Acceptance and completion of treatment among sex offenders

A sample of 778 male sex offenders, assessed from the 1960s to the 2000s, was examined on expressed desire for treatment, treatment attendance, and completion of at least one course of therapy. A variety of treatment approaches was used, reflecting practices of the times. Overall, 50.6% expressed a desire for treatment, 42.0% attended, and 13.6% completed therapy. Offenders' admitter status, criminal history, age, education, and marital status all played some role in desire for treatment, attendance, and completion. Analysis revealed that the desire for and completing treatment has declined over time. Offenders who were exhibitionists or substance abusers or who scored higher on psychopathy, attention deficit/hyperactivity disorder, or learning difficulties or had head injuries were more likely to enter treatment but were no more likely to complete it than were offenders who scored low. The need to focus on motivating different types of sex offenders to accept and participate in treatment is discussed.     

Female sex offenders: severe victims and victimizers

Although there is an extensive body of literature concerning male sexual offenders, there is a marked lack of articles describing sexual offenses committed by females. The authors present a review of the existing literature on this topic and describe five cases of female sexual offenders and four cases of female sexual abusers. Implications for the effective assessment and treatment of this unique population are discussed.     

The emotional intelligence of adult sex offenders: ability based EI assessment

Abstract

Previous research has suggested that sex offenders are deficient in several areas of emotional functioning such as empathy, emotional perception, emotional management and interpersonal functioning. It is unclear, however, whether sex offenders display a general deficit in emotional functioning or whether their emotional deficits are specific to the circumstances in which offences occur. The present study aimed to provide a broad assessment of the emotional functioning of sex offenders by assessing their emotional intelligence (EI) using an abilities-based emotional intelligence test. Nineteen sex offenders, 18 non-sex offending prisoners and 19 controls were administered the Perception, Assimilation and Management branch subtests from the Mayer Salovey Caruso Emotional Intelligence Test (MSCEIT). The results indicated that the sex offenders were not significantly different than the control group, as assessed by these three branches of the MSCEIT. The results lend support to the suggestion that the emotional deficits displayed by sex offenders may be offence-specific. Implications for the use of the MSCEIT in sex offending populations and the role of EI in relapse prevention programmes are discussed.     

Diagnostic and risk profiles among civilly committed sex offenders in Washington State

Since 1990, 17 states have passed legislation allowing for the civil commitment of a small number of sex offenders who are deemed at a particularly high risk for reoffense. Despite the very public and controversial nature of these laws, little is known about the individuals who are detained pursuant to them. The current article presents data on 190 civilly committed and detained sexually violent predators in Washington State. These sexual offenders suffer from a variety of mental illnesses. The modal offender is diagnosed with both an Axis I and an Axis II disorder. Furthermore, these offenders are at moderate to high risk for reoffense and present with a significant degree of psychopathy.     

Female and male sex offenders: a comparison of recidivism patterns and risk factors

Few studies have empirically validated the assertion that female and male sex offenders are vastly different. Therefore, utilizing a matched sample of 780 female and male sex offenders in New York State, the current study explored differences and similarities of recidivism patterns and risk factors for the two offender groups. Results suggested that male sex offenders were significantly more likely than female sex offenders to be rearrested for both sexual and nonsexual offenses. However, limited differences in terms of risk factors between female and male sex offenders were found.     

Risk assessment with adolescent sex offenders

The paper describes an evaluation of a risk assessment tool's effectiveness in distinguishing adolescent sexual offenders who had committed further sexual offences from those who had not. The sample consisted of 50 male adolescent sexual offenders referred to a forensic outpatient service within a healthcare setting. The adolescents within the sample were designated recidivists versus non-recidivists using two methods: clinican's judgement and Home Office records for reconvictions. The risk assessment achieved a moderate to high level of sensitivity and specificity in distinguishing the recidivists from non-recidivists using clinician's judgement of recidivism as outcome. However, the tool was unable to distinguish recidivists from non-recidivists. The risk assessment tool described has potential in the identification and modification of contextual and clinical risk factors, in informing professionals’ decision-making and in developing and implementing a comprehensive risk management plan.     

Confidentiality and public protection: Ethical dilemmas in qualitative research with adult male sex offenders

This paper considers the ethical tensions present when engaging in in-depth interviews with convicted sex offenders. Many of the issues described below are similar to those found in other sensitive areas of research. However, confidentiality and public protection are matters that require detailed consideration when the desire to know more about men who have committed serious and harmful offences is set against the possibility of a researcher not disclosing previously unknown sensitive information that relates to the risk of someone being harmed.     

Recidivism among sex offenders: a follow-up study of 541 Norwegian sex offenders

A study of recidivism to sexual offences was conducted among Norwegian males who had received their first conviction for a sexual crime during the years 1970-1974. Five hundred and forty-one out of a total of 1,071 offenders were randomly selected and followed by means of official and public register systems until the end of August 1983. No one was contacted personally by the investigators. The recidivism rate was 12.8%, with the rapists having the highest tendency to commit new sexual crimes. Acts like incest, exploitation of someone in the custody of the perpetrator or similar felonies against so-called public morals were least likely to be repeated. Most of the repeat offenders only had one single subsequent offence, either of the same type of crime as at the first or to a less severe crime. Only a handful committed more than one repeat offence. A large number of the sexual offenders had committed others types of crimes, some prior to their first conviction for the sexual crime and some subsequent. Most of our criminally convicted males had a record of mixed criminality, in which crimes of profit and violence dominated.     

Multiple paraphilic diagnoses among sex offenders

The psychiatric literature suggests that paraphiliacs can be expected to participate in only one type of deviant sexual behavior. Using self-reports gathered with assured confidentiality from 561 nonincarcerated paraphiliacs, we discovered that most paraphiliacs have had significant experience with as many as ten different types of deviant sexual behavior without regard, in many cases, to gender, age, and familial relationship of the victim. The relevance of these findings to our understanding of paraphiliacs and their treatment is discussed.     

Remorse and neutralization among violent male offenders

Expression of remorse by an offender to his or her victim represents healing in the aftermath of a crime. Thus, it is important to consider what may influence or impede remorse. This article analyzes interviews with 27 men who committed serious violent crimes to examine their talk about victims, responsibility, and remorse. Most of the men excused or justified their crimes using cultural discourses about violence and blameworthy victims. They spoke of feeling sorry for themselves, not for their victims. Men who expressed remorse perceived their victims as morally blameless. They humanized their victims, and their victims humanized them.     

Risk assessment with intimate partner sex offenders

Abstract

Risk assessment with any offender presents a number of challenges. However, risk assessment with offenders who have committed offences against their partners presents practitioners with a number of additional challenges. Intimate Partner (IP) sex offenders are reported to be responsible for the majority of adult serious sexual offences in England and Wales. However, despite calls for a unified approach to sex offender theory there has been little integration between this and the IP and family sexual violence literature. This paper summarizes the relevant literature on prevalence and cross over of sexual abuse by IP offenders, patterns of abuse, generality of offending, psychopathology and risk concerns (including risk of intimate partner homicide). Based on this, recommendations are made for best practice with IP sex offenders.     

A comparison of the neuropsychological profiles of adult male sex offenders and non-offenders with a learning disability

Abstract

The present study compared the neumpsychologlcal pmfiles of a group of adult male sex offenden with a laming disability (n-42) with a group of adult male non-offenders with a learning disability (n-42) using the Wechsler Adult Intelligence Scale - Revised (1986). The groups wen matched for full-scale IQ. Thc study found that the non-offender group had significantly higher Verbal 1Q scorn than the sex offender group. No significant differences wen found for Performance IQ. The non-ofinder group was also found to have significantly hlgher scores on the Vocabulary sub-test than the sex offender group and the sex offender group was found to have significantly higher scores on the ObJecr Assembly subtest than the non-ofinder group. Finally. the sex offender group was found to have a significantly lower Verbal IQ than Performance IQ. No significant Verbal-Performance discrepancy was found for the non-offender group. Possible implications of these findings are dlscusscd.     

Differential pharmacological treatment of paraphilias and sex offenders

This article gives an overview of current pharmacological treatment of paraphilias and sex offenders focusing on the situation in Germany. Information about selective serotonin reuptake inhibitors (SSRI) is followed by data about established antihormonal substances (cyproterone acetate/CPA, and medroxyprogesterone acetate/MPA), as well as a more detailed account on luteinizing hormone-releasing hormone agonists (LHRH agonists). The results of open, uncontrolled clinical studies with SSRIs (n = 16) and LHRH agonists (n = 11) in paraphilic outpatients confirm the positive effects of these substances. A survey about the use of CPA and LHRH agonists in forensic hospitals in Germany shows that half of the patients treated with any kind of (anti-) hormonal agents received an LHRH agonist. The authors present a protocol on side effects, contraindications, and monitoring of CPA and LHRH agonists and develop an algorithm for differential pharmacotherapy of paraphilias.     

Predictors of sexual aggression among male juvenile offenders

The purpose of this study was to conduct a longitudinal examination of predictors of sexual aggression among male juvenile offenders. Four hundred and four adolescent males between the ages of 14 and 17 years were recruited from juvenile probation offices to take part in a prospective study of substance use and sexual risk. At baseline, participants completed a series of questionnaires that assessed putative risk factors for sexual aggression. They then completed a measure of sexual aggression at the 6-month follow-up period. Correlational analyses revealed that participants who reported hard drug use, more frequent alcohol and marijuana use, and less severe offenses reported engaging in more severe sexual aggression. In addition, participants who reported higher impulsivity, sensation seeking, and externalizing behaviors also reported participating in more severe sexual aggression. When these variables were included in a regression analysis, only externalizing behaviors and severity of offense uniquely predicted severity of sexual aggression at the 6-month follow-up.     

Application of the clinical polygraph examination to the assessment,treatment and monitoring of sex offenders

Abstract

Post Conviction Clinical Polygraph Examination Testing (Lie Detector Testing) offers significant opportunities for assessing, treating and monitoring sex offenders. This article briefly reviews the historical development of polygraph techniques including the physiological measures employed, the administration of the polygraph and the interpretation of data collected. Criticisms of polygraphy are explored and information concerning the scientific acceptability of these procedures is given. The current influence of polygraphy in sex offender work is reviewed. Evidence is given of the utility of polygraphy in reducing denial, improving treatment outcomes and more effectively supervising sex offenders on probation or license. Cost benefit considerations are examined, as well as the need for further controlled research and future regulation of the polygraph, if it is to be introduced in Britain. Planned UK Trials are described.     

How do offenders define bullying? A study of adult,young and juvenile male offenders

Purpose. The main aim of the present study was to explore how offenders define bullying and how this relates to school‐based definitions, with a subsidiary aim of exploring age differences. Methods. The sample was selected from two separate prisons in the UK housing male offenders (one adult prison and one housing both young and juvenile offenders) and consisted of 322 offenders (127 adults, 95 young offenders and 100 juveniles). Offenders were asked to complete a questionnaire designed to assess their perceptions of bullying, including an assessment of what types of behaviours made up bullying based on the Direct and Indirect Prisoner Behaviour Checklist (DIPC©: Ireland, 1999). Results. Differences were found between school‐based definitions and those applied by offenders. In particular, offenders reported that a single act of aggression could be considered bullying and that there was not always an imbalance of power between the bully and the victim. Victims were often seen to provoke bullies. Bullies were not always respected by their peers and one‐quarter of offenders felt that the term ‘bullying’ was a ‘childish’ one. Offenders reported a range of discrete aggressive behaviours, both direct and indirect in nature, which could be considered to be bullying. Indirect behaviours were reported as bullying less frequently than direct behaviours. Conclusions. The study demonstrated how school‐based definitions of bullying do not readily apply to offenders and the findings are discussed in relation to the specific population and environment under study.     

Self-serving aspects of social cognition among adult offenders

Abstract

The different cognitive beliefs about offending exhibited by offenders are discussed. The question addressed in this paper concerns the extent to which beliefs and social knowledge about offending differentiate between different characteristic types of offending (drug abuse, theft, sexual and violent). Two hundred and ninety adult male prisoners in four Taiwanese prisons provided self-reported criminal histories. From these a crime index indicative of the proportion of offences of each type (or specialism in offending) was calculated for each offender. Offenders legitimize their own offending while they tend to regard the offences of others negatively. In this way, cognitive representations may reinforce an offender's specific pattern of criminal acts while also insulating them from pressures towards other criminal activities. Evidence is presented that offenders' social knowledge development is consolidated around crime themes.     

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.