Predicting Short-Term Institutional Aggression in Forensic Patients: A Multi-Trait Method for Understanding Subtypes of Aggression

Accurately predicting inpatient aggression is an important endeavor. The current study investigated inpatient aggression over a six-month time period in a sample of 152 male forensic patients. We assessed constructs of psychopathy, anger, and active symptoms of mental illness and tested their ability to predict reactive and instrumental aggression. Across all levels of analyses, anger and active symptoms of mental illness predicted reactive aggression. Traits of psychopathy, which demonstrated no relationship to reactive aggression, were a robust predictor of instrumental aggression. This study (a) reestablishes psychopathy as a clinically useful construct in predicting inpatient instrumental aggression, (b) provides some validation for the reactive/instrumental aggression paradigm in forensic inpatients, and (c) makes recommendations for integrating risk assessment results into treatment interventions.

Development and validation of videotaped scenarios: a method for targeting specific participant groups

Researchers using scenarios often neglect to validate perceived content and salience of embedded stimuli specifically with intended participants, even when such meaning is integral to the study. For example, sex and aggression stimuli are heavily influenced by culture, so participants may not perceive what researchers intended in sexual aggression scenarios. Using four studies, the authors describe the method of scenario validation to produce two videos assessing alcohol-related sexual aggression. Both videos are identical except for the presence in one video of antiforce cues that are extremely salient to the young heterosexual men. Focus groups and questionnaires validate these men's perceptions that (a) the woman was sexually interested, (b) the sexual cues were salient, (c) the antiforce cues were salient (antiaggression video only), and (e) these antiforce cues inhibited acceptance of forced sex. Results show the value of carefully selecting and validating content when assessing socially volatile variables and provide a useful template for developing culturally valid scenarios.     

Examining the Role of Static and Dynamic Risk Factors in the Prediction of Inpatient Violence: Variable- and Person-Focused Analyses

Although the construct of psychopathy is related to community violence and recidivism in various populations, empirical evidence suggests that its association with institutional aggression is weak at best. The current study examined, via both variable-level and group-level analyses, the relationship between standard violence risk instruments, which included a measure of psychopathy, and institutional violence. Additionally, the incremental validity of dynamic risk factors also was examined. The results suggest that PCL-R was only weakly related to institutional aggression and only then when the behavioral (Factor 2) aspects of the construct were examined. The clinical and risk management scales on the HCR-20, impulsivity, anger, and psychiatric symptoms all were useful in identifying patients at risk for exhibiting institutional aggression. These data suggest that factors other than psychopathy, including dynamic risk factors, may be most useful in identifying forensic patients at higher risk for exhibiting aggression.     

Aggressive behavior and measurement of psychopathy in female inmates of German prisons--a preliminary study

Studies concerning inmate psychopathy (as measured by Psychopathy-Checklist-Revised, PCL-R; Hare, 1991) have predominantly been concerned with male inmates. This study was the first to look into psychopathy using the PCL-R with the whole required procedure in German prisons with female inmates. The aims of the present study were to gain data about the prevalence of psychopathy in this sample and to examine potential relations between the types and motive of aggression, prosocial behavior and scores on the PCL-R. Sixty female inmates were examined. We obtained a prevalence rate of psychopathy of 17% (N=10, with a cut-off score of 25). Considering a wide range of subtypes of aggressive behaviors, we found that physical proactive, and relational reactive aggression as well as age predicted high scores of psychopathy. However, prosocial or helping behavior was not associated with psychopathy. Implications for diagnostic issues in forensics concerning female prisoners are discussed.     

Psychopathy and instrumental aggression: Evolutionary, neurobiological, and legal perspectives

In the study of aggression, psychopathy represents a disorder that is of particular interest because it often involves aggression which is premeditated, emotionless, and instrumental in nature; this is especially true for more serious types of offenses. Such instrumental aggression is aimed at achieving a goal (e.g., to obtain resources such as money, or to gain status). Unlike the primarily reactive aggression observed in other disorders, psychopaths appear to engage in aggressive acts for the purpose of benefiting themselves. This is especially interesting in light of arguments that psychopathy may represent an alternative life-history strategy that is evolutionarily adaptive; behaviors such as aggression, risk-taking, manipulation, and promiscuous sexual behavior observed in psychopathy may be means by which psychopaths gain advantage over others. Recent neurobiological research supports the idea that abnormalities in brain regions key to emotion and morality may allow psychopaths to pursue such a strategy—psychopaths may not experience the social emotions such as empathy, guilt, and remorse that typically discourage instrumentally aggressive acts, and may even experience pleasure when committing these acts. Findings from brain imaging studies of psychopaths may have important implications for the law.     

Empathy in sexually sadistic offenders: an experimental comparison with non-sadistic sexual offenders

Previous studies suggest that severe sexual sadism and psychopathy are phenotypically different, although both are characterized by deficits in emotional processing. We assessed empathic capacity in a sample of 12 sexual sadists in comparison with 23 non-sadistic offenders using the Multifaceted Empathy Test (MET). All participants were forensic patients under mandatory treatment orders who had committed sexual offenses. The MET is a computerized rating task that differentiates and measures cognitive and emotional components of empathy, or perspective-taking versus compassionate components. To identify the effects of possible empathy deficits caused by psychopathic traits, we controlled both samples for psychopathy as a covariate, measured by the Psychopathy Checklist-Revised (PCL-R). According to our results, sexual sadists did not differ from non-sadistic sexual offenders with regard to emotional empathy for either positive or negative stimuli. The results suggest that severe sexual sadism is a distinct, pathological sexual arousal response, not a deficit in emotional processing.     

Gaze patterns to child figures reflect deviant sexual preference in child sex offenders—a first glance

Abstract

Research on non-offending heterosexual participants has indicated that men's gaze allocation reflects their sexual preference. In this exploratory pilot study we investigated whether naturalistic gaze behaviour is sensitive to deviant sexual preferences. We compared gaze patterns of convicted heterosexual child sex offenders (CSOs; n = 13) with female victims to heterosexual non-offending men (n = 13) in a task of free-viewing images of clothed male and female figures aged 10, 20 and 40 years. CSOs dedicated more fixations to the upper body of the female child than male child figures. The pattern was different for the control sample, whose gaze pattern to male and female figures could only be differentiated when viewing adult figures. CSOs showed significantly greater difference in their gaze towards the upper body of male and female children than non-offenders. Our findings provide preliminary evidence for eye-tracking as a potential method of assessing deviant sexual interest.     

Assessment of sexual interest using a choice reaction time task and priming: A feasibility study

Purpose. We investigated the feasibility of assessing sexual interest in hetero‐ and homosexual men using two information‐processing methods, namely a choice reaction time task and priming. The participants were expected to have longer reaction times for sexually explicit when compared with non‐explicit pictures due to sexual content‐induced delay. In addition, the reaction times of the heterosexual (N=15) and homosexual (N=11) men for pictures corresponding with their sexual interest were compared to pictures not corresponding with their sexual interest. Heterosexual men were expected to have longer reaction times during the presentation of sexually explicit female as opposed to male pictures, whereas homosexual men were expected to have the opposite pattern. Method. The participants were presented either sexually explicit or non‐explicit male and female target pictures (and primes that preceded the targets in random combinations) while simultaneously performing a choice reaction time task in three phases each containing a total of 160 prime–target pairs. Results. Both expectations were confirmed in phase 1 of the study. In phase 2, the means differed in the expected way, but the effects were not significant. In phase 3, the expected effect was moderated by a complex priming effect. Conclusions. The results suggest that the choice reaction time task is a promising way of measuring sexual interest but that questions of habituation should be given more attention in future studies.     

Investigation of a typology of alcohol‐related violence defined by ultimate goals

Purpose. Alcohol‐related violence is a serious problem and treatments for high‐risk individuals need to be developed. Classification helps to route people into appropriate treatments. Drawing on animal research, we define alcohol‐related violence in relation to ultimate goals. We propose three types of violence: (1) violence in the pursuit of material goals, (2) violence in pursuit of social dominance goals, and (3) violence as defence in response to threat. The aim is to explore factors that we expect to relate to this tripartite typology, with the aim of providing a preliminary validation. Method. Participants were 149 young male prisoners who had committed an offence of violence that was alcohol related. Semi‐structured interviews elicited information about the offence that enabled classification into one of the three types. Differences between groups were examined at the event level – level of violence during the offence and alcohol consumption before the offence – and at group level – trait aggression, trait anxiety, anger control, and alcohol–aggression outcome expectancies. Results. No differences were found in levels of violence or alcohol consumption. Those whose violence was in the pursuit of material goals were high on trait aggression, trait anger, trait anxiety, and anger suppression. Those who used violence in the pursuit of social dominance showed high trait aggression and trait anger. Those whose violence was a defence in response to threat showed lower trait aggression and trait anger. Conclusion. The findings are discussed in relation to differential group profiles and treatment needs.     

Intimate violence among underrepresented groups on a college campus

Rape, sexual violence, psychological violence, and physical violence, among college students have been a concern. Lifetime events are often studied but not violence that specifically transpires while one is in college. Underrepresented groups such as Deaf and Hard of Hearing students, students who are gay, lesbian, and bisexual, and students who are members of racial and ethnic minorities have not been studied as extensively as White, heterosexual females. The authors used several measures to investigate the incidence of sexual violence, physical and psychological abuse among underrepresented groups in a random sample of 1,028 college students at a private, northeastern, technological campus in upstate New York, United States and analyzed victimization rates by gender, race/ethnicity, auditory status, and sexual orientation. Binary logistic regression analyses found that statistically significant differences are likely to exist between members of underrepresented groups and groups in the majority. The study found statistically significant associations between Deaf and Hard of Hearing students and students who were gay, lesbian, bisexual, or other sexual orientation with psychological abuse and physical abuse. Racial and ethnic minorities and gay, lesbian, bisexual, and other sexual orientation students were significantly more at risk for sexual abuse. Gay, lesbian, bisexual, and other sexual orientation students, students who were members of a racial or ethnic minority, and female students were significantly more likely to be raped. Female heterosexual students were more likely to be the victim of an attempted rape. Suggestions for further research and policy implications are provided.     

Gender-Role Stereotypes and Perceptions of Heterosexual,Gay and Lesbian Domestic Violence

Although domestic violence occurs in all types of relationships, non-prototypical cases (e.g., gay male, lesbian, female-against-male) are often overlooked. We replicated and extended previous research demonstrating that perceptions of heterosexual and same-sex domestic violence are generally consistent with gender-role stereotypes. Male and female undergraduates read one of four domestic abuse cases varying by victim and perpetrator sex and sexual orientation. Victim sex, ratherthan sexual orientation, was the most potent predictor of responses, although male-against-female violence was considered the most serious and deserving of active intervention. Domestic violence perpetrated by men or against women was judged more serious than violence perpetrated by women or against men. Perceptions that male perpetrators were more capable of injuring victims, and female victims were more likely to suffer serious injury were consistent with gender-role stereotypes.     

Psychopathy Factors and Risk for Aggressive Behavior: A Test of the “Threatened Egotism” Hypothesis

The primary purpose of this study was to examine psychopathy within a model of aggressive behavior that encompasses narcissism and "threatened egoism." This model was advanced by Baumeister and his colleagues (e.g., R. F. Baumeister, L. Smart, & J. M. Boden, 1996; B. J. Bushman & R. F. Baumeister, 1998). We examined whether the threatened egotism model extends to the construct of psychopathy and whether the two factors underlying psychopathy exhibit different associations with aggression within this model. Self-report data, correctional officer and counselor reports, and disciplinary report information obtained for 98 male inmates provided partial evidence that psychopathic individuals tend to respond aggressively when confronted with an ego threat. Moreover, psychopathic individuals exhibited this pattern of aggression more strongly than did narcissistic individuals. These findings bear potentially useful implications for the understanding and treatment of aggression in forensic populations.     

Effects of Defendant Sexual Orientation on Jurors’ Perceptions of Child Sexual Assault

We examined mock jurors’ reactions to a sexual abuse case involving a male teacher and a 10-year-old child. Because gay men are sometimes stereotyped as child molesters, we portrayed defendant sexual orientation as either gay or straight and the victim as either a boy or girl. Jurors made more pro-prosecution decisions in cases involving a gay versus straight defendant, particularly when the victim was a boy. In boy-victim cases, jurors’ emotional feelings of moral outrage toward the defendant mediated these effects. On average, women jurors were more pro-prosecution than were men. Results have implications for understanding social perceptions of cross- and same-gender child sexual abuse and juror decision making in child sexual assault cases perpetrated by homosexual and heterosexual men.

Sex and ethnic differences in past aggressive behaviors

To investigate gender and ethnic differences in experiences of violence, 415 Black and White males and females were asked about some of their aggressive behaviors in the past. In their most aggressive encounters, males were more likely than females to have received and instigated physical violence and females to have experienced violence in a sexual context; same-sex aggression was more common than cross-sex violence. More males than females had urged or screamed at others to be more aggressive, with males more likely to incite other males and females to urge other females to be aggressive. Males were more likely than females to have last been angry with a male, and a number of sex differences were found in the behaviors exhibited when last angry. Although positive consequences of aggression did not differ significantly by sex, females were more likely to have experienced negative interpersonal effects of behaving aggressively and males to have suffered physical harm or legal troubles. Relatively few differences between Black and White subjects were found, but Black males were more likely than Whites to keep their anger to themselves and to get the target in trouble; White males were more likely to yell at the target and tell the target of their anger. White females were more likely than Blacks to get the target in trouble. In general, the results are consistent with sex role stereotypes and suggest that the experiences of aggression and responses to anger may be substantially different for males and females.     

Measuring sexual interest using a pictorial modified Stroop task,a pictorial Implicit Association Test and a Choice Reaction Time task

Abstract

Tasks that can measure sexual interest successfully have utility in forensic settings. Prior to use with problematic sexual interest, however, work is needed in validating such tasks. This study focused on the measurement of non-deviant sexual interest. Eleven gay and 14 straight participants each completed a pictorial Implicit Association Test (IAT), a pictorial modified Stroop task (P-MST) and a Choice Reaction Time (CRT) task. Each task was designed to tap into the sexual interest of participants. Stimuli were of males and females in bathing suits, along with control images and sexual and non-sexual words. The IAT was most successful in differentiating between gay and straight participants. The P-MST also performed well, although the task's position within the battery of tasks seemed to affect the results. The CRT task did not show group differences successfully. Theoretical and methodological implications of the effectiveness of the three tasks in tapping into sexual interest are discussed.     

Psychological abuse of women: Six distinct clusters

This study was designed to identify patterns of psychological abuse (abuse) and determine whether different patterns mediate the effects of violence and sexual aggression. Interviews were completed with 578 (80.3%) of 720 women who volunteered for a study of “bad” or “stressful” heterosexual relationships. Cluster analysis with 51 items assessing many types of subtle and overt psychological abuse identified six groups. Cluster 1 sustained the most serious abuse, violence, and sexual aggression, but partners did not denigrate women or control finances. Cluster 2 sustained serious abuse which was more subtle than the dominating-controlling abuse discussed by others and had moderate violence and sexual aggression scores. Cluster 3 scored relatively low on abuse but reported controlling types (e.g., isolation, enforced secrecy) and relatively little violence and sexual aggression. Cluster 4 sustained the least abuse, violence, and sexual aggression but the abuse was overt (e.g., criticism, several types of control). Clusters 5 and 6 were similar with high abuse and moderate violence and sexual aggression scores but they experienced very different types of abuse. Total psychological abuse, threats of violence, acts of violence, and sexual aggression scores made different contributions to women's health, help seeking, and relationship perceptions depending on the pattern of abuse they sustained. Results for each type of harmful act are discussed separately.     

Equal Rights vs. Special Rights: Rights Discourses,Framing, and Lesbian and Gay Antidiscrimination Policy in Washington State

This study argues that rights discourse influences heterosexual public opinion in Washington State. We tested this through a survey experiment conducted in the 2011 Washington Poll. We broke interviewees into three groups, with each group exposed to a different frame: a pro–lesbian and gay equal rights frame, an anti–lesbian and gay special rights frame, and a control or no frame. Immediately following the treatment, we asked interviewees if they agreed with a pro–lesbian and gay policy: changing state antidiscrimination law to encompass those who identify as lesbian and gay. Overall, this study concludes that a special rights frame dampens support among some while an equal rights frame has no effect. Respondents who indicated that they were against same‐sex marriage even more strongly opposed altering antidiscrimination policy to include sexual orientation when confronted with an equal rights frame than when confronted with the special rights frame or no frame at all.     

Posttraumatic Stress Disorder Symptoms,Traumatic Reminders,and Partner Aggressive Tendencies Among Veterans

This study examined whether laboratory exposure to traumatic reminders potentiated the relationship between veterans’ posttraumatic stress disorder (PTSD) symptoms and intimate partner aggression (IPA) articulations elicited during an anger-induction task. The sample included 82 male Operation Iraqi Freedom/Operation Enduring Freedom veterans. The Articulated Thoughts in Simulated Situations (ATSS) procedure was used to assess physical IPA articulations (i.e., expressions of physically aggressive intentions toward the partner) and verbal IPA articulations (i.e., statements intended to insult or demean the partner) made during “relationship anger” provoking scenarios. Participants were administered versions of the ATSS both with and without trauma cue presentation. Results indicated that trauma cue exposure potentiated the relationship between veterans’ PTSD symptoms and physical IPA articulations, but did not strengthen the significant relationship between PTSD symptoms and verbal IPA articulations. Findings contribute to the literature on veterans’ PTSD symptoms and IPA perpetration by highlighting the influence of traumatic reminders.     

The inverse relation between psychopathy and faking good: not response bias,but true variance in psychopathic personality

The possibility to assess psychopathy through self-report is debated, amongst others, because psychopathic individuals may deliberately underreport psychopathic features (fake good). Meta-analytic research has shown an inverse relation between faking good and self-reported psychopathy, possibly indicating that faking good lowered psychopathy scores (response bias). Low faking good scores, could, however, also reflect true variance in psychopathic personality to the extent that it reflects a disregard of social conventions. Through a secondary analysis (n = 675), we show that controlling for faking good significantly weakens, rather than strengthens, the associations between psychopathy scores and antisocial behavior (alcohol and drug abuse, indirect aggression, and delinquency). These findings indicate that the inverse relation between faking good and self-reported psychopathy reflects true variance in psychopathy personality (i.e. low social desirability), not a response bias.