Legal issues raised in treating sex offenders

For the past 50 years the criminal justice system has distinguished sex offenders from other criminals. This has resulted in their differential treatment, with the goal being to eliminate their inappropriate behavior. This article discusses the history and status of mentally disordered sex offender (MDSO) statutes. A review of the legal issues which arise when treating a sex offender without statutory authorization is provided. A discussion of problems raised in treating the offender on both an inpatient and outpatient setting is presented. The article concludes with an analysis of the legal problems confronting the treatment provider in working with this group of individuals.     

Neuropsychological executive functions of adolescent sex offenders and nonsex offenders

A growing body of research now suggests that a substantial number of criminal offenders display neuropsychological deficits, especially frontal-executive dysfunctions. The present study investigated the possibility of similar deficits by comparing the performance of 60 adolescent sex offenders court-ordered to a residential treatment facility with the performance of 60 nonsexual delinquent offenders matched on several pertinent sociodemographic characteristics and scores on four neuropsychological tests: (1) the Trail Making Test, (2) the Controlled Oral Word Association test of the Multilingual Aphasia Examination, (3) the Tower of London, and (4) the Wisconsin Card-sorting Test. Analysis indicated a pattern of frontal-executive dysfunction in a subset of both groups of offenders; this pattern has both theoretical and treatment implications.     

Rorschach comparisons of male juvenile sex offenders and nonsex offenders

Published research is limited on the psychological characteristics of juvenile sex offenders as a subgroup separate from other juvenile delinquents. This study compares 45 male adolescent sex offenders on the Rorschach with a matched group of nonsex adolescent offenders. The two groups differed in total number of responses. Eliminating those protocols of questionable validity due to low productivity in combination with a high lamba, a statistically significant difference in the number of anatomy responses given by the two groups was found. With this exception, the personality characteristics of adolescent sex offenders were similar to those of adolescents who commit only nonsexual crimes. It should be noted, however, that the scoring categories analysed were not exhaustive and that the groups may differ on more recently proposed Rorschach subscales.     

Psychological assessment, treatment, and outcome with sex offenders

The frequency and impact of sexual offenses have led to the recent enactment of sexual "predator" laws. Such laws are intended to reduce sexual violence through treatment and involuntary confinement. Sixty years ago, similar laws identifying "sexual psychopaths" were enacted and, in many states, eventually repealed for multiple reasons; among those reasons was an inability to demonstrate that treatment had any significant impact on recidivism. That inability forced us to reexamine, among other issues, the population(s) which undergo treatment, the outcomes that are used to measure treatment effectiveness, and the processes that constitute treatment itself. Those issues are considered in this paper through a review of treatment programs based on psychodynamic, behavioral, and cognitive-behavioral theories. Although the evidence is sparse, it is fair to conclude that the latter have been found to be effective. We call for dynamic measures, effective treatments, and the resources necessary for both developments.     

Parricides: Characteristics of offenders and victims,legal factors,and treatment issues

Parricides account for about 2% of all homicides. Perpetrators are typically White middle-class males without a history of prior criminal convictions. Most parricides involve single-victim, single-offender situations, with firearms more likely to be used against fathers than mothers. The popular literature as well as much of the professional literature have presented youths who killed a parent as prosocial individuals who feared for their lives. Adults who killed a parent have typically been presented as suffering from a severe mental disorder. These two scenarios describe many parricides. However, major mental disorders among youthful parricidal offenders, conduct disorder and antisocial personality disorder as well as other psychiatric comorbidities also occur in a significant proportion of parricides. Youthful and adult offenders experience different legal outcomes and receive mental health services in differing contexts. We review offender and victim characteristics, as well as legal and treatment issues, and outline needs for future research.     

Psychopathology of incarcerated sex offenders

The psychopathology and particularly the personality disorders of sex offenders were compared to general inmates of the Colorado Department of Corrections. Using the MCMI-III (Millon, 1994, 1997), sex offenders in general were found to have more varied types of personalities than general population inmates. Specifically, they were more schizoid, avoidant, depressive, dependent, self-defeating, and schizotypal. General population inmates had the more classically criminal personality characteristics of antisocial, narcissistic, and sadistic. Multivariate analysis showed the Dependent, Narcissistic, Antisocial, and Schizotypal scales to be the most differentiating. Sex offenders were also found to have more affective psychopathology such as anxiety, dysthymia, PTSD, and major depression. A similar trend was found when comparing child molesters to rapists. The child molesters were more neurotic, affective, and socially impaired than the rapists. Multivariate analysis showed the Dependent scale to be the most important in differentiating these two types of sex offenders.     

Denial and minimization among sex offenders

A review of empirical studies of offenders—particularly sex offenders, and more particularly those who offend against children—demonstrates that denial of offenses and minimization of offending behavior are quite common at every stage of the criminal justice process. This is true during police interviews, during pretrial and presentencing mental health evaluations, among incarcerated offenders, among offenders seeking treatment, among offenders facing parole review, and among offenders already released into the community. This review highlights gaps in the research literature arising from inconsistencies in the definitions and measurement of denial and minimization, from the stage of adjudication or treatment at which measurements are made, and from the use of polygraphy to increase disclosures. Despite these limitations on the generalizability of empirical findings, it appears beyond dispute that many sex offenders maintain their innocence in the face of evidence to the contrary or even criminal conviction, and that many are able to recite additional crimes they have committed when they believe it is in their self-interest to do so.     

Sex-role orientation and attachment styles of sex offenders

Given the increase of individuals who have a history of sexual offenses, there has been an increase in research on the etiology of sex-offending behavior. The present purpose was to evaluate the relationship between sex-role orientation and attachment styles of males who were sex offenders. Analysis yielded statistically significant differences between comparison (n = 22) and clinical groups (n = 21) in gender roles, with little sign of the androgynous gender type for sex offenders. The offender group showed significantly lower frequency of androgyny scores and significantly higher scores on feminine and undifferentiated orientations, supporting the theoretical view of sex offenders as being "cross-sex-typed." In addition, the sex offender group had a significantly higher mean score on anxious-avoidant relationship attachment. Based on the present findings, there appears to be a need to help sex offenders explore how their gender roles may relate to their sex-offending behavior and assist sex offenders in the development of adaptive relationships with reduced anxiety and ambivalence.     

Planning: Theoretical considerations and empirical evidence

Summary A study of processes rather than of abilities characterizes much of Luria's work on cognitive functions. The three major functional organizations in terms of cognitive functions are: arousal, coding, and planning. Each of these has been described with a special emphasis on planning. Tasks appropriate for demonstrating the processes of planning are discussed and the emergence of a planning factor through factor analytic work has been described. Considerations relating to the independence of planning and coding processes in the context of normal and abnormal development are presented next. Finally, planful behavior as an integral part of purposive behavior in humans is considered in the context of consciousness.     

Diagnostic issues,multiple paraphilias,and comorbid disorders in sexual offenders: Their incidence and treatment

This paper critically appraises the criteria for DSM diagnoses of the paraphilias relevant to sexual offenders. It is concluded that these criteria leave a lot to be desired and that a more helpful approach would be to rate the features of each type of sexual offender along dimensions ranging from normal to seriously problematic. Next consideration is given to the evidence on the incidence of multiple paraphilias and comorbid disorders. It is not yet completely clear from this evidence that sexual offenders typically have multiple sexual outlets although some obviously do. What is clear is that incidence of comorbid disorders is sufficiently high to warrant concerns about how to effectively address these additional disordered aspects of sexual offenders in treatment. Finally, suggestions are offered about how to address in treatment both multiple paraphilic offenders and those with associated comorbid disorders.     

The holophrastic hypothesis: Conceptual and empirical issues

A conceptual distinction is drawn between a structural and a functional version of the holophrastic hypothesis. The structural version of this hypothesis views the single-word utterances of children as implicit expressions of either syntactic or semantic structural relations, while the functional version views each of these utterances as consisting of a single lexical item which is used for a particular communicative function. The arguments which have been proposed in favour of these two versions of the hypothesis are critically examined in the light of the empirical evidence which is currently available. It is concluded that this evidence only supports the functional version of the holophrastic hypothesis, there being no evidence available to support the interpretation of children's single-word utterances as implicit expressions of either syntactic or semantic relations.     

The cognitive interview: Its origins,empirical support,evaluation and practical implications

This paper provides a background to current research on the cognitive interview (CI), which is a set of cognitive retrieval techniques designed to facilitate memory search (for example, via reinstatement of contextual cues). One of the principal aims of this research is to identify and develop techniques which police investigators can themselves use. A series of studies were conducted at the University of California, Los Angeles, using police officers as interviewers and students, non-students and children as witnesses to realistic crimes. In all studies the CI elicited significantly more correct information with no apparent increase in errors or confabulations. The CI has been tested in a field study involving police officers in Florida. This paper will critically review this research, as well as more recent unpublished work including CI studies conducted in Germany and the UK. Some important modifications of the original CI procedure are described, and there is a theoretical discussion and explanation of the various components of the CI procedure. Finally, we will consider applications of the CI in clinical and organizational settings.     

Subtypes of adolescent offenders: affective traits and antisocial behavior patterns

Etiological models of life-course persistent offending often emphasize behavioral explanations. Suggestions that persistent offenders have psychopathy ignore the distinct non-behavioral features of the psychopathy disorder. Using a three-factor model of the PCL-YV and cluster analysis with 259 incarcerated adolescents, we identified four distinct juvenile subtypes on the basis of affective, interpersonal, and behavioral dimensions. Prospective and retrospective comparisons of antisocial behavior patterns found the cluster comprising all three psychopathy dimensions to be the most chronic and severe. Impulsive features alone were strongly associated with severe antisocial behaviors retrospectively, but not prospectively. Findings rebut the proposal that disruptive behavioral and impulsive symptoms can identify "fledgling psychopaths." Assessments that disregard callous-unemotional traits will likely result in high false positive rates among serious adolescent offenders. Implications for developmental models of chronic offending are discussed in light of the need for further follow-up into adulthood.     

Reinforcement sensitivity of sex offenders and non‐offenders: An experimental and psychometric study of reinforcement sensitivity theory

This study tested predictions of Gray's Reinforcement Sensitivity Theory (RST) in subgroups of sex offenders and male non‐offenders using an experimental choice task consisting of a reward and a non‐reward phase. In addition, RST‐related psychometric measures were used. Both experimental and psychometric data were of interest to determine whether sex offenders could be reliably differentiated from non‐offenders. Paraphilic (N=50) and impulse control‐disordered (N=48) sex offenders showed greater sensitivity to continuous reward than male non‐offenders (N=51). Impulse control‐disordered sex offenders showed less behavioural adaptation under non‐reward than both paraphilic sex offenders and male non‐offenders. In addition, reward sensitivity, rash‐spontaneous impulsivity, and anxiety measures discriminated sex offenders from male non‐offenders. The results suggest that reinforcement sensitivity is a promising personality trait for differentiating subgroups of sex offenders from non‐offenders. The experimental and psychometric results illustrate that predictive accuracy in forensic settings could be improved by combining several types of data.     

Characteristics of adolescent sex offenders: A review of the research

While significant research has been completed on adult sex offenders, this has yet to be the case for adolescent offenders. This article reviews current research on adolescent sex offenders, discusses the importance of research in this area, and describes directions for future study.