Gender differences in comorbid disorders among offenders in prison substance abuse treatment programs

This study examined gender differences in a range of lifetime psychiatric disorders in a sample of 272 offenders newly admitted to a prison substance abuse program. Although these men and women did not differ in severity of substance use in the six months prior to incarceration, women were significantly more likely than men to report a lifetime psychiatric disorder and a lifetime severe disorder. Furthermore, gender differences emerged in the pattern of lifetime psychiatric comorbidity. Women reported greater lifetime major depression, posttraumatic stress disorder, eating disorder, and borderline personality disorder; men were more likely than women to meet criteria for antisocial personality disorder. Additionally, female offenders were found to have a higher degree of internalizing disorders than male offenders, but there were no gender differences in degree of externalizing disorders. The study concluded that women offenders newly admitted to a prison substance abuse program present with a greater psychiatric vulnerability and a different pattern of psychiatric comorbidity than their male counterparts.     

Asociality and engagement in adult offenders in substance abuse treatment

In therapeutic community models for drug treatment, individual recovery is principally structured around group meetings and positive peer influences. Research shows that asocial group members with resistant behaviors and attitudes are at risk for poor treatment outcomes and have the potential to adversely impact the therapeutic group. To gain a better understanding of the asocial client's role in the larger treatment process, in-prison treatment data were used: (1) to model and confirm a two-factor solution of asociality consistent with the literature, and (2) to examine the relationship between asocial clients and treatment engagement for validation of the two-factor model. Exploratory analysis resulted in a three-factor solution representing behavioral responsivity, cognitive distortion, and social disassociation dimensions. Nested ANOVA (i.e., clients nested within prison programs) demonstrated that asocial levels (low, medium, and high risk) predicted treatment engagement. Furthermore, comparisons among asocial risk levels indicated that high asocial clients reported significantly lower engagement levels when compared with low and medium asocial clients. Copyright ? 2012 John Wiley & Sons, Ltd.     

Diagnostic profiles of offenders in substance abuse treatment programs

This study examined the association of Axis I and Axis II disorders among offenders who were in prison-based substance abuse treatment in a national multi-site study. Participants (N = 280) received a psychosocial assessment and a structured diagnostic interview in two separate sessions. Logistic regression models examined the association between lifetime mood and anxiety disorders with two personality disorders, and the relationship of Axis I and Axis II disorders (alone and in combination) to pre-treatment psychosocial functioning. Over two-thirds of the sample met criteria for at least one mental disorder. Borderline personality disorder was strongly associated with having a lifetime mood disorder (odds ratio = 7.5) or lifetime anxiety disorder (odds ratio = 8.7). Individuals with only an Axis II disorder, or who had both Axis I and Axis II disorders, had more severe problems in psychosocial functioning than those without any disorder. Clinical treatment approaches need to address this heterogeneity in diagnostic profiles, symptom severity, and psychosocial functioning.     

Four-facet PCL-R structure and cognitive functioning among high violent criminal offenders

High violent inmates (N = 126) were administered the Psychopathy Checklist-Revised (PCL-R; Hare, Clark, Grann, & Thornton, 2000; Hare et al., 1990) and neuropsychological measures. No significant correlations were present between the overall PCL-R score and 14 cognitive measures. A violence score, computed as the total number of violent acts across all situations and types, was significantly correlated with the PCL-R total score and Facet 2 but not with the other three facets. Our data suggest that Facet 2 elevations may prove relevant to violence risk assessment; this link, however, needs further exploration with larger samples.     

Insulin secretion during the glucose tolerance test among habitually violent and impulsive offenders

Male habitually violent and impulsive offenders were studied by means of the glucose tolerance tests (GTTs) and insulin measurements. Both in intermittent explosive disorder and in violent antisocial personality, there was a tendency for there to be reactive hypoglycemia. There was a more rapid decline of glucose from hyperglycemia and more rapid return from hypoglycemia to the original basal values in intermittent explosive disorder than in violent antisocial personality. Consistent with this, the enhanced insulin secretion started rapidly but lasted a short time in intermittent explosive disorder.     

Risk factors in violent and nonviolent offenders

Factors leading to risk for violence were evaluated in an offender population of 36 male offenders including 18 Violent, e.g., assault, threatening and 17 nonviolent (break and enter, theft), and 17 nonoffenders. Their scores on the Psychopathy Checklist Revised, Violence Risk Scale-Experimental Version 1, Minnesota Multiphasic Personality Inventory-168, and the Porteus Maze tests showed scores for the inmates with violent offenses were elevated on Psychopathic Deviate, Paranoia, Schizophrenia scales of the Minnesota Multiphasic Personality Inventory, violence risk of the Violence Risk Scale, showed psychopathic orientation on the Psychopathy Checklist Revised, and had a lower test age quotient score on the Porteus Maze test.     

Prevalence of childhood and adolescent sexual abuse among sex offenders.

A simple nonstandardized questionnaire was developed and administered to 150 men convicted of various sexual offenses currently on probation or parole, living in the community, admitting their offenses and attending treatment. The hypothesis that men who engaged in sexual activity as adolescents with women would be at a higher risk of committing statutory rape-type sexual offenses was not substantiated.     

Adversary effects and the tactics of violent offenders

We examine the implication of adversary effects for target choice, lethal intent, and the use of weapons and allies in violent incidents. Adversary effects refer to the tendency of offenders to make tactical decisions based on the coercive power of victims and potential victims. Using the victim's gender as a proxy for coercive power, we analyzed violent incidents from the National Incident‐Based Reporting System (2005–2014). The sample included over six million assaults, robberies, and homicides. Consistent with adversary effects, offenders who attack males (vs. females) are more likely to (a) kill victims; (b) use guns, knives, blunt objects, poison, and automobiles; (c) use male (but not female) allies; and (d) use multiple allies. The evidence for target choice is mixed: unarmed female offenders, but not unarmed male offenders, are more likely to target females than males. The evidence shows how a simple theoretical principle can parsimoniously account for basic patterns of violence in society related to gender, weapons, and group violence.     

Psychological characteristics of over- and undercontrolled violent offenders

Megargee (1966, 1973) has predicted a number of concomitant social, behavioral, and psychological differences between chronically undercontrolled and chronically overcontrolled violent individuals. Attempts to validate his theory, however, have resulted in seriously inconsistent findings, possibly because of the use of a measure to classify violent subjects that is of seemingly dubious validity--the Overcontrolled Hostility (OH) Scale (Megargee, Cook, & Mendelsohn, 1967). The present study used a different strategy--the classification of subjects by expert raters on the basis of extensive case history information--to compare overcontrolled violent, undercontrolled violent, and nonviolent criminal offenders on a number of psychometric measures (16PF, Hostility and Direction of Hostility Questionnaire, Picture Situation Test, and the OH Scale). The findings were broadly consistent with predictions derived from Megargee's theory. Contrary to expectation, however, the nonviolent group did not obtain scores intermediate to the other two groups, but was statistically indistinguishable from the undercontrolled group, leaving a question as to the appropriateness of conceptualizing the typology in terms of over- and undercontrol of hostility and suggesting the necessity for some revision of the theory.     

Self-reported assertion and aggression among violent offenders with high or low levels of overcontrolled hostility

Self-report measures of personality, assertion, aggression and difficulty with social situations were completed by 66 male prisoners convicted for violent offences. Inmates were divided into overcontrolled and less-controlled groups on the basis of MMPI OH scores. No significant differences emerged on total ASES Assertion scale scores or on the four social-situation difficulty items dealing with assertiveness. However, overcontrolled men scored significantly lower on the Negative Assertion subscale and on the Aggression scale, as well as on two social-situation difficulty items dealing with the control of aggression. Less-controlled males showed a significant positive correlation between Aggression scale scores and negative assertion which was not obtained for the overcontrolled group. Results were discussed in terms of the different treatment needs of the two groups when using assertion or social-skills training with offender populations.     

Moral reasoning, executive function, and personality in violent and nonviolent adult offenders

To evaluate moral reasoning and personality, inmates from a maximum security jail were administered the Porteus Maze, the Defining Issues Test, the Minnesota Multiphasic Personality Inventory-168, and the Test of Nonverbal Intelligence. Scores of 20 violent and 19 nonviolent offenders were compared. The control group consisted of 20 university students who indicated they did not have criminal ords. All were over the age of 18. Analysis showed the violent offenders had mature moral reasoning and were more elevated on the Antiestablishment scale of the Defining Issues Test. Furthermore, inmates displayed significantly elevated scores on depression, Psychopathic Deviance, and Social Introversion relative to the control group.     

Dual diagnosis: Clinical issues in substance abuse treatment

Dual diagnosis within the context of alcohol and substance abuse has become the focus of considerable interest, particularly when related to anxiety and depression. Depressive symptomatology is frequently associated with substance abuse and chemical dependency and numerous studies report a high concordance with these diagnostic entities and major affective disorder (Galanter,Casteneda, & Ferman, 1988). Depressive symptoms are also related to post treatment of alcohol and substance abuse with reported occurrences of 75 percent occurring with patients who have experienced relapse (Biedermann, Newcome, & Sprich, 1991).     

Substance use patterns of young offenders and violent crime

The use of alcohol is a significant predictor of the involvement of young offenders in violent crime. This study found that in a sample of 300 incarcerated juveniles in New South Wales, more than 70% admitted to violent crime. Detainees from an Aboriginal or Torres Strait Islander culture were less likely than other detainees to be involved in violent crime. The substances most associated with violent crime were alcohol, followed by cocaine. However, when the likelihood that the young person has initiated violence as a response to alcohol or other substances is introduced into the equation, the direct effects for alcohol and cocaine predicting engagement in violent crime disappear. The Goldstein hypothesis that the effects of a substance directly facilitate violence, thereby accounting for the relationship between substances of use and violent crime, was supported. Aggr. Behav. 29:414–422, 2003. © 2003 Wiley‐Liss, Inc.     

Intellectual, behavioral, and personality correlates of violent vs. non-violent juvenile offenders

The overall aim of this study was to examine the relationship between offender status (violent vs. nonviolent) and selected predictor variables from personality, behavioral, and intellectual domains. The two main sub goals were (a) to determine which variables from these domains were most closely associated with offender status, and (b) to construct a stepwise logistic regression model that could help identify which juveniles were more likely to be incarcerated for violent vs. nonviolent offenses. The participants for this investigation were juvenile offenders referred to the Juvenile Court Assessment Center by the Juvenile Justice Division of the Eleventh Judicial Circuit. The court-ordered assessment included the following measures: (a) The Millon Adolescent Clinical Inventory (MACI), (b) the Behavior Assessment System for Children (BASC), (c) the Peabody Picture Vocabulary Test-Third Edition (PPVT-III), (d) the Wide Range Achievement Test-Third Edition (WRAT-III), (e) the Kaufman Brief Intelligence Test (K-BIT), and (f) records of school achievement. The ten variables that had the strongest association with offender status were entered into the stepwise logistic regression analysis; five of these strategically chosen predictor variables accurately differentiated violent from nonviolent offenders 86.3% of the time. Reading Percentile (β=-.051), PPVT-III (β=-.059), MACI-Inhibition (β=-.033), MACI-Eating Dysfunction (β=.051), and BASC-Sense of Inadequacy (β=-.072). Gender differences were explored.     

Child sexual abuse: offenders,disclosure, and school-based initiatives

Children are being sexually abused at an alarming rate. Prevalence estimates suggest that one out of four girls and one out of ten boys experience sexual abuse. This paper examines the devastating impact of child sexual abuse and explores the contributions of school-based interventions to remedy the problem.     

Executive cognitive functioning and the recognition of facial expressions of emotion in incarcerated violent offenders, non-violent offenders, and controls

Violence is a social problem that carries enormous costs; however, our understanding of its etiology is quite limited. A large body of research exists, which suggests a relationship between abnormalities of the frontal lobe and aggression; as a result, many researchers have implicated deficits in so-called "executive function" as an antecedent to aggressive behaviour. Another possibility is that violence may be related to problems interpreting facial expressions of emotion, a deficit associated with many forms of psychopathology, and an ability linked to the prefrontal cortex. The current study investigated performance on measures of executive function and on a facial-affect recognition task in 20 violent offenders, 20 non-violent offenders, and 20 controls. In support of our hypotheses, both offender groups performed significantly more poorly on measures of executive function relative to controls. In addition, violent offenders were significantly poorer on the facial-affect recognition task than either of the other two groups. Interestingly, scores on these measures were significantly correlated, with executive deficits associated with difficulties accurately interpreting facial affect. The implications of these results are discussed in terms of a broader understanding of violent behaviour.     

The role of delay of gratification,substance abuse,and violent behavior on academic achievement of disciplinary alternative middle school students

Disciplinary alternative education programs are academic environments where students are detained for 45 days by the county or court for delinquent and/or deviant behavior in their traditional schools. This study examined individual differences in academic performance, violence, willingness to delay gratification, and substance abuse of 391 students enrolled in a disciplinary alternative middle school program. Results revealed that students who reported a high propensity to delay gratification and low tendencies towards violent behavior and substance abuse obtained high math scores on the state standardized test. In addition, the negative association between violent behavior on math scores was attenuated by race/ethnicity status. Socio-economic status was not significantly associated with math test scores. Implications for further studies and educational implications are discussed.     

Suicidal and criminal behavior among female offenders: the role of abuse and psychopathology

Childhood abuse is relatively prevalent among women and is an important risk factor for both criminal behavior and suicide-related behavior (SRB). Based on a sample of 266 female offenders, we address one theoretical and one practical issue. First, from a theoretical perspective, we assess whether internalizing (depression and anxiety) and externalizing (substance abuse and antisocial behavior) psychopathology mediate the relation between abuse on the one hand, and SRB or criminal behavior, on the other. Results indicate that externalizing problems mediate the relation between childhood abuse and both lifetime SRB (fully) and lifetime criminality (partially). Second, at a practical level, results indicate that a subscale of the Revised Psychopathy Checklist (PCL-R; Hare, 1991) that assesses lifetime criminal behavior adds incremental utility to postdicting SRB, beyond the variance accounted for by self-report measures of abuse and externalizing problems. However, none of the measures-including the PCL-R-predicted future recidivism.