Assessing risk for violence among male and female civil psychiatric patients: the HCR-20, PCL:SV, and VSC

This study evaluated the predictive validity of violence risk assessments conducted using the HCR-20, the Psychopathy Checklist: Screening Version (PCL:SV), and by the Violence Screening Checklist (VSC) in a sample of 268 involuntarily hospitalized male and female psychiatric patients. Information pertaining to violence and crime was coded from medical charts and correctional records. The HCR-20/PCL:SV evidenced modest non-significant associations in postdictive assessments of inpatient violence among men. Moderate to strong significant associations were found between the HCR-20/PCL:SV and inpatient violence among women. Pseudo-prospective assessments using the HCR-20 and PCL:SV resulted in moderate to large relationships with violence and crime in men and women following community discharge. It is concluded that the VSC is a promising tool for assessing acute inpatient violence risk with men. Findings offer preliminary validation of the predictive validity of the HCR-20 and PCL:SV with female civil psychiatric patients.     

The role of psychopathic personality disorder in violence risk assessments using the HCR-20

Antisocial and psychopathic traits are essential to evaluate when assessing risk for violence using the HCR-20. The role of the PCL-R on the HCR-20 was investigated using a series of meta-analytic tests. Across 34 samples in which both tools were rated, AUCs for violence were similar (～.69), and exclusion of the psychopathy item (H7) did not reduce the HCR-20's accuracy. Quantitative synthesis of results from multivariate analyses conducted in 7 raw datasets that used both tools demonstrated that the average probability of observing violence for every point increase on the HCR-20 (without H7), while controlling for the PCL-R, was 23%, whereas for the PCL-R it was -1%. The HCR-20 (without H7) added incremental validity to the PCL-R, whereas the converse was not true, and only the HCR-20 (without H7) possessed unique predictive validity. Results suggest the HCR-20's predictive validity was not negatively impacted by excluding the PCL-R. Areas for future study are discussed, including research on various ways to assess and incorporate into risk assessment personality traits related to violence.     

Minority Stress and the Risk of Unwanted Sexual Experiences in LGBQ Undergraduates

Sexual assault is prevalent among lesbian, gay, bisexual, and queer (LGBQ) college students, but its relationship to anti-LGBQ stigma has not been established. The goal of the present study was to determine whether minority stress, specifically internalized homophobia, predicted unwanted sexual experiences among LGBQ undergraduates (N = 763), whether routine behaviors (number of consensual sexual partners and alcohol use) mediated this relationship, and whether sense of LGBTQ community was a protective factor. Significant proportions of sexual minority men (10 %), women (18 %), and non-binary or transitioning students (19 %) reported an unwanted sexual experience since entering college. Internalized homophobia was associated with greater risk of unwanted sexual experiences. It also had a negative indirect effect on unwanted sexual experience risk through a negative association with number of sexual partners. Alcohol use did not mediate the relationship between internalized homophobia and unwanted sexual experiences. Sense of LGBTQ community was associated with lower risk, mediated by lower levels of internalized homophobia. The relationships between internalized homophobia and unwanted sexual experience risk were similar for women and men. These findings demonstrate that minority stress increases LGBQ students’ risk of sexual victimization and that in-group social relationships can mitigate this risk. We argue that minority stress is an important risk factor for sexual violence. Violence prevention interventions should attempt to reduce internalized homophobia, and colleges and high schools should establish LGBQ-affirming social climates and provide resources for LGBQ students, including targeted violence prevention efforts and programs that foster a sense of supportive community.     

Violent Men In Intimate Relationships: An Analysis of Risk Markers1

In the family violence literature, a number of risk markers associated with men's use of violence against women have been identified. Using the 1975 National Family Violence Survey, a multivariate analysis was performed to examine which risk markers best differentiated among nonviolent men, verbally aggressive men, men who exhibit minor physical violence, and severely physically violent men. High levels of marital conflict, lower socioeconomic status, and greater exposure to violent role models in the home of origin emerged as primary correlates of levels of violence between intimates. Theoretical and research implications are discussed.     

Moderators of the predictive efficacy of the Historical,Clinical and Risk Management-20 for aggression in psychiatric facilities: Systematic review and meta-analysis

This paper presents results from a systematic review and meta-analysis of studies of the predictive efficacy of the Historical, Clinical, and Risk Management-20 (HCR-20) for aggressive behavior in residential psychiatric facilities. Variations in efficacy were investigated based on aggression-type, HCR-20 scale used, and as moderated by clinical, demographic and methodological variables. Comprehensive terms were used to search seven electronic databases between January 1995 and August 2012. Additional papers were located by examining references lists and hand-searching. Twenty non-overlapping studies involving 2067 participants were identified. Few (n = 4) studies reported methodology and results sufficiently to ensure a transparently low risk of bias. The summary judgment (d_w = 1.166) had the largest mean effect size for prediction of any inpatient aggression. HCR-20 had best predictive efficacy among samples containing higher proportions of patients with schizophrenia, women, Caucasians, and those with greater risk of bias. Predictive efficacy was reduced in studies containing higher proportions of patients with personality disorder. HCR-20 is a significant predictor of aggression in residential psychiatric facilities but does not appear to have equal efficacy across groups. Future research should aim to verify current findings using more heterogeneous samples and should report methodology with greater rigor.     

The Psychology of Health and Illness: The Mental Health and Physiological Effects of Intimate Partner Violence on Women

Violence against women is a global public health problem with about one in three women experiencing either physical and or sexual intimate partner violence during their lifetime. Globally as many as 38% of homicides committed against women are by a male intimate partner. Violence against women may have negative effects on their mental, physical, and reproductive health (WHO fact sheet, 2016). Untreated individuals who have experienced violence or life-threatening situations may develop posttraumatic stress disorder (PTSD). This disorder has the potential to be life-changing and cause negative psychological and medical issues (Rokach, Ahmed, & Patel, 2017). This potentially life-changing nature and consequence of violence affecting women world-wide deserves greater attention to ensure elimination of risk factors, financial support of investigational studies to promote detection of victims, and research to increase therapeutic efficacy of remediation. These efforts should be bolstered by all physicians, mental health experts, social service specialists, and public health advocates.     

An exploration of prevalence of domestic violence in same-sex relationships

The prevalence of domestic violence in a sample of 33 men and 33 women currently or previously in same-sex relationships was assessed. Data were collected through a mail survey in the state of Virginia. Of 1000 surveys sent out 66 usable ones were returned (response rate = 6.6%). Analysis indicated that 34 had experienced some form of domestic violence, but significant differences between male and female respondents were not detected. When data from this same-sex sample were compared with those of the heterosexual sample of the National Violence Against Women Survey, intimate partner assault may be more prevalent against gay men than against heterosexual men, but there was no significant difference between lesbians and heterosexual females.     

R?ume der Gewalt

Violence is everywhere, just as love and the need for sexual satisfaction are omnipresent, nowadays just as it was 1,000 years ago. However, one is taken for granted as a part of fundamental human behavior and needs no explanation, while violence is considered an anomaly which should disappear from our lives. People who live in peace are irritated when they hear of massacres and violent acts which do not occur in their world. They cannot believe that people kill, abuse and sexually assault each other for no apparent reason and that some actually gain pleasure from this. Then the belief that violence is abnormal behavior under any circumstances helps them to imagine its reality as a space in which argumentation triumphs over fists. Humans, however, will not be what they are: they have always been complete. Violence is a human capability: that was always so and everywhere. It is a resource for action which is not only available for everybody but can also be used by everyone. Even the smallest can achieve an increase in power and gain respect by the use of the fists. The source of violence lies in the fundamentals of the powers of imagination. All atrocities can be imagined and what has once become engraved in the memory can never be removed. When one has understood what violence does to man and what man does with violence, it can no longer only be comprehended as an expression of ideas, intentions and programs, as a deviation which can be redressed by moral persuasion but as a consequence of an unlocking of safety measures which protect people from killing and injuring each other. Even in the future violence will be part of our lives. The belief in the healing powers of civilization is nothing more than romantic idealism. It always concerns only situations and people. Undoubtedly a depressing outlook but when one has comprehended that violence is an integral part of life, measures can also be taken to enclose it. Violence is an experience which creates order because death means the end of everything. For dreamers who crave eternal peace, this recognition is depressing but for realists it is a comfort.     

POWER AND INFLUENCE STRATEGIES IN VIOLENT AND NONVIOLENT MARRIAGES

How important is the use of physical violence in determining the balance of power within marriage? Do women in violent marriages make more use of indirect strategies in attempting to persuade their husbands than do women in nonviolent marriages? Is marital satisfaction related to influence styles? These questions are investigated by looking at decision making in couples and how this is related to the forms of influence strategies used by wives and husbands in violent and nonviolent marriages. Data from in-depth structured interviews with 137 self-identified battered wives and 137 comparison wives, some of whom were also found to have experienced violence from their husbands, are used to answer these questions. Results indicated that women with violent husbands used more influence strategies overall, although these women had less overall power in terms of decision making than did women with nonviolent husbands. The relationship of influence strategies to decision making was different for women with violent husbands than for those whose husbands were not violent. As expected, the use of coercive strategies related negatively to marital happiness, whereas positive strategies were positively predictive. Violence and other negative strategies should be included in future research on influence strategies in close relationships, and a positive-negative dimension should be included as a way of categorizing influence strategies.     

Dating violence in the United Kingdom: A preliminary study

A small-scale study of “dating violence” in a sample of UK college students is described. Methodology involved the rating-scale used in existing US studies, with the addition of an assessment of inter-respondent reliability, which was found to be high. A high incidence of some form of violence was found, with women showing higher levels than men, thus replicating previous US findings based on victim reports. Violence in the present relationship was found to be unrelated to violence in past relationships.     

Gewalt und Vertrauen

Puzzles are often the result of wrong questions. Not the question is interesting, how it is possible that “quite normal men” are capable of extreme violence, rather the question why in face of world history this question persists and is still considered as being interesting. This article is an attempt to find an answer to this question by discussing the special relation developed by the cultural formation named “modern age” to violence in general and last but not least to its own violence. Violence underlies in modern age a pressure of legitimation which strongly differs from other cultures, and the trust in modern age is to a great extent based on the – all too often counterfactual – assumption that it is non-violent or at least on the way to that. In the course of these considerations it should be examined why there is no satisfying sociology of violence although just this lack is known and bemoaned –, as well as the question on which bases such a sociology could be established: systematically, considering a phenomenology of physical violence and the analysis of the relation of power and violence as well as the communicative function of violence; historically, considering the question how the special relation of modern age to violence was developing and to which changes it is subjected in face of the excesses of violence of the 20th century.     

Why Do Women Endorse Honor Beliefs? Ambivalent Sexism and Religiosity as Predictors

Cultures of honor, such as Turkey, prioritize defending individual and family reputations, but in gender-specific ways (Nisbett and Cohen 1996). Men maintain honor via reputations for toughness, aggression, control over women, and avenging insults. Women maintain honor through obedience to men, sexual modesty, and religious piety. Honor beliefs support women’s subordination, justifying violence against them (Sev’er and Yurdakul, Violence against Women, 7, 964–998, 2001) and therefore should be challenged. Understanding honor beliefs’ ideological correlates may inform such efforts. We hypothesized that benevolent sexism, a subjectively favorable system-justifying ideology, would more strongly, positively predict Turkish women’s (versus men’s) honor beliefs; whereas hostile sexism, which is openly antagonistic toward women, would more strongly, positively predict Turkish men’s (versus women’s) honor beliefs. Additionally, due to justifications for gender inequality embedded in Islamic religious teachings, we expected Islamic religiosity to positively predict honor beliefs for both genders. A convenience sample of Turkish undergraduates (313 women and 122 men) in Ankara completed the Ambivalent Sexism Inventory, Religious Orientation Scale, and Honor Endorsement Index. Regression analyses revealed that benevolent (but not hostile) sexism positively predicted women’s honor beliefs, whereas hostile (but not benevolent) sexism positively predicted men’s honor beliefs. Islamic religiosity positively predicted honor beliefs for both genders, but (unexpectedly) did so more strongly for men than women. We suggest that combating benevolent sexism and promoting feminist interpretations of Islamic religiosity may help to empower Turkish women to challenge honor beliefs.     

“The Test of a Civilization Is the Way that It Cares for Its Helpless Members”: Violence Against Older Women

Violence against women is a major health risk nationally and internationally. However, despite its impact, violence against older women remains an understudied area. Abuse of older women is frequently unrecognized unless encompassed under “elder abuse.” The purpose of this article is to (1) provide a summary of current research on violence against older women, (2) describe methodological biases in research on violence against older women, (3) discuss methodological biases that have kept the problem of violence against older women hidden from view, and (4) propose new directions for feminist research, advocacy, and therapy.     

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.     

Patterns of Violent Relationships, Psychological Distress, and Marital Satisfaction in a National Sample of Men and Women

This paper examined six patterns of violent relationships (severe and mild victimization, perpetration, and mutual violence) and their associations with psychosocial outcomes in men and women (N = 3,519) using data from the National Comorbidity Survey. Violence patterns most frequently reported included mild and severe violence performed by both relationship partners. Some gender differences in frequency of patterns emerged. Main results showed gender differences and some similarities in associations between violence patterns and negative psychosocial outcomes. Women’s victimization, regardless of severity, was more strongly related to psychosocial outcomes than men’s. Yet, additional findings revealed gender similarities, with both men and women affected by mutual violence. Post hoc analyses further suggested that some individuals were satisfied and had relatively low distress, despite violence.     

On the Association of Sex and Violence In the Fantasy Production of College Students*

ABSTRACT: This paper investigates whether there is an association between sexual imagery and violent imagery in stories produced in response to ambiguous Thematic Apperception Test stimuli. In addition, two commonsense assumptions about sex and violence are examined: (a) do men have more sexual imagery than women? and (b) assuming men are more aggressive than women, do they produce fantasies with more violent themes? Thematic Apperception Test protocols administered to 80 college students as part of a study conducted at Syracuse University in the late 1950s were examined using two scoring systems—one for sexual imagery and one for violent imagery. An association between sex and violence was found for men only. The conventional wisdom that all men ever think about is sex was undermined by the finding that men and women do not differ in the production of sexual imagery. In terms of production of violent imagery, men and women also do not differ. The fact that females are less aggressive than men in overt behavior may be a function of social and cultural forces which operate differentially on men and women.     

Personality disorder and violence: understand violence risk: an introduction to the special section personality disorder and violence

This paper introduces the Special Section on personality disorder and violence. The first paper evaluates the impact of removing the Psychopathy Checklist (PCL-R) as a mandatory element of a major approach to the assessment of violence risk-the HCR-20. The second paper considers violence to self as well as violence to others; it examines the influence of dysfunctional personality traits in a sample of female offenders. The third paper provides a systematic framework for risk formulation, discussing how to bridge the gap between nomothetic research and the individual case. This paper concludes by arguing that there is a need to shift perspective from asking "what?" dysfunctional traits are relevant to future violence to "why?" are particular traits relevant. The "why?" question is particularly germane in the forensic arena where expert testimony must endeavor to provide a causal explanation of risk processes at the level of the individual.     

Predicting Bidirectional Intimate Partner Violence: Demographic and Historical Factors That Influence Initiating Threats or Use of Violence by IPV Victims

Using data from the National Violence Against Women Survey, this study explored the role of gender and other demographic and historical factors that influence initiating threats or use of violence among a sample of intimate partner violence (IPV) victims—an element of bidirectional violence. For this study, involvement in a relationship marked by bidirectional violence was defined as an affirmative response to this question: Were you the first person to use/threaten physical force? after respondents self-identified as IPV victims. The hypothesized model to predict initiating threats or use of violence among male victims was not significant, but marital status, income, employment status, and childhood victimization experiences did significantly predict female behavior. Age, race, education, alcohol use, drug use, and posttraumatic stress disorder (PTSD) symptoms were not useful in explaining model variance for men or women. The rates of perpetration were equivalent for males and females; however, these findings suggest that gender is still an important context to consider when theorizing about bidirectional IPV.     

Adaptive and maladaptive personality traits as predictors of violent and nonviolent offending behavior in men and women

The aim of this study was to assess both violent and nonviolent offending behavior in a single, mixed‐sex population. The rationale for this is that the two types of offending are usually researched separately, despite evidence that they overlap. A comprehensive measure of general violence, intimate partner violence (IPV), and nonviolent offending behavior was administered to 116 men and 181 women, together with measures of personality and personality disorder (PD) traits, to investigate whether predictors of violent and nonviolent offending were similar or different for men and women. Men were found to perpetrate higher levels of general violence and nonviolent offenses than women, but women perpetrated significantly more IPV than men. Cluster B PD traits predicted all three offense types for women and also men's general violence and nonviolent offending. Women's general violence and men's non‐violence also had one unique risk factor each, low agreeableness, and low conscientiousness, respectively. The main difference was for IPV, where men's IPV was predicted by cluster A PD traits, indicating that men's and women's risk factors for IPV may be different, although their risk factors for the other offense types were fairly consistent. Aggr. Behav. 36:177–186, 2010. © 2010 Wiley‐Liss, Inc.