Men with intellectual disabilities with a history of sexual offending: empathy for victims of sexual and non-sexual crimes

Two pictorial tools for assessing the attitudes of Taiwanese male high school students with intellectual disabilities toward sexually offensive behavior

The purpose of this study was to develop two pictorial tools for assessing the attitudes of Taiwanese male senior high school students with intellectual disabilities toward sexually offensive behavior, focusing on cognitive distortion and victim empathy. A total of 181 male high school students at special education schools participated in this study. The validity and reliability were examined using exploratory factor analysis and Cronbach's alpha coefficient. For the cognitive distortion scale, 18 items grouped into three factors, rationalization, denial, and victim blaming, and explained 69.72% of the variance; for the victim empathy scale, 12 items grouped into two factors, the victim's feelings when the offensive behavior is perpetrated by another, and the victim's feelings when the offensive behavior is perpetrated by oneself, and explained 68.00% of the variance. The reliability was .96 for the cognitive distortion scale and .93 for the victim empathy scale. In conclusion, the two scales developed in this research were found to be reliable and valid tools for evaluating male students' attitudes toward sexually offensive behavior, and can also be used as reference material for courses in sex education.

How effective are interventions at enhancing empathy for service users with an intellectual disability who engage in sexually abusive behaviour? A review of the literature

BACKGROUND

Sexual offending has been attributed to empathy deficits, implicating interventions targeting empathy as a potential mechanism for reducing sexually harmful behaviour. However, there is less known about how appropriate and effective interventions are for individuals with intellectual disabilities. This review aims to provide a comprehensive synthesis of research findings in this area.

METHOD

Four databases were searched, yielding 13 studies meeting the inclusion criteria which were appraised using the CCAT.

RESULTS

CBT group treatments adapted from mainstream treatment programmes for people with intellectual disabilities were widely used, demonstrating improvements in empathy and reductions in sexually abusive behaviour overall.

CONCLUSIONS

Studies are limited by sample sizes, lack of control groups and inconsistent definitions of intellectual disabilities and sexually abusive behaviour. Future research should include evaluation of models other than CBT, further assessment of empathy-specific interventions and understanding of the mechanism underpinning empathy change.

Attentional bias toward negative and positive pictorial stimuli and its relationship with distorted cognitions, empathy, and moral reasoning among men with intellectual disabilities who have committed crimes

The aims of this study were to examine: (a) whether men with intellectual disabilities who have a history of criminal offending attend to affective pictorial stimuli in a biased manner, and (b) whether there is a relationship between an affective attentional bias and offense-supportive cognitions, empathy, and moral reasoning. Forty-six men with intellectual disabilities who had a documented history of criminal offending, and 51 men who also had intellectual disabilities, but no such history, were recruited and asked to complete a computer-based dot-probe task using affective pictorial stimuli with randomization, along with measures of distorted cognitions, empathy, and moral reasoning. Those with a history of criminal offending endorsed significantly more offense-supportive cognitions, had significantly lower general empathy, and more "mature" moral reasoning, as well as a significant attentional bias toward affective pictorial stimuli. Attentional bias significantly predicted offense-supportive cognitions, and vice versa, having controlled for offense history, and Full-Scale IQ, but this was not the case for empathy or moral reasoning. While the findings require replication, interventions that aim to modify attention bias with this population should be tested.

Cognitive, Affective, and General Empathy in Individuals Convicted of a Sexual Offense: A Meta-Analysis

Empathy has an important role in promoting proper societal functions. Those who violate societal functions, such as those convicted of having committed a criminal offense, are theorized to possess deficits in their empathic capacity. This assumption has been adopted by many criminological models, including for individuals convicted of a sexual offense (ICSO). However, contradictory research results have resulted in conflicting theories regarding the level of empathy within ICSO. This meta-analysis compiled available data to provide empirical clarity in a divided theoretical field. Results of the meta-analysis indicate that ICSO have lower levels of cognitive (Hedges's g = -.303, p = .007) and general empathy (Hedges's g = -.188, p = .020) than those in the general population but do not have significantly lower levels of affective empathy (Hedges's g = .023, p = .849). Several moderator analyses were conducted, including type of sexual offense, assessment instrument used, and age at conviction.

The relationship between cognitive variables and offending behaviour in adults with intellectual disabilities: A systematic review

BACKGROUND

Interventions for offenders with intellectual disabilities (ID) have used cognitive variables as measures of treatment outcome. However, the relevance of cognitive variables to offending in people with intellectual disabilities is unclear. This review aimed to evaluate the evidence for a relationship between cognitive variables and offending in people with intellectual disabilities.

METHOD

A systematic search identified studies comparing offenders and non-offenders with intellectual disabilities on an aspect of cognition. Seven cognitive variables were found and compared across 15 studies. These were appraised for their quality using an adapted quality appraisal checklist. The reliability and validity of cognitive measures were also considered.

RESULTS AND CONCLUSIONS

Other than for cognitive distortions, the evidence for a relationship between cognitive variables and offending in people with intellectual disabilities is currently limited due to methodological weaknesses and the small number of studies assessing each variable. Clinicians are advised to focus on cognitive distortions until better evidence is available.

Crime and Legal Issues among Intellectually Disabled Individuals

Intellectual Disability (ID) can be caused by a variety of factors, which may lead to a variety of signs and symptoms. Individuals with ID are living in societies where during the past decade there is a steady increase in the amount of research focused on civil law, criminal law and mental health. In this chapter, there will be a theoretical presentation of the research on ID regarding criminal law and the different forms of aggressive behavior such as sexual violence, homicide, theft, arson and alcohol-drug abuse. There will be information on research regarding civil law and the most common problems for individuals with ID, such as financial capacity and capacity for medical consent. Finally, there will be a section for the most important issues regarding the trial and conviction for individuals with ID and a presentation of a recent research on attitudes toward ID and legal issues. The above will be examined through the prism of current neuropsychological data, while cross-cultural restrictions will be discussed.