The cognitive distortions of child molesters are in need of treatment

Abstract

This paper forms the second part of a debate led by Marshall, Marshall, and Kingston (2011) regarding the need to address so-called cognitive distortions in sexual offender treatment. In their paper, Marshall et al. argue that so-called cognitive distortions may not necessarily require intense and focused attention or challenge throughout treatment. In evaluating Marshall et al.'s arguments, we highlight some inherent differences in how both Marshall et al. and ourselves choose to define the term “cognitive distortion”. We surmise that these key definitional differences appear to account for many of the issues that we “debate”. In particular, for example, Marshall et al. focus their arguments regarding cognitive distortions more explicitly upon excuses, denial and minimisations, whereas we choose to focus upon schemas and higher-order belief structures. Thus, we argue that the broadness and vagueness of the term “cognitive distortion” can lend itself to quite different interpretations and research foci. We offer some alternative views to Marshall et al.'s position and advocate the consideration of cognitions with an aetiological role in offending. We conclude with some suggestions for future research and treatment.     

Marshall and barbaree's integrated theory of child sexual abuse: A Critique

Abstract

The aim of the current article is to critically examine an extremely influential multi-factorial theory of child molestation, Marshall and Barbaree's (1990) integrated theory. This powerful model was developed as a general theory of sexual offending and used to explain the onset of child sexual abuse in addition to other forms of sexual deviance. Despite its prominent status the adequacy of its basic ideas have never been systematically evaluated. First, I describe the integrated theory in detail and outline its core assumptions. Next, these ideas are subject to critical analysis and I highlight its strengths and weaknesses. Finally, I conclude with some brief comments about the model and the role of theory development in the sexual offending area.     

The three dimensions of online child pornography offending

Abstract

The internet has opened up opportunities for non-contact sex offending, such as the viewing of child pornography. This paper proposes a model for the classification of child pornography offenders as an aid for their assessment and treatment, deducted from empirical studies and existing typologies for child pornography offenders. Different subgroups of child pornography offenders may be described according to three dimensions: (1) type of offending, (2) the motivation behind child pornography offending and (3) the situational and social engagement in the offending behaviour. Distinct pathways of child pornography offending can be identified, related to differing criminogenic needs, severity of offending, and appropriate assessment and treatment strategies for the offenders.     

Maladaptive emotion regulation and aggression in adult offenders

Many empirical studies have explored the relationship between anger dysregulation and aggression; few have explored the association between emotion regulation more generally and aggressive behavior in adults. This study sought to determine whether adaptive emotion regulation was associated with aggression in adult offenders, and whether proficiency in three emotion skills – emotional awareness, emotional acceptance, and access to a variety of emotion regulation strategies – was related to adaptive emotion regulation. Results suggest that offenders with a maladaptive emotion regulation style reported more extensive histories of aggression than those with an adaptive emotion regulation style. It was also found that self-reported emotional awareness and access to effective emotion regulation strategies contributed to adaptive emotion regulation. These findings indicate the potential utility of including emotion-related modules in treatment programs for violent offending populations.     

Toward a comprehensive theory of child sexual abuse: A theory knitting perspective

Abstract

In recent years a number of multifactorial theories of child sexual abuse have been developed. The most influential are Finkelhor's (1984) Precondition Model of child sexual abuse; Hall and Hirschman's (1992) Quadripartite Model; and Marshall and Barbaree's Integrated Theory (1990). While all three of these important theories have a number of strengths, each has serious weaknesses that limit its ability to provide a satisfactory explanation of child sexual abuse. In this paper we attempt to integrate the best elements of the three theories into a comprehensive etiological theory, or at least the beginnings of such a theory. After outlining the concept of theory knitting we briefly summarise each of the multifactorial theories and their major strengths and weaknesses. We then develop a comprehensive theoretical framework (the Pathways Model) integrating both the overlapping and unique elements of these broad perspectives with some additional concepts derived from various psychological domains. In the final section of the paper we consider the adequacy of the Pathways Model.     

Child sex tourism: American perceptions of foreign victims

Child sex tourism is a multi-billion dollar industry that affects over 2 million children per year. While thousands of these sex tourists are American, this has been an issue that is largely neglected in the United States (U.S.). This study investigated Americans’ perceptions of child sex abuse and its relationship to the offense location and the victim’s culture. An online self-report survey randomly assigned subjects to one of three identical vignettes of child sex tourism, differing only by location: U.S., Netherlands, or Thailand. The study found that individuals perceived sexual offenses committed inside the U.S. as more severe than offenses committed outside the U.S. and that sexual crimes were viewed as less severe when occurring in an Eastern “Other” culture as compared to Western cultures. These results are discussed as they pertain to legislative efforts designed to reduce the prevalence of American child sex tourists as well as the creation of measures to increase awareness of Americans’ involvement in the child sex tourism industry.     

The associations between abuse characteristics in child sexual abuse: a meta-analysis

Child sexual abuse (CSA) is a general term describing a wide range of events that vary in characteristics such as the victim’s age of onset, relationship to the perpetrator, abuse quantity, degree of contact, and use of force. To investigate correlations and provide information on the clustering of these characteristics, the present meta-analysis included data from 14,494 sexually abused individuals from 62 empirical peer-reviewed studies and doctoral theses. The results showed that victims of intrafamilial abuse were younger than victims of extrafamilial abuse. More force was used in abuse including higher degrees of physical contact. Intrafamilial abuse and early onset of abuse showed no statistically significant associations with either use of force or closer physical contact. Abuse was more frequent and/or committed over a longer time period when it (a) featured more contact or force, (b) involved a relative as a perpetrator, or (c) commenced when the child was younger. The associations were weak to moderate in strength.     

The relationship between adverse childhood experiences,coping using sex,and adult sexual coercion in non-incarcerated,community-based females

ABSTRACT

Adverse childhood experiences have been associated with negative outcomes in adulthood, including sexual offending. Using a cross-sectional design, we investigated whether self-reported adverse childhood experiences related to the perpetration of coercive sexual acts among 250 females recruited from the community. Furthermore, we examined whether sexualised coping mediated any potential relationship between childhood experiences and sexual coercion. A Spearman’s rank order correlation revealed no relationship between adverse childhood experiences and sexual coercion. However, adverse childhood experiences were significantly correlated with sexualised coping, which in turn was correlated with sexual coercion. Additionally, there was a significant but small indirect effect of adverse childhood experiences on sexual coercion through sexualised coping. Findings may help researchers to better understand the causal relationship between childhood experiences, sexual coping, and sexual coercion in females.     

The sexual objectification of girls and aggression towards them in gang and non-gang affiliated youth

Sexual objectification is related to various negative attitudes and outcomes, including rape proclivity and reduced moral concern for the objectified, which suggests that objectification has implications for aggression. Our study examined the relationship between objectification and general aggressive behaviour in adolescents, including gang-affiliated youth. We hypothesized that (1) objectification would correlate with aggression towards girls, (2) gang affiliation would correlate with objectification and aggression towards girls, and (3) objectification and gang affiliation would interact such that strongly affiliated participants who objectified girls would be most aggressive towards them. We also hypothesized that sexual objectification would be a significant predictor of aggression above and beyond other factors, such as trait aggression. As predicted, objectification correlated with aggression towards girls and with gang affiliation, which also correlated with aggression. In addition, objectification predicted aggression towards girls, after controlling for other relevant factors. Further, we found an objectification?×?gang affiliation interaction, which differed from our original predictions. Among participants low in gang affiliation, objectification of girls predicted levels of aggression towards them. Among those high in gang affiliation, however, objectification did not predict aggression. We discussed the implications of our findings for general aggression.     

Finkelhor's precondition model of child sexual abuse: A critique

Abstract

This paper critically discusses an extremely influential multi-factorial theory of child molestation, Finkelhor's Precondition Model. This model was one of the first comprehensive theories of the sexual abuse of children and represents a significant achievement. It provides a clear framework for approaching the study of men who have sexually abused children and has lead to both clear treatment goals and clinical innovations. It has rarely, however, been systematically critically examined and the cogency of its core constructs evaluated. Our analysis suggests that alongside its strengths, Finkelhor's Precondition Model has some conceptual problems. It suffers from vagueness; contains overlapping constructs; and a rich array of vulnerability factors that require teasing out and clarification. The model's attempts to provide a taxonomy highlight the diversity inherent in child sexual abuse, but it has not yet provided a structure to adequately inform treatment.     

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.     

The measurement and influence of child sexual abuse supportive beliefs

Abstract

The identification of offence-related cognition is a major target of most cognitive–behavioural treatment programmes for sexual offenders, and a number of measures are available for this purpose. This study assessed the psychometric properties of a brief measure of beliefs that support and justify child sexual abuse: the Sex With Children (SWCH) scale. Factor analysis revealed two distinct types of belief: that sex with children is harmless, and that children actively provoke adults into having sex with them. The SWCH was also found to have good internal consistency, test–retest reliability and concurrent validity. Child molesters scored significantly more highly on the SWCH than did rapists or non-offenders, and high-risk child molesters reported more entrenched offence-supportive beliefs than lower risk child molesters. A relationship was also observed between general offence-supportive beliefs as measured by SWCH and offence-specific cognitions ascribing responsibility or enjoyment to the offender's victim. The SWCH subscales appeared to closely match two of the implicit theories hypothesized by Ward and Keenan (1999 Ward, T. and Keenan, T. 1999. Child molesters’ implicit theories. Journal of Interpersonal Violence, 14: 821–838. [Crossref], [Web of Science ®] , [Google Scholar]) to be related to child molestation. Sex offender treatment providers need to be aware of the relationship between underlying implicit theories and offence-specific distorted cognitions about the victim's experience.     

Revisiting the use of pornography by sexual offenders: Implications for theory and practice

Abstract

Summary: This article examines the extant research on the use of pornography by sexual offenders and some of the debates engendered by such use. The analyses should assist in clarifying a number of issues of concern for all who work in the field of sexual offending.     

Sex differences in the experience of child sexual victimization

This study analyzed 390 (303 girls and 87 boys) cases of child sexual abuse to understand sex differences in child sexual victimization. Analyses focused on three domains that have received considerable empirical attention: victims' relationships with the offender, type and extent of abuse, and disclosure. Findings largely replicated previous efforts that reported sex differences in terms of victims' relationships with offenders. Although results also replicated previous findings about sex differences in disclosure patterns, these sex differences were minor in comparison with similarities in the way most instances of abuse were eventually identified. In terms of type and extent of abuse, results were the opposite of previous findings: girls, not boys, were the victims of more physical injury, violent threats, and use of force; and girls, not boys, were more likely to have physically resisted abuse. Divergences in findings were interpreted in terms of memory biases and social forces operating differently on the sexes.     

In the aftermath of disclosing child sexual abuse: consequences,needs, and wishes

Experiencing child sexual abuse (CSA) can have enormous consequences for the victims. However, reporting rates are comparably low. Thus, it is essential to consider the wishes and needs of disclosing CSA victims in order to develop measures that can improve the disclosure and reporting of CSA. We analysed data of a subsample of n?=?394 victims of contact CSA from a representative victim survey (N?=?11,428) conducted by the Criminological Research Institute of Lower Saxony, Germany, in 2011. Overall, 76% of the victims disclosed their CSA experience to somebody. However, only 14% of the cases were made known to law enforcement agencies. Of the disclosing victims, only one-third was believed and 43% reported that the disclosure led to no further consequences. Overall, being believed as well as supported by the victims’ family proved to be crucial. Implications are discussed against the background of previous research.     

Preventing child sexual abuse through education: the work of Stop it Now! Wales

This paper presents the findings from an evaluation of education and awareness-raising programmes delivered by Stop it Now! Wales, aimed at engaging parents, carers and professionals in an informed discourse about child sexual abuse (CSA) and how to prevent it. Crucially, the findings presented in this paper show that the majority of research participants saw benefits in attending a programme. However, this varied by the type of programme attended and the nature of the impact reported. These variations are discussed in order to contribute to our understanding about how CSA issues are experienced and understood by parents and professionals; how they experience the transition of new knowledge; and what, if any, preventative action is taken by parents and professionals as a result of attending a Stop it Now! Wales CSA education and awareness-raising programme.     

Clinical assessment of adult sexual offenders with learning disabilities

Abstract

Assessment and treatment of adults with learning disabilities who commit sexual offences presents a number of challenges. Much of the professional forensic and psychiatric literature on work with this group concentrates on the development of interventions based on theoretical models of sexual offending originating from the mainstream criminal justice system and have often been adapted and applied to people with learning disabilities. Currently, there is very little evidence to demonstrate the effectiveness or validity of the adaptation and application of mainstream models to this population. The efficacy of such adapted models used to describe sexual offending in people with learning disabilities clearly has an impact of any intervention informed by them. In particular, some researchers suggest that key factors such as cognitive distortions are evident in sexual offenders with learning disabilities; there is, however, no research relating to the prevalence of these or other key factors within the general population of people with learning disabilities. The present literature review highlights some of the clinical issues with a particular focus on the assessment of deviant sexual interest. Specifically, the literature is confused with inconsistencies relating to the definition of the group, the extent and nature of offending and a lack of standardized methodology for assessment and comparison. Consideration is given to the particular needs of this group and the implications for research and treatment.     

The impact of extralegal factors on perceived credibility of child victims of sexual assault

ABSTRACT

The study examined the impact of victim age, victim gender, and perpetrator gender, across five domains of witness credibility: accuracy, believability, competency, reliability and truthfulness. The study also investigated which of these sub-constructs is the best predictor of guilt. 231 adult lay-people completed a survey measuring perceived credibility. Victim age emerged as having the most consistent effect, with the 5- and 10-year-old victims rated as more credible than the 15-year-old victim. Despite their legal incapacity to consent to sex, 15-year-old victims appear to be viewed as ‘quasi-adults’. Victims were rated as more accurate and truthful when the defendant was male compared to when the defendant was female. This may be due to the availability heuristic, as cases involving female defendants are less common. A significant main effect for victim gender was found for the competency sub-construct, such that males were rated as more competent than females. This result suggests that gendered attitudes and stereotypes may begin in childhood and extend to complainants of sexual assault. Main effects for accuracy and truthfulness, were qualified by three-way interaction effects. The five-factor model of perceived credibility accounted for 42% of variance in guilt perceptions, with truthfulness emerging as the strongest predictor of guilt.     

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.