Transitions to better lives : offender readiness and rehabilitation

The aim of this book is to describe, collate, and summarise a body of recent research, both theoretical and empirical, that explores the issue of treatment readiness in offender programming. The book is divided into three different sections.

The first section unpacks a model of treatment readiness and how it has been operationalised; the second section discusses how the construct has been applied to the treatment of different offender groups; and in the final section, some of the practice approaches that have been identified as holding promise in addressing low levels of offender readiness are discussed.

Interventions to improve empathy awareness in sexual and violent offenders : conceptual, empirical, and clinical issues

Interventions that seek to increase empathy are a common feature of programs offered to sexual and violent offenders. Yet, there is little empirical evidence to suggest that they contribute positively to program outcomes. This paper explores the rationale for the delivery of empathy training with violent offenders, describes some of the most commonly used approaches, and reviews the current evidence base relating to effectiveness. It is concluded that while there are strong theoretical grounds for identifying empathy deficits as an important area of criminogenic need, there are considerable difficulties in establishing the extent to which the interventions offered in this area might be considered to be successful in reducing risk.

Individual differences in affective responses to violence and sexual violence

The thesis aimed to identify and compare individual differences in anger related affective responses upon exposure to neutral, violent and sexually violent film. The findings revealed that both graphic and non-graphic sexually violent film content may have a stronger impact on viewers' anger levels than exposure to standard violent film. The portfolio examined in four case studies the utility of the Violence Risk Scale when seeking to identify factors associated with risk of violent recidivism and subsequent treatment targets for intellectually disabled offenders . Treatment indications must consider the impaired cognitive and adaptive abilities and the difficulties inherent in modifying the behavioural characteristics of intellectually disabled offenders.

Professional response and attitudes toward female-perpetrated child sexual abuse : a study of psychologists, probationary psychologists and child protection workers

Previous studies have suggested that lay people and professionals both tend to deny or minimise female-perpetrated sexual abuse of children. However, such abuse has been shown to have negative impacts on the victims. This study investigated whether professionals who might work with victims or perpetrators of childhood sexual abuse show a bias in processing scenarios and making decisions when confronted such abuse. A sample of 231 psychiatrists, psychologists, probationary psychologists and child protection workers responded to variations in vignettes in which women and men offended against children, and completed a questionnaire assessing attitudes to women's sexually abusive/offending behaviour toward children. All professional groups regarded cases involving female perpetrators of child sexual abuse as serious and deserving of professional attention. However, while there were some differences between groups, female perpetrators were more likely than male perpetrators to be considered leniently, suggesting that minimisation of female-perpetrated sexual abuse of children may persist in the professional arena. As a result, both female perpetrators of sexual abuse and their victims may go untreated, and in the case of perpetrators, their behaviour may go unsanctioned. Training for professionals to enhance their understanding of the seriousness of sexual abuse perpetrated by women is indicated.

Motivations for seeking treatment for ED: the woman's perspective

There is increasing evidence that partners have a major role in treatment-seeking behavior for men with ED. This study investigated the motivations of 100 females for seeking medical treatment for their partner's ED. Semi-structured interviews focused on reasons for seeking treatment from the female's perspective. The themes that emerged from the data centered on the importance of sex in the relationship, with closeness and intimacy frequently being seen as more important than sex. The second major theme related to hopes that females had in relation to the medication, particularly in relation to increasing their partner's confidence and reducing his sexual frustration. Enhancement of the relationship as well as improving the female's own feelings of self-doubt and sexual frustration were also mentioned. The results of this study show the multi-faceted nature of the motivations that females express in terms of seeking help for their partner's ED.

Recent research (N=9,305) underscores the importance of using age-stratified actuarial tables in sex offender risk assessments

A useful understanding of the relationship between age, actuarial scores, and sexual recidivism can be obtained by comparing the entries in equivalent cells from “agestratified” actuarial tables. This article reports the compilation of the first multisample age-stratified table of sexual recidivism rates, referred to as the “multisample age-stratified table of sexual recidivism rates (MATS-1),” from recent research on Static-99 and another actuarial known as the Automated Sexual Recidivism Scale. The MATS-1 validates the “age invariance effect” that the risk of sexual recidivism declines with advancing age and shows that age-restricted tables underestimate risk for younger offenders and overestimate risk for older offenders. Based on data from more than 9,000 sex offenders, our conclusion is that evaluators should report recidivism estimates from age-stratified tables when they are assessing sexual recidivism risk, particularly when evaluating the aging sex offender.

Sexual murderers' implicit theories

Interviews with 28 sexual murderers were subjected to grounded theory analysis. Five implicit theories (ITs) were identified: dangerous world, male sex drive is uncontrollable, entitlement, women as sexual objects, and women as unknowable. These ITs were found to be identical to those identified in the literature as being present in rapists. The presence of dangerous world and male sex drive is uncontrollable were present, or absent, such that three groups could be identified: (a) dangerous world plus male sex drive is uncontrollable; (b) dangerous world, in the absence of male sex drive is uncontrollable; (c) male sex drive is uncontrollable in the absence of dangerous world. These three groups were found to differ in motivation: (a) were motivated by urges to rape and murder; (b) were motivated by grievance, resentment and/or anger toward women; (c) were motivated to sexually offend but were prepared to kill to avoid detection, or secure compliance.

Rape : psychopathology, theory and treatment

Whether treatment programs are effective at rehabilitating rapists is yet to be determined empirically. From a scientist–practitioner perspective, treatment should be based on an empirical understanding of rape and rapists, and evidence-based knowledge of treatment outcome with rapists. In this paper we comprehensively review the characteristics of rapists, etiological features implicated in the commission of rape, and relevant treatment outcome research. We pay particular attention to contemporary knowledge about the core vulnerabilities and features required to understand and treat rapists effectively, and, where possible, highlight similarities and differences between rapists, child molesters and non-sexual violent offenders. We use an epistemological framework to (a) critique the various etiological accounts of rape available and (b) help guide professionals' use of such knowledge in both treatment design and evaluation. Gaps in the understanding of rapists' characteristics and etiological features are highlighted, as are discrepancies between current knowledge and treatment approaches. We conclude by highlighting areas for future research and practice innovation.

What were they thinking? An exploration of child sexual offenders' beliefs using a lexical decision task

Cognitive distortions have been afforded a key role in the offending behaviour of child sexual offenders. While the mechanisms underlying cognitive distortions are not fully understood, they are generally thought to reflect entrenched beliefs that distinguish child sexual offenders from other individuals. We investigated this hypothesis using a robust experimental technique called the lexical decision task. Child sexual offenders, offender controls, and non-offender controls completed a lexical decision task in which they responded to words that completed sentences in either an offence-supportive or nonoffence-supportive manner. Contrary to predictions, child sexual offenders did not respond faster to words that were consistent with offence-supportive beliefs, relative to controls. However, they did show accelerated recognition for word stems supporting external locus of control beliefs. These results highlight the need to use cognitive experimental methods to study child sexual offenders' beliefs, and the importance of investigating potential alternative drivers of cognitive distortions.

The effects of visual priming on information processing in child sexual offenders

Child sexual offenders are hypothesized to hold offence-supportive beliefs that set them apart from others. The current study seeks support for this view via a cognitive-experimental approach. Child sexual offenders and offender controls were exposed to pictures of semi-clothed children (priming condition) or clothed, mature adults (control condition). Participants then read ambiguous sentences describing children's actions that could be interpreted in a sexualized manner. Next, participants completed a surprise recognition test in which half the sentences were re-presented in an unambiguously sexual form, and half in an unambiguously non-sexual form. Contrary to hypotheses, primed and/or control child sexual offenders did not show a memory bias for sexualized sentences, suggesting that they did not interpret the original sentences in line with offence-supportive beliefs. Results raise questions about whether child sexual offenders universally hold abnormal beliefs that facilitate their offending. Results also highlight the need for further experimental research within this field.

What's in a measure? A multi-method study of child sexual offenders' beliefs

The hypothesis that child sexual offenders (CSOs) hold distorted, offence-supportive beliefs is usually investigated using interview and questionnaire techniques. However, in light of various problems associated with the use of these techniques, researchers are increasingly turning to cognitive-experimental approaches. To date, no study has examined potential differences in the nature of the beliefs that are revealed using interview, questionnaire, and experimental methods. In this study, data is gathered using these three methods and the results triangulated. CSOs are interviewed and the content categorised into five belief types. CSOs and offender controls then complete a questionnaire measure of offence-supportive beliefs and an experimental task (Rapid Serial Visual Presentation-Modified, or RSVP-M), which uses sentence reading times to explore content held in cognitive structures. As hypothesised, CSOs showed evidence of holding distorted beliefs according to the interview and questionnaire measures. Against predictions, however, CSOs did not show evidence of holding distorted belief structures on the RSVP-M task. In fact, the three methods showed no agreement regarding the belief types each CSO was deemed to hold. These results raise important questions about the phenomena and potential artefacts measured by each method.

The role of culture in understanding child sexual offending : examining feminist perspectives

Psychological theories on child sexual abuse continue to dominate etiological and rehabilitative approaches to understanding and treating sexually abusive behavior. However, even though psychological researchers are motivated toward development of comprehensive and highly integrated theories, there has been continued neglect of the cultural dimensions of child sexual abuse. Feminist theories of child sexual abuse have been particularly helpful in filling this explanatory gap, as they have persisted in locating sexually abusive behavior within a cultural context. In this paper we review and critique selected feminist theories on child sexual abuse with the aim of establishing their explanatory scope and utility. Overall, we found that feminist perspectives were useful in justifying and establishing social policies aimed at preventing the sexual abuse of children from ever commencing. However, despite this strength, they offer little guidance in the treatment of individual offenders.

Empathy and adolescent sexual offenders : a review of the literature

A significant proportion of sexual offenses has been found to be committed by adolescent offenders. Although there is overlap in the backgrounds of adolescent sexual offenders and juvenile delinquents, in recent times there has been an increased effort to identify and treat adolescent sexual offenders as a distinct population. Adolescent sexual offenders are thought to be empathy deficient, with empathy development a commonly defined treatment goal. There is confusion, however, as to whether such empathy deficits are general in nature, are towards certain groups of people, or are own victim-specific. This article provides a review of the literature concerning empathy and adolescent sexual offenders and, based on this assessment, recommendations are made for future research.

Human rights and dignity in offender rehabilitation

The concept of human rights is a moral (and legal) one that that is intended to safeguard provision of the social, economic, environmental, and psychological goods necessary for a dignified human life. Over the last 3 years, several papers on the implications of rights-based thinking for the assessment and treatment of offenders have appeared. In this paper, I draw from this work—in particular, the conceptual model developed by Ward and Birgden (2007)—and examine its practice recommendations and implications. First, I analyze the concept of dignity and its role in human rights thinking. Then the Ward and Birgden model of human rights is outlined and ethically justified. Finally, I discuss some of the major assessment and treatment consequences of this human rights approach.

A human rights-based practice framework for sexual offenders

Human rights create a protective zone around people and allow them the opportunity to further their own valued personal projects without interference from others. In our view, the emphasis on community rights and protection may, paradoxically, reduce the effectiveness of sex offender rehabilitation by ignoring or failing to ensure that offenders' core human interests are met. In this paper we consider how rights-based values and ideas can be integrated into therapeutic work with sex offenders in a way that safeguards the interests of offenders and the community. To this end we develop a rights-based normative framework (the Offender Practice Framework: OPF) that is orientated around the three strands of justice and accountability, offender needs and risk, and the utilization of empirically supported interventions and strength-based approaches. We examine the utility of this framework for the different phases of sex offender practice.