Sexual offenders with learning disabilities: risk,recidivism and treatment

Abstract

While the literature on the assessment, treatment and management of non-learning disabled sexual offenders is well established, it is only in recent years that researchers and clinicians have focused on sexual offenders with learning disabilities. In contrast to mainstream sex offender treatment programmes, there are few evaluated community-based treatment programmes for sexual offenders with learning disabilities, and of the small number of published studies that describe treatment programmes, most are based on small samples and few have been validated empirically. Sexual offenders with learning disabilities differ from their non-disabled counterparts in several important ways, having implications for management and treatment. Due to methodological differences between studies, the prevalence of sexual offending by men with learning disabilities is not clear. However, in some studies, the sexual recidivism rate of offenders with learning disabilities is 6.8 times and 3.5 times that of non-disabled sexual offenders at 2- and 4-years’ follow-up, respectively. Sexual offenders with learning disabilities are also at greater risk of re-offending in a shorter time period. There remains an urgent need for further research into the assessment of risk and whether components from mainstream treatment programmes can be adapted to meet the needs of learning disabled sexual offenders. Approaches to working with sexual offenders with learning disabilities and programme development are discussed.     

Class,gender and voting in Italy

This article focuses on changing voting patterns in Italy after the demise of the traditional parties and explores two main issues. Has voting become ‘individualised’, with a breakdown of class‐based and locally based sub‐cultures? Have gender voting patterns become homogenised or is there a re‐emergence of a gender gap in voting (as detected in other European countries)? Having established that a marked discrepancy between male and female voters exists in Italy today, the article assesses the nature of the discrepancy and its consequences in terms of the political influence of male and female voters and the resilience of political sub‐cultures.     

Saving virgins,saving the USA: heteronormative masculinities and the securitisation of trafficking discourse in mainstream narrative film

Sex trafficking has become a high-profile, celebrity endorsed issue, attracting much international attention. Accompanying this has been a proliferation of films, including full-length feature films, which address the topic and have done much to influence public perception of the issue. This paper analyses two of these films which were made for the mainstream US market: Trade and Taken. Both films present a conservative and heteronormative perspective revolving around middle-aged North American law enforcement officers rescuing innocent young girls. Hence, these films participate in the general securitisation of trafficking discourse in which the US has been a leader. In spite of their ostensible concern about the exploitation of women, these films present trafficking mostly as an occasion for the redemption and rehabilitation of the beleaguered white American male, appropriating the problem of trafficking in the service of a US-led neo-imperialism bolstered by masculinism and xenophobia, and implicitly problematising women's independence and justifying the control of their movements and sexuality.     

Immigrant protests in Toronto: diaspora and Sri Lanka's civil war

As Sri Lanka's civil war escalated in the spring of 2009, protests led by the Sri Lankan Tamil diaspora in Toronto appealed for an immediate ceasefire agreement between the Sri Lankan government and the Liberation Tigers of Tamil Eelam (LTTE). Held simultaneously in Chennai, London, and Oslo, the protests called for an end to the hostilities in Sri Lanka as well as recognition of the legitimacy of Tamil Eelam, a separate nation state for Tamils in Sri Lanka. Based on interviews and media coverage in Toronto, this article investigates how these ‘immigrant protests’ constituted ‘transnational acts of citizenship’. I examine the Toronto protests through three acts in the protest that challenged the exclusions of national citizenship by moving from Toronto's streets, statist discourses of Canadian citizenship, and the violence of war in Sri Lanka. Although these transnational acts of citizenship were rendered inaudible in public culture, the article concludes by exploring the possibilities of citizenship and belonging in the Sri Lankan Tamil diaspora following the defeat of the LTTE.     

La Grande Nation and Agriculture: The Power of French Farmers Demystified

France is considered a strong state, but French governments have always fiercely defended the interests of French farmers in European and global negotiations. Why would a ‘strong state’ be unable to resist farm lobby pressure? Is agriculture an exception to the French ‘strong state’ rule? This article offers a structural model of varying state sensitivity to interest group pressure, and argues that farm lobby pressure cannot fully explain French foreign policy on agriculture, as governments often go against farmers' preferences and as the level of pressure varies more than the continuity of governmental preferences. From an analysis of the negotiations on the CAP and the GATT in the 1960s and in the 1990s it emerges that ideational constraints played a major role in French obstinacy. The defence of French identity as La Grande Nation, necessitating a presence in world agricultural markets, and the defence of a strong Europe under French leadership as a counterweight to the United States, have guided French preferences without regard to the farmers' positions.     

Review of Heng Choon (Oliver) Chan & Lorraine L. Sheridan,Psycho-Criminological Approaches to Stalking Behavior: an International Perspective

Asian Journal of Criminology -     

Risk factors and consequences of unwanted sex among university students: hooking up, alcohol, and stress response

This is the first study of unwanted sexual experiences in the collegiate "hooking-up" culture. In a representative sample of 178 students at a small liberal arts university. Twenty-three percent of women and 7% of men surveyed reported one or more experiences of unwanted sexual intercourse. Seventy-eight percent of unwanted vaginal, anal, and oral incidents took place while--"hooking up,"--whereas 78% of unwanted fondling incidents occurred at parties or bars. The most frequently endorsed reason for unwanted sexual intercourse was impaired judgment due to alcohol. The most frequently endorsed reason for unwanted fondling was that it happened before the perpetrator could be stopped. Of those affected by unwanted sexual intercourse or unwanted fondling, 46.7% and 19.2% reported unwanted memories, 50% and 32.7% reported avoidance and numbing responses, and 30% and 26.9% reported hyperarousal responses, respectively. A preliminary model of unwanted sex and collegiate social dynamics is proposed to provide a heuristic for further research.     

A fatal doxepin poisoning associated with a defective CYP2D6 genotype

It has been suggested that the polymorphism of the CYP2D6 gene can contribute to occurrence of fatal adverse effects. We therefore investigated postmortem toxicology cases of fatal drug poisonings related to CYP2D6 substrates, with the manner of death denoted as accidental or undetermined. CYP2D6 genotypes were determined in 11 consecutive cases with samples available for DNA analysis. A case of fatal doxepin poisoning with an undetermined manner of death was found to coincide with a completely nonfunctional CYP2D6 genotype (*3/*4), indicating a total absence of CYP2D6 enzyme and suggesting a poor metabolizer phenotype. The doxepin concentration was 2.4 mg/L, the concentration of nordoxepin 2.9 mg/L, and the doxepin/nordoxepin ratio 0.83, the lowest found among the 35 nordoxepin-positive postmortem cases analyzed during the same year. No alcohols or other drugs were detected in the case. The CYP2C19 genotype was determined as that of an extensive metabolizer. The high N-desmethylmetabolite concentration is not consistent with acute intoxication. It is therefore probable that the defective genotype has contributed to the death, possibly involving repeated high dosage of doxepin. Our case strongly emphasizes that a pharmacogenetic analysis in postmortem forensic setting may reveal new insight to the cause or manner of death.     

Violent crime and substance abuse: a medico-legal comparison between deceased users of anabolic androgenic steroids and abusers of illicit drugs

Several case reports and survey studies have indicated that abuse of anabolic androgenic steroids (AAS) often leads to increased aggressiveness and feelings of hostility that may occasionally trigger violent behaviour. Other observations indicate that many users of AAS also abuse alcohol and/or various illegal substances. Since substance abuse is a well-known risk factor for violent behaviour, it could be that violence committed by AAS users might, at least in many cases, actually be caused by abuse of other drugs. In order to examine this possibility further here, the criminal histories (in terms of incidences of convictions) of deceased users of AAS with (AASpos-subst.pos) and without (AASpos-subst.neg) signs of abuse of other illegal substances were compared to the corresponding histories of deceased users of illicit substances testing negatively for AAS (subst.pos-AASneg) at the time of autopsy. The risk of being convicted for a crime against property was significantly higher in the subst.pos-AASneg group than in either the AASpos-subst.neg or AASpos-subst.pos groups (RR=0.048 versus 0.408). At the same time, the risk of being convicted for a crime of violence was at least as high for the two AAS-positive groups as for the AAS-negative group. Furthermore, when compared with the first 3 years after the first criminal conviction, a pronounced increase in the proportion of incidence of violent crimes and a marked reduction in the proportion of incidence of crime against property was observed during the 3-year period immediately preceding death only among the AASpos-subst.neg subjects. In conclusion, the incidence of violent crime among users of AAS without signs of other drug abuse was comparable to the corresponding incidences for drug addicts without AAS use. This observation suggests that the violent criminality observed among AAS users is not confounded in any systematic fashion by abuse of other drugs. The findings also indicate that use of AAS in certain predisposed individuals might cause a high rate of violent crimes, especially if the use of AAS is combined with the use of other illegal substances.     

Structural validity of the posttraumatic stress disorder checklist among college students with a trauma history

The authors conducted confirmatory factor analyses to test three-factor and four-factor models of posttraumatic stress disorder (PTSD) using the PTSD Checklist with college students reporting a traumatic event history. The authors found support for the three-factor DSM-IV-based PTSD diagnostic model including reexperiencing, avoidance/numbing, and hyperarousal symptom factors, with slightly better support for a four-factor model separating the avoidance and numbing factors. Results further attest to the PTSD Checklist's construct validity, and to research finding that PTSD avoidance and numbing constructs are distinct.