Body- and movement-based interventions with male offenders – a narrative review

Therapeutic and psychosocial accompaniment of offenders is increasingly being understood as a communal responsibility. Apart from recognised treatment batteries, an increasing amount of body- and movement-based interventions is carried out within the prison environment. Extensive literature searches were performed for this review. From a total of 2908, 23 publications were included. An increase in research interest in body- and movement-based interventions during the past 5 years was observed. Such interventions are being flexibly applied in detention contexts across western countries, transnationally. Effects of emotional nature as well as competence are being described. Body- and movement-based interventions may contribute substantially in the supervision within the prison regime and can be applied in different modalities as well as low- and high-threshold treatments. Scientific development in this field still is rudimentary and thus further research is necessary in order to provide more evidence for modification processes and efficacy from validated studies.     

The relation between interviewers’ personal characteristics and investigative interview performance in a child sexual abuse context

Despite important progress in knowledge about interview ‘best practice’ with child victims, few studies had yet evaluated the impact of interviewers’ personal characteristics on adherence to these ‘best practice’. This study was designed to determine whether interviewers’ personal characteristics are associated with adherence to a structured interview protocol (National Institute of Child and Human Development), the use of open-ended questions and the amount of details provided in children’s responses during investigative interviews with alleged victims of child sexual abuse. 114 interviews were scored from 13 police investigators after they followed a one-week training program. Results showed that experience, emotional intelligence, Extraversion, Agreeableness, Conscientiousness and Neuroticism were related with adherence to the protocol and ratio of open-ended questions. Cognitive abilities were related to the amount of details obtained from the child. Generalized estimating equations were used to compare relative contribution of each variable. These findings raise questions about how investigative interviewers are selected and trained.     

What is grievance thinking and how can we measure this in sexual offenders?

Purpose. This study proposes and examines a three‐stage model of the grievance process, one of the dynamic risk factors related to risk of sexual recidivism, and aims to evaluate some of the existing measures of this construct. Methods. The research used a sample of 322 male sexual offenders who had completed a cognitive–behavioural programme that aims to reduce recidivism in higher‐risk sexual offenders (as measured using a static actuarial tool). Participants completed two questionnaires measuring aspects of grievance thinking pre‐ and post‐treatment. Results. The results indicated some support for stages 1 and 2 of the proposed model. Contrary to the study hypotheses, results indicated that both measures used have similar psychometric properties. Pre‐ to post‐change analyses suggest that the custodial treatment programme may be having some effect on grievance thinking. However, generally offenders' scores on both measures were low pre‐ and post‐treatment and as a result, according to individual change analyses, the majority did not demonstrate reliable or clinically significant change. Those who were classed as high scorers on either measure did, however, demonstrate such change. Conclusions. Further exploration of a three‐stage model of grievance is warranted. It appears that current measures of grievance in sexual offenders are not adequate to capture this concept fully.     

“What works” with mentally disordered offenders

Treatment and rehabilitation of mentally disordered offenders has traditionally been a function of high security hospitals, but is increasingly based in community settings. Evidence for the effectiveness of psychological interventions remains scarce, and for secure hospitals, is limited to demonstrations of short-term effects using a conventional range of behavioural and cognitive–behavioural procedures. Some findings support the use of directive community programmes in meeting the needs of public safety and improved reintegration of the individual. Long-term services are required, and more complex psychological contributions are needed to meet the multiple needs of this client group.     

Risk,reconviction and “sexually risky behaviour” in sex offenders

Abstract

The Challenge Project is a community assessment and treatment programme in southeast London. The Project has been evaluated extensively in relation to community failure, with consideration of static risk prediction tools and the role of key developmental variables. This current paper is an extension of earlier evaluations, considering an extended range of outcomes with a longer-term follow-up period of more than nine years at risk in the community. The official sexual reconviction rate for this sample of sex offenders (of whom 275 were at risk in the community) was 12%. A wider definition of “sexually risky behaviours” as an outcome variable, drawn from a range of police intelligence, suggested a “truer” sexual re-offending rate of 20%. Although static tools were moderately predictive of community failure, the accuracy of risk prediction was enhanced if static tools were considered in conjunction with developmental variables.     

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.     

Lawmaking and sentencing in rape and child sexual abuse cases in Poland – dead end or rational criminal policy?

Criminal Law Forum - Sexual offences have assumed crucial importance in Polish criminal policy in recent years. Several statutes have been enacted with a view to implementing a more appropriate...     

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.     

Understanding service users’ and therapists’ experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders

This research comprises two qualitative studies understanding the experiences of (1) convicted sex offenders voluntarily receiving pharmacological treatment to reduce sexual preoccupation and (2) therapists working with these offenders. The studies form part of a research programme evaluating the use of pharmacological treatment with sexual offenders. In study one, semi-structured interviews were conducted with 13 sexual offenders receiving selective serotonin reuptake inhibitors. In study two, interviews were conducted with eight intervention staff with varying levels of experience of working with offenders taking anti-libidinals. Thematic analysis was used and in study one, two main themes emerged: (i) the impact of the pharmacological treatment on prisoners’ daily functioning; (ii) barriers to compliance/engagement. In study two, three main themes emerged: (i) offenders’ reluctance to engage with pharmacological treatment; (ii) challenges for therapists; (iii) pharmacology: ‘just another piece of the puzzle’. Findings are discussed in relation to practice and future research.     

Does childhood sexual abuse set in motion a cycle of violence against women?: what we know and what we need to learn

This article reviews evidence for the deleterious effects of childhood sexual abuse on female development in both the acute and long-term phases. Taken in aggregate, there is evidence to suggest a persistent cycle of violence perpetrated against women that begins in childhood in the form of sexual abuse, reemerges later in adolescence and early adulthood in the form of physical assault or sexual revictimization, and ultimately places the next generation at considerable risk for victimization. The differential effect of the characteristics of sexual abuse and the wide variation in the onset and developmental course of symptoms are underscored. The need for adequate models elucidating mechanisms behind this continued cycle of violence is discussed.     

Treated sex offenders as “paraprofessional” co-workers in the treatment of the sex offender

This paper will briefly review the utilization of the paraprofessional in a community-based sex offender treatment programme in Merseyside, UK. The paraprofessionals are treated paedophiles in the role of treatment co-facilitators. Further thoughts on the role dynamic, training issues and supervision are discussed. This is an example of service-user involvement in practice.     

Do courtship-violent men have characteristics associated with a “Battering Personality”?

Three studies explored the presence of characteristics associated with battering personalities in courtship-violent college men. These characteristics were derived from Signs to Look for in a Battering Personality developed in Fayetteville, AR, to describe wife-batterers. In the first study, two questions measured aggression. In the second and third study, Straus's (1979) Conflict Tactics Scale was also used. Attitudes toward Women (Spence et al., 1973) were measured in the first two studies. Sexual aggression (Koss et al., 1987) was measured in the third investigation. Univariate ANOVAs in all three studies showed that many of the characteristics associated with wife-battering men were also associated with college men who admitted to engaging in low-level courtship violence. However, stepwise discriminant analyses showed that two variables, threats and verbal abuse, were the most predictive of courtship violence in college men. Additional notable associations were found between the use of playful force during sex and self-reported sudden mood swings and/or a quick temper and courtship violence.     

Prediction of recidivism among “second timers” in the juvenile justice system: Efficiency in screening chronic offenders

Identification of small subgroups of high-risk juvenile offenders from the general population to target them for intervention has proved elusive. It is argued that second-time delinquents represent a group that can be efficiently screened for chronic offenders. With a sample of 298 second-time juvenile offenders, both prospective and retrospective risk instruments are found to predict chronic delinquent behavior well. It is proposed that such risk instruments be used to focus benign intervention on high-risk, second-time juvenile offenders.     

What do expert witnesses in child sexual abuse think they are doing? — ‘Diagnosis’, and the sexually accurate doll ‘test’ as professional myths

Conclusions From the above considerations it can be seen that the ways in which clinicians and lawyers typically think about expert opinion on cases of suspected sexual abuse may be seriously misleading. Neither the rhetoric of diagnosis or of testing is appropriate when considering the presence or absence of child sexual abuse, particularly when this leads to an expert opinion in the forensic context. It is crucial that experts and courts clearly discriminate and use appropriately the skills of psychologists to bring evidence into being, as well as their ability to give an opinion based on evidence. In bringing about this evidence, the psychologist might approach the task in the spirit of an investigator carrying out a single case experiment. This should allow courts to form their own opinion on parts or all of the evidence so that the unnecessary reliance on expert opinion is avoided.     

Predicting charges and convictions for rape suspects in Denmark: characteristics associated with the notion of the ‘credible criminal’

In recent years, focus on the high attrition rates and low conviction rates in sexual assault cases in Scandinavia has increased. Attrition refers to the dropout of cases through the criminal justice system. However, only limited research exists on the importance of suspect characteristics for the legal outcomes in these cases. The present study is the first in Scandinavia to investigate legal and extralegal suspect variables relating to charges and convictions in the criminal justice system regarding suspected offenders in rape and attempted rape cases. All reported cases of rape and attempted rape in the Eastern Jutland Police District from 2008 to 2010 with an identified rape suspect (N = 175) were analysed through binary logistic regression analyses to examine which variables might increase the likelihood of charges or convictions. Results show that suspects with one or more prior sexual assault charges were more likely to be charged and convicted of a rape offence. The results of the present study help improve the understanding of the judicial processing of cases of rape from a different perspective than the victims’ and partially lend support to the hypothesis of ‘the credible criminal’ in terms of investigative and prosecutorial decision-making in rape cases.     

Responding to youth sexual offending: a field-based practice model that “closes the gap” on sexual recidivism among Indigenous and non-Indigenous males

Abstract

Most studies that have explored the impact of youth sexual offender treatment on recidivism have not assessed whether effectiveness varies for important subgroups. The present study evaluated the impact of treatment provided by the Griffith Youth Forensic Service (GYFS) on 104 adjudicated youth sexual offenders referred between 2006 and 2012. Sexual, violent and “other” offending outcomes were examined, based on Australian Indigenous cultural heritage and whether the youth resided in a remote community, over an average 2.5-year follow-up timeframe. The findings indicated that GYFS treatment was equally effective for Indigenous and non-Indigenous youth for preventing sexual recidivism and, for youth residing in remote and non-remote locations, for preventing sexual, violent and “other” recidivism. Treatment was less effective in preventing violent and “other” recidivism for Indigenous youth. The core components of the GYFS treatment programme therefore appear particularly well suited for reducing sexual recidivism by Indigenous offenders and those residing in remote communities.