Rorschach oral dependency in psychopaths, sexual homicide perpetrators, and nonviolent pedophiles

Rorschach Oral Dependency scores (Masling, Rabie, & Blondheim, 1967) were compared among nonsexually offending psychopaths (NSOPs, n = 32), sexual homicide perpetrators (SHPs, n = 38), and non-violent pedophiles (NVPs, n = 39) as initially reported by Gacono, Meloy, and Bridges (2000). The aggressive special scores of Gacono and Meloy (1994; Gacono, unpublished doctoral dissertation, 1998) were also scored and compared with ROD scores. Consistent with theory and predictions, NVPs were found to have significantly higher levels of oral dependency scores than NSOPs or SHPs. Additionally, there was a high degree of association between oral dependency and aggression in the SHP and NSOP groups. These Rorschach differences support the validity of the ROD as an implicit measure of dependency and add to the understanding of the dynamics that fuel sexually deviant violence.     

A Borderline Psychopath: "I was basically maladjusted..."

The case of a 21-year-old White man who committed a robbery and homicide is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986a) and psychodynamic (Cooper, Perry, & Arnow, 1988; Gacono & Meloy, 1992; Kwawer, 1980) methodologies. Findings are used to understand the presence and interaction of both psychopathic character and borderline personality organization in this explosive and sadistic young man.     

A psychotic (sexual) psychopath: "I just had a violent thought ...".

The case of a 33-year-old White male with a history of sexual assault is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986) and psychodynamic (Cooper & Arnow, 1986; Kwawer, 1980; Meloy & Gacono, in press-b) methodologies. Findings are used to understand the presence and interaction of both psychopathic character and psychotic personality organization in this mentally ill, sadistic, and sexually predatory young man.     

Rorschach correlates of sexual abuse: trauma content and aggression indexes

This study compared Rorschach records of nondissociative outpatients with histories of (a) definite sexual abuse (n = 22), (b) suspected but unconfirmed sexual abuse (n = 13), or (c) no sexual abuse (n = 43) on selected variables hypothesized to be associated with sexual abuse. As predicted, clients with definite sexual abuse scored significantly higher than clients known not to be sexually abused on Armstrong and Loewenstein's (1990) Trauma Content index (TC/R), with an effect size greater than 1 SD. Contrary to prediction, there was no significant difference in the frequency of their Aggressive Past (AgPast; Gacono & Meloy, 1994) scores. AgPast scores, however, did positively correlate with sexual abuse that was violent or sadistic. As a test of discriminant validity, we hypothesized that 2 Rorschach variables (PER and Sc) would be unrelated to sexual abuse. This was supported by our data. Although TC/R was strongly associated with the presence and severity of sexual abuse, it could not discriminate sexually abused from nonsexually abused clients with great accuracy. The TC/R score is 1 factor among many that can be used to assess the validity of clients' claims of past sexual abuse.     

Further exploration of the Rorschach Aggressive Content (AgC) variable

Based on the recommendations of Baity and Hilsenroth (1999), this study further investigated the reliability and validity of the Rorschach Aggressive Content (AgC) variable developed by Gacono and Meloy (1994). Eighty-five aggressive objects identified by Gacono and Meloy, 19 potentially aggressive objects and 22 neutral (nonaggressive) objects were rated for aggressiveness based on the definition of AgC. Two hundred seventy-six participants rated objects on the Object Rating Scale (0-6), where a score of 0 indicates that an object does not fit the definition of AgC. In addition, objects rated a 4 (moderately aggressive) or higher were then classified into 5 qualitative groupings (weapons, animal/part of animal, environmental danger, fictional creature, and other). Analysis of the results indicates that the AgC list can be replicated and that objects rated as at least moderately aggressive (4) can be reliably classified into distinct categories. One-month test-retest reliability (r = .99) suggests that objects can be scored consistently using the definition of AgC and provides support for the utility of the AgC variable. Based on the results of this study, recommendations for the addition of the AgC variable to the list of content categories of Exner's (1993) Comprehensive System are presented and discussed along with scoring examples.     

Verläufe bei sexuellen Tötungen

This article summarizes main results of studies on forensic psychiatric court reports on 166 men who had been persecuted between 1963 and 1991 for a sexual offence leading to the death of the victim. Comparing perpetrators with a single victim and those with multiple victims we found similar results as in two previous studies with smaller samples: Multiple sexual homicide perpetrators showed more often sexual sadism and other paraphilias, as well as antisocial, schizoid and sadistic personality disorders. Follow-up data from the federal criminal records could be obtained for 139 offenders. Ninety perpetrators had been released after a mean detention of 12.2 years, whereas the 49 offenders who were still in prison or forensic psychiatric hospitals had been detained for a mean period of 20.6 years. The non-released offenders showed more often paraphilias as well as antisocial and sadistic personality disorders than the released perpetrators. Paraphilias and antisocial personality traits are empirically well proven risk factors for criminal recidivism with sexual reoffences. In addition, the non-released sexual homicide perpetrators had higher scores in all applied risk assessment instruments (PCL-R, HCR-20, SVR-20, Static-99). Among the released offenders only 1.1% (n=1) reoffended with a completed homicide and 2.2% (n=2) with attempted homicide. The recidivism rates with sexual and other violent reoffences in this sample of sexual homicide perpetrators were similar to those in a large meta-analysis on recidivism in sexual offenders by Hanson and Morton-Bourgon (4). Since well established risk factors had apparently been “used-up” for the decisions about release or non-release, in the follow-up data about the released offenders only age at the sexual homicide and age at the time of release were found as risk factors for recidivism with any violent (sexual or non-sexual) reoffence, i.e. the younger the offender at the time of the homicide and the younger at the time of release, the more likely is the risk of violent reoffending.     

Rorschach Aggressive Content (AgC) variable: a study of criterion validity

This study adds to the existing literature on the clinical utility of the Aggressive Content (AgC) variable proposed by Gacono and Meloy (1994). Criterion validity is evaluated by examining the relation between AgC and behavior. Rorschach and clinical chart material taken from psychological assessments were examined for 94 patients in Exner's (1993) psychiatric reference groups. An Aggression Chart Rating Scale (ACRS) was created to score the level of aggressiveness of each patient's diagnostic report. Analyses revealed good interrater reliability (intraclass correlation coefficient = .73) for ACRS scores and Aggressive Movement (AG; kappa = .73) and excellent reliability for AgC (kappa =.88) and Morbid Content (MOR: kappa = .79). Pearson's correlation revealed significant relations between AgC and both AG and MOR. All 3 Rorschach variables were significantly related to scores on the ACRS. A stepwise regression analysis utilizing these 3 variables resulted in AgC being the only nonredundant predictor of scores on the ACRS. This suggests that AgC was more strongly related to more aggressive ACRS scores than either AG or MOR. The continued support for the clinical utility of AgC as well as recommendations for the addition of the AgC variable to Exner's (1993) Comprehensive System's list of Special Scores are discussed.     

近十年国外罗夏测验攻击变量研究综述

用罗夏测验测量攻击有助于了解个体的攻击性冲动 ,也有助于外显攻击行为的预测和控制。近十年国外文献中有关研究者主要有Holt、Exner、Gacono和Meloy。综述结果表明 ,他们提出的大多数攻击变量都有明确的定义 ,其实证研究也获得了一些支持。但也可以看到 ,目前的研究依然存在不少问题 :(1 )变量的定义有重复、内容有交叉 ;(2 )变量的分类标准不唯一 ;(3 )某些变量的使用和操作欠方便。因而 ,这些变量的定义、分类和使用都还有待于进一步研究支持。     

Extending the Rorschach trauma content index and aggression indexes to dream narratives of children exposed to enduring violence: an exploratory study

In this study, we compared dream narratives of children and adolescents living under conditions of enduring interpersonal violence (n = 220) versus those living in peaceful surroundings (n = 99) on content variables that have been associated with traumatic experiences in Rorschach (Exner, 1995) imagery. As predicted, children and adolescents living in circumstances of enduring violence reported a higher proportion of content scorable by Armstrong and Loewenstein's (1990) Trauma Content Index and a much higher proportion of aggressive objects in their dreams (AgC; Gacono & Meloy, 1994). In support of discriminant validity, no consistent group differences were observed for the relative frequencies of Animal (A), Clothing (Cg), or Cooperative movement (COP) content. The modest association between manifest dream content and psychological symptom scales suggests that the former may alternatively reflect adaptive or psychopathological processes. Our findings suggest that content analysis of dreams may be a valuable adjunct in tapping the psychological state of children traumatized by violence.     

Delinquenzverläufe jugendlicher Sexualmörder

Sexual homicides by juvenile offenders are statistically rare and until now only a few studies explored this phenomenon. Studies on forensic psychiatric court reports and follow-up data from federal criminal records were used to investigate the delinquency of a sample of 19 juvenile sexual homicide perpetrators from their childhood up to the mean age of 45 years of age. More than the half (58%) committed or attempted sexual assaults prior to the sexual homicide. Seven from 13 who were released from custody (54%) committed sexual or violent reoffences. In a long-time analysis as much favourable as unfavourable developments were found. The results suggest that most of the persons who commit sexual homicides as juveniles already committed sexual offences before and have a high risk of sexual and violent reoffending even a long time after the homicide.     

Comparing serial homicides to single homicides: A study of prevalence,offender, and offence characteristics in Sweden

Multiple and serial homicides constitute around 1.6% of all homicides but have unusually tragic outcomes. The aims of this study were to report the prevalence serial‐homicide offences and the characteristics of serial‐homicide offenders in a non‐North American context. The study included all convicted serial‐homicide offenders in Sweden from 1973 to 2012 (n = 25), as well as a population‐based control sample of single‐homicide offenders collected during 2007 and 2009 (n = 201). Similar to U.S. findings, approximately 1.6% of homicides could be attributed to serial‐homicide offenders. Serial offenders were more often diagnosed with personality disorders and autism‐spectrum disorders compared with single offenders; and serial offences more often involved victims who were female and unacquainted with the offender, as well as planning, sexual motives, and asphyxia as method of violence. One third of serial offences involved actions aimed at disguising the manner of death; such actions were considerably less common in single‐homicide offences. Few offenders displayed the traditional profile of a serial‐homicide offender; however, one third displayed sexual motives, a rate roughly 10 times higher than that in the single‐homicide group. The study concludes that serial‐homicide offenders should be subjected to forensic‐psychiatric examinations and that research involving cross‐contextual differences and similarities in serial‐homicide offenders is needed.     

A comparison of selected Rorschach variables of violent female offenders and female non-offenders

A national sample of incarcerated violent female offenders (N = 45) and a sample of female non-offenders (N = 30) were compared on nine selected Rorschach CS (Exner, 2003) variables and three of the aggression variables of Gacono and Meloy (1994). The results indicate that an avoidant and inconsistent coping style was more characteristic of the offenders than the non-offenders. The offenders were characterized by social immaturity and limited capacities to cope with stress as compared with the non-offenders. No significant differences were found between the two groups in handling intense emotions. Although the aggressive scores revealed no discrimination between the groups, significant correlations were found between the aggressive content score and childhood victimization. An inverse relation was found between the aggressive past score and the emotional intensity of the violent offense. The study indicates that the selected RCS variables related to adaptive resources for coping discriminate between violent offenders and non-offenders, but that the variables related to affective features need further examination.     

Sexual sadism and sadistic personality disorder in sexual homicide

Controversies exist about the diagnostic validity of sexual sadism and its relation to sadistic personality disorder in sex offenders. The aim of this study was to investigate which diagnostic, developmental, and criminal characteristics differentiate sexual sadistic from non-sadistic sexual homicide perpetrators. Psychiatric court reports on 166 men who had committed a sexual homicide were evaluated regarding psychiatric, sexual and criminal history. Sixty-one offenders (36.7%) with sexual sadism (SeSd) were compared with 105 (63.3%) offenders without this diagnosis (NSeSd). Besides the sexual sadistic symptoms, there were seven factors that discriminated best between the two groups (sexual masochism, sadistic personality disorder, isolation in childhood, multiple sexual homicide, previous rape, previous tendencies for similar behavior, and long duration of the homicidal act). Sexual sadism is connected with circumscribed other characteristics and has to be considered in risk assessment and treatment of sex offenders.     

What are we studying? Student jurors,community jurors,and construct validity

Jury researchers have long been concerned about the generalizability of results from experiments that utilize undergraduate students as mock jurors. The current experiment examined the differences between 120 students (55 males and 65 females, mean age = 20 years) and 99 community members (49 males and 50 females, mean age = 42 years) in culpability evaluations for homicide and sexual assault cases. Explicit attitude measures served as indicators of bias for sexual assault, defendant, and homicide adjudication. Results revealed that student and community participants showed different biases on these general explicit attitude measures and these differences manifested in judgments of culpability (guilt likelihood, convincingness of state's arguments, convincingness of defendant's arguments, and the defendants' criminal intentions) in sexual assault and homicide case scenarios. The results also showed that student mock jurors were more lenient when assigning guilt in homicide cases than were community members. The implications for future mock jury research are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Sociosexual Orientation and Sexual Behavior in Mexican Adults

Sociosexual orientation includes individual differences in sexual attitudes and behaviors, in relation to the extent in which an individual could be sexually active without affective bonds and commitment. Sociosexuality is related to sexual behavior and can speak to the differences between men and women in how they express their sexuality ( Simpson & Gangestad, 1991 ; Hebl & Casi, 1995 ; Ostovich & Sabini, 2004 ). This study explores sociosexual orientation and sexual behavior in Mexican adults, in order to identify differences in sociosexual orientation related to biological sex and relationship status. It also assesses the relationship between sociosexual orientation and sexual behavior and to predict sexual behavior from sociosexual orientation. The sample was composed of 209 Mexican adults between 19 and 61 years of age. Thirty‐seven percent were male, and 63% were female. Participants answered a standardized Spanish version of the Sociosexual Orientation Inventory ( Simpson & Gangestad, 1991 ) and a Sexual Behavior Inventory developed for the present project ( García Rodríguez, 2007 ). In general, there is great variability in the frequency of each of the sexual behaviors assessed and in the total number of sexual partners. Moreover, participants perceive themselves restricted in their sexual attitudes and behaviors. Men are more permissive and less restricted in attitudes and behaviors than women, and individuals who are dating informally have a higher behavioral sociosexual orientation than those who are living with their partner. Additionally, the higher sociosexuality, the more frequent sexual practices are and the higher the number of sexual partners. Finally, sociosexuality predicts the frequency of sexual practices and the number of lifetime sexual partners.     

Defense mechanisms, behavior, and affect in young adulthood

The relationship between defense mechanism use, observed behavior, and affect was investigated in a sample of 91 young adults. Defense mechanisms were assessed using Cramer's (1991a) Defense Mechanism Manual for TAT stories; behavior was based on observer Q-sort ratings (Block, 1978). The findings show that men and women who rely on the immature defense of denial at age 23 show multiple signs of behavioral immaturity, as well as anxiety. In contrast, extensive use of projection was related to a suspicious, hyperalert personality style, including anxiety and depression, in men, but to a sociable, nonwary, nondepressed style in women. The use of the mature defense of identification, by women, was related to behavior characterized by maturity, social competence, and the absence of depressive symptoms.     

Object relations and interpersonal problems in sexually abused female patients: an empirical study with the SCORS and the IIP

In this study, we examined how retrospective reports of experiencing traumatic sexual abuse in childhood relates to both the development of self-representations and object representations and the occurrence of interpersonal problems. A total of 30 psychosomatic female patients who reported sexual abuse in childhood were compared with a corresponding number of eating-disordered patients and a nonclinical control group. The object relations technique (ORT; Phillipson, 1955), evaluated using the Social Cognition and Object Relations Scale (SCORS; Westen, 1985, 1991b), and the Inventory of Interpersonal Problems (Horowitz, Rosenberg, Baer, & Ureno, 1988) were used to measure the groups. The patients reporting sexual abuse achieved significantly lower scores in the cognitive scales of the SCORS; in the affective scales, they differed from the control group but not from the patients with an eating disorder. Concerning interpersonal problems, the patients reporting childhood sexual abuse reported interpersonal conflicts more frequently. The results of the study support the influence of traumatic sexual abuse on the formation of self-representations and object representations and on the occurrence of interpersonal conflicts.     

Predictors of recidivism by stalkers: a nine-year follow-up of police contacts

In a subsample of a multisite stalking study (Mohandie, Meloy, McGowan, & Williams, 2006) comprising 78 offenders from one site, 77% committed new offenses within an average follow-up of 106 months (8.8 years). Over half (56%) were charged for new stalking related offenses and 33% for violent recidivism. Violent reoffending, including sexual offenses, was predicted by risk factors consistent with existing literature: younger age at first conviction, prior release failures, and criminal history. Stalking recidivism was predicted by pre-index offending scores, using the Cormier-Lang, and prior diagnosis of a mental illness. In addition, stalkers with previously diagnosed mental illness had significantly more police contacts as complainants than those without; their recidivism was also more likely to be non-violent.     

Revisiting the Rorschach of Sirhan Sirhan

The published Rorschach (Kaiser, 1970) of Sirhan Sirhan, the man who assassinated presidential aspirant Robert F. Kennedy in 1968, was studied. Psychostructural and psychodynamic analyses were conducted using, reliable and valid methodology that was unavailable at the time of examination. In contrast to the defense experts at trial who diagnosed paranoid schizophrenia, the data suggest a depressed and suicidal individual organized at a borderline level of personality. Character pathology is hysterical, paranoid, and dependent. When the Rorschach findings are compared to the developmental history of Sirhan and the behavior around the time of the assassination, the data are somewhat consistent with the theme of psychic trauma, are very consistent with the theme of recurrent loss and pathological mourning, and validate a characterological distrust and hatred of, yet hysterical dependence on, the object world. Rorschach indices of predatory violence (Meloy, 1988a) in relation to the planned and purposeful assassination are also discussed.