Sexual Abuse: A Journal of Research and Treatment recent issues

Good Science and Progress in Sex Offender Treatment Are Intertwined: A Response to Marshall and Marshall (2007)

2008-09-03

Good Clinical Practice and the Evaluation of Treatment: A Response to Seto et al

Marshall, W.L., Marshall, L.E. — 2008-09-03

It's All About Me: A Brief Report of Incarcerated Adolescent Sex Offenders' Generic and Sex-Specific Cognitive Distortions

2008-09-03

This study investigated the scope of cognitive distortions and their relationship to empathy among adolescent sex offenders. Self-report measures of sex-specific and generic self-serving cognitive distortions as well as empathy were administered to 175 male sex offenders aged 12 to 20 incarcerated at a juvenile correctional facility. Generic distortions (e.g., attribution of carelessness to theft victims) were elevated and correlated with sex-specific distortions (e.g., attribution of promiscuity to rape victims). Sex-specific and generic distortions were each inversely associated with unique variance in empathy. Relationships of the distortions to particular contexts of victimization and empathic distress (i.e., for their own sexual abuse victim, another offender's sexual abuse victim, or an accident victim) were also explored. Results suggested that adolescent sex offenders' self-serving cognitive distortions may pervasively neutralize concerns for victims and, therefore, that treatment programs should aim to remediate not only their sex-specific but also their generic self-serving cognitive distortions.

Professional Perspectives on Sexual Sadism

McLawsen, J. E., Jackson, R. L., Vannoy, S. D., Gagliardi, G. J., Scalora, M. J. — 2008-09-03

Significant controversy surrounds the diagnosis of sexual sadism. Research suggests that many characteristics attributed to sexual sadists fail to differentiate sexual offenders with and without this diagnosis. Furthermore, when there are differences between sadists and nonsadists, "sadistic" features are frequently associated with nonsadists. Finally, diagnosticians appear to use idiosyncratic methods to diagnose sexual sadism. These findings raise concerns about the reliability and validity of a diagnosis of sexual sadism, particularly with respect to how professionals conceptualize this diagnosis. This study examines how professionals understand the relative importance of behaviors associated with sadistic versus nonsadistic sexual offending. Professionals rated behaviors according to their "essentialness" for this diagnosis. Results show that professionals rated behaviors associated with three out of four conceptualizations of sexual sadism as significantly more essential to making a diagnosis of sexual sadism, compared to behaviors associated with nonsadistic sexual offending. Results suggest that professionals reliably discriminate between sadistic and nonsadistic offense behaviors.

Moral Repair With Offenders: Ethical Issues Arising From Victimization Experiences

Ward, T., Moreton, G. — 2008-09-03

In this article, the authors examine the relevance of the concept of moral repair for sex offenders who have been victims of sexual or physical abuse. First, they briefly review the literature on victimization rates and effects in sexual offenders. Second, the notion of moral repair and its constituent tasks is examined with particular emphasis given to Margaret Walker's recent analysis of the concept. Third, the concept of moral repair is applied to offenders and its implications and possible constraints discussed. Fourth, the authors outline a normative framework for addressing victimization issues with sexual offenders, drawing on the resources of human rights theory and strength-based treatment approaches. Finally, they conclude with a brief consideration of the ethical and clinical implications of their normative model.

Individual Beliefs, Attitudes, and Victimization Histories of Male Juvenile Sexual Offenders

Zakireh, B., Ronis, S. T., Knight, R. A. — 2008-09-03

This study examined the individual beliefs and attitudes (e.g., sexuality, aggression, criminality) and victimization histories of 100 male youths who were divided equally into four demographically similar groups: (a) sexual offenders in residential placement, (b) sexual offenders in outpatient treatment, (c) nonsexual offenders in residential placement, and (d) nonsexual offenders in outpatient treatment. Based on youths' reports on the Multidimensional Assessment of Sex and Aggression and the Millon Adolescent Clinical Inventory, results showed that juvenile sexual offenders in residential placement had the most negative sexual and aggressive attitudes. There were also other noted differences between the two groups of sexual offenders as well as between youths with histories of sexual offenses and juvenile offenders with no such histories. The implications of these findings for research, theory, treatment, and risk assessment are discussed.

A Descriptive Model of the Offense Process for Female Sexual Offenders

Gannon, T. A., Rose, M. R., Ward, T. — 2008-09-03

Although considerable efforts have been made to develop and validate etiological models of male sexual offending, no theory is available to guide research or practice with female sexual offenders (FSOs). In this study, the authors developed a descriptive, offense process model of female sexual offending. Systematic qualitative analyses (i.e., grounded theory) of 22 FSOs' offense interviews were used to develop a temporal model documenting the contributory roles of cognitive, behavioral, affective, and contextual factors in female sexual abuse. The model highlights notable similarities and divergences between male and female sexual offenders' vulnerability factors and offense styles. In particular, the model incorporates male co-offender and group co-offender influences and describes how these interact with vulnerability factors to generate female sexual offending. The gender-specific research and clinical implications of the model are discussed.

The Relationship Between Developmental Variables, Personality Disorder, and Risk in Sex Offenders

Craissati, J., Webb, L., Keen, S. — 2008-05-19

Previous research on the evaluation of the Challenge Project, a community treatment program for sex offenders in southeast London, identified the potential role of key developmental variables as enhancing actuarial risk measures to identify individuals at highest risk for community failure. The aim of the current study was to assess the relationship between developmental variables and later personality dysfunction in adult-hood, and the contribution of these factors to assessing risk for sexual recidivism, in a wider group of sex offenders managed in the community by the probation service. Over an 8-month period, 241 participants were assessed, including 162 child molesters and 79 rapists. A wide range of background data were collected, including the administration of several psychometric measures. A strong relationship was found between key developmental variables and adult mental health and personality difficulties, as well as a range of risk measures. The implications of the findings for further research are discussed.

Childhood Maltreatment and Cluster B Personality Pathology in Female Serious Offenders

Loper, A. B., Mahmoodzadegan, N., Warren, J. I. — 2008-05-19

The authors examined early maltreatment among serious female offenders at a maximum-security correctional facility, contrasting the maltreatment histories of inmates with and without Cluster B personality pathology. Women were interviewed regarding the frequency of 13 indicators of psychological or physical abuse perpetrated by maternal or paternal caregivers and the frequency of 10 types of sexual abuse perpetrated by persons at least 5 years older. Reports were based on inmates' recollected worst years of maltreatment before age 16. Women in both diagnostic groups reported substantial early maltreatment. Cluster B inmates reported higher levels and a greater variety of maternal and paternal physical and psychological abuse but were not distinguished from non—Cluster B inmates on levels of childhood sexual abuse. Inmates reported more physical and psychological abuse from maternal than paternal caregivers. The results document the high levels of childhood maltreatment of female prisoners and the relevance of this history to personality pathology.

Initial Psychometric Properties of a Treatment Planning and Progress Inventory for Adolescents Who Sexually Abuse

Oneal, B. J., Burns, G. L., Kahn, T. J., Rich, P., Worling, J. R. — 2008-05-19

This article presents the initial psychometric properties of a treatment planning and progress inventory for adolescents with sexual behavior problems, the Treatment Progress Inventory for Adolescents Who Sexually Abuse (TPI-ASA). The TPI-ASA was designed to monitor common elements of specialized treatment for youth with sexual behavior problems. The TPI-ASA measures nine dimensions relevant to the evaluation and treatment of adolescents with sexual behavior problems (inappropriate sexual behavior, healthy sexuality, social competency, cognitions supportive of sexual abuse, attitudes supportive of sexual abuse, victim awareness, affective/behavioral regulation, risk prevention awareness, and positive family caregiver dynamics). Members of the Association for the Treatment of Sexual Abusers completed the TPI-ASA with 90 male adolescents with sexual behavior problems as part of a psychosexual evaluation. The preliminary findings provided support for the internal consistency and convergent and discriminant validity of the dimensions. Suggestions are offered for additional research on the TPI-ASA and its potential as a clinical tool.

The Impact of Specialized Sex Offender Legislation on Community Reentry

Mercado, C. C., Alvarez, S., Levenson, J. — 2008-05-19

The authors sought to examine the impact of notification and residence restriction statutes on sex offender reintegration. Although previous research has primarily sampled sex offenders receiving treatment, the authors examined the impact of these policies on a broad sample of registered sex offenders subject to notification via the Internet. Findings from a survey of 138 community sex offenders revealed that a high percentage perceived residence restriction and community notification legislation to negatively affect employment, housing, and social relations. Consistent with prior research in this area, these findings suggest that such policies might hamper offenders' efforts toward community reintegration, which ultimately could serve to inflate rates of recidivism. Directions for future research and implications for practice and policy evaluation are discussed.

A Mathematical Proof and Example That Bayes's Theorem Is Fundamental to Actuarial Estimates of Sexual Recidivism Risk

Donaldson, T., Wollert, R. — 2008-05-19

Expert witnesses in sexually violent predator (SVP) cases often rely on actuarial instruments to make risk determinations. Many questions surround their use, however. Bayes's Theorem holds much promise for addressing these questions. Some experts nonetheless claim that Bayesian analyses are inadmissible in SVP cases because they are not accepted by the relevant scientific community. This position is illogical because Bayes's Theorem is simply a probabilistic restatement of the way that frequency data are combined to arrive at whatever recidivism rates are paired with each test score in an actuarial table. This article presents a mathematical proof and example validating this assertion. The advantages and implications of a logic model that combines Bayes's Theorem and the null hypothesis are also discussed.

The Quality of Community Reintegration Planning for Child Molesters: Effects on Sexual Recidivism

Willis, G. M., Grace, R. C. — 2008-05-19

Research on the causal factors underlying sex offender recidivism has not considered the success or failure of the reintegration process by which the offender rejoins the community after prison. The authors developed a coding protocol to measure the quality and comprehensiveness of reintegration planning for sex offenders. The protocol was retrospectively applied to groups of recidivists and nonrecidivists who were matched on static risk level and follow-up time. The protocol demonstrated adequate reliability. Compared to nonrecidivists, recidivists had significantly lower scores relating to accommodation, employment, and the Good Lives Model secondary goods, as well as lower total reintegration plan scores. ANCOVAs showed that when IQ and level of sexual deviance were controlled for, accommodation (a place to live) was significantly related to sexual recidivism and the Good Lives Model—secondary goods was significantly related to any recidivism. These results suggest that poor reintegration planning may be a risk factor for recidivism.

Erratum

2008-05-19

Performance Indicators for Sexual Abuse: A Journal of Research and Treatment

Barbaree, H., Cantor, J. — 2008-03-27

"I thought . . . maybe this is my chance": Sexual Abuse Against Girls and Women With Disabilities in Malawi

Kvam, M. H., Braathen, S. H. — 2008-03-27

This article is based on a pilot study conducted in Malawi in 2006 that intended to uncover episodes of violence and abuse against women and girls with disabilities and furthermore to explore the mechanisms behind such acts. The stories of 23 women with disabilities were obtained through in-depth semistructured interviews that covered, among other topics, aspects of sexual abuse experienced by or known to these women. None of the informants reported having been sexually abused during childhood. In adulthood, several had experienced what they themselves defined as sexual abuse: Men came and wanted to "marry" them. When the woman became pregnant, the man disappeared and left her alone. The interviewees were very opinionated regarding this theme and sought both social and political action in this matter, especially a means to enforce men to take economic responsibility for their biological children. The informants stressed that adapted education for women with disabilities would allow them to become more economically independent and be better able to refuse the advances of unserious suitors.

The Rockwood Preparatory Program for Sexual Offenders: Description and Preliminary Appraisal

Marshall, L.E., Marshall, W.L., Fernandez, Y.M., Malcolm, P.B., Moulden, H.M. — 2008-03-27

This article describes the Rockwood Preparatory Program for sexual offenders. This program operates in the Millhaven induction center of the Correctional Service of Canada. Clients remain in the program for 6 to 8 weeks, depending on when they are placed in their home prison, where they will receive a full treatment program. The preparatory program takes a motivational approach, integrating several theoretical views and employing the therapeutic approaches that have been shown to maximize effectiveness with sexual offenders. The content and approach of the program are described and the observed benefits are outlined.

The Relationship Between Victim Age and Gender Crossover Among Sex Offenders

Levenson, J. S., Becker, J., Morin, J. W. — 2008-03-27

Some child molesters abuse children of both genders. The purpose of this study was to explore the relationship between gender crossover and victim age. The authors hypothesized that offenders who molested children of both genders would be more likely to have very young victims and that offenders who molested very young children would be more likely to abuse children of both sexes than offenders with older victims. The sample consisted of 362 sex offenders being considered for civil commitment as sexually violent predators in Florida. Data were collected from file reviews. The relationship between victim age and gender crossover was examined using chi-square and multivariate logistic regression analyses. The proportion of offenders with victims of both genders significantly increased as the victims' ages decreased, and sex offenders with preschool-age victims were most likely to have abused both boys and girls. A sex offender with a victim 6 years of age or younger had more than 3 times the odds of having perpetrated sex crimes against both genders than a sex offender with only older victims. Sex offenders with victims of both genders had more than 3 times the odds of having preschool victims. The presence of a major mental illness increased the odds of gender crossover more than threefold. Pedophilia increased the odds of having victims younger than 6 more than 11-fold. Implications for practice are discussed.

Social Desirability and Sexual Offenders: A Review

Tan, L., Grace, R. C. — 2008-03-27

Social desirability—the desire to make a favorable impression on others—poses a significant threat to the validity of self-reports. This review examines research on social desirability in both forensic and nonforensic populations with the goal of identifying how best to minimize threats to the validity of research with sexual offenders. Although social desirability has long been a major research topic in personality, consensus has not been reached on key questions such as its dimensional structure and whether social desirability constitutes a trait or a response bias. Research with offenders has shown that social desirability is negatively related to recidivism and that different offender subtypes vary in the degree to which social desirability appears to influence self-reports, with child molesters exhibiting the strongest tendency to "fake good." Several methods of controlling for social desirability have been proposed, but the effectiveness of these methods in increasing validity of offender self reports is questionable. Given the lack of consensus in the personality literature, a fresh start is needed in which basic questions regarding social desirability are revisited with respect to offender populations.

Improving the Measurement of Criminal Sexual Behavior: The Application of Randomized Responding Technique

Miner, M. H., Center, B. — 2008-03-27

Randomized responding technique (RRT), a method for maintaining anonymity, was used with a sample of sexual offenders recruited into a treatment outcome study. Prior to release from incarceration, three groups—those randomly assigned to treatment, those randomly assigned to no-treatment control, and those who refused participation in the treatment study but consented to a prerelease interview—participated in an alternate-questions RRT procedure. This procedure pairs a nonsensitive question with the sensitive question of interest, in this case, the number of prior sex offenses. Respondents answered either the sensitive or nonsensitive question, depending on the results of a randomizing device (roll of dice). The distributions for the nonsensitive questions were highly skewed; therefore, the outliers were removed and RRT estimates calculated. RRT estimates of prior offending (2.20 prior offenses) were significantly higher than officially recorded prior offenses (0.51 prior offenses). The pattern of differences between treatment and control groups were similar in RRT estimates and officially recorded priors, as were the correlations between RRT estimates and other self-report scales. These results provide preliminary evidence that RRT is a useful method for generating reoffending data that are more sensitive than officially recorded offenses and that contain less bias than other self-reports.

An Exploratory Evaluation of the Contribution of Personality and Childhood Sexual Victimization to the Development of Sexually Abusive Behavior

Burton, D. L. — 2008-03-27

Scores on the Millon Adolescent Clinical Inventory (MACI) and the Childhood Trauma Questionnaire (CTQ) were collected from two samples of incarcerated delinquent males: 74 adjudicated sexual abusers and 53 nonsexual abusers. In comparison to non-sexually abusive youths, a larger percentage of the sexually abusive youths indicated a history of childhood sexual victimization. The scores were then entered into a logistic regression to assess the contribution of personality characteristics to a social learning "victim-to-victimizer" etiological model. After controlling for time in treatment, the model correctly classified 76.6% of the youths. The variables that contributed significantly to the social learning model were the CTQ Sexual Abuse and Physical Neglect scales and the Submissive and Forceful scales on the MACI. Research and treatment implications of these findings are discussed.

Treatment Retention in a Prison-based Residential Sex Offender Treatment Program

Pelissier, B. — 2007-12-01

This study assessed the role of static factors, a dynamic factor (motivation to change sexually deviant behavior), and an administrative factor in predicting treatment retention within a prison-based sex offender treatment program. The analyses also included assessing differences in initial levels of motivation and differences in beginning-versus end-of-treatment motivation scores for various types of program discharges. The sample consisted of 251 individuals who were admitted to a residential prison-based sex offender treatment program where 46% completed the program. Paired comparison t-tests showed higher motivation scores at the end of treatment only among treatment completers. Multivariate analyses showed that treatment retention was associated with higher initial motivation scores, higher levels of education and admission to treatment within 3 months of initial commitment to prison. Implications for motivational enhancement programming as well as for changes in admission criteria are discussed.

Psychometric Assessment of Dynamic Risk Factors for Child Molesters

Allan, M., Grace, R. C., Rutherford, B., Hudson, S. M. — 2007-12-01

To explore the relationship between dynamic risk factors and recidivism in child molesters, we studied a sample of men (N=495) who completed an intensive, prison-based treatment program in New Zealand. During the follow-up period (M=5.8 years), 9.9% were reconvicted for a sexual offense. A self-report psychometric battery was administered at pre-treatment that assessed a range of variables related to sexual attitudes and beliefs, emotional functioning, and interpersonal competency. Factor analysis showed that individual differences in the battery could be described by four dimensions—Social Inadequacy, Sexual Interests, Anger/Hostility, and Pro-Offending Attitudes. Factor scores for each dimension were significantly correlated with sexual recidivism. Logistic regression analyses confirmed that the Sexual Interests and Pro-Offending Attitudes factor scores, as well as an Overall Deviance score which combined the dimensions, provided significant additional validity for predicting recidivism beyond the Static-99 (Hanson and Thornton Law and Human Behavior 24:119-136, 2000). When added to the Static-99, the Overall Deviance score increased the area under the Receiver-Operating Characteristic curve (AUC) from 0.72 to 0.81. These results show that psychometric self-reports can provide valid measures of dynamic risk factors, and that inclusion of such measures can improve risk prediction beyond that achievable by static factors alone.

Attitudes About Community Notification: A Comparison of Sexual Offenders and the Non-offending Public

Brannon, Y. N., Levenson, J. S., Fortney, T., Baker, J. N. — 2007-12-01

Public notification laws have been enacted by legislatures to address the risk posed by sex offenders to the public. Little research has been done regarding either the public's or sex offenders' knowledge and attitudes about community notification and its impact. This study compared the experiences and perceptions of 125 sex offenders in outpatient treatment to 193 members of the public in Brevard County, Florida. Sex offenders were significantly more likely to believe that community notification laws and society are unfair, to feel that such laws should be applied to fewer sex offenders based on their level of risk or threat, and to view notification as being ineffective at reducing sex crimes. Nearly half of the offenders reported experiencing threats, property damage, or physical assault as a result of public disclosure. In comparison, only 10% of the public was aware of vigilantism against sex offenders. Implications for public policy and future research are discussed.

Outcomes in a Community Sex Offender Treatment Program: A Comparison Between Polygraphed and Matched Non-polygraphed Offenders

McGrath, R. J., Cumming, G. F., Hoke, S. E., Bonn-Miller, M. O. — 2007-12-01

This study compared a group of 104 adult male sex offenders who received community cognitive-behavioral treatment, correctional supervision, and periodic polygraph compliance exams with a matched group of 104 sex offenders who received the same type of treatment and supervision services but no polygraph exams. Polygraph exams focused on whether participants were following their conditions of community supervision and treatment and had avoided committing new sexual offenses. The two groups were exact pair-wise matched on three variables: (1) Static-99 risk score (Hanson & Thornton 2000, Law and Human Behavior, 24, 119-136), (2) status as a completer of prison sex offender treatment, and (3) date placed in the community. At fixed 5-year follow-up periods, the number of individuals in the polygraph group charged with committing a new non-sexual violent offense was significantly lower than in the no polygraph group (2.9% versus 11.5%). However, there were no significant between-group differences for the number of individuals charged for new sexual (5.8% versus 6.7%), any sexual or violent (8.7% versus 16.3%), or any criminal offense (39.4% versus 34.6%). The results are discussed in terms of their clinical and research implications.

Physical Height in Pedophilic and Hebephilic Sexual Offenders

Cantor, J. M., Kuban, M. E., Blak, T., Klassen, P. E., Dickey, R., Blanchard, R. — 2007-12-01

Adult men's height reflects, not only their genetic endowment, but also the conditions that were present during their development in utero and in childhood. We compared the adult heights of men who committed one or more sexual offenses and who were erotically interested in prepubescent children (pedophilic sexual offenders; n=223), those who were erotically interested in pubescent children (hebephilic sexual offenders; n=615), and those who were erotically interested in adults (teleiophilic sexual offenders; n=187), as well as men who had no known sexual offenses and who were erotically interested in adults (teleiophilic nonoffender controls; n=156). The pedophilic and the hebephilic sexual offenders were significantly shorter than the teleiophilic nonoffender controls. The teleiophilic sexual offenders were intermediate in height between the nonoffenders and the pedophilic and hebephilic sexual offenders and not significantly different from any of the other groups. This suggests that—regardless of whatever psychological sequelae might also have followed from the conditions present during early development—pedophilic and hebephilic sexual offenders were subject to conditions capable of affecting their physiological development.

Offense History and Recidivism in Three Victim-age-based Groups of Juvenile Sex Offenders

Skubic Kemper, T., Kistner, J. A. — 2007-12-01

This study compared subgroups of juvenile sex offenders (JSOs) who victimized children (child offenders), peers (peer offenders), or both children and peers (mixed offenders) on sexual and nonsexual offense history, treatment outcomes, and recidivism to determine if these are distinct and valid subgroups. Though the group of mixed offenders was small, results showed that they exhibited a more diverse and more physically intrusive sexual offense history than the other JSOs and were less likely to successfully complete treatment. Sexual and nonsexual recidivism rates of mixed offenders did not differ from the other subgroups despite subgroup differences in juvenile sexual and nonsexual criminal records. However, differences in sexual recidivism rates of child versus peer offenders were found when the mixed offenders were either excluded from the sample or combined with child offenders. The results highlight the need to include mixed offenders in future research examining the etiology of sexual offending, treatment, and recidivism of JSOs.

Evaluation for Civil Commitment of Sex Offenders: A Survey of Experts

Jackson, R. L., Hess, D. T. — 2007-12-01

At this study's commencement, 17 states had enacted sex offender civil commitment legislation. Although each statute outlines broad criteria that must be met, civil commitment evaluators are given considerable latitude in how to conduct their assessment. Forty-one experts who conduct sex offender civil commitment evaluations were surveyed to identify the usual practice of these evaluators. A great deal of agreement exists across experts regarding the conduct of sex offender civil commitment evaluations. However, these patterns appear quite different from the usual practice outlined in other types of forensic evaluations. Experts in sex offender civil commitment endorsed documentation as the core method for evaluation. The majority of evaluators reported the assessment of paraphilias, substance abuse, other Axis I disorders, Axis II disorders, and psychopathy as essential to the evaluation. Virtually all survey respondents utilized actuarial risk assessment measures, primarily the Static-99, in assessing for risk of future sexual violence. Although several approaches to assessing volitional impairment were described, the majority of respondents reported that a history of sex offending combined with a personality disorder or a paraphilia established the necessary link between mental abnormality and risk of future sexual violence. An overwhelming majority of experts indicated that it was essential for evaluators to report their ultimate opinion as to whether criteria had been met for civil commitment. Future research regarding the use and incorporation of documentation should be conducted to determine whether the heavy reliance on documentation is unique to sex offender civil commitment evaluations, or whether it is commonly used in other forensic evaluations.

Characteristics of Internet Child Pornography Offenders: A Comparison with Child Molesters

Webb, L., Craissati, J., Keen, S. — 2007-12-01

The aim of this exploratory study was to compare internet sex offenders with a matched group of child molesters in the Greater London Area. Over an 8-month period 210 subjects were assessed, of whom 90 were internet sex offenders and 120 were child molesters. A wide range of background data was collected, including a number of psychometric measures to determine risk and personality traits. The research identified a number of similarities between internet sex offenders and child molesters on background variables. Specifically, in comparison to the child molesters, the internet offenders reported more psychological difficulties in adulthood and fewer prior sexual convictions. The socio-affective characteristics of internet offenders and child molesters look similar, but the antisocial variables, such as, 'acting out' and breaking social rules underlines their difference. The follow up research was carried out after a short period of time at risk—averaging 18 months—but suggested that internet sex offenders were significantly less likely to fail in the community than child molesters in terms of all types of recidivism.