Theories of cognitive distortions in sexual offending: what the current research tells us

Evading Detection: Characteristics of Individuals With Extrafamilial Child Sexual Offences and Long Detection Lags

Most child sex offending is unreported and undetected. Despite this, most research relies on the characteristics of those frequently detected and arrested. This study aims to address this disparity by examining a group of men convicted of child sexual abuse (CSA) offences with multiple victims and who evaded detection for long periods of time (n = 170). This sample was compared to a group of men caught quickly for CSA offences against multiple victims (n = 170). The two groups were compared on demographic, lifestyle, sexual deviancy, and criminogenic measures. Individuals with long detection lags had more child victims, including more pre-pubescent and male victims and commenced their sexual offending at a comparatively earlier age. Additionally, individuals with long detection lags were more likely to be non- Indigenous and to show specialization in their sexual offending. These findings have implications for identifying and managing high harm child sexual offenders who evade detection for long periods.

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.

Relationships Between Early Maladaptive Schemas and Emotional States in Individuals With Sexual Convictions

This study seeks to add to the existing knowledge and available literature on schema therapy elements in forensic inpatient samples. Early maladaptive schemas and emotional states were assessed in Dutch individuals with sexual convictions and compared to individuals with nonsexual violent convictions. Self-ratings of the Young Schema Questionnaire and the Schema Mode Inventory of 95 patients with either convictions for child sexual abuse (N = 30), sexual violence against adults (N = 34), and nonsexual violent convictions (N = 31) were examined using one-way multivariate ANOVAs. Regardless of victim type, forensic patients convicted for sexual offending, and patients with convictions for nonsexual violent offending, seem to make equal use of specific maladaptive cognitive schemas and schema modes during mandated inpatient care. Other studies have shown that people with sexual offense histories are typically characterized by insecure attachment, overvigilance towards women, or a child-like self-concept. Our study indicates that forensic patient in Dutch mandated care may be qualitatively different from typical patients with sexual offense histories and that Dutch patients with violent or sexual offense histories are more similar than they are dissimilar.

Trust and Relationship Development Among Users in Dark Web Child Sexual Exploitation and Abuse Networks: A Literature Review From a Psychological and Criminological Perspective

The increased potential and speed of the Internet has changed the nature of sexual crimes against children. It enables individuals with a sexual interest in children to meet, interact, and engage in illegal activities. The literature review presented here aims to provide an overview of the current knowledge and understanding of trust and relationship development among users of online networks that are dedicated to the sexual exploitation and abuse of children. A systematic search using six databases was conducted to identify relevant literature from a psychological and a criminological perspective. Twenty-one studies met the inclusion criteria that centered around the key aspects of the literature review's research question, namely, (i) child sexual exploitation and abuse, (ii) Dark Web platforms, (iii) online forums and networks, and (iv) trust and relationship development. Our findings reveal that the engagement in interpersonal communication and interactions with like-minded others serves various functions, including validation, normalization, and support, as well as access to expert advice, information, and material. Dark Web networks are high-stake and risky environments, where users have to manage a continuous flow of threats, with information about others and their trustworthiness being limited. The establishment and maintenance of trust is of social and technical relevance, and users have to navigate a number of demands and commitments. Findings are discussed in relation to theoretical and practical implications, as well as directions for future research.

Paraphilic Interests Versus Behaviors: Factors that Distinguish Individuals Who Act on Paraphilic Interests From Individuals Who Refrain

Little is known about distinct factors linked with acting on paraphilic interests or refraining from engaging in paraphilic behaviors. Participants from Canada and the United States (N = 744), aged 19-42 years (M = 29.2; SD = 3.18), were recruited through Amazon's Mechanical Turk. Participants completed questionnaires about their paraphilic interests and behaviors, as well as potential key factors linked to behavioral engagement (i.e., perceptions of consent, sexual excitation/inhibition, impulsivity, moral disengagement, empathy). Results indicated that higher moral disengagement and impulsivity, lower sexual control (i.e., high sexual excitation, low sexual inhibition), and maladaptive understandings of consent were best able to differentiate individuals who reported highly stigmatized (e.g., hebephilia, pedophilia, coprophilia) or Bondage and Dicipline, Dominance and Submission, Sadism and Masochism(BDSM)/Fetish paraphilic interests and engagement in the paraphilic behaviours associated with these interests relative to individuals who did not report such paraphilic interests or behaviors. Moreover, higher moral disengagement, impulsivity, and maladaptive perceptions of consent were best able to differentiate non-consensual paraphilic interests and behaviours (e.g., voyeurism, exhibitionism) compared to individuals who did not report these paraphilic interests or behaviours. These results provide future directions for the exploration of mechanisms that may contribute to engagement in paraphilic behaviors and may be targets for intervention aimed at preventing engagement in potentially harmful paraphilias.

Exploring Sexual Grooming in Female Perpetrated Child Sexual Abuse

According to official statistics, two percent of those who commit sex crimes are women, most of which involve child victims. However, victimization surveys suggest the true rate of female-perpetrated child sexual abuse is significantly higher than official statistics, and that it is under-detected and under-reported. Compared to men, relatively little is known about the behaviors and tactics that females employ to perpetrate child sexual abuse. While as many as half of male-perpetrated child sexual abuse involves sexual grooming, sexual grooming has not been empirically studied as it pertains to women. Existing literature, case studies, and media reports describe behaviors and strategies of women who abuse minors which may be suggestive of sexual grooming, particularly in cases of child sexual abuse perpetrated by female educators and child sex traffickers. This article explores what is known about female sexual offending, integrating it with the research on sexual grooming to provide a framework for understanding female sexual grooming behaviors. Implications for prevention, policy, and practice will be examined.

Evading Detection: What Do We Know about Men Charged with Extrafamilial Child Sexual Abuse following Delayed Detection?

Most child sexual abuse (CSA) remains unreported and undetected. Despite this, much of what we know about perpetrators of CSA is derived from samples of convicted CSA offenders. Significant knowledge gaps remain about those who have evaded detection. This study addresses this gap with an in-depth content analysis of the case files of ten convicted child sexual offenders (CSOs) with the longest detection lag, selected from a broader group (n = 349) of men incarcerated at the Massachusetts Treatment Center (MTC). Participants were examined on a range of offender characteristics including Adverse Childhood Experiences (ACEs), cognitive distortions, antisocial traits, indicators of pedophilia and Machiavellian or narcissistic traits, offense facilitating factors, and grooming behavior. A tentative profile emerged with the following characteristics: direct experience of childhood abuse, various cognitive distortions, specialized rather than versatile criminal history, pedophilic traits, Machiavellian traits, and engaging in a range of offense-facilitating behaviors including grooming. We provide insight into offenders who evade detection for CSA and set the foundation for further research to inform prevention strategies for law enforcement agencies and child-serving organizations.

Older Individuals Convicted of Sexual Offenses: A Literature Review

The population of older individuals convicted of sexual offenses (OSOs) is rapidly increasing. However, we have little understanding of their characteristics (e.g., demographic, psychological, individual, offense, and risk) and needs. To identify any similarities or differences that are unique to older individuals convicted of sexual offending, it is important to compare such characteristics across the adult lifespan. Therefore, the aim of this systematic review was to specify and synthesize the current knowledge of characteristics across the adult lifespan of the population of individuals convicted of sexual offenses. Five databases were searched and 10,680 results were screened, resulting in 100 studies included in the final review. The findings were grouped into four emergent themes: age of onset and prevalence; offender and offense characteristics; age and the risk of reoffending; and treatment. Implications of the findings from this review are discussed in relation to future research and clinical practice.

Sexism, Moral Disengagement, and Dark Triad Traits on Perpetrators of Sexual Violence Against Women and Community Men

The field of criminal psychology involves delving into psychological profiles prone to accepting and justifying sexist attitudes that support sexual violence against adult women (SVAW). The aim of the current study is to analyze the mediating role of moral disengagement in the relationships between dark triad personality traits (Machiavellianism, psychopathy, and narcissism) and ambivalent sexism in a sample of 74 male perpetrators of sexual violence against women (M = 40.58; SD = 10.05) convicted of intimate partner violence (IPV) and sexual assault and 160 community men (M = 43.54; SD = 10.63). Since there were no significant differences in the measured variables between individuals convicted of IPV and those convicted of sexual assault, these two groups were combined into a single group of perpetrators of sexual violence against women. A comparison of incarcerated and community men showed that perpetrators of sexual violence against women reported significantly higher levels of ambivalent sexism, moral disengagement, and psychopathy than community men. The moderated mediational model showed that the dark triad was not directly associated with ambivalent sexism, but the relationship was fully mediated by moral disengagement mechanisms. Moreover, the interdependence of the variables evaluated was moderated by group. The moral disengagement mechanisms that explain both hostile and benevolent sexism were associated with Machiavellianism and psychopathy among perpetrators of sexual violence against women, whereas among community men, these mechanisms were associated with Machiavellianism and narcissism. These findings are discussed as they pertain to the treatment of perpetrators of sexual violence against women.

Impersonal and Predatory Relations With Child Victims of Sexual Assault: Pedophilic Interest and Early Childhood Abuse

Fixated pedophilic sexual attraction is considered to be a major determinant of risk among sex offenders, but there is little empirical evidence regarding its treatment. It was hypothesized that two prominent factors which have emerged in the literature as being present among some sexual offenders, namely, impersonal, narcissistic, and predatory patterns of offending against victims, and experiencing childhood sexual abuse, may be related to specifically to the strength of pedophilic interest. Such a relationship would provide a deeper understanding of the corollaries of pedophilic interest and would suggest targets for treatment. These factors were explored in a sample of 532 sexual offenders who attended the National Centre for Risk Assessment in Israel, and were found to be significantly related to the level of pedophilic interest in the sample. The implications for treatment of high-risk offenders are discussed.

The Development and Validation of the Cognitions of Internet Sexual Offending (C-ISO) Scale

Tools designed to measure the cognitions of individuals who engage in sexual activities with children over the Internet are either based on knowledge about men who had committed contact sexual offenses or cognitive phenomena not specifically associated to offending behaviors. Thus, there is no validated tool specifically designed to assess the offense-supportive cognitions of men who use the Internet to sexually offend children. This study developed and validated the Cognitions of Internet Sexual Offending (C-ISO) scale. A sample of 241 men with online and contact sexual as well as with nonsexual offenses completed the C-ISO scale and its psychometric properties, and latent structure was analyzed using both Classical Test Theory (CTT) and Item Response Theory (IRT), resulting in a final version containing 31 items. The analyses indicate that the C-ISO has excellent psychometric properties and discriminates men with online sexual offenses from those with contact sexual and nonsexual offenses. Implications of the findings for clinical practice and future research are discussed.

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010-2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords "treatment or therapy" and "sex offen*". The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the "average" natal-born male sex offender. Results showed that several meta-analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.

Examining Self-Reported Physical Contact With Minors Among Pedophile Support Forum Users

Minimal research has considered the extent to which pedophile social support forum users disclose physical relationships with minors in the course of their posts. As these forums cater to those who express sexual interests in minors, the users may be at higher risk for contact offenses and require unique treatment and supervision. To address this gap in the literature, this study utilized a quantitative analysis of the posts from 806 users from four separate pedophile support forums to identify the correlates of self-disclosed contact with minors. The findings demonstrated that although most users do not disclose physical contact, those who do share several common traits, specifically fantasies of minors, mentions of relationships with minors, and a sexually suggestive username. The implications of this analysis for our understanding of the role of online forums and potential clinical treatment are discussed in detail.

Prevalence of intimidation, harassment, and discrimination among resident physicians: a systematic review and meta-analysis

BACKGROUND

The aim of this study was to establish the prevalence of intimidation, harassment, and discrimination (IHD) reported by resident physicians during their training, to identify factors associated with reported IHD, and to identify adverse sequalae associated with IHD.

METHODS

This review followed the PRISMA guidelines. Eight electronic databases were searched for cross-sectional studies reporting the prevalence of IHD among resident physicians. Prevalence estimates were pooledacross studies using random-effects meta-analysis, with variance stabilization using Tukey double arcsine transformation. Heterogeneity was assessed with forest plots, the I ² statistic, subgroup analyses, and multivariate meta-regression.

RESULTS

52 cross-sectional studies were included in the meta-analysis. The overall pooled prevalence of IHD was 64.1% (95% confidence interval [CI], 51.0-77.1). Verbal, physical, and sexual IHD were the most common forms of IHD reported by residents. Training status (55.5%), gender (41.7%), and ethnicity (20.6%) were the most commonly cited risk factors for IHD. The most common sources of IHD were relatives/friends of patients, nurses, and patients (cited by 50.7%, 47.8, and 41.7%, respectively).

CONCLUSIONS

The prevalence of IHD among resident physicians is high and associated with multiple negative outcomes, including burnout. Despite the availability of multiple anti-IHD interventions, reports of IHD appear to be rising in many residency programs.

"In the street they're real, in a picture they're not": Constructions of children and childhood among users of online child sexual exploitation material

BACKGROUND

Research about online child sexual exploitation material (CSEM) users focuses on psychological assessments, demographics, motivations, and offending rates. Little is known about their understandings of children in CSEM.

OBJECTIVE

From an anthropological perspective, examine CSEM users' constructions of children and childhood online and offline, and explore how these factor into their crimes.

PARTICIPANTS AND SETTING

CSEM users in UK group programs.

METHODS

In-depth ethnography, including 17 months of participant observation in group programs with 81 CSEM users, 31 semi-structured interviews with group participants, and inductive analysis of themes illuminated by childhood theory from anthropology.

RESULTS

When referring to children offline, many participants claimed to align with Euro-American norms and constructions surrounding children's learning, protection, irrationality, inexperience, asexuality, and innocence. However online, many constructed children differently: as less or not "real," and as sexualized. This rendered children in CSEM fundamentally different, which facilitated offending, assisted in overcoming barriers, and allowed participants to hold conventional beliefs about children and childhood while engaging in incongruent online activity. Vital in this process was Internet use and associated distancing, detachment, anonymity, and cultural othering. The program used victim empathy to restore dominant norms to online children, for which participants invoked feelings, recognized their role in abuse, extrapolated consequences for victims, and reinforced norms.

CONCLUSIONS

Constructions of children and childhood were central in offending. The complexities of negotiating "real" versus "not real" in both offending and victim empathy are discussed, as are conceptual distinctions between "constructions" and "cognitive distortions," and implications for treatment and prevention.

Psychosocial Correlates of Attitudes Toward Male Sexual Violence in a Sample of Financial Crime, Property Crime, General Violent, and Homicide Offenders

Although those currently serving prison sentences for sexual violence can be identified and receive treatment, the number of prisoners with a history of sexual violence against female partners is unknown. Methods to identify prisoners with a proclivity for such violence and accurately assess the risk they pose before and after incarceration are therefore required. Here, we aimed to assess the level of sexually violent attitudes within dating relationships and to examine their associations with experiences of child abuse and neglect (CAN), psychopathic personality traits, prisonization, number of incarcerations, age, years of schooling, relationship status, and parenting among different types of offenders (financial crime, property crime, general violent, and homicide offenders). Data were collected among a large systematically selected sample of adult male inmates ( N = 1,123). We demonstrated that sexual violence-supportive attitudes appear to be a function of child sexual abuse and psychopathic personality traits, and may be developed through early socialization experiences as well as incarceration. Practical implications of current findings are discussed.

Examining Implicit and Explicit Evaluations of Sexual Aggression and Sexually Aggressive Behavior in Men Recruited Online

The purpose of the current study was to explore the relationship between implicit and explicit evaluations of sexual aggression and indicators of sexually aggressive behavior in samples of students and community men recruited online. Participants were male undergraduate students recruited online from a Canadian University ( N = 150) and men recruited from the community via an online panel ( N = 378). Participants completed measures of implicit and explicit evaluations of sexual aggression, cognitive distortions regarding rape, self-reported past sexually aggressive behavior, and self-reported proclivity to commit sexually aggressive behavior. We found that more positive explicit evaluations and more cognitive distortions were moderately to strongly associated with sexual aggression; however, this was not the case for implicit evaluations of rape. Our results suggest that explicit evaluations of sexual aggression and cognitive distortions may be relevant for understanding sexual aggression against adults, and that more research is needed exploring whether or not implicit evaluations are associated with sexually aggressive behavior.

Pedophiles in the Ultra-Orthodox Haredi Sector in Israel: Thought Processes Regarding their Actions

This study explores thought patterns of Jewish Ashkenazi Ultra-Orthodox pedophiles in Israel and how they resolve the contradiction between their commitment to Jewish Law and having committed sexual offenses against minors. Ten adult men participated in this study. Using open semistructured interviews, their cognitive distortions before, during, and after the abuse were examined. Content analysis revealed that participants used cognitive distortions based on their own world of Jewish Law and social-cultural values. The insular nature of Ultra-Orthodox society and its many prohibitions, especially regarding sexuality, tempted offenders to test boundaries. When sexual drive was high, internal control mechanisms were ineffective even in presence of external control mechanisms. Some participants recognized the contradiction between their behaviors and being Ultra-Orthodox Jews, and others did not. Based on the findings, a flow chart was devised describing the cognitive processes of Jewish Ultra-Orthodox pedophiles. Theoretical and practical implications of the results were examined.

Moral Disengagement Strategies in Sex Offenders

Sexual abuse is a heterogeneous phenomenon. The literature on sexual offenders considers risk factors in the individual and familial history as well as precursors such as cognitive distortions, defence mechanisms and moral disengagement (MD) mechanisms. This study investigates the MD in sex offenders and non-sex offenders in a sample of 362 males comprising a control group of 268 non-offenders, a group of 42 detained sex offenders and a group of 52 detained non-sex offenders. Participants were administered a semi-structured interview and the Moral Disengagement Scale (MDS). The results show a significant difference between the jailed participants (non-sex offenders and sex offenders) and controls; offenders were found to generally display overall higher levels of MD. Among the jailed participants, sex offenders seem to make more use of MD mechanisms than non-sex offenders.

Early parenting styles and sexual offending behavior: A comparative study

Sexual offenders, in general, report problematic rearing practices from their parents, lacking however more empirical research on this topic regarding particular subtypes of offenders. The current study examined the relationship between early parenting styles and different types of sexual offending. A total of 113 sexual offenders (rapists, pedophilic and nonpedophilic child molesters), and 51 nonsexual offenders completed the EMBU (My Memories of Upbringing), the Brief Symptom Inventory, and the Socially Desirable Response Set Measure. Results showed that rapists were less likely to remember their fathers as being emotionally warm compared with nonsexual offenders and pedophilic child molesters. In addition, compared with rapists, pedophilic offenders perceived their mothers as having been less emotionally warm to them. Overall, results showed that certain developmental experiences with parents were able to distinguish between subtypes of offenders supporting an association between distal interpersonal factors and sexual offending. These findings may have important implications for early intervention and prevention of sexual crimes. Further research using larger samples of pedophilic child molesters is recommended.

Rape-related cognitive distortions: Preliminary findings on the role of early maladaptive schemas

Despite the important focus on the notion of cognitive distortions in the sexual offending area, the relevance of underlying cognitive schemas in sexual offenders has also been suggested. The aim of the present study was to investigate a potential relationship between Early Maladaptive Schemas (EMSs) and cognitive distortions in rapists. A total of 33 men convicted for rape completed the Bumby Rape Scale (BRS), the Young Schema Questionnaire - Short form-3 (YSQ-S3), the Brief Symptom Inventory (BSI), and the Socially Desirable Response Set Measure (SDRS-5). Results showed a significant relationship between the impaired limits schematic domain and the Justifying Rape dimension of the BRS. Specifically, after controlling for psychological distress levels and social desirability tendency, the entitlement/grandiosity schema from the impaired limits domain was a significant predictor of cognitive distortions related to Justifying Rape themes. Overall, despite preliminary, there is some evidence that the Young's Schema-Focused model namely the impaired limits dimension may contribute for the conceptualization of cognitive distortions in rapists and further investigation is recommended.