Psychiatric and Forensic Differences Between Men Charged with Sex Offences and Men Charged with Other Offences

Studies on differences between individuals convicted of sexual offences and nonsexual offences are sparse and there is an on-going debate as to whether sexual offenders differ from other offenders. The primary aim of this study was to determine demographic characteristics, prevalence of mental disorders, alcohol and drug use at the time of the crime and the criminal responsibility of individuals charged with sexual offences, compared to nonsexual crimes, with the aim of bringing awareness to the similarities and differences between men charged with sex offences and those charged with other crimes. This is a single-institution retrospective study of subjects charged with sexual offences and sent for institutional psychiatric evaluation to a Forensic Psychiatric Centre in an urban, academic, tertiary-care center. The control group consisted of individuals charged with nonsexual offences referred to the same center. Results showed significant differences between individuals charged with sexual offences and nonsexual offences. Men charged with sex offences more frequently committed their crimes alone and victimized children equally as often as adults. They also less frequently pleaded guilty in court. They were more likely to be abused in childhood and more often had antisocial personality disorder and paraphilias and less often substance-related disorders. The majority were considered criminally responsible. Our results show that sex offenders are different from nonsex offenders in many characteristics of their personal history, offence characteristics and forensic evaluations and these particular differences warrant different approaches to the prevention of future re-offending, compared to nonsex offenders.     

The role of cognitive distortions in paedophilic offending: Internet and contact offenders compared

Abstract

Cognitive distortions are held to contribute to sexual offending against children in a number of theoretical explanations of such crimes. However, not only is there little or no direct evidence in support of the centrality of cognitive distortions in offending but recent research has questioned whether the concept has explanatory power. Cognitive distortions are variously seen as necessary for the offender to offend against children, as post-offending justifications for the offence, or as reflecting distorted patterns in the offender's upbringing. This paper explores the role of cognitive distortions in sex offending by comparing the distortions of contact sex offenders against children with Internet child pornography offenders without contact offences against children. A new cognitive distortions questionnaire was developed which was suitable for administration to Internet offenders who had no contact offences against children as well as being suitable for contact offenders. It was found that some cognitive distortions are frequently agreed with by sex offenders against children whereas others were seldom or never agreed with. Little support was found for earlier typological approaches to the cognitive schema of sex offenders against children. Contrary to the expectation that contact offenders would have more cognitive distortions, it was found that Internet offenders had more cognitive distortions that children are sexual beings. Furthermore, there were no differences in cognitive distortions justifying the offence. However, offenders with a previous history of offending were more likely to admit to cognitive distortions which justify their offending. It is accepted that cognitive distortions are readily recognized in interviews with sex offenders against children. Nevertheless, it is argued that there is a need for new research to stimulate a new understanding of the nature and role of cognitive distortions in sex offending.     

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.     

Neuropsychological and Criminological Features of Female Homicide Offenders

Few studies have examined life history and cognitive characteristics unique to female homicide offenders. Understanding these characteristics could aid in risk assessment for extreme violence in this group of offenders. The current study utilized t‐tests or chi‐square tests to compare 27 female and 81 male homicide offenders on psychiatric, neurologic, criminal, and cognitive characteristics. Additionally, we explored the role of abuse history in female offenders through Kruskal–Wallis or Fisher's exact tests. Results indicate that in comparison with male counterparts, females are more likely to have history of mood disorder, borderline personality disorder, and abuse. Cognitively, female homicide offenders exhibit circumscribed cognitive impairment in verbal abilities and perform similarly to male homicide offenders across most cognitive tasks. Within the female offender group, history of sexual abuse is associated with higher rates of impulsive homicide and poorer verbal abilities. These findings provide preliminary evidence for distinct factors associated with homicide in women.     

Japanese Sexual Offenders: A Descriptive Study

Young adult male offenders in Japanese correctional institutions were questioned confidentially about their history of sexual abuse. The self‐reported information showed that when the sexual abuse went undetected, the relationships between abuser and victim were closer, and more victims were reported to be under the influence of substances. At the same time, the nature of the sexual abuse was even more serious among self‐reported‐only (undetected) offenders in terms of direct sexual acts. In terms of unhealthy sexual preference and childhood sexual victimization, sexual abusers reported higher level of problems comparing to nonsexual abusers. Self‐reported‐only sexual abusers identified even more problems than officially identified sexual offenders. The results suggest that when we focus only on the characteristics shown by officially identified sexual offenders, we may overlook important risk and need factors that should be addressed in psychotherapy for preventing future reoffending.     

A psychometric comparison of internet and non-internet sex offenders from a community treatment sample

Abstract

This paper compares psychometric test assessments of 39 men convicted of internet sex offences with 39 convicted of contact offences against a specific victim. Higher rates of socially desirable responding were identified in the internet group, as well as higher rates of emotional loneliness and under assertiveness, although the latter two findings were not statistically significant. This group also achieved lower scores measuring external locus of control, which might reflect their generally higher levels of education and employment (identified from research carried out in tandem with this work). The internet group achieved lower scores on sexualized attitudes towards children, emotional congruence with children and empathy distortions with regard to victims of child abuse. Hence, although they exhibited the kinds of general personality problems exhibited by other sex offenders, they did not support attitudes that explicitly endorse or condone the sexual abuse of children. This paper presents some hypotheses about these results and identifies further research necessary to develop understanding about this new kind of sexually abusive behaviour.     

Childhood Sexual Abuse and HIV Risk Among Men Who Have Sex with Men: Initial Test of a Conceptual Model

Childhood sexual abuse has been associated with HIV transmission risk behavior in men who have sex with men. This study examined an adapted model that was originally developed to explain the relationship between childhood sexual abuse and HIV risk behavior among women in a sample of men who have sex with men. Men attending a large gay pride event (n=647) completed anonymous surveys that assessed demographic characteristics, childhood sexual abuse, symptoms of dissociation, trauma-related anxiety, borderline personality characteristics, hopelessness, substance use, and sexual risk behavior. A latent variable partial least squares analysis was conducted to test the interrelationships between childhood sexual abuse, exchanging sex for money or drugs, emotional disturbances, drug use, substance use in the context of sexual behavior, and sexual risk behavior. The model fit the data well and accounted for 10% of the total variance in sexual risk behavior. History of childhood sexual abuse predicted exchanging sex for money or drugs and this relationship was partly accounted for by active drug use. Substance use proximal to sexual behavior also emerged as a key factor in predicting sexual risk behavior. Findings from this study, therefore, indicate a direct association between history of child sexual abuse and high risk for HIV infection related to engaging in sex trade.     

Adult children of alcoholics: An exploration of Axis II disorders and replicated dysfunctional family patterns

This study examined Axis II personality disorders and replicated dysfunctional family patterns in adult children of alcoholics (ACAs). Parental and spousal confirming and disconfirming communication patterns, and replicated physical, sexual, and emotional abuses were explored. Sixty ACAs were assessed using structured clinical interviews and self-report measures. Sixty-five percent met DSM-IIIR criteria for one or more Axis II disorders. Failure to feel confirmed (valued) by one's alcoholic parent was significantly associated with ACA Axis II disorders and alcohol abuse. Significant relationships between physical and sexual abuses and Axis II pathology were found. Replication of childhood abuse and dysfunctional communication was also noted.     

Treating sexual offenders with learning disabilities in the community: a critical review

This study offers a critical review of a treatment group for sexual offenders with learning disabilities. The participants were diverted from criminal proceedings due to their level of cognitive functioning and attended a 7-month treatment program comprising of four main components: sex education, cognitive distortions, offending cycle, and relapse prevention. A number of psychometric assessments were administered immediately before and after intervention. Although no significant differences were found in attitudes toward sexual offending following treatment, the trend was for improvements in sex knowledge and honesty of sexual interest. Improvements in socialization skills (leisure time and interpersonal skills) were significant. No further incidents of sexual offending have been reported during a 12-month follow-up. A number of explanations for the nonsignificant improvement in attitudes are considered and recommendations for future treatment evaluation studies are made. The development of specific questionnaires and treatment programs for sexual offenders with learning disabilities is discussed.     

Juvenile sex offenders: a complex population

Individuals who engage in sexual offending behavior represent a heterogeneous population. Recent research has found some success in categorizing sexual offenders based on a number of variables, particularly the type of victim. For example, differences have been found between those offenders who victimize adults when compared with those who victimize children. However, the research in this area has been conducted predominantly with adult samples. As the adult sex offender literature has progressed, it has become evident that risk assessment, treatment effectiveness, and risk management are dependent on such offender characteristics. Unfortunately, the relevance to juveniles of characteristics deemed to be important with adult sex offenders is limited due to the complexity of developmental processes, particularly with respect to mental disorders and personality formation. As such, the formulation and implementation of treatment and risk management strategies that will be effective with juvenile sex offenders are challenging. The goal of this paper is to review some of the complexities inherent in the juvenile sex offender population by focusing on specific areas of complication, including: classification systems, comorbid paraphilias and other mental illnesses, and maladaptive personality traits.     

Sexual coping,general coping and cognitive distortions in incarcerated rapists and child molesters

Abstract

Sexual coping, general coping and cognitive distortions were investigated in 25 rapists, 36 child molesters and 25 violent offenders. Rapists did not report more support for rape-supportive distortions than the violent offender comparison group. Child molesters scored higher than the other groups on the measure of molestation-supportive distortions, although mean scores were at the low end of the scale. Consistent with previous research, all offender groups reported ineffective coping styles and child molesters reported using more emotion-oriented coping than the non-sexual offenders. Child molesters but not rapists scored higher than violent offenders on deviant aspects of sexual coping, although mean scores were at the low end of the sub-scales. Evaluation of these comparisons was aided by effect sizes. The effect sizes reveal that there may indeed be differences between rapists and the comparison group with respect to cognitive distortions and sexual coping. Modest correlations were found between deviant sexual coping and cognitive distortions. The findings are interpreted in terms of etiological development and the sexual offence process.     

Female Sexual Homicide Offenders: A Descriptive and Comparative Study

Research on female sexual homicide has been very scarce. In Europe, it has rarely been examined, and in Scotland, it has never previously been studied. This exploratory study aims to examine the characteristics of sexual homicides involving female offenders between 1990 and 2015 in Scotland. Using data from the Scottish Homicide Database between 1990 and 2015, female sexual homicides (n = 7) were compared to nonsexual homicides committed by females (n = 106) and to sexual homicides committed by men (n = 89) using Fisher's exact tests. The findings show that although female sexual homicide offenders are similar to both female nonsexual homicide offenders and male sexual homicide offenders in certain aspects, there are important differences that distinguish sexual homicides involving female offenders from both groups. Female sexual homicide offenders can arguably be seen as a distinct group of offenders, with specific characteristics and specific needs.     

Sexual Trauma and Psychological Injuries: What Experts Need to Know

This article was written to introduce readers to the bodies of work that inform experts who conduct evaluations of plaintiffs or offer generic testimony in cases involving claims of psychological injuries in the aftermath of sexual trauma, including childhood sexual abuse, adult sexual assault, and sexual harassment. In addition to summarizing the research literatures on those three areas of maltreatment, it reviews what mental health experts should know about our laws, about professional standards for evaluations, and about other relevant areas of research, such as assessment of posttraumatic stress symptoms, disclosures by young children, “normal” childhood sexual behaviors, “repressed” or “recovered” memories, memory and trauma, memory distortions, and resilience.     

Comparing male and female juveniles charged with homicide: child maltreatment, substance abuse, and crime details

This study examines a sample of 136 male and female juveniles charged with attempted homicide or homicide. The purpose of this study is to explore the differences between nondirect file male and female juvenile homicide offenders regarding individual, family, and crime circumstances. Findings suggest that compared to male juvenile offenders, female juvenile homicide offenders have higher rates of reported childhood abuse, more serious substance abuse, and mental health problems including suicidal ideations, depression, anxiety, anger, and irritability. Male juvenile homicide offenders reported higher rates of substance use than their female counterparts but the females had more serious substance abuse problems. Female juveniles were found to more often kill a person known to them and male homicide offenders were found to more often kill a stranger. These findings suggest strongly that male and female juvenile homicide offenders are dissimilar and require unique assessment and treatment.     

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.     

Childhood abuse and neurocognitive performance in adulthood: a preliminary study of executive functioning in offenders

Childhood abuse has an important negative influence on long-term executive functioning performance. Although this has been studied in non-offenders (controls), few investigations have examined offender samples. The aims of this study were: to study the influence of childhood abuse history on adulthood executive functioning in offenders, and to examine whether executive performance is affected differentially by different abusive events. It was found that in comparison with controls (n?=?17) and with non-abused offenders (n?=?22), the abused offenders (n?=?18) have poorer performance on psychomotor-cognitive processing speed and cognitive flexibility. In abused offenders, it was also found that physical abuse events primarily and significantly affected adulthood performance in these cognitive abilities. In conclusion, this study helps us to know, preliminarily, the neurocognitive profile of abused offenders and how different abusive events suffered in childhood (e.g. physical and emotional abuse) differentially affect executive functioning of this sample.     

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.     

What were they thinking? An exploration of child sexual offenders’ beliefs using a lexical decision task

Abstract

Cognitive distortions have been afforded a key role in the offending behaviour of child sexual offenders. While the mechanisms underlying cognitive distortions are not fully understood, they are generally thought to reflect entrenched beliefs that distinguish child sexual offenders from other individuals. We investigated this hypothesis using a robust experimental technique called the lexical decision task. Child sexual offenders, offender controls, and non-offender controls completed a lexical decision task in which they responded to words that completed sentences in either an offence-supportive or nonoffence-supportive manner. Contrary to predictions, child sexual offenders did not respond faster to words that were consistent with offence-supportive beliefs, relative to controls. However, they did show accelerated recognition for word stems supporting external locus of control beliefs. These results highlight the need to use cognitive experimental methods to study child sexual offenders’ beliefs, and the importance of investigating potential alternative drivers of cognitive distortions.     

Young adult sexual offenders with emerging personality disorders: developmental and offence-related characteristics and treatment engagement

ABSTRACT

In the context of the UK Government’s Offender Personality Disorder (OPD) Strategy, large numbers of high-risk young adult sexual offenders with emerging personality disorders are being screened for inclusion onto specialist intervention pathways (the OPD Pathway). However, little is currently known about the clinical and offence-related needs of this population or their impact on treatment engagement. The current study investigated the developmental, personality and offence-related characteristics of 87 incarcerated young adult sexual offenders, comparing those screened in to the pathway and those not screened in. Fifty per cent of the sample were potentially eligible for the OPD pathway. OPD eligible cases were found to have significantly higher rates of parental difficulties, developmental trauma, and childhood behavioural difficulties and to present with significantly higher rates of previous violent and sexual offences, previous allegations of sexual offences, and to have used physical coercion in their offences. The OPD sample was also significantly less likely to have pre-pubescent victims and more likely to refuse treatment, with over 70% failing to engage with the Sex Offender Treatment Programme (SOTP). SOTP non-engagement among OPD cases was most strongly predicted by categorical offence denial. Comparisons are made with the broader adolescent sexual offender literature.