe problems in the investigated areas. Including groups of offenders before court, treatment or incarceration in research appears crucial to understand the full spectrum of sexual deviance in youth and avoid misguidance due to selection factors.     

Mental disorder in violent women in secure settings: Potential relevance to risk for future violence

The relevance to women of common violence risk factors identified in men has in many instances yet to be established. Consequently, there is a reluctance to accept without question the application to women of practices relating to violence risk assessment and management developed from research into men. This study examines mental disorder in women who are violent in order comment on its relevance to the practice of violence risk assessment and management. A sample of 95 violent women in high secure prison and forensic psychiatric care were assessed. Structured assessments of Axis I and II mental disorders and psychopathy were undertaken on all women and conviction histories were recorded. Very high levels of psychiatric morbidity were noted and patterns in comorbidity were detected. Among Axis I conditions, psychotic disorders and disorders of mood co-occurred at a very high rate. Among the Axis II conditions, dimensional ratings of borderline personality disorder (PD) correlated with dimensional ratings of avoidant, dependent and paranoid PDs while ratings of antisocial PD correlated with those of narcissistic, histrionic and obsessive–compulsive PDs. Women who had been incarcerated for a major violent offence were four times more likely to have a diagnosis of borderline PD than women whose index offence was one of minor violence. A number of the findings reported are in contrast to those reported in similar studies of men. Findings suggest that practitioners are right to question the application to women of knowledge derived from research into men. The practice of violence risk assessment and management with women should emphasise the development of individual risk formulations and responding to psychiatric comorbidity should be the rule rather than the exception with this population.     

Exploring the criminal histories of stranger sexual killers

Although sexual homicide is receiving increasing research attention, few studies have examined the criminal histories of sexual killers in any detail. This study examined the criminal histories of 81 British stranger sexual killers to determine whether they were generalist, specialists or both and whether their criminal histories reflected violent, sexual, marginality and over control pathways. Results found most stranger sexual killers were generalist offenders and sexual homicide was part of a varied criminal repertoire and non-sexual crimes predominate. This ‘antisocial orientation’ means future offending may not be limited to sexual violence. Criminal histories reflected the violent, sexual, marginality and over control pathways, but offenders in the violent pathway were more criminally orientated. The clinical and investigative implications of these findings were considered as they suggest knowledge of the criminal histories of stranger sexual killers is an important consideration for criminal justice professionals.     

Psychopathy versus psychopathies in classifying criminal offenders

Purpose. Psychopathy has been shown to be related to the onset, frequency, and course of antisocial behaviour in criminal offenders. The purpose of the present study was to use cluster analysis to explore the existence of subtypes of criminal offenders in male inmates, based on the two empirically validated dimensions of psychopathy and several other dimensions previously proposed for differentiating offender groups. Methods. Two hundred male inmates participated in the study. Scores on the two dimensions of the Psychopathy Checklist–Revised ( Hare, 1991 ), the Interpersonal Measure of Psychopathy ( Kosson, Steuerwald, Forth, & Kirkhart, 1997 ), DSM‐IV diagnoses for alcohol and drug abuse/dependence, and anxiety were standardized and were included in two different types of cluster analyses. Both Ward's hierarchical method and K‐means non‐hierarchical method revealed the presence of four subtypes of criminal offenders in the sample. The four‐cluster solution was replicated when the sample was split in half and identical cluster analyses were performed on the two subsamples. Results. Two types of cluster analyses identified four subtypes of criminal offenders in two samples of jail inmates. Two of the clusters resembled primary and secondary psychopaths described in the literature, the third group exhibited some antisocial and psychopathic features, and the fourth group was non‐psychopathic. Conclusions. Findings suggest that considering the individual contributions of the two dimensions of psychopathy in lieu of the construct as a whole may prove useful in identifying relatively homogeneous groups of criminal offenders.     

Personality traits,personality disorders and sensational interests in mentally disordered offenders

Purpose. Sensational interests (e.g. an interest in the occult or the methods of violence) in mentally disordered offenders are claimed to signify greater risk of psychopathology, but evidence to support this view is slight. Methods. The relationships between self‐reported DSM‐IV personality disorder (PD), general personality traits and sensational interests were examined in 155 of 167 consecutively referred offenders to a forensic psychology service. The subscales of the PD and personality trait measures were reduced to the four basic PD/trait dimensions (asocial, antisocial, anxious and anankastic) using confirmatory factor analysis. Results. Those high on the ‘antisocial’ factor (which was primarily defined by low Agreeableness, low Conscientiousness, and substantial elements of Paranoid, Antisocial and Borderline PD) were more interested in ‘violent‐occult’ and militaristic topics. Conclusions. The aspects of the antisocial factor primarily associated with an interest in sensational and potentially violent topics cover a wide range of putative disorders. However, the factors reflecting asocial, anxious or anankastic disorders do not show a reliable association with measures of sensational interests. These results suggest that the personality dimensions reflecting an interest in ‘sensational’ topics in mentally disordered offenders are relatively specific.