Assessment of deviant arousal in adult male sex offenders with developmental disabilities

Ten individuals, residing in a treatment facility specializing in the rehabilitation of sex offenders with developmental disabilities, participated in an arousal assessment involving the use of the penile plethysmograph. The arousal assessments involved measuring change in penile circumference to various categories of stimuli both appropriate (adult men and women) and inappropriate (e.g., 8- to 9-year-old boys and girls). This approach extends the existing assessment literature by the use of repeated measurement and single-subject experimental design. Data from these assessments were analyzed to determine if clear and informative outcomes were obtained. Overall, three general patterns of results emerged. Some participants showed differentiated deviant arousal or higher levels of arousal to specific inappropriate stimuli (deviant is a term used in the existing sex-offender literature to describe this type of arousal). Other participants showed undifferentiated deviant arousal, in which case they showed nonspecific arousal to inappropriate stimuli. The remaining participants showed no arousal to inappropriate stimuli but did show arousal to appropriate stimuli. Implications for assessment, treatment, and future directions are discussed.     

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 discriminative validity of a phallometric test for pedophilic interests among adolescent sex offenders against children

The authors examined the responses of adolescent sex offenders against children on a phallometric test of pedophilic interests. Participants were 40 adolescent sex offenders against children, 75 young adult sex offenders against children, and 39 young adult comparison participants. The responses of adolescents with female victims resembled those of comparison participants; adolescents with any male victims had larger relative responses to child stimuli than comparison participants. Young adult offenders, regardless of victim sex, had larger relative responses to child stimuli than comparison participants. Using a cut score of 0 (indicating equal or greater arousal to children than to adults), sensitivity was 42% for adolescents with any male victims, and specificity was 92% for the comparison participants. Results suggest phallometric testing can identify pedophilic interests among these adolescent sex offenders.     

The effects of presession attention on problem behavior maintained by different reinforcers

The effect of presession attention on the later occurrence of problem behavior was examined with elementary-school children with a range of disabilities. Results of analogue functional analyses suggested an escape function, an attention function, or both. Following the analogue functional analyses, the effects of two antecedent conditions (10-min ignore vs. 10-min attention) were compared on problem behavior in subsequent test conditions. For participants who displayed attention-maintained problem behavior, the test condition involved contingent attention for problem behavior. For participants who displayed escape-maintained problem behavior, the test condition involved contingent escape for problem behavior. Results indicated that participants who displayed attention-maintained problem behavior displayed less problem behavior following presession exposure to attention than when ignored. No such effect was found for presession attention on escape-maintained problem behavior. We discuss matching antecedent-based interventions to the results of functional analysis.     

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.     

A comparison of presession and within-session reinforcement choice.

Single- and concurrent-operants procedures were used to evaluate the effects of two reinforcement conditions on the free-operant responding of 3 individuals with developmental disabilities and 1 with attention deficit disorder. In the presession choice condition, prior to each session the participant chose one item from an array of three different highly preferred stimuli. This item was delivered by the experimenter on each reinforcer delivery during that session. In the within-session choice condition, each reinforcer delivery consisted of placing an array of three different highly preferred stimuli in front of the participant, who was allowed to select one. Only one of the two reinforcement conditions was in effect for any particular session in single-operant phases. Buttons associated with each reinforcement condition were present, and the participant could allocate responses to one or the other in concurrent-operants phases. Data showed substantially more responding to the button associated with within-session choice than presession choice during concurrent-operants phases. This effect was not as apparent during single-operant phases, suggesting that a concurrent-operants procedure provided the more sensitive evaluation of within-session and presession reinforcer choice effects.     

The Role of Dehumanization in Attitudes Toward the Social Exclusion and Rehabilitation of Sex Offenders

We examined the role of dehumanization in people's attitudes toward the rehabilitation of sex offenders. In Study 1, the more participants dehumanized sex offenders, the less they supported their rehabilitation and the longer the sentences they recommended. In Study 2, the more participants dehumanized sex offenders, the more likely they were to support their exclusion from society. In Study 3, the more participants dehumanized sex offenders, the more they supported their violent ill treatment. In Study 4, within a sample of correctional staff, good quality contact with sex offenders was related to less dehumanization and more support for rehabilitation. Mediation analyses indicated that the relationship between quality of contact and support for rehabilitation was mediated via dehumanization.     

Using progressive ratio schedules to evaluate tokens as generalized conditioned reinforcers

The properties of operant reinforcers are dynamic and dependent on a number of variables, such as schedule and effort. There has been sparse research on the generalized conditioned properties of token reinforcement. We evaluated leisure items, edible items, and tokens using a progressive ratio schedule with three children with diagnoses of ASD and developmental delays. The highest break points occurred during the token reinforcement condition for two out of three participants, but response rates tended to be higher with edibles. We then evaluated the effects of presession access to edibles on the break points of edible items and tokens with two participants. Break points decreased only in the edible reinforcement condition, and the participants chose to work for leisure items rather than edibles when presession access to edibles was in place. These findings suggest that the tokens functioned as generalized conditioned reinforcers.     

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.     

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.     

Effects of Presession Pairing on the Challenging Behavior and Academic Responding of Children with Autism

Presession pairing is an antecedent‐based procedure in which an instructor engages with preferred items with a child for a few minutes before an instructional session. Although this procedure has been described in manualized treatment guidelines for working with children with autism, there are currently no direct investigations of whether this manipulation has a beneficial impact on target responding or the child's social interactions. Functional analyses with three children with autism showed escape or attention and escape as reinforcers for their challenging behavior. Preference assessments identified highly and moderately preferred stimuli. In the context of a multiple baseline across participants design, the participants exhibited fewer challenging behaviors when instructional sessions were preceded by presession pairing than when they were not. Academic responding showed modest increases. Subsequently, in the presence of presession pairing with a novel task, the participants emitted no challenging behavior and similar or higher levels of accurate academic responding. One participant was available for a maintenance session without presession pairing 5 months later and showed near‐zero levels of challenging behavior and comparable levels of accurate academic responding. The implications of the findings and future directions are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

A paradoxical effect of presession attention on stereotypy: antecedent attention as an establishing, not an abolishing, operation

Previous studies have shown that presession attention for problem behavior can serve as an abolishing operation when attention functions as a positive reinforcer. In the current study, we show that the stereotypy of a child with severe disabilities was undifferentiated during standard analogue functional analysis conditions. However, when noncontingent presession attention was provided, stereotypy occurred for social attention as a positive reinforcer, suggesting that the antecedent manipulation functioned as an establishing operation.     

Presession attention affects the acquisition of tacts and intraverbals

This study examined the effects of presession attention on the acquisition of tacts (Experiment 1) and intraverbals (Experiment 2) in children diagnosed with autism. Each participant experienced 3 conditions. In the first 2 conditions, participants experienced a 15-min interval of either presession attention (PA) or no presession attention (NPA) followed by a teaching session. The third condition was a control condition. Across experiments, all participants acquired the verbal operants assigned to the NPA condition, whereas only 4 of the 6 participants acquired the verbal operants assigned to the PA condition. Five of the 6 participants required fewer sessions to meet the mastery criterion and a shorter duration of training for the verbal operants assigned to the NPA condition as compared to the PA condition. These outcomes suggest that antecedent manipulations traditionally reserved for mand training can positively affect the acquisition of other verbal operants. Theoretical implications are discussed.     

Interventions for inappropriate sexual behavior in individuals with intellectual and developmental disabilities: A brief review

Although prevalence rates vary, 6% to 28% of individuals with intellectual or developmental disabilities (IDDs) engage in inappropriate sexual behavior (ISB), ranging from public masturbation to sexually aggressive behavior. Along with increased risk for contacting the criminal justice system, people with IDDs who display ISB may encounter negative social consequences, restricted community access and barriers to independence, and a variety of counter-therapeutic outcomes. The purpose of the present review is to highlight recent, efficacious behavior-analytic treatments for ISB in individuals with IDDs. Ethical considerations and areas for future research will be discussed.     

Duration-based measures of preference for vocational tasks

We compared results from two preference assessments with data on extended performance of vocational tasks by 4 participants with developmental disabilities. All participants engaged in one task exclusively when seven tasks were available concurrently during a 5-min multiple-stimulus assessment. By contrast, all participants exhibited high levels of engagement in most tasks when the tasks were presented singly for 5 min, and these data showed a high degree of correspondence with those obtained during extended (60-min) vocational assessments.     

Masturbation and the Media

This paper explores the important role the media play in informing young people about masturbation. A pilot study of focus groups with twenty-two young Australians aged between 14 and 16 explored what they know about sex and sexuality, and where they have found that knowledge. This paper reports on their knowledge about masturbation. Although researchers agree that masturbation can be a positive part of healthy sexual development, most young people reported that they received very little positive information about it from their parents or in formal sex education in school. These young people’s discussions around this topic were largely ambivalent, but also highly complex due to the varying levels and types of information that they receive. In this context the media play a vital role in providing information about masturbation through books and magazines for young women, and television comedies for young men.     

Effects of motivating operations on problem and academic behavior in classrooms

The current study examined the effects of motivating operations on problem behavior and academic engagement for 2 students with autism. Classroom sessions were preceded by periods in which the participants had access or no access to the items functionally related to their problem behavior. Results suggested that presession access may result in lower levels of problem behavior and higher levels of academic engagement during classroom instruction.     

An evaluation of contingency strength and response suppression

Typically, functional analyses of severe problem behavior have been conducted in two ways: (a) The target response is reinforced immediately after it occurs, or (b) the target response is reinforced on some schedule thought to mimic a naturally occurring schedule. We evaluated the effects of contingency strength in reducing levels of problem behavior with 2 participants who had been diagnosed with developmental disabilities. Results showed that under a neutral contingency, one in which the probability of reinforcement for aggression was equal to the probability of reinforcement for the nonoccurrence of aggression, rates of aggression were suppressed to low levels for both participants.