Therapists’ perceptions of the therapeutic alliance in “Mandatory” therapy with sex offenders

ABSTRACT

Research suggests that the therapeutic alliance (TA) plays an important part in successful therapy. The pantheoretical concept of the alliance (Bordin, 1979) assumes a client seeks to make a change and joins the therapist in a willing journey. However, treatment with sex offenders can entail various levels of coercion. Little is known about the process of the TA in therapy with sex offenders whose therapy could be seen as coerced or mandated. Thus, the aim of this research was to explore therapists’ perceptions of the TA with sex offenders whose therapy could be seen as “mandated” because it was part of their plan for release/rehabilitation. Eleven therapists were interviewed about their experiences and a qualitative thematic analysis elicited five themes: dynamics of forced work, explicit terms of working, persuasive encouragement to engage, connecting with the human element and preservation and protection. Implications for practice are discussed alongside recommendations for future research.     

Up the slippery slope: Groupwork with sex offenders with a learning disability

Abstract

Techniques developed for work with sex offenders are not always applicable to or appropriate for sex offenders with a learning disability due to the cognitive and social difficulties which such individuals may have. This paper describes an attempt to adapt and combine a number of psychological and art therapy techniques in group work with sex offenders with a learning disability. The aim was to identify areas relevant in sexual offending behaviour and to adapt treatment approaches for the above client group.     

An analysis of the relationship between being deaf and sexual offending

Abstract

Research demonstrates that deaf offenders are over-represented within the criminal justice system. In addition, those deaf offenders who are incarcerated within prison estates or psychiatric units are predominantly incarcerated for sexual offences. This paper will evaluate the existing literature surrounding the reasons behind this bias. In particular, this review will examine the characteristics of deaf offenders in relation to their personalities, language and brain development and abilities to communicate. This paper will consider proposed associations between mental illness and childhood sexual abuse amongst deaf individuals and later sexual offending. This paper attempts to evidence differences between deaf and hearing offenders in order to explain why more deaf offenders commit sexual crimes than hearing offenders. This paper will conclude that the research is scarce and inconclusive and that current assessments and treatment are potentially inadequate due to the profound difficulties associated with accurately understanding and communicating with the deaf offender.     

Gang affiliation,aggression, and violent offending in a sample of youth offenders

Abstract

Gang affiliation, aggression, and violent offending were examined in case files of 390 youth offenders aged between 16 and 18 years. Results indicated that youth offenders who were gang members and those who were not gang members but exposed to friends in gangs had a significantly higher likelihood of violent offending compared with a reference group of youth offenders who had neither gang affiliation nor friends in gangs. Additionally, youth offenders who had friends in gangs but were themselves not gang members had a lower likelihood of violent offending than youth offenders who were gang members. Finally, results showed that a history of aggressive behavior was significantly associated with violent offending. Implications such as the need to address the influence of delinquent peers and need to address the management of anger and aggression in youths will be discussed. Also, findings point towards the need for prevention and early intervention work.     

Desistance and dynamic risk factors belong together

ABSTRACT

Depending on definitions, dynamic risk factors and desistance are either highly intertwined or aligned with distinctly separate paradigms. This paper describes and critiques each concept, and then reviews research on how they may be linked, including some preliminary findings from a longitudinal study of the early phases of desistance in high-risk offenders. I argue that seeking to understand how reductions in dynamic risk work together with the development of the psychological components of desistance will shed the most light on how offenders move from persistence to the maintenance of desistance.     

Issues in the treatment of asian sexual offenders

Abstract

This aper considers the scant literature in the field of child sexual abuse in Asian families, and reports the authors' involvement with four male Asian sexual offenders. The therapeutic approach used with the offenders is described, and clinical themes arising from their treatment are identified. Issues and difficulties in therapy are discussed, in particular personal issues arising for the therapists. It is concluded that Asian sexual offenders are a group who have been neglected in the literature and in treatment, partly, perhaps, because they are infrequently referred to treatment services in comparison with non-Asian sexual offenders. Particular therapeutic issues relating to the treatment of immigrant Asians who do not speak English are raised and further research needs are identified in relation to this patient group.     

University student beliefs about sexual violence in prison: rape myth acceptance,punitiveness, and empathy

Abstract

The public desires more punitive sentencing for sex offenders; however, treatment has been shown to be most effective in increasing public safety. It has been suggested that public education about the benefits of sex offender treatment could influence public policy. The purpose of this study was to determine if a brief psychoeducational intervention could influence individuals’ attitudes towards the treatment of sex offenders. Overall, findings showed that a psychoeducational intervention can affect subsequent attitudes; furthermore, the nature of the intervention will be significant in determining the level of attitude change.     

The effects of physical effort on police officers' perception and aggression in simulated shooting incidents

Abstract

In the present experiment the effects of physical effort on police officers' aggression and perception in simulates shooting incidents were investigated. Based upon Kahneman's (1973) variable-allocation capacity model it was hypothesized that physical effort will result in a decease in aggression towards aggressive offenders. Based upon Kahneman's model and Easterbrook's (1959) Cue-Utilization-Hypothesis it was further expected that this decrease in aggression will be caused by an incorrect judgement of the aggression of aggressive offenders (and not by an impaired perception). The findings confirmed these hypotheses.     

On a clear day you can see forever: Integrating values and skills in sex offender treatment

Abstract

The topic of sex offender rehabilitation frequently evokes fierce reactions, ranging from strident demands for harsher sentences contrasted with calls for more imaginative and compassionate sentencing options. There seems to be a polarization of positions centred on the question of offenders’ moral standing: are they moral strangers or fellow travellers? This fundamental disagreement about offenders’ moral status is at the core of a number of independent, although related current practice and research issues confronting the field, namely: (1) risk management versus strength-based treatment approaches; (2) the utility of utilizing individually tailored versus manual-based programmes for offenders; (3) focusing on the technical aspects or therapy as opposed to relationship and therapist factors (what has been called process issues); and (4) the conflict between protecting the community versus promoting the interests of offenders. In this paper I suggest that an approach to sex offender treatment based on a combination of human rights theory (an ethical resource) and strengths-based approaches can help us navigate our way through the above dilemmas in a way that addressees both the needs of offenders and those of the community.     

To what extent does civil commitment reduce sexual recidivism? Estimating the selective incapacitation effects in Minnesota

PurposeThis study examines the selective incapacitation effects of civil commitment on sexual reoffending among 105 Minnesota sex offenders who were civilly committed between 2004 and 2006.MethodsThe Minnesota Sex Offender Screening Tool-3, a sexual recidivism risk assessment instrument, was used to estimate what the four-year sexual recidivism rate would have been for these offenders had they been released to the community. Integration of Survival with Quality of Life (iSQoL) software was used to extrapolate the survival curves over a 50-year period to develop a lifetime sexual recidivism estimate.ResultsIf the 105 civilly committed sex offenders had been released to the community, an estimated nine percent would have been reconvicted of a new sex offense within four years. Civilly committing these offenders therefore likely reduced the overall four-year sexual recidivism rate by 12 percent. The results further suggest that if these offenders had been released to the community, an estimated 28 percent would be rearrested for another sex offense within their lifetime.ConclusionsTo better align the costs of civil commitment with its public safety benefits, states operating these programs should emphasize the use of intermediate alternatives in the community for a more positive return on investment.     

The long term recidivism risk of young sexual offenders in England and Wales– enduring risk or redemption?

PurposeTo examine the long-term sexual recidivism risk of juvenile sex offenders in England and Wales, and to compare the risk to that of a first time sexual offense for non-convicted juveniles. Additionally, the study explores the long term sexual recidivism risk of other types of juvenile offenders, and the long term violent recidivism risk of these groups.MethodsThe England and Wales Offenders Index was used to extract birth cohort data. Life table methods were used to estimate cumulative recidivism risk, and discrete time hazard models were used to compare hazard functions.ResultsAt the five year period, 7% of juvenile sexual offenders have been reconvicted of a sexual offense; reaching 13% by the end of the 35 year follow-up. When the reconviction hazard of the juvenile sexual offenders was compared with the first sexual conviction risk of a non-convicted comparison group, the hazards converged statistically after 17 years.ConclusionsThe study has implications for the registration periods of juvenile sex offenders. Indefinite registration for some juveniles needs to be considered, and a review of registration after a conviction free period would provide more balance between the protection of the public and the rights of the offender.     

Current cognitive distortion theory and research: An internalist approach to cognition

Abstract

This review examines contemporary cognitive distortion theory and research relating to sexual offenders. In particular, this review highlights that researchers—to date—have tended to adopt an internalist approach to sexual offenders’ cognition which views offence-supportive cognitive activity as occurring solely within the mind. This review indicates that literature and research examining sexual offenders’ cognitions has benefited a great deal from adopting internalist approaches to cognition. From this review of the literature, implications are presented for how such knowledge may be used in practical applications with sexual offenders (i.e. a collaborative enquiry of sexual offenders’ cognition). Suggestions are also made for how researchers and professionals may be able to extend the meaning of cognition for sexual offenders, and expand upon our current internalist approaches to sexual offenders’ cognition.     

Psychological distress and severity of personality disorder symptomatology in prisoners convicted of violent and sexual offences

Abstract

Background: There have been recent proposals in England and Wales to develop services aimed at reducing the risk to the public posed by offenders with so-called “severe personality disorder”. The emphasis of the proposals is on risk. However, prisoners with personality disorder may have psychiatric treatment needs other than those purely relating to public protection. The aim of the study was to examine the association between severity of self reported personality disorder pathology and psychological distress in serious offenders.

Method: All male prisoners in two prisons, convicted of violent or sexual offences, were sent the Personality Diagnostic Questionnaire 4+(PDQ?4+) and the Symptom Checklist 90-R (SCL-90-R).

Results: High levels of self reported personality pathology were associated with high levels of psychological distress.

Conclusions: Offenders with the most severe self reported personality disorder pathology experience distress that may be clinically significant. Services for offenders with personality disorder will need to address their associated psychiatric symptoms.     

The idea of selective release

We interviewed 203 juvenile inmates housed in a juvenile corrections facility in New Orleans, using a revised version of the Rand instrument developed by Chaiken and Chaiken. The purpose was to demonstrate how prediction scales, used in the past to identify high-rate offenders for selective incapacitation, actually may be more suitable for identifying low-rate offenders for selective release. Our results show that the prediction scale performed worse at identifying high-rate offenders but better at identifying low-rate offenders. We discuss the policy implications of our findings.     

Evaluation of the assessment and treatment of a child sex offender: A case study

Abstract

There is indisputable necessity for engaging child sex offenders in effective therapy to reduce recidivist rates. However, it is becoming increasingly recognised that, to do this, more contemporary psychological methods of treatment are being utilised instead of, or as well as, imprisonment.

To establish what constitutes effective therapy requires the constant search for new and successful treatments. To achieve this, it is advantageous to follow preexisting successful methods of treatment but to acknowledge that therapy must be adapted according to an individual's unique presenting difficulties and therapeutic needs.

This paper details assessment techniques, evaluation of psychological dysfunctions, the therapy plan and treatment outcome of a convicted child sex offender. Specifically, Mr X's background history, psychological dysfunctions and progress, using a functional analysis approach, are examined in detail with critical review of the therapeutic intervention.     

Considering specialization/versatility as an unintended collateral consequence of SORN

PurposeEmpirical studies examining specialization/versatility among offenders have long been an area of interest among criminologists. This same focus has only relatively recently been directed toward sex offenders.MethodsUtilize matched random samples of male sex offenders released from prison pre- and post-Sex Offender Registration and Notification (SORN) in the state of New Jersey with eight years of follow-up for measuring recidivism.ResultsVarious specialization thresholds and individualized diversity index (D) scores disaggregated by recidivism offense type (e.g., violent, property, drug, and sex offenses) suggest that these sex offenders were more diverse than specialized. Furthermore, Tobit regression analysis revealed that alcohol problems, being a rapist, being a prior violent offender, and recidivism offense frequency significantly predicted versatility compared with being married and being a prior property offender, which were inversely related to versatility. Finally, sex offenders who were released from prison post-SORN demonstrated a higher level of specialization than sex offenders who were released from prison pre-SORN, yet their tendency toward specialization was almost exclusively a function of drug offenses not sex offenses.ConclusionsSORN policy implications and directions for future research are discussed.     

The Rehabilitation of Indigenous Prisoners

Abstract

The massive problems experienced by Indigenous Australians in their encounters with the criminal justice system have been well documented and widely discussed. This paper applies the Risk, Needs and Responsivity Model of rehabilitation to Indigenous offenders. While much of the review is devoted to a discussion of Australian Indigenous offenders, the issues raised are likely to be relevant to Indigenous groups from other countries and, possibly, ethnic minority offenders more generally. We concluded that whilst the model clearly has value, rehabilitation programs would benefit from a careful consideration of issues relating specifically to the Risk, Needs and Responsivity of Indigenous offenders.     

Social networks of sexual offenders

Abstract

Despite the extensive research attention directed toward criminal peer groups, there has been little attention to the peer groups of sexual offenders. Sexual offenders are often considered to be loners who offend in isolation, but cases of sex crimes involving peer support are not difficult to find, e.g., child sex rings, gang rapes. To examine the role of peers in sexual offending, sexual offenders and nonsexual offenders were asked whether they knew other people who have committed sexual crimes. In comparison to the nonoffender community comparison group, the sexual offenders reported considerably more association and identification with sexual offenders. The associations also tended to be offence specific, such that child molesters knew other child molesters and rapists knew other rapists. These findings have important implications for the assessment and treatment of sexual offenders.     

The juvenile sex offender: The effect of employment on offending

PurposeIn many countries, sex offenders are treated as a special group of offenders, requiring special criminal justice responses and treatment modalities, presuming they are at high risk of re-offending. These special measures limit them in entering adult roles, especially employment. At the same time, such adult roles have been found to reduce offending risk in general offenders. We aim to investigate whether employment reduces offending rates in juvenile sex offenders' (JSO).MethodUsing longitudinal data on a Dutch sample of 498 JSO, we investigate employment and offending careers in JSO. A hybrid random effects model is used to investigate within-individual changes of employment quality and employment stability on offending. We also investigated whether the effects differ for child abusers, peer abusers and group offenders, who have different background profiles and for whom employment effects could be less.ResultsWe first show that JSO enter the labor market at relatively young ages, with stagnating participation rates from age 25 on, and numerous and short-lived employment contracts. In spite of these fractured careers, employment is associated with a decrease in offending. We found no difference for offender types in the effect of employment on offending.ConclusionsWe conclude that for JSO, employment decreases offending. Policies aimed at guidance towards employment, or the inclusion into conventional society, may be effective for JSO.     

Eye movement desensitisation and reprocessing for offence-related trauma in a mentally disordered sexual offender

Abstract

Research demonstrates a high incidence of offence-related trauma in mentally disordered offenders convicted of violent and sexual offences. The adaptive information processing (AIP) model offers a theoretical framework for understanding the hypothesised relationship between offence-related trauma and reoffending. Evidence suggests that for a sub-population of offenders presenting with offence-related trauma: (1) therapy may retraumatise them, and (2) unresolved trauma severely blocks the positive benefits of talking therapies. Thus, it is postulated that traumatised violent and sexual offenders may be released into the community when they are still at risk of reoffending. A single case study is presented, which describes the application of eye movement desensitisation and reprocessing (EMDR) for a sexual offender presenting with offence-related trauma, whose offences occurred in the context of serious mental disorder. The identification of offence-related trauma and subsequent resolution of trauma symptomatology are discussed in regard to effective offender rehabilitation. Furthermore, the idiosyncratic nature of offence-related trauma and the application of the standard EMDR protocol for a single traumatic event are considered.