Dynamic risk and sexual offending: the conundrum of assessment

ABSTRACT

The potential to reduce sexual victimisation, promote community safety, and decrease incarceration costs has resulted in considerable progress in terms of how we understand and predict sexual recidivism. And yet, the past decade has seen a degree of fragmentation emerge as research attention has shifted away from relative risk prediction (with its focus on static risk factors) to the identification of factors capable of reducing risk through intervention (i.e. dynamic risk). Although static and dynamic risk are often treated as orthogonal constructs [Beech, A. R., & Craig, L. A. (2012). The current status of static and dynamic factors in sexual offender risk assessment. Journal of Aggression, Conflict and Peace Research, 4(4), 169–185. doi:10.1108/17596591211270671], there are arguments to support a claim that the two are in fact functionally related [see Ward, T. (2015). Dynamic risk factors: Scientific kinds or predictive constructs. Psychology, Crime & Law (in 22(01–02), 2–16); Ward, T., & Beech, A. R. (2015). Dynamic risk factors: A theoretical dead-end? Psychology, Crime & Law, 21(2), 100–113. This discussion clearly affects how we assess dynamic risk. This review considered several commonly used methods of assessment and the evidence offered for their predictive accuracy. Of note were differences in the predictive accuracy of single psychometric measures versus composite scores of dynamic risk domains and the conventions used for establishing effect sizes for risk assessment tools.     

Self-esteem and its relationship to sexual offending

Abstract

The concept of self-esteem and its measurement, and its relationship to self-efficacy, is examined. From this survey of the research, and from what is known about sexual offenders, it is proposed that self-esteem plays a role in the etiology and maintenance of sexual offending. Inferences are then made concerning the need to enhance the self-esteem of sexual offenders and procedures for doing this are outlined. Finally, the need for more extensive research of the self-esteem of sexual offenders is made dear.     

Performance intelligence,sexual offending and psychopathy

Abstract

Previous studies have suggested that offenders have lowered verbal intelligence compared to their performance intelligence. This phenomenon has been linked traditionally to childhood risk factors (e.g. deficient education, abuse and neglect). Substantial discrepancies between performance intelligence quotients (PIQ) and verbal intelligence quotients (VIQ), however, might also point to neurobiological impairments which may be associated with specific types of criminal behaviour. From the files of 133 male hospitalized offenders, PIQ, VIQ, full scale IQ (FSIQ) scores and Psychopathy Checklist–Revised (PCL-R) scores were derived, along with information about their criminal histories. PIQ over VIQ discrepancies were most pronounced in sexual offenders, particularly in those who had committed sexual crimes against adult victims. Furthermore, PIQ as well as PIQ higher than VIQ discrepancies correlated modestly, but significantly, with PCL-R scores. The results suggest that lower verbal compared to visual and spatial abilities may be connected specifically to egocentric and narcissistic personality traits which, in turn, may be involved in raising the risk of sexual offending.     

Pathways to sexual offense recidivism following treatment: an examination of the Ward and Hudson self-regulation model of relapse

Ward and Hudson (1998, 2000) proposed a self-regulation model of relapse in sexual offenders, which classifies offenders into one of four pathways. This study examined the validity of the model, whether sexual recidivists are characterized by one predominant pathway and offense type, and whether participants would change pathway pre- to posttreatment intervention. Twenty-five sexual offenders who had participated in a comprehensive cognitive-behavioral treatment program during a prison sentence, but committed a further sexual offense on their release from custody, participated in the study. Results supported the content validity of the model. The predominant pathway pre- and posttreatment was approach explicit. The hypothesis that participants would change pathway posttreatment was not supported. These results may have implications for the efficacy of treatment of approach-explicit sexual offenders.     

The assessment of risk to recidivate among a juvenile offending population

The Florida Department of Juvenile Justice has implemented a new fourth-generation risk/need assessment to assess the risk to re-offend for juveniles referred to the department. The new assessment, the Positive Achievement Change Tool, or PACT, is adapted from the validated Washington State Juvenile Court Assessment, on which the Youth Assessment Screening Inventory (YASI) was also modeled. This study validated the PACT assessment, and examined whether the instrument is as predictive of female delinquency as it is of male delinquency, utilizing subsequent official delinquency referral as the dependent measure. Gender differences were explored and illustrated the instrument to be effective in predicting female and male delinquency, yet the factors predicting female delinquency did not mimic those predictive of male delinquency. Furthermore, for both male and female juveniles, a score of environmental and personal characteristics and situations had a stronger relationship with recidivism than did a score of official criminal history.     

Social anxiety and sexual offending against children: A cumulative meta-analysis

Abstract

We examined the extent to which sexual offenders against children (SOC) differ from men who do not offend against children (non-SOC) on social anxiety. In study 1, 30 SOC and 31 non-sex offenders (NSO) were compared on a self-report measure of social anxiety (Social Avoidance and Distress Scale; SADS). SOC and NSO had virtually identical levels of social anxiety. In study 2, we conducted a meta-analysis of existing comparisons of SOC with various non-SOC groups on the SADS. SOC were generally more socially anxious than non-SOC. These findings suggest that the average SOC is more socially anxious than the average male who does not sexually offend against children. It remains unclear, however, whether social anxiety plays a causal role in the initiation of child sexual abuse.     

The relationship between risk,deviance, treatment outcome and sexual reconviction in a sample of child sexual abusers completing residential treatment for their offending

Abstract

The study investigated the relationship between static and dynamic risk and reconviction in a sample of child sexual abusers who had completed a long-term residential treatment programme for their sexual behaviour problems. Results found that only High/Very High risk men as measured by a static risk assessment schedule (Risk Matrix 2000) were reconvicted for sexual offences (17% over a 2-year period, 42% over a 5-year period). Results also showed that it was generally men who were rated as a high level of dynamic risk that were reconvicted for a sexual offence (13% versus 5% over a 2-year period; 44% versus 10% over a 5-year period). The study also indicated the benefits of residential treatment for such High risk/High Deviance men in that no men who left the programme having responded to treatment had been reconvicted for sexual offences at either follow-up period.     

Theorising sexual media and sexual violence in a forensic setting: Men's talk about pornography and offending

This article reports findings from a discourse analytic study which critically explored the language of mental health nurses, and detained sexual offenders, in relation to pornography in one high-security hospital. It recognised previous empirical investigation, and pro-feminist theorising, into mediated representations and male sexual violence, but situated the research process in a forensic nursing context. Decision-making about access to, or restriction of, commercial sexual literature, as a component of therapeutic intervention and offender management, reveals tensions between service-user rights and treatment goals. The aim was to access nurse and patient talk in a specific culture. Semi-structured interviews with eighteen nursing staff, and nine patients, were used to co-construct accounts of pornography, sexual offending, and treatment. Analysis and data collection were undertaken concurrently. Interviews were audio-taped and transcribed. Data was coded to identify theoretical/conceptual themes and sub-themes representing discursive repertoires. Attention was given to how textual variation positioned respondents in relation to each other and the institution. Findings suggested collective male talk textured the environment, promoted gendered inequality, marginalised female nurses, and undermined rehabilitation. Shared discourse enabled male staff and patients to relate to each other as men, while maintaining distance through constructions of otherness. Discussion focuses on discriminatory discursive-practices, where men's talk about pornography and sexual violence embodied gendered knowledge/experience and contributed to a toxic culture. Consideration is given to ways of resisting institutional impediments and promoting positive therapeutic relations.     

Trends in the management of registered sexual offenders across England and Wales: a geographical approach to the study of sexual offending

Abstract

Social scientists, and geographers in particular, have long been interested in examining spatial patterns of offending in order to generate a “geography” of crime and criminality. This paper examines what value, if any, a geographical approach to the study of sexual offending might offer. Utilising published official data from England and Wales it presents for the first time geographical analyses of the registration, risk assessment and management of Registered Sexual Offenders (RSOs) across 42 Multi-Agency Public Protection Arrangement (MAPPA) areas. In doing so it considers and evaluates the methodological issues pertaining to the use of such data and such a geographical approach. We conclude that geographical interpretations of both the incidence of RSOs and the rates of risk allocations between MAPPA areas provide valuable insights and raise new questions about the way in which RSOs are managed nationally and are thus worthy of further exploration.     

Profiles in the offending process of nonserial sexual murderers

The aim of this study was to investigate specific pathways in the offending processes of nonserial sexual murderers and to examine possible relationships with different precrime, per-crime, and postcrime factors. Included in this study were 36 offenders who have committed at least one sexual murder against a female victim and they were classified using cluster analysis. Participants using the sadistic pathway planned their offenses and used physical restraints during the offenses. Furthermore, they mutilated and humiliated their victims. Finally, they hid the bodies of the victims. Participants using the anger pathway had not premeditated the homicide. Mutilation, humiliation, and physical restraints were less predominant with these participants than with those using the sadistic pathway. Moreover, these offenders were more likely to leave the bodies at the crime scenes after the killings occurred. These two profiles are compared with empirical studies addressing sexual homicide.     

Sex offending and sexual appetite: the clinical and theoretical relevance of hypersexual desire

Disinhibited sexual desire, clinically manifested as hypersexual desire disorders, can be operationally defined by considering three behavioral domains associated with sexual motivation or appetitive behavior: (a) sexual preoccupation (time/day consumed by fantasies, urges, and activities), (b) the repetitive frequency of enacted sexual behavior (total sexual outlet/week), and (c) adverse consequences associated with repetitive sexual behavior: Data are presented suggesting that clinical samples of males with paraphilias, paraphilia-related disorders, and sexual coercion may be associated with disinhibited sexual appetite. These conditions need to be addressed by an integrated combination of psychotherapeutic and psychopharmacologic interventions that specifically target disinhibited sexual appetitive behaviors, their antecedents, and consequences. Although combination therapies (empirically based specific psychotherapies in conjunction with psychopharmacological treatments) have demonstrated superior efficacy in many Axis I psychiatric disorders, such combination therapies to reduce paraphilias, paraphilia-related disorders, and adult sexual coercion are currently underutilized in both North and South America and Europe.     

Ward and Siegert's Pathways Model of child sexual offending: a cluster analysis evaluation

In the Pathways Model of child sexual offending, Ward and Siegert originally hypothesised the existence of five pathways or subtypes of child molesters, each characterised by a unique configuration of psychological deficits. We administered a battery of 10 psychometric measures to a sample of 97 UK child molesters and then attempted to identify and validate five unique configurations using a k-means cluster analysis. The results suggested that a five-cluster resolution provided the best fit for the data. Three of the extracted clusters showed some resemblances to the pathways originally hypothesised by Ward and Siegert (namely the intimacy deficits, antisocial cognition, and multiple dysfunction pathways). However, two clusters did not fit comfortably with any of the predicted pathways proposed by Ward and Siegert. These two clusters were labelled ‘impulsivity’ and ‘boy predators’ to reflect their psychological vulnerabilities. We describe our findings with reference to future research, treatment implications, and a tentative reworking of the pathways model.     

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.     

Experiences of engaging in psychotherapeutic interventions for sexual offending behaviours: A meta-synthesis

Abstract

This meta-synthesis explores individuals' experiences of engaging in psychotherapeutic interventions for sexual offending. The findings of ten qualitative studies were integrated and five over-arching concepts emerged: (1) incentives and inhibitions: to engage or not to engage?; (2) help or hindrance: the impact of others in therapy; (3) the abused and the abuser: perspectives for transformation; (4) struggling and striving: dealing with distress and difficulties and (5) what works: inside and outside. A line of argument derived from these concepts is proposed as a framework for understanding sex offenders' experiences of therapy and highlights aspects of treatment programmes that need further exploration or emphasis. Using qualitative accounts can improve the responsiveness of treatment programmes, but such research is currently limited. Future qualitative studies and reviews could help further improve the effectiveness of treatment programmes, and thereby reduce the rate of sexual reoffending.     

Toward a multidimensional model for sexual recidivism risk

The paradigm underlying current sexual offender recidivism risk assessment procedures conceptualizes such risk in a linear fashion, ranging on a single continuum from 0% to 100%. Each risk and protective characteristic thought of relevance in an evaluation is used as an indicator of increased or decreased risk, respectively, along that same continuum. This conceptualization of risk was useful as a starting place for the application of empirically supported risk and protective factors. On the other hand, this perspective is likely simplistic and therefore potentially results in some errors that a more sophisticated assessment model would avoid. Recent research findings indicate support for a multidimensional model for sexual recidivism risk. This article explores what we already know about the existence of multiple risk dimensions, what those dimensions may be, and which risk factors assess which dimension. Implications for risk assessment procedures are discussed including how risk evaluations using this model might be conducted.