The multifactor offender readiness model

There has been a resurgence of interest in the rehabilitation of offenders. Research has consistently shown that rehabilitation programs for offenders, when they adhere to general principles of program design and delivery, will achieve significant reductions in recidivism. In this paper, we suggest that even greater reductions in recidivism can be achieved when readiness is addressed at the level of the individual offender, the program, and the context. A comprehensive understanding of readiness allows for fuller engagement in treatment, thus increasing probability of good treatment outcomes. We describe person, program, and context factors in a model of offender treatment readiness and discuss implications of the model for both assessment of offenders and for modification of low readiness.     

Sexual preferences: Are they useful in the assessment and treatment of sexual offenders?

In this paper, we review the evidence on the relevance of sexual preferences for the assessment and treatment of sexual offenders. We conclude that there is limited value to phallometric assessments and that the modification of sexual preferences may not be essential to effective treatment.     

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.     

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.     

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.     

Sexual offenses and traumatic brain injury

A sample of 476 male sexual offenders, seen at a university psychiatric hospital for forensic assessment, was examined for the incidence of traumatic head injuries. A total of 49.3% had sustained head injuries that led to unconsciousness and of these 22.5% sustained significant neurological insults. A major causative factor was motor vehicle accidents, but lifestyle variables including alcohol and drug abuse and history of violence also contributed. The brain-injured group was convicted for a wide range of sexual offenses and was comparable to the non-injured group in this respect, but tended more often to offend against adults than against children and to show somewhat more exhibiting and polymorphous sexual behavior. In spite of the serious legal implications for these men and the additional distress to their families, psychologists, psychiatrists, and the professional literature have been relatively silent on the subject which calls for more attention to sexual behavior as part of assessments and treatment planning.     

Rape and sexual assault in investigative psychology: the contribution of sex offenders' research to offender profiling

Research on sex offenders has mainly guided clinical practice for risk assessment and therapeutic intervention. However, the current scientific knowledge on these offenders and their crimes is, in many aspects, of great importance to criminal investigations. Consequently, there is a need to build bridges between investigative psychology and the research being conducted on sex offenders. Four areas of research on sex offenders that have clear implications to investigative psychology can be identified: (1) the consistency or ‘crime‐switching’ patterns of sex offenders; (2) the recidivism patterns of different types of sex offenders; (3) the police response to specific victim characteristics; and (4) the A → C equation of sexual assaults. This paper argues for a need to establish a dialogue between these two fields of research so that knowledge about sex offenders keeps growing whilst being able to inform policing practices in investigative psychology. Copyright © 2009 John Wiley & Sons, Ltd.     

Child pornography offenses are a valid diagnostic indicator of pedophilia

This study investigated whether being charged with a child pornography offense is a valid diagnostic indicator of pedophilia, as represented by an index of phallometrically assessed sexual arousal to children. The sample of 685 male patients was referred between 1995 and 2004 for a sexological assessment of their sexual interests and behavior. As a group, child pornography offenders showed greater sexual arousal to children than to adults and differed from groups of sex offenders against children, sex offenders against adults, and general sexology patients. The results suggest child pornography offending is a stronger diagnostic indicator of pedophilia than is sexually offending against child victims. Theoretical and clinical implications are discussed.     

Über die Treffsicherheit der standardisierten Risikoeinschätzungsverfahren Static-99 und Stable-2007 bei aus einer Sicherungsmaßnahme entlassenen Sexualstraftätern

The accuracy of the recidivism risk assessment instruments Static-99 and Stable-2007 for sexual offenders was examined in a population of released male forensic sexual offenders hospitalized under mandatory treatment in Austria (N?=?96). The Static-99 with an area under the curve (AUC) ?value of 0.86 and the Stable-2007 (AUC?=?0.71) were significantly related to sexual reoffending after nearly 7 years time at risk, thus revealing a predictive power comparable with offenders released from prison (N?=?274). Also the Stable-2007 incrementally supplemented the predictive accuracy of the Static-99. Static-99/Stable-2007 risk/need categories identified a high risk group with a 50?% chance for sexual reconviction within 5 years after release despite a favorable risk assessment as the precondition for release and post-release risk management. On the other hand, there was virtually no relapse in the three lowest risk categories suggesting a specific effect of the mandatory treatment at least in these offender categories. The data suggest that the instruments are valid not only for offenders released from prison but also for forensic sexual offenders.     

Designated as Dangerous: Characteristics of Sex Offenders Subject to Post‐Sentence Orders in Australia

The earliest characterisation of Australian sex offenders subjected to post‐sentence legislation is presented. Demographic, developmental, clinical, and criminal characteristics were obtained for sex offenders under post‐sentence orders in Western Australia, New South Wales, and Victoria. Data on 50 offenders were recorded from psychological and psychiatric risk assessment reports statutorily required at the initiation of post‐sentence legal proceedings. The findings describe a group of demonstrably dangerous men who exhibited an early onset of sexual offending, high rates of mental disorder, sexual deviance, and antisociality. Their developmental histories are characterised by early deprivation, disadvantage, abuse, early exposure to substance abuse, and social and psychological dislocation. These offenders present a conundrum to criminal justice agencies. They are an objectively unfortunate group and have engaged in significantly harmful behaviours. However, the early onset of their offending suggests that early intervention services, such as those offered by mental health professionals, have a critically important role to play in any effort to alter offending trajectories such as those exhibited in this sample. A paradigm shift in public policy from a post hoc model to a well‐resourced preventative and public health approach to the problem of sexual violence is proposed. Broad treatment implications are also considered.     

Uses of rational emotive behavior therapy with juvenile sex offenders

Juvenile sexual offenses appear to be on the rise. This contributes to harm and trauma to the victims and the community at large. For many years the major interest in sex offender treatment has been directed toward assessment and treatment of the adult offender in spite of the reported large proportion of all sex crimes committed by juveniles (Uniform Crime Reports, FBI, 1985). Our article addresses three uses of Rational-Emotive Behavior Therapy (REBT): 1) in group and individual therapy, 2) in work with the offender's family, and 3) in staff training. The issues of the client's faulty learning and cognitive distortions is critical in the habilitation and rehabilitation process and may include such messages as: 1) I am powerless to control my sexual arousal, 2) I won't get caught if I am careful, 3) Masturbating about little kids is OK, 4) I need to feel better and when I am sexual with someone I feel better. This article will describe how the theory and practice of REBT (Ellis' 1984) is applied with juvenile sex offenders. A key feature is its use with the offending juvenile in the teaching of a rational belief system as well as ways to reduce emotional disturbances.     

Treatment readiness in violent offenders: The influence of cognitive factors on engagement in violence programs

Advances in offender rehabilitation theory have led to the development of a clear framework of the factors that need consideration for an offender to be ready for therapy and thus gain maximum benefits. Here, we examine in greater detail the role of cognition in readiness for rehabilitation in violent offenders. We assess how cognitive processes and distortions common in violent offenders may affect and hamper rehabilitation readiness. Methods for remediation of cognitive factors that diminish readiness, including motivational interviewing, are discussed. We conclude that cognitive factors are critical in the assessment of readiness in violent offenders and therapeutic efforts to enhance engagement.     

Female perpetrators of child sexual abuse: A review of the clinical and empirical literature

Although women have long been viewed as offenders in cases of physical child abuse, it is only recently that clinicians and researchers have begun to seriously consider the problem of female-perpetrated sexual abuse of children. The purpose of the present paper is to review existing clinical and empirical literature on female sex offenders, in order to develop a summary profile of female perpetrators that may be of value to professionals involved in the assessment and treatment process.     

Exploring differences in youth and parent reports of antisociality among adolescent sexual and nonsexual offenders

This study examined the extent of, and explored several possible explanations for, the discrepancies found between adolescent and parent reports of conduct problems in adolescent sexual and nonsexual offenders. We found that adolescent sexual offenders scored lower on measures of conduct problems than did nonsexual offenders, whether on the basis of adolescent or parent report, though the difference was much larger for parent reports. Examining this discrepancy more closely, we found that parents of sexual offenders reported less antisocial behavior than did their sons, whereas parents of nonsexual offenders reported more antisocial behavior than did their sons. The same pattern of results was obtained for reports on impulsivity, but much less so with respect to antisocial personality traits such as narcissism and callousness. Measures of family functioning were generally not related to these parent-adolescent discrepancies in reports of conduct problems, but these discrepancies were positively correlated with parental reports of stress. The implications of these findings for the interpretation of research on adolescent sexual offenders and comparisons of sexual and nonsexual offenders are discussed.     

societal reaction to sex offenders: a review of the origins and results of the myths surrounding their crimes and treatment amenability

Examination of societal reaction to sexual offenders reveals a history of harshness exemplified by the sexual psychopath laws of the 1930s. The latest round of legal attempts to control sex offenders uses Severe sentencing laws, civil commitment procedures and community notification statutes to confine and shame sex offenders. This paper shows these laws to be based on popular beliefs about the predatory nature of these men, the probability of their re-offense and their amenability to treatment rather than the facts about the sex offenses and offenders. The severe reaction to sexual offenders is a vindictive one based on myth and misunderstanding that serves many interests. The paper exposes the contradictory myths and skewed emotions that guide our view of sex crimes and compares these with the facts about re-offense rates and the effects of treatment.     

Adolescent sex offenders with mental retardation: Literature review and assessment considerations

Working with adolescent sex offenders can be a difficult challenge. When an offender also suffers from mental retardation, this challenge increases. Unfortunately, this has been a largely ignored population, and clinicians working with this group often find little empirical work to assist them. Yet, many theorists posit that addressing sexual offending behavior when the offender is an adolescent may help prevent that behavior from continuing into adulthood. This is important because adult sexual offenders are often very difficult to treat. The current paper begins by reviewing literature on social deficits of individuals who have mental retardation. These deficits may contribute to aberrant sexual behavior among adolescents. The focus of the paper is then a review of literature on adolescent sex offenders, including those with mental retardation. We conclude this review with suggestions for assessment of adolescent sex offenders and with recommendations for future directions.     

Die Rehabilitation von Straftätern

The rehabilitation of offenders in English-speaking countries is primarily guided by a risk management framework (the risk-need-responsivity principles: RNR model), which aims at reducing the possibility of harm to the community rather than improving offenders’ quality of life. In the last decade Tony Ward and his colleagues have developed the good lives model of offender rehabilitation (GLM) as an alternative to the RNR model. The GLM incorporates the RNR principles of risk, need and responsivity into its theoretical structure while aiming to provide a more constructive and comprehensive approach to correctional practice. More specifically, it aims to both reduce risk while enhancing the quality of offenders’ lives. The present article aims at outlining the general, etiological assumptions and practice implications of the GLM. In addition, its strengths and limitations and evidence base are reported. These illustrations highlight the usefulness of the GLM for the treatment of offenders and sex offenders in particular.     

Die Vorhersage der Rückfälligkeit entlassener Sexualstraftäter mittels des Sexual Offender Risk Appraisal Guide (SORAG) und dessen Screening-Version (SORAG-SV): Darstellung der differentiellen und prädiktiven Validität

The Sex Offender Risk Appraisal Guide (SORAG) is one of the most important actuarial risk assessment instruments for sexual offenders. In the meantime, the application of actuarial instruments in recidivism risk assessment for sexual offenders is regarded as state of the art. In addition to results about interrater reliability and concurrent validity we present results about the differential and predictive validity of the SORAG and a screening version of the SORAG (SORAG-SV), which relies only on file information. In order to examine the predictive validity, we used a representative sample of 519 male sexual offenders released from a prison sentence served in one of Austrian´s prisons with a mean follow-up period of 3½ years. Furthermore, we tested the differential validity by dividing the whole sample in different subsamples regarding age, index offense type, and degree of antisociality. Both SORAG and SORAG-SV showed predominantly good predictive accuracy which, however, varied depending on offender subgroup and recidivism category.