The HoST programme: A pilot evaluation of modified dialectical behaviour therapy with female offenders diagnosed with borderline personality disorder

The Holloway skills therapy programme (HoST) at Her Majesty’s Prison and Young Offenders’ Institution Holloway is provided to women who, because of problematic behaviour associated with borderline personality disorder, are often excluded from treatment in prison and in the community. HoST addresses issues of offending behaviour, self-harm, suicidality and indiscipline, through a modified evidence-based treatment modality, dialectical behaviour therapy (DBT), which is a form of cognitive behaviour psychotherapy. This paper will outline the possibility of a modified DBT approach to working with female offenders in the prison setting. A pilot evaluation of female prisoners who received the treatment is also presented through a range of quantitative measures. In turn, positive outcomes with regard to reduction in time spent on the assessment and care in custody teamwork process, reduction in adjudications and improved overall mental health are presented. These findings are discussed along with the implications for clinical practice in the prison setting. The need for future structured research is also discussed.     

Anger management therapy with young male offenders: An evaluation of treatment outcome

The aim of the present study was to assess the effectiveness of a brief group‐based anger management intervention with young male offenders. Eighty‐seven prisoners were assessed as suitable for the intervention. Fifty of these made up the experimental group and 37 the control. Prior to intervention prisoners completed a self‐report anger questionnaire (Anger Management Assessment questionnaire: AMA). Prisoners were also assessed by officers on a checklist addressing angry behaviour (Wing Behaviour Checklist: WBC). Both measures were completed approximately two weeks before the date of the intervention and eight weeks after the intervention (and while the control group remained on the waiting list). It was predicted that the experimental group would show significant improvements in both measures following intervention and that no such change would be observed in the control group. This hypothesis was supported, with significant improvements observed in the experimental group and no change observed in the control. Aggr. Behav. 30:174–185, 2004. © 2004 Wiley‐Liss, Inc.     

Identification of adolescent sexual offenders: A rebt model

The adolescent sexual offender is perhaps one of the most misunderstood, misdiagnosed and maltreated clinical populations facing today's mental health practitioner. They are often the adolescents whom no one wishes to have in their family, school, neighborhood and, sometimes, office. Since this clinical population is relatively new and research has yet to establish consistent findings, attempts to categorize these adolescents are often subjective and inaccurate. This article outlines the problems in traditional diagnostic schemes for identifying adolescent sexual offenders, the myths surrounding the predisposing factors for becoming an adolescent sexual offender, the rationale and process based on Rational Emotive Behavior Therapy (Ellis, 1962) for identifying adolescent sexual offenders and how to discriminate this group from adolescents who engage in inappropriate sexual behavior. These two classifications are the two categories for identifying the adolescent sexual offenders for our program at Children's Service Center in Wilkes-Barre, Pennsylvania. The Children's Service Center adolescent sexual offender program currently has a zero recidivism rate for the past four years.     

Multisystemic therapy for young offenders: families' experiences of therapeutic processes and outcomes

Multisystemic Therapy (MST) has been found to be effective in reducing youth antisocial behavior, but little is known about the process and impact of MST from the perspective of families themselves. This qualitative study explored parents' and young people's experiences of MST, focusing on aspects of the intervention that promoted or limited change. Thirty-seven semistructured interviews were conducted with a consecutive sample of 21 families (21 parent interviews, 16 young people) who had participated in a randomized controlled trial of MST for young offenders in the United Kingdom. Thematic analysis yielded 10 themes, organized into two domains: (a) engagement in MST and initial processes of change captures the central importance of the therapeutic relationship and the MST engagement model in families' positive experiences of MST; and (b) outcomes are complex reflects the range of positive outcomes reported (notably increased parental confidence and skills, improved family relationships, a return to education, and greater reflection and aspiration on the part of the young person) and mixed behavior outcomes. Even when the young person had reoffended, respondents indicated a range of other benefits for the family. The findings support the MST theory of change as well as point to some outcomes not usually measured in MST outcome studies. They also suggest some adaptations that may increase the impact of the intervention, including more attention to the influence of deviant peers, and ongoing support for families struggling to maintain strategies beyond the prescribed treatment period.     

Heroes on the Hill: A qualitative study of the psychosocial benefits of an intercultural arts programme for youth in Northern Ireland

The current study investigates the psychosocial benefits of a cross‐community, intercultural dance programme for youth in Northern Ireland. Psychological theories, including contact theory and the ecology of childhood development, underpin the study, and results are discussed in relation to the programme's aims. The present study used qualitative, inductive methods; data consisted of interviews before and after the programme with facilitators (n = 2) and 10 (n = 10) programme participants (11–15 years old) of diverse races and nationalities. Latent themes were identified using thematic analysis. Findings reveal that participants have complex senses of identity. Worryingly, they also reported many instances of bullying, relating both to themselves and others. Results reveal three main psychosocial benefits of the programme, all of which promote positive mental health in adolescents. The benefits are increased self‐confidence, the formation of new cross‐community friendships, and improved intercultural awareness and pride. It is argued that the programme is an exemplar of how the arts can promote peace as well as resilience in the face of adversity. Recommendations for future research are included.     

Beyond sexual recidivism: A review of the sexual criminal career parameters of adult sex offenders

The current study claims that measures of sexual recidivism provide a distorted view of the criminal activity of adult sex offenders. To address this important limitation, the criminal career perspective is presented and key concepts are defined and described. The study also provides an up-to-date review of the scientific literature on various criminal career parameters of the sexual criminal activity of adult sex offenders. Hence, current empirical knowledge on the prevalence, age of onset, frequency, continuity, versatility, and desistance from sex offending is presented. The findings highlight the complexities of the sexual criminal career of adult sex offenders, and most importantly, its dynamic aspect, both of which are not captured by traditional measures of sexual recidivism. The review also underscores the importance of recognizing that sexual offending develops according to a series of stages, that, if not recognized, may lead to the underestimation of risk for some and over-estimation of risk for others. The review provides a framework to stimulate new areas of research as well as policy-development that is not limited to the identification of the “high-risk” convicted sex offenders.     

Assessment of intellectually disabled sexual offenders: The current position

Treatment relies on appropriate assessment, guided by the ‘What Works’ approach. As such, the assessment of sexual offenders with intellectual disabilities has three primary purposes: addressing the risk, needs, and responsivity principles. The aim of this paper is to examine different assessment methods for this population. Existing risk assessment protocols are discussed, as well as specific dynamic risk assessment tools for sexual offenders with an intellectual disability. The paper also investigates use of existing, adapted and new psychological tests to assess treatment needs. Assessment of responsivity specific to this population is discussed in terms of intellectual and adaptive functioning, as well as comprehension. Suggestions are made for moving towards a comprehensive assessment strategy for this population.     

Process variables in the treatment of sexual offenders: A review of the relevant literature

The present review considers the relevance of process issues for the treatment of sexual offenders. The general literature on psychotherapy indicates that the therapist's style, the client's perceptions of the therapist, and the alliance between client and therapist, all influence treatment effectiveness. From our review of this literature, and the far less voluminous research on these issues by cognitive behavior therapists, we draw implications for enhancing the effectiveness of treatment of sexual offenders. We also make suggestions for research on process variables in the treatment of these offenders.     

Church and choices: a qualitative exploration of lived sexual values in young adult women

This qualitative research article discusses three crucial encounters in the sexuality education experiences of young adult women who were raised Catholic by drawing from the analyzed interview data of 15 such women. Using the framework of lived theologies, the author argues that understanding the impact of these encounters helps theological scholars better understand the way that young adults from religious backgrounds make decisions about relationships and sexuality. The young adult women interviewed for this research highlight a defensive posture in sexual decision-making that reflects poor preparation for the realities of relationships and a lack of opportunities to clarify and specify their own sexual values prior to these occasions.     

A qualitative examination of choking under pressure in team sport

ObjectivesAs choking in sport has only been examined to date through athletes performing individual sports and/or closed skills, this study uses a qualitative methodology to provide a unique insight into choking within the team sport setting.Design and methodsThrough individual semi-structured interviews, the experiences of eight athletes who choked under pressure regularly whilst playing a team sport were examined in detail.ResultsThe participants perceived their choking episodes were associated with a range of antecedents, mechanisms, moderators and consequences. Many of which were similar to those found within individual sports/closed skills; although differences were noted. This study supports the suggestion by Hill, Hanton, Matthews, and Fleming (2010a) that choking in sport may be caused by distraction, debilitative anxiety and low perceived control, and that its consequence is a significant drop in performance.ConclusionsThe study extends the choking literature and offers information for practitioners working with teams.     

Nonstranger sexual aggression: A discriminant analysis of the psychological characteristics of undetected offenders

Sex Roles - Rape is an underreported and underconvicted crime. Therefore, many highly sexually aggressive men are missed by research employing judicial identification for sample selection. The...     

The collectors: Serial sexual offenders who preserve evidence of their crimes

In our prior research, we have encountered a distinct category of serial, sexual offenders who invest themselves in developing unique collections of artifacts that link them to their victims. This behavior is counter-intuitive as it represents irrefutable proof of their responsibility for multiple serious crimes. Nonetheless, the process of collecting these artifacts and the experience of maintaining them together, and in proximity to the offender, appear to represent a psychological experience that is central to the motivation for perpetrating the crimes. In this paper, we explore five modalities of recording used singularly or in combination by some of the most prolific and egregious sexual offenders prosecuted in the past 40 years. We use these case studies as a platform for exploring the psychological dynamics underlying this behavior, and to further alert law enforcement and forensic evaluators to the existence and significance of these unique forms of crime evidence.     

A qualitative evaluation of a mental health literacy intervention for parents delivered through community sport clubs

Intervention studies have rarely targeted parent mental health literacy despite its importance for adolescent mental health. This qualitative study evaluated the experiences of parents (n = 352) who participated in the Ahead of the Game mental health literacy workshop delivered through community sport clubs. Moreover, the study aimed to investigate the relevance, retention and use of intervention content by parents, assess the acceptability and feasibility of delivering mental health education through community sport clubs, and identify strategies for increased engagement. In total, 17 parents (13 mothers, four fathers) participated in semi-structured interviews up to one month after the workshop. Reflexive thematic analysis revealed that parents perceived mental health education as important and valuable, and believed the community sport club was an appropriate setting to discuss adolescent mental health. Parents reported increased awareness and knowledge of mental health disorders and help-seeking options, and increased confidence and preparedness to communicate and assist someone experiencing a mental health issue. The workshop stimulated conversation about mental health between parents and their children, and between parents within and outside the sport club community. Parents used information and resources provided in the workshop to help those in their networks and reflected back on the workshop when noticing changes in their adolescent’s behavior. Potential additions to the workshop (as suggested by parents) included increased discussion among parents as well as opportunities for further information sessions or tailored online material. Future research might look to engage more fathers, actively encourage parents to aid in the recruitment of others, and investigate long-term adolescent mental health outcomes.     

Repairing the rupture: Restorative justice and the rehabilitation of offenders

Restorative justice is a social justice movement that aims to deal with consequences of crime through repairing and restoring relationships of three key stakeholders: victims, offenders, and communities. Unfortunately, it is often unclear where offender rehabilitation fits within the constructs of repair and reintegration that drive this justice paradigm. An analysis of the relationship between restorative justice theory and offender rehabilitation principles reveals tensions between the two normative frameworks and a lack of appreciation that correctional treatment programs have a legitimate role alongside restorative practices. First, we outline the basic tenets of the Risk–Need–Responsivity Model and the Good Lives Model in order to provide a brief overview of two recent models of offender rehabilitation. We then consider the claims made by restorative justice proponents about correctional rehabilitation programs and their role in the criminal justice system. We conclude that restorative justice and rehabilitation models are distinct, although overlapping, normative frameworks and have different domains of application in the criminal justice system, and that it is a mistake to attempt to blend them in any robust sense.     

An evaluation of the government's work experience programme for the young unemployed

An evaluation is offered of one of the Government's measures to alleviate youth unemployment-the Work Experience Programme (WEP). In a small-scale study conducted in Essex, most of the young people and employers involved in the scheme thought that its benefits considerably outweighed its disadvantages, and this view was shared by careers officers. The scheme helped the young participants to develop confidence in themselves and in their working potential, although at the same time it made them anxious about their ability and/or opportunity to continue this development. As a short-term response to youth unemployment, WEP has considerable value. Without certain improvements, however, it is not adequate for dealing with long-term structural unemployment.     

Good lives and the rehabilitation of offenders: Promises and problems

In this paper, I argue that every rehabilitation program presupposes conceptions of possible good lives for offenders and, associated with this, an understanding of the necessary internal and external conditions for living such lives. I first clarify the notion of good lives and outline its necessary features. Second, I establish the conclusion that all offender programs presuppose a conception of good lives. In order to make the argument a little more concrete, I demonstrate how a state-of-the-art treatment program for sex offenders and research on the process of offender change presuppose such a conception and expose the problems evident in the way they engage with this dimension of rehabilitation. Third, I argue that it is necessary for individuals working to rehabilitate offenders to explicitly construct conceptions of good lives for different offenders and to use these conceptions to shape the behavior change process.     

The biological treatment of dangerous sexual offenders: A review and preliminary report of the Oregon pilot depo-Provera program

Despite advances in the cognitive and behavioral treatment of sexual offenders made over the past 10 years, a number of such individuals released from custody and on parole in their communities remain dangerous to be at large. Even if such men are currently undergoing treatment, psychological approaches by themselves cannot be expected to immediately reduce risk. Therefore, interest has been expressed in medical approaches to making such individuals safer to be at large while undergoing more traditional treatment techniques. While surgical castration has been endorsed by some European countries in the past, it continues to be considered a capital punishment beyond the scope of judicial mandate in the US. Instead, medications to reduce sexual drive have been promoted as adjuncts in the treatment of dangerous sexual offenders. The present review examines the body of literature investigating three classes of medications currently employed to achieve this goal: (1) hormonal agents acting peripherally, predominantly medroxyprogesterone acetate (MPA) (depo-Provera), (2) hormonal agents acting centrally, predominantly leuprolide (Leupron), and (3) serotonin-active antidepressants, such as fluoxetine (Prozac) and paroxetine (Paxil). Finally, preliminary results are presented from a pilot program in Oregon in which potentially dangerous sexual offenders are identified in state institutions prior to release and recommendations made for depo-Provera once they reach their communities. Initial follow-up results are presented along with recommendations for similar programs to enhance safety in this select group of offenders.     

Para athlete activism: A qualitative examination of disability activism through Paralympic sport in Ireland

ObjectivesLittle attention has been given to how Para athletes use their platforms for disability activism. This paper fills this gap by examining how Irish Para athletes take actions to create social change around disability.MethodsA qualitative methodology was adopted. 28 elite-level Irish Para athletes were recruited and participated in interviews. The data set was analysed using a reflexive thematic analysis.ResultsThree themes: ‘Para athlete activisms’ captures different ways of doing disability activism; ‘tensions between different activist identities’ concerns (hyper)critical discourses about various activist identities; ‘ableist influences on Para sport culture’ captures contexts that enable or prevent performing disability activism.ConclusionsThe central theoretical contribution is an interpretation of Para athlete activism in terms of a contextually informed continuum of behaviour change. This article is an evidence base for Para sport cultures that wish to connect with disability activism. Practical opportunities are discussed around the psychology of adversity, social legacy value, identity politics and challenging ableism.