Comparison of arousal and preference assessment outcomes for sex offenders with intellectual disabilities

We compared outcomes of arousal and preference assessments for five adult male alleged sexual offenders with intellectual disabilities. Arousal assessments involved the use of the penile plethysmograph to measure changes in penile circumference to both deviant (males and females under the age of 18) and nondeviant (males and females over the age of 18) video clips. Paired‐stimulus preference assessments were arranged to present still images from the video clips used in the arousal assessments. Results showed correspondence between the assessments for four out of the five participants. Implications are discussed for the use of preference assessment methodology as a less intrusive assessment approach for sexual offender assessments.     

Reduction of sadistic sexual arousal by olfactory aversion: a case study

A sexual sadist was treated by an olfactory aversion procedure for eight weeks. Pre-treatment assessment of sexual arousal showed high levels of response to sadistic stimuli as well as high arousal to non-sadistic heterosexual stimuli. In treatment the inhalation of the gas of an odoriferous chemical agent, valeric acid, was paired with slide presentations of sadistic materials while penile erection was monitored. The aversive stimulus immediately and permanently suppressed the response for the duration of treatment. In separate measurement sessions, with valeric acid absent, deviant response remained suppressed and nondeviant response was unaffected. Post-treatment reassessment revealed very low levels of response to sadistic stimuli. Follow-up sessions showed that the deviant response was absent eight months following the conclusion of treatment.     

The effects of masturbatory reconditioning with nonfamilial child molesters.

Abel and Annon's (Reducing deviant sexual arousal through satisfaction, Denver, Colo., 1982) suggested combination of 'directed masturbation' and 'satiation' to alter deviant sexual preferences, was applied to 10 nonfamilial child molesters. Post-treatment assessments revealed significant reductions in deviant arousal as was expected, but unfortunately there were also reductions in appropriate arousal although these changes did not achieve statistical significance. The results are discussed in terms of their meaning but it is concluded that empirical support for these clinically popular procedures remains weak.     

Replications and extensions in arousal assessment for sex offenders with developmental disabilities

Three adult male sex offenders with developmental disabilities participated in phallometric assessments that involved repeated measures of arousal when exposed to various stimuli. Arousal assessment outcomes were similar to those obtained by Reyes et al. (2006). Additional data-analysis methods provided further information about sexual preferences, thus replicating and extending previous research. The results provide preliminary data for establishing a preference gradient by age. Implications for the use of repeated measures and preference gradients in arousal assessments are discussed.     

The influence of presession factors in the assessment of deviant arousal

Three adult male sex offenders with developmental disabilities participated in an evaluation of presession factors that may influence levels of sexual arousal measured with a penile plethysmograph. We evaluated the effects of presession masturbation (1 participant) and arousal-suppression strategies (2 participants). Results showed that presession masturbation lowered arousal levels and both participants suppressed arousal to varying degrees. These outcomes suggest the potential for consideration and manipulation of presession factors as treatment components for sex offenders with developmental disabilities.     

Orgasmic reconditioning without deviant imagery: a case report with a pedophile

A male pedophile was treated with a modified form of orgasmic reconditioning that, contrary to previous approaches, did not utilize deviant imagery during treatment. Pretreatment assessment of sexual arousal indicated high responsiveness to the stimuli of young girls, while responsiveness to adult females was almost absent. Treatment consisted of having the subject masturbate to ejaculation while speaking fantasies concerning adult females aloud. Four hours after the masturbation sessions, the subject underwent a measurement session in which his response to three deviant and three non-deviant slides were evaluated and attitude measures administered. Results showed a considerable increase in response to slides of female adults and a decline in response to slides of female children. Follow-up measurement sessions indicated that treatment gains were maintained 2 months following the end of treatment. These results suggested that in some cases the use of deviant imagery during orgasmic reconditioning is not necessary to facilitate treatment. It was also suggested that a comprehensive change in sexual orientation is more than a conditioning process and requires a modification of an individual's self-perception of his/her sexual identity.     

Use of penile plethysmography in the court: A review of practices in Canada,the United Kingdom and the United States

Penile plethysmography (PPG) is an objective measure of male sexual arousal in response to the presentation of a series of erotic and neutral stimuli. This measure is now widely recognized as the most reliable means of objectively measuring male sexual arousal to specific stimuli. Many clinicians and researchers consider PPG to be a vital contribution to the assessment and treatment of adult men with paraphilic interests and men who have committed sex crimes. PPG contributes to the clinical assessment of paraphilic interests, appraisal of risk of recidivism, and provides an objective measurement of changes in sexual arousal in response to treatment. There is strong support for the utility of PPG within clinical and legal contexts. This article addresses ways in which PPG has been utilized in the courts as part of expert clinical opinion. History of its use, details regarding admissibility in court, and case law are explored within the legal systems of Canada, the UK and the USA. Support for the inclusion of PPG as expert evidence is provided and judicial misunderstandings on the rationale for PPG use and its clinical utility in forensic assessments are discussed.     

Evaluation of absolute and relative reinforcer value using progressive-ratio schedules

We evaluated behavior exhibited by individuals with developmental disabilities using progressive-ratio (PR) schedules. High- and low-preference stimuli were determined based on the results of a paired-stimulus preference assessment and were evaluated in subsequent reinforcer and PR assessments using concurrent and single schedules of presentation. In Experiment 1, results showed that for 2 of 3 participants, stimuli determined to be low-preference functioned as reinforcers when evaluated independent of high-preference stimuli. Further, the results from Experiment 2 showed that low-preference stimuli also functioned as reinforcers under gradually increasing PR requirements. Results suggest that for cases in which a high-preference stimulus is unavailable or impractical, the contingent delivery of relatively less preferred stimuli may maintain appropriate behavior, even as schedule requirements increase.     

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.     

Deviant sexual arousal,offense history,and demographic variables as predictors of reoffense among child molesters

The present study examined selected demographic and offense history variables and deviant sexual arousal as predictors of reoffense in a group of 35 untreated child molesters. The measure of deviant sexual arousal was based on laboratory measures of sexual preference using penile plethysmography. Factor analysis of the predictor variables yielded three factors. The measure of deviant arousal, the amount of force used in the offense, whether or not the offender had intercourse with the child victim, and the number of previous victims loaded on the first factor, called Sexual Deviance. IQ and socioeconomic status loaded on the second factor, called Social Status. Age of the offender and age of the victim loaded on the third factor, called Offender Age. Entering the sets of three factor scores as predictors in a multiple correlation, over 20% of the variance in recidivism was explained, but the factor Sexual Deviance was the only significant predictor of recidivism (p < .02). Almost 30% of the variance in number of reoffenses was explained, and both Sexual Deviance (p < .01) and Social Status (p < .10) were significant predictors. A cluster analysis identified a group of offenders characterized by low SES and low IQ who also showed higher sexual deviance scores and a high rate of reoffense.     

Arousal,valence, and memory for detail

A common finding in the emotion‐memory literature is that memory is enhanced for positively arousing stimuli and negatively arousing stimuli relative to neutral stimuli. We tested the notion that post‐stimulus elaboration is responsible for these effects. Post‐stimulus elaboration refers to the process of thinking about an event (after its offset) more frequently or more in‐depth. We tested the hypothesis by presenting participants with 36 slides depicting events that varied in arousal (low and high) and valence (positive and negative). The opportunity for elaboration was manipulated by requiring participants, during the inter‐slide interval, to complete addition problems, simply view the addition problems, or view a blank slide. Cued recall memory was tested for central and background details. Based on the post‐stimulus elaboration hypothesis it was expected that the greatest memory decline would occur for the central details of negatively and positively arousing slides when participants were required to complete addition problems (i.e., a distractor task × arousal × detail interaction). Contrary to the hypothesis, we found that filling the inter‐slide interval with a distractor task decreased memory for negative stimuli compared to positive stimuli. This effect was independent of arousal. We also found that arousal increased central detail memory for positive and negative stimuli and background detail memory for positive stimuli but not for negative stimuli. This interaction was explained on the basis of pre‐attentive encoding and cue utilisation. It was concluded that in order to understand the complex relationship between emotion and memory, future studies should include, as a minimum, the variables of valence, arousal, and detail.     

Arousal, valence, and memory for detail

A common finding in the emotion-memory literature is that memory is enhanced for positively arousing stimuli and negatively arousing stimuli relative to neutral stimuli. We tested the notion that post-stimulus elaboration is responsible for these effects. Post-stimulus elaboration refers to the process of thinking about an event (after its offset) more frequently or more in-depth. We tested the hypothesis by presenting participants with 36 slides depicting events that varied in arousal (low and high) and valence (positive and negative). The opportunity for elaboration was manipulated by requiring participants, during the interslide interval, to complete addition problems, simply view the addition problems, or view a blank slide. Cued recall memory was tested for central and background details. Based on the post-stimulus elaboration hypothesis it was expected that the greatest memory decline would occur for the central details of negatively and positively arousing slides when participants were required to complete addition problems (i.e., a distractor task x arousal x detail interaction). Contrary to the hypothesis, we found that filling the inter-slide interval with a distractor task decreased memory for negative stimuli compared to positive stimuli. This effect was independent of arousal. We also found that arousal increased central detail memory for positive and negative stimuli and background detail memory for positive stimuli but not for negative stimuli. This interaction was explained on the basis of pre-attentive encoding and cue utilisation. It was concluded that in order to understand the complex relationship between emotion and memory, future studies should include, as a minimum, the variables of valence, arousal, and detail.     

Heterosocial-skills training and covert sensitization. Effects on social skills and sexual arousal in sexual deviants

There are few experimental investigations of the effects of social-skills training (SST) on sexual deviation. This study used a multiple baseline across 4 subjects with undesired sexual arousal to investigate the effects of heterosocial-skills training and covert sensitization on heterosocial skills and sexual-arousal patterns. SST produced large increases in heterosocial skills but it had unclear effects on sexual arousal. Subsequently, covert sensitization tended to reduce remaining deviant arousal but did not increase appropriate arousal significantly. These data generally support the view that individual components of sexual arousal require separate assessment and intervention.     

Neurophysiological indices of free recall memory biases in major depression: The impact of stimulus arousal and valence

This study examined differential impact of the valence and arousal characteristics of stimuli on memory biases and brain activity in major depressive disorder (MDD) and non-depressed control participants. P300 and slow wave (SW) components of the event-related brain potential (ERP) were recorded in 18 MDD and 18 control individuals during the encoding of positive and negative, high and low arousal words in a free recall task. Control participants demonstrated expected enhanced memory for positive stimuli that was accompanied by a corresponding increase in SW ERP components. These effects were not seen in the MDD participants. Rather, memory biases for negative information in MDD were only observed for low arousal words and were not reflected in ERP amplitudes. This study suggests that the inconsistency in the MDD memory bias literature may be related to the arousing nature of the stimuli incorporated in the study.     

Exploring the mechanism of dishabituation

In this study we explored elicitation and habituation of the orienting reflex (OR) in the context of indifferent and significant stimuli, particularly aiming to clarify the mechanism driving dishabituation. An in-depth analysis of the mechanisms of electrodermal habituation and dishabituation was conducted, focusing on the role of state measures as determinants of the phasic response profile. Twenty-four young adult participants completed an auditory dishabituation task while electrodermal activity was recorded. Participants listened to a series of 10 innocuous tones of the same frequency (standards), followed by a deviant tone of a different frequency, and succeeded by 2-4 tones of the same frequency as the initial 10 stimuli. All stimuli had a random stimulus onset asynchrony of 5-7 s. Participants completed an indifferent condition in which there was no task in relation to the stimuli, and a significant condition where instruction was given to count the stimuli silently; order was counterbalanced between participants. As predicted, both skin conductance responses (SCRs) and skin conductance levels (SCLs) were larger for the significant than the indifferent condition. The initial phasic ORs were dependent on pre-stimulus arousal level, and there were significant decreases in both SCR and SCL over the first 10 standards in both conditions. Phasic response recovery was apparent to the deviant stimulus, and dishabituation to the following standard stimulus; both effects were enhanced in the significant condition. Sensitisation was apparent in SCL following the initial and deviant stimuli, but the extent of this was confounded with incomplete resolution of the preceding phasic OR in the significant condition. In the indifferent condition, dishabituation was independent of deviant-related sensitisation; this could not be tested in the significant condition. These findings suggest that dishabituation is not a process of sensitisation, but rather, a disruption of the habituation process.     

Psychophysiological assessment of change in erotic preferences

The difficulties involved in validating effectiveness of the various therapies of anomalous erotic preferences are often underestimated. Basically, methods of physiological assessment of erotic preferences would appear to be promising. However they still pose considerable problems. There are two kinds of such methods, those where measurement of general arousal is employed, and those which are based on assessment of sexual arousal proper. The former are only weak indicators of erotic preferences; the latter are to date represented only by assessment of penile volume changes to various kinds of potentially erotic stimuli (the phallometric test). The usefulness of the latter method in assessment of (therapeutic) changes in erotic preferences is basically limited to one particular situation only.Directions are pointed out in which this test is to be further developed to make it more generally useful as an indicator of (therapeutic) change in erotic preferences.     

Automatic influence of arousal information on evaluative processing: Valence–arousal interactions in an affective Simon task

Previous research showed that evaluation speed is faster for negative stimuli that are high in arousal and for positive stimuli that are low in arousal. The present study investigated whether arousal and valence analogously interact in automatic stimulus evaluations, i.e., if stimulus valence is irrelevant for the task. One sample of participants switched randomly between an evaluation task and an affective Simon task that assessed stimulus evaluations indirectly. Another sample completed a pure Simon task. In all conditions, the influence of affective stimuli on task performance was enhanced when valence and arousal were congruent (i.e., high-arousing negative and low-arousing positive stimuli) than when both stimulus dimensions were incongruent (i.e., low-arousing negative and high-arousing positive stimuli). These findings suggest that evaluative implications of stimulus arousal and valence are automatically inferred even when stimulus evaluation is irrelevant for the task at hand.     

Evaluating the efficacy of pictorial preference assessments with children who engage in food selectivity

Preference assessments are used in practice with individuals who engage in food refusal and selectivity to identify foods that a child will readily consume before assessment and treatment. Traditional edible preference assessments may be challenging for children who engage in food refusal or selectivity as the child may not consume foods, but rather engage in inappropriate mealtime behavior simply due to the presence of food. Alternative modality preference assessments, such as pictorial, may offer benefits compared to traditional preference assessment formats (e.g., stimulus preference assessment and paired-stimulus preference assessment). The use of pictures may reduce any evocative effects of the presence of food and result in choice-making without inappropriate mealtime behavior. Experiment 1 assessed the correspondence between the hierarchies yielded from pictorial preference assessments (with and without access) to a standard edible preference assessment. Experiment 2 evaluated the accuracy of each preference assessment by presenting foods identified as preferred and non-preferred to determine if the child would accept them. Results suggested that pictorial preference assessments with access corresponded the most with the traditional edible preference assessment. Also, for one individual, the traditional preference assessment did not accurately identify foods that the participant would consume, while the pictorial preference assessment without access yielded a hierarchy.