The discriminative validity of a phallometric test for pedophilic interests among adolescent sex offenders against children

The authors examined the responses of adolescent sex offenders against children on a phallometric test of pedophilic interests. Participants were 40 adolescent sex offenders against children, 75 young adult sex offenders against children, and 39 young adult comparison participants. The responses of adolescents with female victims resembled those of comparison participants; adolescents with any male victims had larger relative responses to child stimuli than comparison participants. Young adult offenders, regardless of victim sex, had larger relative responses to child stimuli than comparison participants. Using a cut score of 0 (indicating equal or greater arousal to children than to adults), sensitivity was 42% for adolescents with any male victims, and specificity was 92% for the comparison participants. Results suggest phallometric testing can identify pedophilic interests among these adolescent sex offenders.     

Neuropsychological executive functions of adolescent sex offenders and nonsex offenders

A growing body of research now suggests that a substantial number of criminal offenders display neuropsychological deficits, especially frontal-executive dysfunctions. The present study investigated the possibility of similar deficits by comparing the performance of 60 adolescent sex offenders court-ordered to a residential treatment facility with the performance of 60 nonsexual delinquent offenders matched on several pertinent sociodemographic characteristics and scores on four neuropsychological tests: (1) the Trail Making Test, (2) the Controlled Oral Word Association test of the Multilingual Aphasia Examination, (3) the Tower of London, and (4) the Wisconsin Card-sorting Test. Analysis indicated a pattern of frontal-executive dysfunction in a subset of both groups of offenders; this pattern has both theoretical and treatment implications.     

Rorschach comparisons of male juvenile sex offenders and nonsex offenders

Published research is limited on the psychological characteristics of juvenile sex offenders as a subgroup separate from other juvenile delinquents. This study compares 45 male adolescent sex offenders on the Rorschach with a matched group of nonsex adolescent offenders. The two groups differed in total number of responses. Eliminating those protocols of questionable validity due to low productivity in combination with a high lamba, a statistically significant difference in the number of anatomy responses given by the two groups was found. With this exception, the personality characteristics of adolescent sex offenders were similar to those of adolescents who commit only nonsexual crimes. It should be noted, however, that the scoring categories analysed were not exhaustive and that the groups may differ on more recently proposed Rorschach subscales.     

The predictive value of the triad for sex offenders

This study examined the predictive value of the triad (enuresis, firesetting, cruelty to animals) in a group of incarcerated sex offenders. The most salient positive finding in this investigation was the association between one or more components of the triad and a highly abusive home environment. There was no compelling evidence to support the prognostic value of the triad of behaviors for predicting adult criminal outcome. The triad appeared to be primarily a maladaptive response to the turmoil and abuse in the home prior to and during adolescence. Finally, it is noteworthy that this study revealed a much lower frequency of triad behaviors than has been reported in the literature.     

Psychopathology of incarcerated sex offenders

The psychopathology and particularly the personality disorders of sex offenders were compared to general inmates of the Colorado Department of Corrections. Using the MCMI-III (Millon, 1994, 1997), sex offenders in general were found to have more varied types of personalities than general population inmates. Specifically, they were more schizoid, avoidant, depressive, dependent, self-defeating, and schizotypal. General population inmates had the more classically criminal personality characteristics of antisocial, narcissistic, and sadistic. Multivariate analysis showed the Dependent, Narcissistic, Antisocial, and Schizotypal scales to be the most differentiating. Sex offenders were also found to have more affective psychopathology such as anxiety, dysthymia, PTSD, and major depression. A similar trend was found when comparing child molesters to rapists. The child molesters were more neurotic, affective, and socially impaired than the rapists. Multivariate analysis showed the Dependent scale to be the most important in differentiating these two types of sex offenders.     

Efficacy of a psychological treatment for sex offenders

The aims of the present paper are the following: firstly, to describe the psychological treatment administered to sexual offenders in Spain; secondly, to assess the effectiveness of the application of this psychological treatment in the prison of Brians (Barcelona). For this purpose, two equivalent groups were selected: a treatment group of 49 subjects who received the whole treatment program, and an untreated control group of 74 subjects. These groups were selected taking into account various risk factors in order to guarantee group comparability. The main results not only show the efficacy of the cognitive-behavioural program for sexual offenders but also that the effectiveness of this program exceeds the average of similar programs in the meta-analytic reviews performed to date.     

Recidivism risk assessment in sex offenders

Violent behaviour risk assessment is one of the most relevant research areas in current Psychology of Crime. Various scales for violence risk assessment have recently been developed from research about crime careers and risk factors. One of these instruments is the Sexual Violence Risk Assessment-20 (SVR-20), translated and adapted to Spanish by the Group of Advanced Studies in Violence of the University of Barcelona. The goal of this study is to verify the predictive capacity of the SVR-20 to predict sexual violence recidivism in a Spanish sample of sexual offender inmates. The method used was a retrospective study based in 163 sexual offender files and a 4-year time lag. The data were analysed with the logistic regression technique. Of the sample, 79.9% non-recidivist individuals were correctly classified, and 70.8% recidivist individuals. The ROC curve obtained for the model shows a very good discriminant capacity for the SVR-20, with a 0.83 AUC value. The main conclusion of this study is that the Spanish adaptation of SVR-20 is a good instrument to predict the risk of sexual violence.     

Diagnosing heterosexual pedophilia by means of a test for sexual interest

A modification of the penis plethysmograph test of sexual interest is described. The efficacy of this method in the differential diagnosis of heterosexual pedophilia in male adults is discussed. Results obtained from 20 suspected pedophiliacs are presented and compared with those obtained from 20 control subjects.     

Legal issues raised in treating sex offenders

For the past 50 years the criminal justice system has distinguished sex offenders from other criminals. This has resulted in their differential treatment, with the goal being to eliminate their inappropriate behavior. This article discusses the history and status of mentally disordered sex offender (MDSO) statutes. A review of the legal issues which arise when treating a sex offender without statutory authorization is provided. A discussion of problems raised in treating the offender on both an inpatient and outpatient setting is presented. The article concludes with an analysis of the legal problems confronting the treatment provider in working with this group of individuals.     

Sex-role orientation and attachment styles of sex offenders

Given the increase of individuals who have a history of sexual offenses, there has been an increase in research on the etiology of sex-offending behavior. The present purpose was to evaluate the relationship between sex-role orientation and attachment styles of males who were sex offenders. Analysis yielded statistically significant differences between comparison (n = 22) and clinical groups (n = 21) in gender roles, with little sign of the androgynous gender type for sex offenders. The offender group showed significantly lower frequency of androgyny scores and significantly higher scores on feminine and undifferentiated orientations, supporting the theoretical view of sex offenders as being "cross-sex-typed." In addition, the sex offender group had a significantly higher mean score on anxious-avoidant relationship attachment. Based on the present findings, there appears to be a need to help sex offenders explore how their gender roles may relate to their sex-offending behavior and assist sex offenders in the development of adaptive relationships with reduced anxiety and ambivalence.     

A multisite comparison of actuarial risk instruments for sex offenders

Four actuarial instruments for the prediction of violent and sexual reoffending (the Violence Risk Appraisal Guide [VRAG], Sex Offender Risk Appraisal Guide [SORAG], Rapid Risk Assessment for Sex Offender Recidivism [RRASOR] and Static-99) were evaluated in 4 samples of sex offenders (N = 396). Although all 4 instruments predicted violent (including sexual) recidivism and recidivism known to be sexually motivated, areas under the receiver operating characteristic (ROC) were consistently higher for the VRAG and the SORAG. The instruments performed better when there were fewer missing items and follow-up time was fixed, with an ROC area up to .84 for the VRAG, for example, under such favorable conditions. Predictive accuracy was higher for child molesters than for rapists, especially for the Static-99 and the RRASOR. Consistent with past research, survival analyses revealed that those offenders high in both psychopathy and sexual deviance were an especially high-risk group.     

Factors associated with erection in adolescent sex offenders

A majority of adult child molesters report that their deviant interest began prior to the age of 18. This illustrates the need to evaluate adolescents who have molested children. Since self-report of deviant interest is rare in adolescent offenders, psychophysiologic assessment is necessary to help to determine the extent for a deviant interest pattern. The current study was designed to determine what factors are associated with erectile responding to age-inappropriate stimuli in an adolescent sex offender population. Factors studied were (a) admit/deny, (b) history of physical abuse, (c) history of sexual abuse, (d) history of nonsex arrests, and (e) incest/nonincest. The dependent variables were two pedophile indices, a relative measure of deviant to nondeviant arousal. Results indicated that history of sexual abuse was associated with more deviant erectile responding in those adolescents who had molested young boys. The possibility of adolescents modeling their own victimization is discussed.     

Attention and executive function deficits in adolescent sex offenders.

Thirty male adolescent sex offenders and 20 age-matched male adolescents completed an extensive battery of attention and executive function tests. Controls were obtained from adolescents from a socially and economically deprived background, typical of the offending group. The attention battery was based on Mirksy, Anthony, Duncan, Ahearn, and Kellam (1991) and the executive function battery on Kelly (2000a). Successful matching for IQ was not achieved and therefore ANCOVA comparisons were made between the groups, with IQ as the covariate. In attention a highly significant difference was found on the focus-execute factor and a significant difference on the shift factor. In executive function there was a highly significant difference only on the response speed factor. In all cases better abilities were demonstrated by the control group. The importance of thorough neuropsychological investigation in the clinical assessment of this forensic group is supported. The clinical implications of neuropsychological deficits in terms of risk assessment and clinical management are discussed.     

Research directions in the evaluation and treatment of sex offenders: An analysis

A review of the research on early and current techniques for evaluating and treating male sex offenders is presented, with emphasis on biological and behavioral therapies. Biological techniques found to be most promising include two types of antiandrogen hormone therapy: medroxyprogesterone acetate and cyproterone acetate. Behavioral techniques which have produced evidence of effectiveness include methods to eliminate deviant sexual behavior and methods to increase appropriate sexual behavior. The methodological shortcomings in the research of both biological and behavioral therapies are discussed, and new directions for future research are proposed.     

Reliability of heterosocial skills measurement with sex offenders

The heterosocial skills of 79 sex offenders were assessed using two self-report inventories, the Social Anxiety and Distress Scale (SAD) and the S-R Inventory of Anxiousness (SRI). In addition, staff members rated the offenders on modified versions of the SAD and the Heterosocial Skills Behavior Checklist for Males (HSB). Twenty-one offenders were also videotaped during a brief interaction with a female confederate. The tapes were rated using the HSB. All ratings and videotapings were conducted twice within a two-week period. The two self-report scales showed good test-retest reliability (r=.88) and correlatedr=.63 with each other. However, the SAD correlated significantly with the Crowne-Marlowe Social Desirability Scale and showed significant change from first to second administrations. The SRI showed less reactivity to social desirability and changed less over time. The staff ratings showed higher test-retest (r=.72–.76) than interrater (r=.36–.43) reliability. They correlatedr=–.56 with each other and did not show a significant relationship to the Crowne-Marlowe. However, both staff-ratings changed significantly from test to retest. Inspection of correlations between staff and self-report measures indicated that these instruments may be strongly affected by rater variance. Different measures completed by the same person correlated higher than the same measure completed by different persons. The HSB showed high levels of interrater agreement (90–100%) and split-half reliability (r=.95–.97). However, test-retest reliability was poor for the overall score and for the category measuring form of conversation. Categories measuring voice and affect were moderately reliable over time (r=.53–.74). However, the voice category scores changed substantially from first to second videotaping. On almost all measures used in this study, the sex offenders' scores were similar to those derived from normal populations. Only the category measuring affect on the HSB seemed to differentiate this group from normals.     

Psychological assessment, treatment, and outcome with sex offenders

The frequency and impact of sexual offenses have led to the recent enactment of sexual "predator" laws. Such laws are intended to reduce sexual violence through treatment and involuntary confinement. Sixty years ago, similar laws identifying "sexual psychopaths" were enacted and, in many states, eventually repealed for multiple reasons; among those reasons was an inability to demonstrate that treatment had any significant impact on recidivism. That inability forced us to reexamine, among other issues, the population(s) which undergo treatment, the outcomes that are used to measure treatment effectiveness, and the processes that constitute treatment itself. Those issues are considered in this paper through a review of treatment programs based on psychodynamic, behavioral, and cognitive-behavioral theories. Although the evidence is sparse, it is fair to conclude that the latter have been found to be effective. We call for dynamic measures, effective treatments, and the resources necessary for both developments.     

A sex difference in the specificity of sexual arousal

Sexual arousal is category-specific in men; heterosexual men are more aroused by female than by male sexual stimuli, whereas homosexual men show the opposite pattern. There is reason to believe that female sexual arousal is organized differently. We assessed genital and subjective sexual arousal to male and female sexual stimuli in women, men, and postoperative male-to-female transsexuals. In contrast to men, women showed little category specificity on either the genital or the subjective measure. Both heterosexual and homosexual women experienced strong genital arousal to both male and female sexual stimuli. Transsexuals showed a category-specific pattern, demonstrating that category specificity can be detected in the neovagina using a photoplethysmographic measure of female genital sexual arousal. In a second study, we showed that our results for females are unlikely to be explained by ascertainment biases. These findings suggest that sexual arousal patterns play fundamentally different roles in male and female sexuality.