Assessing risk for sexual recidivism: some proposals on the nature of psychologically meaningful risk factors

The Predictive Validity of the SAPROF-SO for Success on Supervised Release From a Secure Treatment Center

Recent research has highlighted the importance of protective factors in preventing sexual offense recidivism and led to the development of a number of strengths-based approaches to the treatment of adult males who have been convicted of sexual offenses. However, these approaches have not been supported by structured methods to assess protective factors. The Structured Assessment of PROtective Factors against Sexual Offending (SAPROF-SO) was designed to bridge the gap between assessment and strengths-based treatment, and the current study contributes to the validation of that instrument. The SAPROF-SO was rated retrospectively for adult males released on supervised release from a secure treatment center in the US (N = 170). SAPROF-SO total scores predicted supervised release success as measured by revocation outcomes. In addition, results highlighted the utility of the SAPROF-SO Resilience subscale in predicting supervised release revocation for any reason and the Adaptive Sexuality subscale in predicting sexually related revocations. Notably, the SAPROF-SO demonstrated incremental validity over the Static-99R, which was not predictive of revocation outcomes. Implications for the management of sexual offense risk when planning and administering release from criminal justice contexts are discussed.

Explicit measures for emotional congruence with children are related to sexual interests in a male community sample, but not implicit measures

This study sought to disentangle several phenotypic correlates of pedophilic sexual interests, such as emotional congruence with children and lack of empathy. We utilized Implicit Association Tests and self-report questionnaires for emotional congruence with children and analyzed the psychometric properties of these measures. Further, we analyzed the associations between these measures and self-reported pedophilic sexual interests and empathy. The sample consisted of 110 adult community males (prevalence of sexual interest in children at least to some extent: 5.5%) with or without child-related jobs (43.6% vs. 56.4%) recruited online in the general population. Overall, we found equivocal parameters for reliability of the implicit and explicit measures of emotional congruence with children (α = 0.29 to 0.76). The self-reported emotional congruence with children was only weakly linked to the implicit positive evaluations of children (r = 0.170, p = 0.039), not linked to empathy except for distress in social interactions (r = 0.199, p = 0.019), and moderately linked to deviant sexual interests in children (r = 0.321 to 0.404, p < 0.001), especially in men working with children (R2 = 0.04, p = 0.027). Further studies are warranted to expand the sample to the offender population and explore the more complex network of constructs related to pedophilia.

The Hamburg Youth Prevention Project (HYPP) for adolescents with sexual interest in children

Paedophilic sexual interest is often linked to an emergence during adolescence, but concrete empirical knowledge on its development and early viable treatments remains scarce. The aim of this article is to provide an overview about the current state of research on juveniles with sexual interest in children as well as to introduce the Hamburg Youth Prevention Project (HYPP). The HYPP aims to better comprehend the development of sexual interests in adolescents and seeks to find a basis for improved treatment strategies during this critical developmental period. In this perspective, we outline the framework, goals, and treatment approach for this project. It addresses adolescents who are sexually attracted to younger children or engage in sexual acts with children and who have not yet been in contact with the justice system. The project offers a diagnostic process, anonymous counselling, and treatment. It is grounded in a biopsychosocial perspective on psychosexual development and an integrative family-centred approach. The project is based on the core assumption that in adolescent participants, there is still great flexibility for development, including their sexual interests.

Rare, but potentially risky, high individual increase of self-reported sexual arousal in men, who have committed sexual offenses against children, while being confronted with experimental sexual stimuli - a retrospective data analysis

This data analysis was initiated to further understand the infrequent yet intense instances of sexual arousal and signs of decompensation that emerge after exposing men who have committed sexual offenses against children to experimental sexual stimuli. We analyzed retrospectively and exploratory data of a self-developed sexual arousal questionnaire ("Current-State-of-Emotions-Questionnaire", CSEQ) with the following objectives: (i) examine subjective sexual arousal changes elicited during confrontation with experimental sexual stimuli, (ii) analyze these sexual arousal changes at an individual level to detect large responses, and (iii) ask for associations between large responses in sexual arousal and individual characteristics of participants, e.g., demographic, clinical, and criminological parameters. The sample consisted of 241 adult, male Germans, comprising four groups: Ten individuals who have committed sexual offenses against children and have been placed in forensic psychiatric facilities (ISOCFP), 31 non-hospitalized individuals with sexual interest in children (ISIC), eight individuals who have committed other offenses and have been placed in forensic psychiatric facilities (IOFP), and 192 individuals without sexual interest in children and offense histories (IWO). We found a significant increase in subjective sexual arousal after confrontation with sexual stimuli (three experiments: initial orientation: Z = -4.819, p < .001, sexual distractor task: Z = -2.954, p = .003, stimulus rating: Z = -6.899, p < .001). Up to 14.3% of participants indicated high sexual arousal values before, but mainly after the experiments, with 20.0% of ISOCFP, 12.9% of ISIC, 12.5% of IOFP, and 14.6% of IWO. ISOCFP and ISIC with high sexual arousal were more likely to be diagnosed with paraphilia (pedophilia) and/or affective disorders, and to receive anti-depressive treatment. We assume a higher emotional lability or/and reduced emotion regulation abilities in those individuals. A careful weighing up of anticipated scientific knowledge gain and a potentially, though rare, increased risk of recidivism or decompensation seems indispensable.

Explaining Male Sex Offender Recidivism: Accounting for Differences in Correctional Supervision

PURPOSE

Contrary to public opinion, empirical studies have consistently shown that persons convicted of a sexual offense (PCSO) are less likely to recidivate with a general offense. While researchers often point toward the surreptitiousness of sexual offending to explain low rates of recidivism, this paper tests a novel explanation: SOs recidivate at lower rates than persons convicted of a non-sexual offense (PCNSO) because they are more often revoked to prison before they are able to commit a new crime, perhaps owing to more restrictive post-release supervision guidelines.

METHODS

Using a sample of 196,468 unique male releases, the difference in general and sexual recidivism between PCSO (n = 29,420) and PCNSO was assessed through survival analyses (Cox regression models).

RESULTS

Results demonstrated that PCSO were significantly less likely to be reconvicted for a general crime, but more likely for a sex offense. They were also more likely to be reincarcerated due to a revocation without a new sentence. Accounting for revocations, the difference in reconviction risk lessens between the groups but does not disappear.

CONCLUSIONS

This analysis provides evidence that differences in community supervision are contributing to the difference in recidivism rates between PCSO and PCNSO. Implications and future research are discussed.

What do women with sexual interest in children tell us about the assumed cause of their sexual interest in children, (non-)disclosure, and professional help?-Results of a qualitative content analysis

Research on women with sexual interest in children is still rare, especially regarding women's own theories about the cause of their sexual interest in children, their experiences with (non-)disclosure, and professional help. In the context of a broader online study, we provided 50 women with a sexual interest in children under the age of 14 years (mean age: 33.6, SD = 11.1) with open questions regarding their own theories about what causes their sexual interest in children, experiences with disclosure and non-disclosure, and experiences with and opinions about professional help. Analyses were conducted using an inductive qualitative content analysis method that aimed at ordering and structuring manifest and latent content by categorizing qualitative data. Results revealed that participants mainly think that past experiences caused their sexual interest in children (Σ = 16), e.g., abusive or non-abusive sexual experiences during childhood. Some participants think that their sexual interest in children is a disposition they were born with (Σ = 8). Disclose of sexual interest in children to another person was reported by 56.0% of the present sample and led to rather positive consequences (Σ = 24, e.g., acceptance or support). Those who did not disclose (44.0%) mainly did so due to fear of rejection and/or stigmatization (Σ = 24). A total of 30.0% already sought help due to their sexual interest in children and frequently reported negative experiences (Σ = 15). A frequent statement participants made on how to reach women with sexual interest in children in order to offer professional help was the destigmatization of sexual interest in children (Σ = 14). We recommend that women with sexual interest in children should be taken more seriously among research and in prevention measures.

Protecting children against sexual abuse in youth-serving organizations: A qualitative vignette study on (potential) offenders' and therapists' views of Safeguarding Programs

BACKGROUND

Holistic approaches to preventing child sexual abuse (CSA) such as German Safeguarding Programs integrate comprehensive analysis, intervention, prevention, and evaluation efforts and can be used to address CSA in youth-serving organizations (YSOs). To date, little is known about how adults who have committed CSA in YSOs in the past (i.e., offenders), adults who identify as being at risk of committing CSA in YSOs (i.e., potential offenders), and therapists experienced in treating such (potential) offenders view these programs.

OBJECTIVE

To evaluate whether (potential) offenders and therapists consider holistic approaches such as Safeguarding Programs as effective for protecting children in YSOs. Additionally, their views on potential additional measures and barriers or facilitators to implementing Safeguarding Programs were investigated.

METHODS

In an exploratory qualitative study that used a vignette approach, Safeguarding Programs were presented in problem-centered interviews to (potential) offenders (n=6) and therapists experienced in the treatment of (potential) offenders (n=5). Participants provided extensive feedback, which was analyzed by a qualitative content analysis.

RESULTS

Participants emphasized that to be effective, the interrelated measures of Safeguarding Programs need to be implemented comprehensively, not just in isolation. (Potential) offenders reported that a clear code of conduct in YSOs can be particularly helpful in controlling CSA related behavior. Addressing preventive help-offers within Safeguarding Programs may facilitate help-seeking in (potential) offenders.

CONCLUSIONS

Results may help to guide further development Safeguarding Programs and other holistic approaches. The study highlights the importance of involving (potential) offenders when developing preventive measures.

Acceptance of sexual attraction and its link to psychological distress and sexual offending among pedohebephilic clients: results from a preliminary analysis

Introduction

Pedohebephilic disorder is characterized by intense sexual urges or fantasies involving children, which can lead to distress or sexual behavior with children. While theoretical and qualitative accounts suggest that accepting one's pedohebephilic sexual interests may help mitigate both distress and problematic behaviors, the only published quantitative study to date has linked acceptance with behavior but did not analyze its effect on distress.

Methods

We examined the relationship between acceptance of sexual interests and child sexual abuse (CSA), the use of child sexual exploitation material (CSEM), and psychological distress in 238 pedohebephilic and teleiophilic men outside the judicial system (i.e., in the "Dunkelfeld").

Results

Compared to teleiophilic individuals, pedohebephilic individuals showed lower acceptance of their sexual interests. No significant differences were found between groups regarding past sexual offending. In a subsample of 197 pedohebephilic individuals (n = 197), correlations with recent sexual behavior were minimal. In another subsample of pedohebephilic men (n = 84) with data on psychological distress, increased acceptance was associated with decreased psychological distress, although this association weakened among those reporting recent offenses.

Discussion

Acceptance of one's sexual interests is associated with reduced distress in pedohebephilic disorder among non-offending individuals. However, its role among offending individuals remains unclear. Efforts to improve measuring the acceptance of one's sexual interests and further explore its role in pedohebephilic disorder are warranted.

Immigrant Background and Rape Conviction: A 21-Year Follow-Up Study in Sweden

While extensive research exists on the severe consequences among rape victims, little is known about specific predictors in relation to rape convictions among immigrants to Europe. This study from Sweden (having one of Europe's highest per capita rates of rape) investigates individuals convicted of rape, aggravated rape, attempted rape, or attempted aggravated rape, collectively termed as rape+, against women 18 years or older, from 2000 to 2020. In this case-control study, we analyzed data from Swedish population-based registers. The analysis includes 4,032 individuals convicted of rape+ and 20,160 matched controls. We used logistic regression models to examine the relationship between immigrant background and rape+ convictions, while adjusting for several potential confounders. We found that 36.9% of the convicted individuals and 69.5% of the controls were Swedish-born with two Swedish-born parents. The odds of being convicted of rape were higher for individuals with an immigrant background across all models. After adjusting for potential confounders (socioeconomic status, substance use disorders, psychiatric disorders, and criminal behavior), these odds decreased but remained significant, especially for those born outside Sweden and arriving at age 15 or older. Our findings reveal a strong link between immigrant background and rape convictions that remains after statistical adjustment. The mechanisms behind the overrepresentation of individuals with an immigrant background among those convicted of rape+ need further exploration.

Safe Sexting, Sexual Orientation, and Gender: Risky Sexting in a Community Sample

Among young adults, engaging in sexting (i.e., sharing sexually explicit materials of oneself with others) can be a healthy and normative sexual experience. However, there is risk associated with some types of sexting. The present study examined the rates and characteristics of high-risk sexting in a community sample of emerging adults (i.e., aged 18-30 years; N = 3,022). High-risk sexting was defined as participating in at least three of the following behaviors: showing one's face in a sext, sexting someone met online, sexting before the age of 16, sexting while intoxicated, or posting one's sext to a website. Over a quarter of participants had ever sent a high-risk sext (28%). Cisgender LGBPA+ (lesbian, gay, bisexual, pansexual, asexual, and other non-straight sexual orientations; 38%, 462/1,220) and transgender (34%; 106/309) participants were significantly more likely to have sent a high-risk sext than heterosexual cisgender participants (18%; 271/1,493). When examining the strength of the relationship between impulsivity, susceptibility to peer pressure, perceptions of sexting, and sexual history with high-risk sexting, we found that the effect sizes overlapped across all three groups, meaning that the relationship between each of the correlates and high-risk sexting was not significantly different across the three groups. We suggest that peer pressure, perceptions of sexting, and impulsivity could be promising targets to inform effective sexual education content, regardless of sexual orientation or gender.

Online Sexual Offending Against Children: Recidivism Rates and Predictors

Recidivism among individuals who have sexually offended poses a significant public health and safety concern. It is crucial to assess the predictive validity of traditional risk factors in individuals engaged in online child exploitation. This study examines recidivism rates and risk factors among individuals involved in online child sexual exploitation, analyzing data from a sample of 228 adult males who had committed sexual and nonsexual offenses at their index crime. The findings suggest that offense-supportive cognitions (Harrell's C = .73-.75) and emotional congruence with children (Harrell's C = .77) serve as predictors for contact sexual recidivism. Consumption of child sexual exploitation material and bestiality pornography are linked to online sexual recidivism (.69 and .75, respectively) and negatively related to sexual recidivism (.29 and .32, respectively). Overall, this research contributes to a more nuanced understanding of recidivism patterns and risk factors among individuals engaged in online sexual offenses against children, emphasizing the need for tailored intervention strategies in this population.

Characteristics and risk factors for sibling incest

Sibling sexual behaviour, despite historical and cross-cultural incest taboos and biologically driven incest avoidance, poses a persistent problem. We tested factors theorized to be associated with sibling incest in a cross-sectional online survey of 1,863 respondents with siblings mainly from North America and Germany. We found that 13% of participants reported engaging in sexual contact with a sibling, typically starting at the age of 10, and that step-siblings and half-siblings were more likely to engage in sibling incest than full siblings. Curiosity and games were the primary motivators; being coerced was more prevalent among female and younger participants. The study underscores both individual (e.g., impulsivity, concurrent childhood sexual behaviour problems) and family level factors (e.g., presence of step-sibling, positive attitudes toward nudity, sexual abuse by parent) influencing liability to engage in sexual behaviours with a sibling. Findings were robust across English- and German-speaking participants, suggesting our results are generalizable. Professionals addressing problematic child sexual behaviour should assess for concurrent sibling incest, and evaluate positive family attitudes towards nudity, sexual abuse by parents, and reduced disgust to sibling incest as potential risk factors for sibling incest. The findings stress the need for comprehensive sexual education in blended households, where age gaps and diminished genetic relatedness contribute to sibling sexual behaviour.

Sex Offender Recidivism: Some Lessons Learned From Over 70 Years of Research

Sex offender recidivism (SOR) has been the subject of research for over 70 years. Myths, misconceptions, and erroneous conclusions about SOR, however, remain widespread, impeding the development of evidence-based policies aimed at preventing sexual offenses. To address the rich but uneven literature, a comprehensive review was conducted making it possible to provide a contextualized overview of scientific knowledge against the backdrop of methodological issues, challenges, and shortcomings. Over the years, researchers have been asked to provide a simple answer to a seemingly simple question: what are the recidivism rates for sexual offending? In response, the field has produced a wide range of findings making it difficult to draw firm conclusions, leaving room for interpretation and personal biases. The variations in recidivism rates are attributable to offender and methodological characteristics, both of which are embedded in a particular sociolegal context. As a result, the base rate of SOR is more effectively considered in terms of a series of questions that should include the type of recidivism, with whom, over what period, and in what context. Issues and debates that have marked the field and fueled its growth are highlighted. Research innovations and important areas of research are also discussed.

Examining Whether Risk Factors Influence Student Perceptions of Campus Sexual Violence

The present study examined university students' perceptions of a campus sexual violence scenario, and specifically determined whether the presence of known risk factors for sexual perpetration would influence their views of an individual who caused harm. Two hundred and seventy-five student participants read a vignette that either included the present or absence of the following three risk factors: Frequent alcohol use, attitudes supportive of rape, and negative peer influence. The findings indicated that the risk factors did not have a significant relationship with students' risk perceptions, indicating that students' perceptions of risk may not be influenced by the presence of known risk factors. The results suggest that students may use intuition or other non-scientific approaches when assessing instances of interpersonal violence, at least in campus settings. Implications for students, post-secondary institutional safety, and prevention of campus sexual violence are discussed.

Similar Age Preference but Different Attentional Control in Mandatory Hospitalized Individuals who Have Committed Sexual Offenses Against Children and Non-hospitalized Individuals With Self-Reported Sexual Interest in Children

Thirty-two forensic persons who have committed sexual offenses against children (FP-SOC), 26 non-forensic persons of whom most have committed sexual offenses against children (NFP-SOC), 14 forensic persons who have not committed sexual offenses against children but have committed other offenses (FP-NSOC), and 53 non-forensic persons who have not committed sexual offenses against children (NFP-NSOC) were instructed to solve a cognitive task, while sexual distractors were presented simultaneously. Behavioral performance and eye movements were measured. FP-SOC and NFP-SOC exhibit same age preference patterns for children and adults, but both groups differ significantly with respect to sexual attentional control. Moderate discrimination accuracy and moderate effect sizes resulted for sexual interest, and good discrimination accuracy and large effect sizes were found for attentional control. Good attentional control in the NFP-SOC, probably reflecting superior sexual self-control and self-regulation abilities, might contribute to a better recognition and control of environmental factors in sexual risk situations, preventing them from being detected and convicted. Otherwise, strong cognitive distortions might serve for them as offense justification. We conclude that those non-forensic persons with sexual offense histories against children (NFP-SOC) with sexual interest in children, good attentional self-control and strong cognitive distortions represent a problematic group which should receive more attention regarding further research but also therapy. Future studies should include more suitable and larger control groups, appropriate instruments to measure independent variables, and investigate whether different classifications of pedophilic interest would be better suited to describe the eye movement patterns of our study participants.

Public Perceptions of Individuals Attracted to Children: The Impact of the Person's Gender, Child Gender, and Preferentiality on Stigma and Perceived Risk to Offend

Stigma-related stress may contribute to increased risk in individuals who are sexually attracted to children. Further, certain subgroups of people attracted to children may be more stigmatized than others; this has important implications for prevention programs. We conducted a vignette study to examine whether public stigma toward people attracted to children differed based on the person's gender (man/woman), the gender of the child to whom the person is attracted (boy/girl), and preferentiality (non-preferentially/preferentially attracted to children). A sample of 385 participants (Mage = 41; 66% White; 52% male; 57% US residents) were recruited through Prolific. Participants were randomly assigned to one of eight vignettes presenting a non-offending individual attracted to children. Vignettes varied on the person's gender, the gender of the child to whom they were attracted, and whether they were preferentially or non-preferentially attracted to children. Participants were asked to rate their perception of risk for the person to commit a child sexual offense (and give their reasoning) as well as fill out a measure of stigma regarding the person in the vignette. The only characteristic associated with perception of risk and stigma was preferentiality; participants rated preferentially attracted persons as being a higher risk to offend and endorsed higher stigma regarding that individual. Open-ended responses indicated that in rating risk to offend, participants were concerned with the role of attraction to children, characteristics of the attraction, loss of control and opportunism, lack of offense history, and lifestyle factors.

Vulnerability to Incest - Findings From a Comparative Single-Case Study of the Onset of Intrafamilial Child Sexual Abuse

Previous research about intrafamilial child sexual abuse was not able to identify specific risk factors that distinguish this unique subgroup from other sexual offending subgroups. In comparison to other groups of sexual offenders, men convicted of intrafamilial sexual child abuse (ICSA) are found to exhibit more similarities to non-offending fathers than extrafamilial sexual offenders. Consequently, the risk assessment of sexual recidivism among "incest offenders" lacks evidence-based evaluation criteria. Given the suggestion that family system factors should be included in research on the onset of ICSA, we employed the Vulnerability to Incest Model proposed by Trepper and Barrett (1989, https://doi.org/10.4324/9780203776605) in a qualitative single-case analysis. A comparative analysis of ten court evaluations of ICSA offenders revealed that all families in which ICSA has occurred demonstrated at least two vulnerability factors. The analyzed offenders exhibited comparable patterns of masculine sexual entitlement. The utility of this recently developed construct for sexual violence research is discussed and implications for further research proposed.

Differentiating Between Sexual Offending and Violent Non-sexual Offending in Men With Schizophrenia Spectrum Disorders Using Machine Learning

Forensic psychiatric populations commonly contain a subset of persons with schizophrenia spectrum disorders (SSD) who have committed sex offenses. A comprehensive delineation of the features that distinguish persons with SSD who have committed sex offenses from persons with SSD who have committed violent non-sex offenses could be relevant to the development of differentiated risk assessment, risk management and treatment approaches. This analysis included the patient records of 296 men with SSD convicted of at least one sex and/or violent offense who were admitted to the Centre for Inpatient Forensic Therapy at the University Hospital of Psychiatry Zurich between 1982 and 2016. Using supervised machine learning, data on 461 variables retrospectively collected from the records were compared with respect to their relative importance in differentiating between men who had committed sex offenses and men who had committed violent non-sex offenses. The final machine learning model was able to differentiate between the two types of offenders with a balanced accuracy of 71.5% (95% CI = [60.7, 82.1]) and an AUC of .80 (95% CI = [.67, .93]). The main distinguishing features included sexual behaviours and interests, psychopathological symptoms and characteristics of the index offense. Results suggest that when assessing and treating persons with SSD who have committed sex offenses, it appears to be relevant to not only address the core symptoms of the disorder, but to also take into account general risk factors for sexual recidivism, such as atypical sexual interests and sexual preoccupation.

Sexual Exploitation of Children in Travel and Tourism Perpetration: An Expansion of the Ecosystem Model

The sexual exploitation of children in travel and tourism (SECTT), also referred to as child sex tourism, involves engaging in sexual activity with someone under the age of 18 in the context of travel and/or tourism. Research on the perpetration of SECTT is vastly underdeveloped. The present review considers the operationalization of SECTT, its prevalence, and existing theoretical models. Existing theory on SECTT provides a good overview of environmental factors that contribute to SECTT, but the model is insufficient in fully accounting for individual-level risk factors related to sexual offending against children. The present paper expands an existing theoretical model of SECTT, the ecosystem model, to account for these individual risk factors and considers their interaction with environmental factors. The paper concludes by highlighting different avenues for future research.

What's God Got to Do With It? The Relationship Between Religion, Sadism, and Masochism

Although "BDSM" (i.e., bondage, discipline, dominance, submission, sadism, and masochism) has become increasingly present in popular media in recent years, much remains unknown about the etiology and correlates of BDSM. Research has demonstrated a relationship between religion and sexual behaviours/attitudes; therefore, religion could also be associated with sadism and masochism. To address gaps in existing knowledge, we conducted an online survey of 515 participants who answered a questionnaire on sexual life and behaviour, including questions on arousal in response to sadism and masochism scenarios, associated negative impacts, and religion. We found a higher prevalence of arousal in response to sadism scenarios amongst non-religious participants (64.6%; n = 228/353) than religious participants (54.7%; n = 88/161) with a small, but potentially meaningful effect size (Φ = -.095, p = .032). Increased impact of religious beliefs on sex life was associated with slightly lower sadism arousal, r(499) = -.080, p = .075. This association was strong enough to be considered a potentially meaningful factor but was not statistically significant. There was also a small negative correlation between masochism arousal and impact of religious beliefs on sex life and behaviour, r(500) = -.129, p = .004. Based on these findings, we conclude that there could be a limited but meaningful relationship between religion and sadism/masochism arousal. Further research should explore specific religious affiliations and beliefs as potentially associated with sadism and masochism arousal.

The Effects of Psychopathy Facets on Treatment Involvement

The current study explored the relations between patient characteristics and psychopathic traits in predicting treatment involvement. We rated treatment involvement using detailed archival clinical files of 218 individuals committed to the Massachusetts Treatment Center (MTC). Psychopathy Checklist-Revised (PCL-R) scores had been rated from a previous study on the same sample. Overall, PCL-R Facets 2 and 4 significantly predicted decreases in treatment involvement, suggesting the characteristics associated with these facets have the most disruptive effects on treatment involvement. Exploratory analyses were also conducted assessing the relations between the PCL-R facets and the individual treatment involvement components. Whereas Facet 2 significantly predicted lower levels in all three individual treatment involvement components, Facet 4 only significantly predicted lower levels in two, highlighting the differentiating effects of these facets. Identifying the components that have either positive or negative effects on treatment involvement can allow clinicians to tailor treatments to optimize treatment involvement and outcome.

A randomized controlled add-on trial of fluoxetine and cognitive behavioral therapy for help-seeking men with a sexual interest in children: presentation of the PARACHUTES trial protocol and initial feasibility data

Background

Sexual Interest in Children (SIC) is a major risk factor for sexual offending, yet clinical trials are sparse. The present protocol outlines a randomized controlled trial (RCT) that aims to investigate the effectiveness of fluoxetine and Cognitive Behavioral Therapy (CBT) in help-seeking men with SIC.

Methods

Adult men contacting the Swedish telephone helpline PrevenTell are screened for inclusion and invited to further assessment on site. One hundred and eleven men with SIC (defined as DSM-5 pedophilic disorder or hebephilia) will be randomized (1:1:1 ratio) to receive one of three interventions for 14 weeks: (1) an internet-administered psychoeducational program (iPP), (2) iPP and the addition of fluoxetine 20-40 mg or (3) iPP and the addition of internet-administered CBT (iCBT). Exclusion criteria include severe psychiatric illness, contraindicating treatment and an elevated risk of committing hands-on sexual offences. Symptom intensity is assessed at baseline, pre-treatment, every other week for 12 weeks, and post treatment. The primary outcome measure is the Sexual Interest in Children: Current Assessment Scale (SIC: CAS) that quantifies sexual behaviors associated with SIC as well as perceived distress and impairment. Secondary outcomes include measures of dynamic risk-factors for committing sexual offences.

Results

The data collected during the initial 20 months of recruitment were analyzed to predict the required number of individuals to be screened and estimate the probable length of the data collection phase. As of March 2022 to November 2023, 146 men have called PrevenTell and disclosed a sexual interest in minors. Following pre-screening, 110 men were excluded from participation in the trial. Current SSRI therapy was the primary reason for exclusion (n = 24; 22%), followed by an elevated risk of committing hands-on sexual offences (n = 14; 13%). Among the 31 men who underwent the screening procedure on site, 26 were allocated to either iPP, iPP+fluoxetine, or iPP+iCBT. The recruitment rate indicates that the trial will be concluded within the pre-estimated timeframe.

Discussion

This is the first RCT of treatment with SSRI and iCBT in a population of help-seeking men with SIC. The significance of this trial and its methodological strengths and limitations are discussed.

Emotional Congruence with Children: An Empirical Examination of Different Models in Men with a History of Sexually Offending Against Children

Emotional congruence with children (ECWC) is a psychologically meaningful risk factor for sexual offending against children (SOC). Based on previous research and theory, three models have been proposed to explain ECWC: Blockage, Sexual Domain, and Psychological Immaturity. Using structural equation modelling in a routine correctional sample of men adjudicated for sexual offences (n = 983), we found little support for all three of these models. Instead, we found that atypical sexual interests, alone, best explained ECWC, with a moderate relationship to ECWC. Using the predictors associated with each of the three models of ECWC, we identified three classes of men with a history of SOC who are high in ECWC using latent class analyses (n = 377). These three classes generally did not replicate the three models of ECWC. We instead propose three subgroups of men with histories of SOC who are high in ECWC, characterized respectively by: relationship deficits; youth and loneliness; and high sexual and general criminality. High levels of ECWC are predictive of a higher risk of sexual recidivism, regardless of class association; however, these subgroups are differentially at risk for some types of recidivism. Our findings suggest that ECWC is a multi-faceted construct, which is still not well understood.

The Risk, Need, and Responsivity Relevance of Working Alliance in a Sexual Offense Treatment Program: Its Intersection With Psychopathy, Diversity, and Treatment Change

The current study examined the self-reported working alliance of men attending a high intensity sexual offense treatment program and its associations with psychopathy, sexual violence risk, treatment change, and recidivism, in a Canadian sample of 317 incarcerated men followed up an average of approximately 10 years post release. Working Alliance Inventory (WAI; Horvath & Greenberg, 1989) self-reported total, Task, Bond, and Goal scores were positively correlated with treatment related changes in risk, and inversely associated with Psychopathy Checklist-Revised (PCL-R; Hare, 1991; Wang & Hare, 2003) scores. The Affective facet of the PCL-R, representing the callous-unemotional features of the syndrome, uniquely predicted lower Bond and Goal scores controlling for the other facets. Cox regression survival analyses demonstrated that sexual violence risk predicted increased sexual recidivism while change predicted decreased sexual recidivism controlling for PCL-R total score; however, WAI scores (particularly the Goal component) were also unexpectedly associated with increased sexual recidivism. For violent recidivism, psychopathy, risk, and change incremented the prediction of general violence, while the WAI was not significantly associated with this outcome. A set of parallel analyses, stratified by Indigenous ethnocultural heritage, demonstrated some continuity, but also potential areas of difference, in substantive findings. Risk, need, responsivity implications of the working alliance for the treatment of high psychopathy correctional clientele, and how this may intersect with Indigenous heritage, are discussed.

Childhood Adversity and Offense-Supportive Cognitions Among Czech Adults with a Sexual Interest in Violence or Children

Individuals with paraphilic interests in sexual violence or children may be more likely to sexually offend if they possess offense-supportive cognitions. These cognitions may develop in response to childhood adversity. However, this idea is largely based on research in men convicted of sexual offenses and may not generalize to non-incarcerated adults with paraphilic interests. In a sample of 178 adults screened for paraphilic interests in violence or children (from the general Czech population), we hypothesized that childhood sexual abuse and emotional neglect would be associated with offense-supportive cognitions about rape and child molestation. Participants came from a nationally representative sample of Czech adults and were selected if they self-reported high levels of sexual interest in violence and/or children. Participants completed an online survey with self-report measures of sexual orientation, offense-supportive cognitions (Bumby RAPE and MOLEST scales), and childhood sexual abuse and emotional neglect (Childhood Trauma Questionnaire). Controlling for gender, age, and sexual orientation, we found that both rape-supportive cognitions and child molestation-supportive cognitions were significantly associated with higher levels of childhood sexual abuse, but not emotional neglect. These findings indicate that childhood sexual abuse may lead to offense-supportive cognitions among men and women with paraphilia.

How online data informs forensic mental health evaluations of sexual behavior: An overview

The Internet plays a pervasive role in modern life including the expression of human sexuality and sexual offending. A range of online sexual activities may be of interest in forensic mental health evaluations (FMHE), including those which are clearly illegal or those which are legal but functionally problematic. Online sexual offenses will clearly prompt forensic evaluators to consider the role of the Internet in these offending behaviors. The Internet may also be relevant in forensic evaluations of contact sexual offending including informing on history of mixed or cross-over offending, and Internet-facilitated contact offenses. A review of Internet-data may span several online domains, many of which provide the user with substantial anonymity and would likely not be available to the evaluator unless provided through the process of discovery. Early guidelines for the review of Internet-data in FMHEs have been proposed and support the Internet as a useful source of collateral data in the conduct of forensic evaluations of sexual behavior.

Dynamic Risk Scales Degrade Over Time: Evidence for Reassessments

Risk tools containing dynamic (potentially changeable) factors are routinely used to evaluate the recidivism risk of justice-involved individuals. Although frequent reassessments are recommended, there is little research on how the predictive accuracy of dynamic risk assessments changes over time. This study examined the extent to which predictive accuracy decreases over time for the ACUTE-2007 and the STABLE-2007 sexual recidivism risk tools. We used two independent samples of men on community supervision (NStudy 1 = 795; NStudy 2 = 4,221). For all outcomes (sexual, violent, and any recidivism [including technical violations]), reassessments improved predictive accuracy, with the largest effects found for the most recent assessment (i.e., those closest in time prior to the recidivism event). Based on these results, we recommend that ACUTE-2007 assessments occur at least every 30 days and that the STABLE-2007 assessments occur every 6 months or after significant life changes (e.g., successful completion of treatment).

Dynamic Protective Factors Relevant to Sexual Offending

PURPOSE OF REVIEW

Focusing on protective factors rather than risk factors potentially better aligns assessment with strengths-based treatment. We examine research into the assessment of protective factors to see whether it can play this role relative to sexual offending.

RECENT FINDINGS

Structured asses sment of protective factors is well developed relative to violent offending but only recently studied relative to sexual offending. Nevertheless, multiple measures of protective factors have now been trialed with men who have committed sexual offenses and shown to predict reduced recidivism. Although research into individual scales is limited, overlapping content between scales suggests that protective factors aligning with constructs of Resilience, Adaptive Sexuality, and Prosocial Connection and Reward are all relevant to sexual offending. Protective factors relevant to sexual offending are sufficiently well identified that they can usefully be used for treatment need assessment, treatment planning during therapy, and case management. They can also make some contribution to risk assessment. The Structured Assessment of PROtective Factors against Sexual Offending (SAPROF-SO) is currently the most comprehensive measure of protective factors relevant to sexual offending.

Exploring the Underlying Constructs of Rape-Related Cognition Scales and Their Relationships With Sexual Aggression

Rape-related cognitions (typically defined as encompassing any number of cognitive constructs) are thought to play a role in sexual aggression. However, rape-related cognition scales often assess these cognitive constructs as one. The purpose of this study is to explore the factor structure of these measures using a sample of 191 community men. We found that items from the Rape Myth Acceptance, RAPE, and Illinois Rape Myth Acceptance (IRMA) scales formed one factor, which was significantly related to sexual aggression. We further found that four and six IRMA subscales were significantly related to past and likelihood of sexual aggression, respectively. Additionally, one IRMA subscale was independently related to past and likelihood of sexual aggression. The results are discussed in terms of implications and direction for future research.

Links between Aggressive Sexual Fantasies and Sexual Coercion: A Replication and Extension of a Multifactorial Model

Current research indicates that aggressive sexual fantasies (ASF) are related to sexual aggression, above and beyond other risk factors for this behavior. There have, however, rarely been explicitly considered in multifactor models aiming to explain sexual aggression. One exception is the multifactorial Revised Confluence Model of Sexual Aggression that was replicated in two samples of male individuals who were convicted of sexual offenses and a small sample of men from the general population and evidenced a high relevance of ASF, respectively. There were, however, no further attempts to replicate the model in larger samples from the general population. We, therefore, used a subsample from the Finnish Genetics of Sexuality and Aggression project including 3269 men (age: M = 26.17 years, SD = 4.76) to do so. Cross-sectional latent structural equation models corroborated previous research and the assumption that ASF are a central component in multifactor models that aim to explain sexual aggression: ASF and antisocial behavior/aggression were equally important associates of sexual coercion when also considering adverse childhood experiences, hypersexuality, and callous-unemotional traits. Additionally, ASF mediated the links between hypersexuality, callous-unemotional traits, as well as childhood sexual abuse and sexual coercion. These links held stable when entering further risk factors, that is, distorted perceptions, rape-supportive attitudes, and violent pornography consumption into the model. Contrasting assumptions, alcohol consumption and antisocial behavior/aggression did not interact. These results illustrate the potential importance of ASF for sexual aggression. They indicate that ASF require consideration by research on sexual aggression as well as in the treatment and risk assessment of sexual perpetrators.

Understanding the Risk of Sexual Reoffending in Adult Men: A Network-Based Model

The predominant approach to understand dynamic risk factors of sexual reoffending has been referred to as the Propensities Model (Thornton, 2016). According to this model, dynamic risk factors can be conceptualized as latent constructs whose change alters the risk of sexual reoffending. Despite its strengths and contributions to research, this model does not offer answers to the question of how dynamic risk factors contribute to the risk of sexual reoffending, or of how sustained change in risk might take place. In this paper we introduce the Network-Based Model of Risk of Sexual Reoffending (NBM-RSR), which addresses several limitations and constraints of the Propensities Model and offers empirically testable propositions regarding the nature and development of the risk of sexual reoffending. The NBM-RSR considers risk of sexual reoffending to involve a self-sustaining network of causally connected dynamic risk factors. Consistent with this, an increased risk of sexual reoffending is characterized through a network that contains more and stronger interconnected dynamic risk factors with a higher strength. Sustained change in risk of sexual reoffending occurs when activity in the network exceeds a critical point resulting in a new self-sustaining network. Propositions based on the NBM-RSR are introduced and translated into testable hypotheses. These propositions revolve around (a) risk of sexual reoffending resulting from the construction of a network of causally connected dynamic risk factors, (b) network stability, sudden changes, and critical transitions, and (c) dynamic risk factors' relative influence on risk of sexual reoffending.

Machine Learning and Risk Assessment: Random Forest Does Not Outperform Logistic Regression in the Prediction of Sexual Recidivism

Although many studies supported the use of actuarial risk assessment instruments (ARAIs) because they outperformed unstructured judgments, it remains an ongoing challenge to seek potentials for improvement of their predictive performance. Machine learning (ML) algorithms, like random forests, are able to detect patterns in data useful for prediction purposes without explicitly programming them (e.g., by considering nonlinear effects between risk factors and the criterion). Therefore, the current study aims to compare conventional logistic regression analyses with the random forest algorithm on a sample of N = 511 adult male individuals convicted of sexual offenses. Data were collected at the Federal Evaluation Center for Violent and Sexual Offenders in Austria within a prospective-longitudinal research design and participants were followed-up for an average of M = 8.2 years. The Static-99, containing static risk factors, and the Stable-2007, containing stable dynamic risk factors, were included as predictors. The results demonstrated no superior predictive performance of the random forest compared with logistic regression; furthermore, methods of interpretable ML did not point to any robust nonlinear effects. Altogether, results supported the statistical use of logistic regression for the development and clinical application of ARAIs.

Dynamic Individual Risk Networks: Personalized Network Modelling Based on Experience Sampling Data

Following a network perspective, risk of sexual reoffending can be understood as a construct that emerges from the interactions between risk factors. If these interrelationships are validly mapped out, this leads to an increased understanding of the risk and thus may contribute to more effective and/or more efficient interventions. This paper reports on personalized network modeling mapping the interrelationships of dynamic risk factors for an individual convicted of sexual offenses, using experience sampling (ESM) based on Stable-2007 items. The longitudinal character of ESM enables both the assessment of interrelations between risk factors within a timeframe and the relationships between risk factors over time. Networks are calculated and compared to the clinical assessment of interrelationships between the risk factors.

Long Term Recidivism Rates Among Individuals at High Risk to Sexually Reoffend

Preventive detention provisions in the US and Canada assume we can identify, in advance, individuals at high risk for sexual recidivism. To test this assumption, 377 adult males with a history of sexual offending were followed for 20 years using Canadian national criminal history records and Internet searches. Using previously collected information, a high risk/high need (HRHN) subgroup was identified based on an unusually high levels of criminogenic needs (n = 190, average age of 38 years; 83% White, 13% Indigenous, 4% other). A well above average subgroup of 99 individuals was then identified based on high Static-99R (6+) and Static-2002R (7+) scores. In the HRHN group, 40% reoffended sexually. STATIC HRHN norms overestimated sexual recidivism at 5 years (Static-99R, E/O = 1.44; Static-2002R, E/O = 1.72) but were well calibrated for longer follow-up periods (20 years: Static-99R, E/0 = 1.00; Static-2002R, E/O = 1.16). The overall sexual recidivism rate for the well above average subgroup was 52.1% after 20 years, and 74.3% for any violent recidivism. The highest risk individuals (top 1%) had rates in the 60%-70% range. We conclude that some individuals present a high risk for sexual recidivism, and can be identified using currently available methods.

The Role of Dynamic Risk and Protective Factors in Predicting Violent Recidivism: Intellectual Ability as a Possible Moderator?

This study investigated which risk and protective factors, based on the 14 clinical indicators of the Historical-Clinical-Future Revised, significantly predicted violent recidivism in a sample of 315 male forensic psychiatric patients. Additionally, it was investigated whether these associations were moderated by intellectual ability. Regarding risk factors, a stronger influence of risky network members, and higher levels of hostility, impulsivity, and addiction significantly predicted violent recidivism. Likewise, regarding protective factors, poorer social and labor skills, and a lower degree of patient's acceptance of crime responsibility were significant predictors of violent recidivism. Contrary to our expectations, better coping skills and more insight into risky behaviors that can lead to relapse also contributed significantly to an increased likelihood of violent recidivism. Intellectual ability had no significant moderating effect on the associations between the factors and violent recidivism. The results offer an insight into which factors need to be prioritized during treatment.

Monitoring Therapist Fidelity to the Good Lives Model (GLM)

Since the Good Lives Model's (GLM) inception, researchers and practitioners have faced questions about its implementation. Programs claiming to use the GLM vary substantially in the extent to which the GLM informs treatment, and no tools exist to monitor therapist fidelity to the GLM. The aim of the current paper is to offer a concrete tool to monitor therapist fidelity to the GLM. The GLM Fidelity Monitoring Tool offers the beginnings of a method for how therapists and supervisors can address the central question of "How well are we implementing the Good Lives Model?" The tool consists of three sections: (i) Fundamental Considerations and Processes, which focus on therapeutic process variables consistent with the GLM but not specific to the GLM, and are rated numerically for fidelity, (ii) GLM-Specific Considerations and Processes, also rated numerically for fidelity, and (iii) Client-Focused GLM Considerations, which are a set of questions exploring the therapist's progress developing a GLM grounded case formulation and therapy plan for individual clients. The tool is designed to help guide supervision discussions and promote therapist fidelity to the GLM. Future research implications are discussed.

Empirically-based dynamic risk and protective factors for sexual offending

This review provides an overview and update of empirical evidence for psychologically meaningful dynamic risk factors and protective factors for sexual offending. Using the review by Mann et al. (2010) as a starting point, we reviewed relevant literature that has appeared since this publication, focusing on meta-analyses, systematic and scoping reviews of dynamic risk factors, recent evaluations of commonly used dynamic assessment tools, and studies of dynamic risk and protective factors in community samples in addition to clinical or forensic samples. Two risk factors previously deemed promising by Mann et al. (2010), hostility towards women and dysfunctional coping (conceptualized as hostile masculinity and emotional regulation deficits, respectively, in this review), could now be considered supported using this review's criteria of three or more studies demonstrating an effect size of 0.15 or greater. No new risk factors were identified. We conducted a broader search of protective factors in recognition of the relative newness of this literature: Positive social support was the only protective factor identified as empirically supported. We also discuss situational risk and protective factors.

First Steps in the Development of a New Measure of Attitudes Toward Sexual Offending Against Children

It is unclear whether existing measures of attitudes and cognitive distortions regarding sexual offending against children (SOC) reflect evaluative attitudes toward SOC (i.e., how negatively or positively one views SOC). The purpose of the current study was to take the first steps toward creating a self-report measure of evaluative attitudes toward SOC. We created 30 items and asked 157 incarcerated people in a sexual offense treatment program to complete them. We retained the 13 items that were the least positively skewed (i.e., lowest endorsement of the most negative response option) and non-redundant (i.e., not too highly correlated with other items) for inclusion in the new measure, which we called the Evaluative Attitudes Toward Sexual Offending Against Children (EASOC) Scale. As an initial test of the relevance of the EASOC Scale, we examined its association with SOC. Participants with SOC (n = 58) reported more positive evaluative attitudes on the EASOC Scale than did those without SOC (n = 22). This expected association is a necessary (but not sufficient) indication that the EASOC Scale may be relevant for predicting and explaining SOC. Future research using more rigorous methodology should build on our modest first steps to revisit item selection and test the validity and relevance of the EASOC Scale.

Latent profiles identified from psychological test data for people convicted of sexual offences in the UK

BACKGROUND

One size does not fit all in assessment and intervention for people with convictions for sexual offences. Crime scene indicators and risk-related variables have been used to identify distinct clusters of people with convictions for sexual offences, but there is a need for more robust typologies that identify clusters based on psychologically meaningful risk factors that can be targeted in treatment.

AIMS

To use robust modelling techniques to identify latent profiles of people with convictions for sexual offences based on indicators of dynamic risk.

METHOD

Adult male participants, who had been convicted for sexual offences and assessed for eligibility for the prison-based Core Sex Offender Treatment Programme delivered by His Majesty's Prison and Probation Service (UK), were randomly allocated to a test (n = 1577: 70.2%) or validation (n = 668: 29.8%) data-set. Exploratory factor analysis (EFA) was used to select measures of dynamic risk from psychological test data. EFA indicated four factors, from which six measures were selected for inclusion in latent profile analysis.

RESULTS

Five latent profiles were identified in the test and validation data-sets. These were labelled low psychological impairment, impulsive, distorted thinker, rape preoccupied and child fantasist. Profiles varied in individual characteristics, offence histories, victim preferences and level of risk.

CONCLUSIONS

Our findings should be used to guide assessment and intervention practices that are tailored to distinct psychological profiles consistent with principles of risk, need and responsivity.

Maladaptive personality domains and crime related characteristics among convicts incarcerated in central jails of Pakistan

Purpose

This study aims to differentiate maladaptive personality domains through crime-related characteristics among convicts incarcerated in central jails of Punjab (CJP). In total, 552 respondents were taken from nine CJP.

Design/methodology/approach

Data were collected through the Personality Inventory for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 Short Form (PID-5 SF) (Mapleset al., 2015), and forced-choice questions were designed to measure crime-related characteristics.

Findings

Confirmatory factor analysis showed that PID-5 SF exhibited a good to excellent construct validity based on the DSM-5 criteria of using three facets to measure a domain (APA, 2013). Multivariate analysis showed that convicts who have committed different crime types and have criminal records exhibit different personality domains.

Originality/value

In addition to the literature, the data from all CJP, Pakistan, was collected and tested so that need for personality-oriented intervention could be identified for the prison setting. This also highlights that the usefulness of PID-5 SF is not only in identifying maladaptive personality among incarcerated convicts but also in differentiating between different crime-related characteristics.

Advancing Research: An Examination of Differences in Characteristics of Sexual and Non-Sexual Offense Recidivism Using a 10-Year Follow-Up

In this article, we examine our current understanding of adverse childhood experiences (ACEs) and the intersection of mental health challenges and substance use on sexual and non-sexual recidivism. This study uses administrative data and comprehensive case files of a sample of 626 individuals who were incarcerated for a sexual offense. Each case was standardized to a 10-year post-release follow-up time for criminal history review. Findings reveal that ACEs, mental health challenges, and substance use disorder, along with a variety of other factors, affect the pathway to re-offending differently. Interestingly, despite the recent legislative push to utilize one standardized predictor of risk, individuals who commit sexual offenses (ICSOs) had very different re-offending patterns based on historic life events. This research will inform the current legislative debate by providing relevant empirical data on a large sample of ICSOs followed for a substantial period of time.

Unpacking Multiagency Structured Professional Judgment Risk Assessments for Family Violence

Assessing the risk for future harm is a crucial task for agencies managing Family Violence (FV) cases. The Integrated Safety Response (ISR) is a multiagency collaboration of such agencies operating in two areas of New Zealand, and one of the first steps in their process is to perform a risk assessment. However, in these assessments, it is unclear whether the factors ISR triage team members select are the basis for their overall risk categorization (low, medium, or high), and if those factors are risk factors (i.e., empirical predictors of outcomes). Therefore, in this study we documented the factors ISR triage teams recorded during their risk assessments for 842 FV cases and examined the relationship of those factors with the risk categories. We then investigated whether those factors and the risk categories were indeed capable of predicting FV-related outcomes (recurrence and physical recurrence). We found most of the triage teams' recorded factors were associated with the risk categories, but fewer than half of the factors were associated with FV-related outcomes. Moreover, the risk categories predicted FV-related outcomes better than chance, but their predictive ability varied across subgroups, performing poorly for aggressors who were Māori or women, and for non-intimate partner cases. We concluded that the ISR triage teams' risk assessment protocol may benefit from increased structure and validation.

Understanding the dark side of personality in sex offenders considering the level of sexual violence

This study examined the relationship between the actual level of physical violence in sexual offenses and dark triad, empathic and impulsive personality traits of their perpetrators. Sixty-four male perpetrators of sexual offenses without any serious mental illness were included. A 5-point Likert-type coding system based on Violence Profile for Current Offense was applied to assess the severity of physical violence of each sexual offense. Personality traits of dark triad (psychopathy, Machiavellianism, narcissism), trait empathy and impulsiveness were also evaluated. Multivariate analyses indicated that non-stranger victim, secondary psychopathy, narcissism and empathy could significantly predict greater involvement of physical violence in a sexual offense. In addition, empathy was negatively correlated with all dark triad traits. Sexual violence should be conceptualized in the form of a continuum, and, considering such an approach, offenders with high secondary psychopathy and narcissism may show preference for sexual assaults that are more violent in nature.

Unraveling the Neuropsychological Underpinnings of Self-Regulation Problems in Individuals Convicted of Sexual Offenses Against Children: A Look Into Reinforcement Learning

Self-regulation problems are critically involved in the onset and the maintenance of sexual offending behavior against children. Studying the neuropsychological underpinnings of these problems could help deepen our understanding of this contributing factor and, thus, of sexual offending behavior. Whereas most studies have examined executive functioning in relation to self-regulation problems in individuals convicted of sexual offenses against children (ISOCs), this review aimed to provide an overview of what is known about another process that is involved in self-regulation, that is reinforcement learning. The results of this review suggested that ISOCs are impaired in their ability to acquire and reverse stimulus-reward and stimulus-punishment associations relative to nonoffender controls, but similar to a control group of individuals convicted of nonsexual violent offenses. These reinforcement learning impairments were found to be more pronounced in nonpedophilic ISOCs than in pedophilic ISOCs. By paving the way towards a deeper understanding of the self-regulation problems seen in ISOCs, this review can help guide treatment strategies for ISOCs.

From Fantasy to Reality: Self-Reported Aggression-Related Sexual Fantasies Predict Sexually Sadistic Behavior beyond Indirect and Direct Measures of Sexual Preference

Aggression-related sexual fantasies (ASF) have been related to various forms of harmful sexual behavior in both sex offender and community samples. However, more research is needed to fully understand this relation, particularly whether ASF is associated with harmful sexual behavior beyond hostile sexism against women and a sexual preference for violence and sexual violence. In the present study, N = 428 participants (61.9% women) between 18 and 83 years of age (M = 28.17, SD = 9.7) reported their ASF and hostile sexism. They rated their sexual arousal by erotic, violent, and sexually violent pictures as a direct measure of sexual preference. Response latencies between stimulus presentation and arousal ratings were used as an indirect measure of sexual preference. ASF and the directly and indirectly assessed sexual preference for violent and sexually violent stimuli were positively correlated. They were unrelated to hostile sexism against women. ASF showed the strongest associations with self-reported sexually sadistic behavior and presumably non-consensual sexual sadism beyond these preferences and hostile sexism in the total group and separately among men and women. The findings indicate that ASF and sexual preference are not equivalent constructs and further underscore the potential relevance of ASF for harmful sexual behavior.

A Peek into Their Mind? An Exploration of Links Between Offense-Supportive Statements and Behaviors among Men Who Sexually Exploit Children and Adolescents Online

While forensic psychologists have some access to their patients' thoughts when deciding on a diagnosis or appraising risk, others, such as police investigators, must rely on physical evidence and behavioral markers to make sense of a crime. Studies showing that offense-supportive cognitions constitute a risk factor for sexual offending, including offenses that take place on the internet, highlight the need for some access to offenders' thoughts. This exploratory study examines the associations between offense-supportive statements about the sexual exploitation of children and adolescents and proxy behaviors. As part of PRESEL, a collaborative research project between Québec provincial police and academic researchers, the case files of 137 men convicted of using child sexual exploitation material or committing child-luring offenses were analyzed. Results showed that many meaningful risk factors and sexual offending behavioral markers were associated with the cognitive themes Sexualization of children, Child as partner, Dangerous world, Entitlement, and Uncontrollability. The use of encryption was negatively associated with the cognition Virtual is not real while Internet is uncontrollable was associated with fewer contacts with minors over the internet. Findings are useful for understanding the psychological needs that should be targeted in treatment, as well as helping prioritize police workloads.

Grievance-fueled sexual violence

The grievance fueled violence paradigm encompasses various forms of targeted violence but has not yet been extended to the theoretical discussion of sexual violence. In this article, we argue that a wide range of sexual offenses can be usefully conceptualized as forms of grievance fueled violence. Indeed, our assertion that sexual violence is often grievance fueled is unoriginal. More than 40 years of sexual offending research has discussed the pseudosexual nature of much sexual offending, and themes of anger, power, and control – themes that draw clear parallels to the grievance fueled violence paradigm. Therefore, we consider the opportunities for theoretical and practical advancement through the merging of ideas and concepts from the two fields. We examine the scope of grievance in the context of understanding sexual violence, and we look to the role of grievance in the trajectory toward both sexual and nonsexual violence, as well as factors that might distinguish grievance fueled sexual from nonsexual violence. Finally, we discuss future research directions and make recommendations for clinical practice. Specifically, we suggest that grievance represents a promising treatment target where risk is identified for both sexual and nonsexual violence.

The predictive value of the dynamic risk outcome scales (DROS) for recidivism in (forensic) clients with mild intellectual disabilities or borderline intellectual functioning

BACKGROUND

The dynamic risk outcome scales (DROS) was developed to assess treatment progress of clients with mild intellectual disability or borderline intellectual functioning using dynamic risk factors. We studied the predictive value of the DROS on various classifications and severity levels of recidivism.

METHOD

Data of 250 forensic clients with intellectual disabilities were linked to recidivism data from the Judicial Information Service in the Netherlands. Receiver operating characteristics (ROC) analyses were used to determine the predictive values.

RESULTS

The DROS total score could not significantly predict recidivism. A DROS recidivism subscale predicted general, violent and other recidivism. These predictive values were comparable to those of a Dutch tool validated for risk assessment in the general forensic population.

CONCLUSIONS

The DROS recidivism subscale predicted various classifications of recidivism better than chance. At present, the DROS appears to have no added value beyond the HKT-30 for the purpose of risk assessment.