Aggressive script rehearsal in adult offenders: Relationships with emotion regulation difficulties and aggressive behavior

Results From a Non-Randomized Pilot Study Evaluating the Impact of a Novel Group Treatment Program Targeting Aggressive Script Rehearsal and Emotion Regulation in a Sample of Incarcerated Males

This study compared the efficacy of a novel group-based aggressive script rehearsal treatment program with an emotion regulation program. Participants were 48 incarcerated adult males (28 in the script rehearsal program and 20 in the emotion regulation program). Outcomes, including the frequency of aggressive script rehearsal, aggressive behavior, and emotion regulation difficulties, were measured pre-and post-treatment and at 46 days (on average) after treatment completion, and 104 days (on average) following treatment completion. Linear Mixed Model analyses revealed no significant difference in the frequency of script rehearsal overtime for either program. There was a significant reduction in aggressive behavior associated with the script rehearsal program and a reduction in emotion regulation difficulties for both programs. Future iterations of this aggressive script rehearsal treatment program may benefit from greater intensity and incorporation of strategies that address the many cognitive, affective, and situational factors that trigger and maintain aggressive scripts.

Aggressive sexual fantasy frequency outperforms other characteristics in cross-sectionally predicting self-reported sexual aggression in 4 samples

BACKGROUND

Aggressive sexual fantasies (ASFs) have consistently been associated with sexual aggression measures. ASF frequency has mostly been used to indicate ASF, but other ASF characteristics may be important to explain the apparent gap between alleged high lifetime prevalence rates of ASF and lower sexual aggression rates-that is, why ASFs are only sometimes put into action.

AIM

The present study therefore examined whether additional ASF characteristics show associations with sexual aggression measures above and beyond ASF frequency to identify the most relevant ASF characteristics.

METHODS

The present study is based on cross-sectional survey data from 4 independent mostly community samples with 448, 131, 758, and 415 participants to examine whether ASF elaboration, intrusion, preoccupation, context, and consent were associated with self-reported sexual aggression measures beyond ASF frequency.

OUTCOMES

Self-reported sexual aggression measures included presumably consensual and nonconsensual sexual sadism, self-reports on acting on ASF, sexual harassment, use of coercive strategies, and rape proclivity.

RESULTS

The results showed positive correlations among all ASF characteristics. ASF frequency was the most consistent and often strongest predictor of sexual aggression across samples and outcome measures. ASF elaboration and/or its interaction with ASF frequency added to this prediction in study 1 but not in study 2. All other ASF characteristics in studies 1 to 4 either did not add to the predictions or yielded results contrary to expectations, mostly suggesting suppressor effects.

CLINICAL IMPLICATIONS

Sexual medicine and forensic sexology researchers may want to consider ASF frequency in diagnostics and develop and refine interventions to reduce it in cases of clearly elevated levels.

STRENGTHS AND LIMITATIONS

The strengths of the present study include considering 4 independent samples as well as a large number of ASF characteristics and sexual aggression measures. Its limitations include the reliance on cross-sectional data and not being able to examine the potential influences of all ASF characteristics in a single model.

CONCLUSION

ASF frequency seems the most valid and reliable indicator of ASF and the most important associate of sexual aggression. It should be considered the main indicator of ASF by future research and in prevention efforts and risk assessment.

A study of the relationships between rumination, anger rumination, aggressive script rehearsal, and aggressive behavior in a sample of incarcerated adult males

Objective

This study explored relationships between aggressive script rehearsal, rumination, and anger rumination with aggressive behavior.

Method

One hundred and twenty‐nine incarcerated males (M = 33.54, SD = 8.67) completed the Schedule of Imagined Violence, Preservative Thinking Questionnaire, Anger Rumination Scale, and the Life History of Aggression‐Aggression subscale. Correlations were run to examine associations between the variables and a four‐step sequential multiple regression was performed to assess for the unique contribution of rumination, anger rumination, and aggressive script rehearsal to aggressive behavior.

Results

Results revealed moderate‐strong positive associations between aggressive script rehearsal, rumination, and anger rumination. Moderate‐weak associations were found between these three constructs and aggressive behavior. Regression analyses revealed aggressive script rehearsal was uniquely related with aggressive behavior and path analysis demonstrated aggressive script rehearsal mediated the relationship between rumination/anger rumination and aggression.

Conclusion

These results clarify the nature of the relationships between these conceptually connected constructs and suggest that the frequency with which someone rehearses aggressive scripts impacts on the likelihood of aggression more than anger rumination and general ruminative processes. The frequency with which a person rehearses aggressive scripts should be a critical consideration in violence risk assessment and treatment programs for people deemed to be at risk for violent behavior.