Factores de vulnerabilidade para a agressão sexual

A violência sexual contra mulheres e crianças é um fenómeno social e de saúde pública, transversal a diferentes culturas e épocas históricas. A consciencialização deste fenómeno ocorre porém num milénio em que a auto-determinação das mulheres e os direitos fundamentais das crianças passaram a ser considerados pelas principais estâncias políticas. Paralelamente, também a ciência tem dado o seu contributo para a compreensão e resolução destes crimes. Os estudos acerca dos mecanismos de predisposição para a agressão sexual visam a reabilitação dos indivíduos que cometeram ofensas sexuais, prevenindo a reincidência destes comportamentos. O objectivo é diminuir o número de vítimas, intervindo no agressor. O trabalho que apresentamos teve por finalidade investigar potenciais factores de predisposição para a agressão sexual em sujeitos do sexo masculino condenados por crime de violação e abuso sexual de menores, mas também em estudantes universitários com história de violência sexual. Pretendeu-se avaliar de que forma os esquemas precoces mal adaptativos, os mecanismos de inibição/excitação sexual e a personalidade intervêm nestas diferentes formas de violência sexual. Os resultados deste trabalho indicaram que as dimensões avaliadas poderão contribuir para a predisposição e/ou manutenção dos comportamentos de agressão sexual. Adicionalmente, verificou-se que as diferentes formas de violência sexual (violação, abuso sexual de menores e violência sexual em estudantes universitários) são caracterizadas por perfis distintos, e que esta especificidade poderá ser determinante na elaboração de modelos de conceptualização da agressão sexual.

Características e especificidades de jovens agressores sexuais

Nos últimos anos o estudo da violência sexual juvenil tem vindo a atrair a atenção dos serviços de saúde mental, de justiça juvenil e de políticas públicas, bem como de vários investigadores. Teoricamente existem duas perspetivas explicativas da ocorrência das agressões sexuais cometidas por adolescentes. A perspetiva generalista sugere que os crimes sexuais cometidos por jovens são mais uma manifestação de tendências delinquenciais genéricas, em que as agressões sexuais constituem apenas uma parte do comportamento antissocial do adolescente. A segunda abordagem, denominada de perspetiva especialista, entende que os jovens agressores sexuais se distinguem dos outros adolescentes agressores, argumentando que existem diferentes fatores explicativos das agressões sexuais de outras agressões delinquentes. A presente investigação, composta por cinco estudos, teve como objetivo obter resultados que pudessem contribuir para a discussão internacional sobre qual das perspetivas parece explicar de modo mais apropriado o comportamento sexualmente agressivo de jovens menores de idade. Para o efeito recorreu-se a uma amostra total de 118 adolescentes agressores sexuais (61 violadores e 57 abusadores sexuais de crianças), tendo sido efetuadas análises comparativas com 112 jovens agressores não sexuais e 98 não agressores num conjunto de dimensões (características demográficas, tipológicas, criminais, problemas de comportamento, tendências antissociais, características familiares, sociais e comunitárias e interesses sexuais). Os resultados permitiram observar algumas características diferenciadoras de jovens agressores sexuais por violação de jovens agressores sexuais de crianças. Possibilitaram, igualmente, a observação de características semelhantes entre jovens agressores sexuais e jovens agressores não sexuais, sugerindo que em algumas dimensões são, genericamente, análogas. A exceção parece centrar-se em torno das variáveis relacionadas com a sexualidade (conhecimentos e interesses sexuais atípicos). As implicações destes resultados são discutidas em torno da avaliação psicológica e da avaliação do risco de reincidência, bem como na intervenção e prevenção de comportamentos de agressão sexual juvenil.

La généralisation des acquis en traitement chez les délinquants sexuels adultes

La généralisation des acquis dans le domaine de l’agression sexuelle peut se subdiviser en deux volets, soit la généralisation qui se produit lors du traitement et celle suivant le retour dans la collectivité. Le modèle de traitement cognitivo-comportemental, basé sur les principes du risque, des besoins et de la réceptivité, permet une réduction significative des taux de récidive. Plus spécifiquement, les besoins criminogènes ciblés chez chacun des délinquants et le type de stratégies apprises en traitement peuvent influer sur le processus de généralisation des acquis. De la même façon, les caractéristiques propres à l’agresseur sexuel ont également un rôle à jouer. Lors de la libération, la considération et la mise en place de certaines mesures, telles que le plan de réinsertion sociale, les besoins sociaux et individuels, l’employabilité, le logement et la continuité thérapeutique importent afin de faciliter le maintien des acquis. Ainsi, le présent projet de maîtrise vise à mettre de l’avant une meilleure compréhension du phénomène de la généralisation des acquis chez quatre délinquants sexuels suivis dans la collectivité (Centre de psychiatrie légale de Montréal), à la suite d’un traitement d’un an complété à l’Institut Philippe-Pinel de Montréal. Dans le but de comprendre les facteurs pouvant favoriser ce processus, nous avons étudié la manière dont ces différents facteurs se sont présentés chez les délinquants sexuels à l’étude et l’impact lié à la présence ou à l’absence de ces variables. L’analyse clinique du matériel obtenu a démontré, d’une part, que la généralisation des acquis est facilitée lorsque l’ensemble des besoins criminogènes sont des cibles de traitement et que, d’autre part, le délinquant est en mesure d’appliquer des stratégies cognitivo-comportementales plutôt que des techniques purement cognitives. Par ailleurs, la présence d’impulsivité et de problèmes individuels non stabilisés peut nuire au processus. Finalement, il est ressorti que la généralisation des acquis est plus facilement atteignable lorsque les variables identifiées comme étant propices à une réinsertion sociale réussie sont présentes dans le quotidien des délinquants.

Les prédicteurs dynamiques (pré-traitement et en cours de traitement) en lien avec la récidive criminelle chez les agresseurs sexuels adultes

La récidive sexuelle est un sujet d’intérêt pour plusieurs chercheurs et intervenants qui travaillent auprès des délinquants sexuels. Afin de mieux prévenir la récidive sexuelle, il importe de bien connaître les causes sous-jacentes à cette problématique. De cette manière, il sera possible d’élaborer des programmes de traitement efficaces et spécifiques à la problématique. Au cours des dernières années, les études sur les prédicteurs de la récidive sexuelle ont mis l’accent essentiellement sur les prédicteurs statiques, mais aussi et de plus en plus sur les prédicteurs dynamiques. Cependant, il ressort de ces études que les caractéristiques inhérentes à l’implication du délinquant à l’intérieur de son programme de traitement ont été peu étudiées. Conséquemment, le but de cette étude est d’analyser les prédicteurs dynamiques de la récidive, l’alliance thérapeutique, la motivation en cours de traitement et le support social en lien à la récidive sexuelle. Pour ce faire, un échantillon de 299 agresseurs sexuels adultes de sexe masculin est pris en considération. Les données pour mener à terme les analyses statistiques sont recueillies avant le début du traitement et en cours de traitement. Trois types de récidive sont considérés : 1) sexuelle, 2) violente, 3) générale. Les variables indépendantes portent sur des outils psychométriques et sont de deux ordres : 1) pré-traitement, 2) en cours de traitement. Deux variables contrôles sont utilisées : 1) traitement complété ou non, 2) type de traitement; cognitivo-comportemental ou mixte. Ainsi, des analyses préliminaires (test T pour groupes indépendants) sont effectuées afin de sélectionner les variables utilisées pour la réalisation des analyses de survie. En raison de la faible prévalence de récidive sexuelle (5,4%), seules les récidives violentes (10,5%) et générales (18,7%) sont considérées. L’étude nous apprend que les résultats aux analyses de survie pour les récidives violentes et générales tendent à être en continuité à celles retrouvées dans les études existantes sur le sujet. Effectivement, l’étude actuelle informe de la pertinence de compléter un programme de traitement comme facteur de protection contribuant à réduire le risque probable de récidive. Le fait de présenter des croyances pédophiliques ou encore, de ne pas présenter de traits de personnalité compulsive sont des facteurs qui contribuent à augmenter les risques relatifs de récidive criminelle.

Caractéristiques personnelles, traitement et récidive chez les adolescents agresseurs sexuels.

La présente étude vise à vérifier auprès d’un échantillon québécois d’adolescents agresseurs sexuels quels sont les caractéristiques personnelles et familiales avant le traitement et les caractéristiques thérapeutiques en cours de traitement associées à la récidive violente et générale. Cent quarante (140) délinquants sexuels juvéniles ayant commis au moins une infraction sexuelle à l’égard d’un enfant et ayant participé à un programme de traitement spécialisé ont fait l’objet de cette recherche. L’âge moyen des participants était de 15 ans (σ=1,5). Les données concernant la récidive ont été recueillies suite à une période de suivi moyenne de cinq ans et proviennent de sources officielles des dossiers de la Chambre de la Jeunesse ainsi que du Système d’empreintes digitales de la GRC. Au total, 37 % (n=52) des sujets ont commis à nouveau des infractions criminelles dont 3% des délits sexuels, 11% des délits violents et 23% des infractions générales. Les résultats de l’étude indiquent que certaines caractéristiques personnelles avant le traitement sont associées à la récidive violente et générale. Ainsi, les émotions négatives comme stratégies d’adaptation en situation de stress augmentent les risques de récidive violente alors que la tendance à démontrer plus de symptômes liés à un traumatisme et l’obtention d’un score élevé à l’échelle d’estime de soi de la compétence athlétique augmentent les risques de récidive générale. Aucune caractéristique en cours de traitement ne permet de prédire la récidive violente et générale. Certaines de ces caractéristiques sont toutefois associées à une diminution du risque de ces deux types de récidive. En somme, les conclusions de cette étude montrent qu’une forte proportion d’adolescents auteurs d’abus sexuels poursuivra une carrière criminelle générale plutôt que de se spécialiser en délinquance sexuelle.

Human rights and the treatment of sex offenders

Human rights create a protective zone around persons and allow them the opportunity to further their own valued personal projects without interference from others. All human beings hold human rights and that includes sex offenders, although some of their freedom rights may be legitimately curtailed by the State. In this paper we apply the concept of human rights to sex offenders. First we briefly analyze the concept of human rights, their structure, and justification. Second, we apply our own model of human rights to the assessment and treatment of sex offenders. We conclude that a significant advantage of a human rights approach is that it is able to integrate the value and capability aspects of offender treatment.

Assessment and case conceptualization in sex offender treatment

The assessment of sexual offenders consists of the systematic collection of clinically relevant information in order to detect clinical phenomena or problems and to provide clear treatment targets. The result of this process is a conceptual model, or case formulation, representing the client’s various problems, the hypothesized underlying mechanisms, and their interrelationships. The focus of this article is on the importance of psychological assessment and case formulation in the rehabilitation and management of individuals convicted of sexual offences. First, we make a number of general points about the importance of evidence based assessment and clinical reasoning in case formulation. Second, we review key elements of contemporary sexual offender theory that highlights the heterogeneity evident among sex offenders and the implications for case formulation and treatment planning. Third, we discuss the role of case formulation for risk assessment and management. Finally, we illustrate our major points with a brief case study and conclude with a brief consideration of the value of case formulations.

Analysis of cognitive distortions in offenders and non-offenders

This thesis compares the cognitive distortions of adolescent sexual offenders, violent offenders and non-offenders. Sexual offenders demonstrated the most distorted thinking patterns, and were the most likely to exhibit a self-centred tendency and to blame others. These findings have numerous implications for the prevention and treatment of sexual offending by adolescents.

Female-perpetrated child sexual abuse

Research has shown that female-perpetrated child sexual abuse is under-recognised. Three studies were undertaken concerning victims' experiences, professional perspectives and court sentencing transcripts. These studies found that victim impact was significant; professionals considered the phenomenon less serious than male sexual offending; and that female sexual offenders were dealt with less harshly than male offenders within the criminal justice system. The portfolio examines four case studies concerning adult females who have reported a history of child sexual abuse within the context of a dual-diagnosis counselling agency and investigates both psychological and behavioural difficulties revealed by each of the young women.

Pathways to female sexual offending : approach or avoidance?

This study forms the second part of a larger investigation into the offence process characteristics of female sexual offenders (FSOs). In the first part - documented in Gannon, Rose, and Ward (Sexual Abuse: A Journal of Research and Treatment, 20, 352-374, 2008) - we described the development of the Descriptive Model of Female Sexual Offending (DMFSO); an offence process model developed using Grounded Theory methodology to describe the sequence of cognitive, affective, behavioural and contextual factors generating female-perpetrated sexual abuse. The second study described here examines the prevalence of specific pathways characterizing the 22 FSOs originally used to develop the DMFSO. Four individuals could not be assigned to a pathway due to lack of information (18% of the overall sample). However, for the remaining 18 participants, three stable pathways to female sexual offending were identified: Explicit Approach offenders (50%, n=9), who intended to offend, and explicitly planned their offence behaviours accordingly; Directed Avoidant offenders (28%, n=5), who did not intend to offend, but did so under the direction and coercion of a male accomplice; and Implicit Disorganized offenders (22%, n=4), who did not intend to offend (i.e. they engaged in minimal planning), but offended impulsively following severe self-regulatory failure. In this paper, we present the core characteristics defining each pathway, their associated demographic features, and discuss potential treatment implications.

Moral repair with offenders : ethical issues arising From victimization experiences

In this article, the authors examine the relevance of the concept of moral repair for sex offenders who have been victims of sexual or physical abuse. First, they briefly review the literature on victimization rates and effects in sexual offenders. Second, the notion of moral repair and its constituent tasks is examined with particular emphasis given to Margaret Walker's recent analysis of the concept. Third, the concept of moral repair is applied to offenders and its implications and possible constraints discussed. Fourth, the authors outline a normative framework for addressing victimization issues with sexual offenders, drawing on the resources of human rights theory and strength-based treatment approaches. Finally, they conclude with a brief consideration of the ethical and clinical implications of their normative model.

A comparative analysis of Australian sex offender legislation for sex offender registries

Australia has followed the course taken by other English-speaking countries in recent years of enacting legislation that requires convicted sexual offenders to register personal details with law enforcement agencies. These laws have been enacted to protect the public from the perceived threat posed by sex offenders, but have been written with little apparent reference to the available research literature about the nature and extent of this threat. In addition, there is no empirical evidence supporting the effectiveness of legislatively based sex offender registries to either reduce sexual offending or to enable the police to investigate sex crimes and apprehend offenders. This article compares and contrasts the current laws governing sex offender registration enacted by the various states and territories in Australia, and offers a critical analysis of their provisions in light of the research literature on sexual offending.

Framingham risk prediction equations for incidence of cardiovascular disease using detailed measures for smoking

Current prediction models for risk of cardiovascular disease (CVD) incidence incorporate smoking as a dichotomous yes/no measure. However, the risk of CVD associated with smoking also varies with the intensity and duration of smoking and there is a strong association between time since quitting and the risk of disease onset. This study aims to develop improved risk prediction equations for CVD incidence incorporating intensity and duration of smoking and time since quitting. The risk of developing a first CVD event was evaluated using a Cox’s model for participants in the Framingham offspring cohort who attended the fourth examination (1988–92) between the ages of 30 and 74 years and were free of CVD (n=3751). The full models based on the smoking variables and other risk factors, and reduced models based on the smoking variables and non-laboratory risk factors demonstrated good discrimination, calibration and global fit. The incorporation of both time since quitting among past smokers and pack-years among current smokers resulted in better predictive performance as compared to a dichotomous current/non-smoker measure and a current/quitter/never smoker measure. Compared to never smokers, the risk of CVD incidence increased with pack-years. Risk among those quitting more than five years prior to the baseline exam and within five years prior to the baseline exam were similar and twice as high as that of never smokers. A CVD risk equation incorporating the effects of pack-years and time since quitting provides an improved tool to quantify risk and guide preventive care.

International sex offender registration laws : research and evaluation issues based on a review of current scientific literature

In many jurisdictions, anyone convicted of a sexual offense is required to register with police, often for life. Nine different countries have now implemented sex offender registries in an attempt to protect the public from the perceived threat posed by sexual offenders. Yet such laws have been criticized as being overly inclusive, tying up limited law enforcement resources to track many offenders who pose little risk of sexual reoffending. This paper considers the available research evidence relevant to the effectiveness of such laws for the deterrence of sexual offending and the investigation of sex crimes. It is concluded that significant gaps persist in our knowledge of whether existing laws effectively reduce sexual offending or reoffending and that large-scale, well-designed studies of the impact of sex offender registration on rates of offending, the collateral consequences to offenders and their families, and the costs of such laws are needed.

Young people, pleasure, and the normalization of pornography: sexual health and well-being in a time of proliferation?

It has been argued that pornography is the most prominent sex educator for young people today (Flood, M. (2010). Young men using pornography. In E. Boyle (Ed.), Everyday Pornography (pp. 164–178). Oxford: Routledge). Research indicates that first exposure to pornography can be as young as 11 years of age. There is evidence that exposure to pornography is shaping young people’s sexual expectations and practices (H€aggstro ̈ m-Nordin et al. 2005). Many young people are learning what sex looks like from what they – or their partner or peers – observe in pornography. Significantly,pornography is normalizing sex acts that most women do not enjoy and may experience as degrading, painful, or violating. This raises serious implications for young people’s capacity to develop a sexuality that incorporates mutual pleasure, respect, and negotiation of free and full consent.While the results are complex and nuanced, research into the effects of pornography consumption provides reliable evidence that exposure to pornography increases aggressive attitudes and behavior towards women for some viewers (Malamuth et al. Annual Review of Sex Research 11, 26–91, 2000). Pornography consumption also has been found to be associated with sexual health risk taking and can impact negatively on body image and sense of self (Dean, L. (2007). Young Men, Pornography and Sexual Health Promotion, MA Research, Brighton University, Brighton, in possession of the author), and as such is a serious health and well-being issue, particularly for young women.This chapter explores preservice teachers’ reactions to pornography education using two examples from teaching of an elective Teaching Sexuality in the Middle Years, in 2011. These examples explore the complex emotions such teaching can generate and the challenges faced by preservice teachers when they are encouraged to confront the gendered and violent consequences of the normalization of pornography in a coeducational setting.