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1.
Curr Psychiatry Rep ; 23(9): 59, 2021 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-34279758

RESUMO

PURPOSE OF REVIEW: This review examines the literature on technology-facilitated sexual violence (TFSV). The prevalence, perpetrators, harms, and victims of a selection of types of TFSV are covered. Particularly, the topics of image-based sexual abuse, video voyeurism, sending of unsolicited sexual images, and the use of technology to facilitate in-person sexual violence are discussed. RECENT FINDINGS: The literature suggests that the types of TFSV discussed are prevalent and the impacts far-reaching. There is emerging evidence outlining the characteristics associated with and motivations behind these acts of TFSV. The impacts of TFSV victimization can be diverse and damaging. Many questions about TFSV are unanswered, highlighting the need for more empirical investigations. Technology can be used to facilitate sexual violence through several means. It is clear that there is the potential for the impact on victims to be extensive; thus, it is critical that more work be done to understand the extent and nature of TFSV and the individuals who perpetrate this type of violence.


Assuntos
Bullying , Vítimas de Crime , Delitos Sexuais , Humanos , Comportamento Sexual , Tecnologia
2.
J Interpers Violence ; 36(19-20): NP10178-NP10204, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-31475616

RESUMO

A damaging belief exists that to become a victim of sexual violence, victims must be deemed sexually desirable. As a result, sexual violations where the victims are individuals whom society may deem as less attractive-such as overweight women-may elicit less empathy for the victim or minimize the likelihood they are believed. Yet, there is some evidence that overweight women actually report higher rates of sexual violence than women of other weight categories. Although there has been some research implicating weight biases in sexual assault cases, this has not been extended to cases of sexual coercion despite their growing share of police reports. A sample of 168 participants were recruited from Canada via social media (n = 82) and through a midsized university in Ontario, Canada (n = 86). Using a mock jury paradigm, participants responded to a vignette depicting the sexual coercion of a thin or overweight woman. Participants reported their opinions on the sexual coercion scenario, and prejudicial attitudes, using two standardized scales. Men reported greater rape myth acceptance, anti-fat attitudes, and victim responsibility and endorsed significantly more perpetrator mitigating factors and expressed more negative affect toward the victim. Participants in the overweight condition also expressed greater perpetrator sympathy, greater perpetrator mitigation, and less negative affect toward the perpetrator. These results suggest that overweight women may face additional barriers when reporting their experiences of sexual coercion, particularly to men.


Assuntos
Vítimas de Crime , Estupro , Atitude , Coerção , Feminino , Humanos , Julgamento , Masculino , Ontário , Percepção Social
3.
J Interpers Violence ; 35(3-4): 964-987, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-29294653

RESUMO

Many researchers have studied the prevalence and content of men's aggressive sexual fantasies, including their link with rape-supportive cognition. However, little to no research has examined the link between imaginal ability and the use of such fantasies. Based on existing research and theory, we propose that men who hold hostile beliefs toward women will use aggressive sexual fantasies more often if they possess a greater ability to engage in a "rich fantasy life." Operationally, we argue this involves (a) a proneness to fantasize in general, (b) an ability to vividly envision mental imagery, and (c) frequent experiences of dissociation. To test this, the present study hypothesized that a latent variable termed "rich fantasy life," via "hostile beliefs about women," influences the use of "aggressive sexual fantasies." A sample of 159 community males was recruited. Each participant completed a measure of fantasy proneness, dissociation, and vividness of mental imagery, along with two measures that assess hostile beliefs about women. Assessing how often the participants fantasized about rape-related and sadistic themes provided a measure of aggressive sexual fantasies. Structural equation modeling (along with bootstrapping procedures) indicated that the data had a very good fit with the hypothesized model. The results offer an important contribution to our understanding of aggressive sexual fantasies, which may have implications for clinical assessment and treatment. The limitations of the study are discussed, along with suggestions for future research.


Assuntos
Agressão/psicologia , Coito/psicologia , Fantasia , Estupro/psicologia , Comportamento Sexual/psicologia , Adulto , Transtornos Dissociativos/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Homens , Prevalência , Adulto Jovem
4.
J Behav Ther Exp Psychiatry ; 59: 107-114, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29331440

RESUMO

BACKGROUND AND OBJECTIVES: Bilateral eye-movements (EMs) and visual mental imagery both require working memory resources. When performed together, they compete for these resources, which can cause various forms of mental imagery to become impaired (e.g., less vivid). This study aimed to examine whether EMs impair sexual fantasies (a form of mental imagery) in the same manner. METHODS: Eighty undergraduates (40 males, 40 females) took part in four counterbalanced conditions: (1) EMs and an experience-based sexual fantasy; (2) EMs and an imagination-based sexual fantasy; (3) experience-based sexual fantasy only; and (4) imagination-based sexual fantasy only. In each condition, the vividness, emotionality, and arousability of the sexual fantasy were rated pre- and post-task. All three variables were predicted to decrease in the EM conditions. RESULTS: Sexual fantasies were reported as less vivid, positive, and arousing after performing concurrent EMs relative to fantasising only, for both memory- and imagination-based sexual fantasies. There were no gender differences. Demand did not appear to account for the effects. LIMITATIONS: Self-report measures were used rather than objective measures. Working memory taxation and capacity were not directly assessed. Also, negatively appraised sexual fantasies were not targeted and a 'no intervention' control was not included. CONCLUSIONS: Bilateral EMs were effective at impairing the phenomenological properties of sexual mental imagery, extending the literature on EM effects. Given the potential clinical implications, future research should focus on validating and extending these results, for example, by targeting negatively appraised sexual fantasies (including problematic and offense-related) and incorporating a 'no intervention' condition.


Assuntos
Movimentos Oculares/fisiologia , Fantasia , Imaginação/fisiologia , Memória de Curto Prazo/fisiologia , Comportamento Sexual/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Autorrelato , Adulto Jovem
5.
Arch Sex Behav ; 47(2): 443-456, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28785918

RESUMO

There is little empirical research examining the reasons behind multiple perpetrator sexual offending. A limited number of studies provide reasons for offending offered by perpetrators of this type of sexual violence, but only one published study exists where these perpetrators were interviewed regarding their offense. The Multi-Factorial Model of Multiple Perpetrator Sexual Offending (MPSO) proposed that various factors (individual, sociocultural, and situational) play a role in this type of sexual assault, noting in particular the importance of group dynamics and processes. In the current study, 25 convicted perpetrators of multiple perpetrator sexual offending housed in educational centers and prisons in Portugal were interviewed about their involvement and reasons for participating in the offense. The findings suggested that group processes and dynamics play an important part in this type of sexual offending. Furthermore, the results provided some evidence to support the factors proposed by the Multi-Factorial Model of MPSO. These findings have implications for prevention and treatment programs and for the assessment of offenders.


Assuntos
Prisioneiros/psicologia , Delitos Sexuais/psicologia , Comportamento Sexual/psicologia , Adolescente , Adulto , Vítimas de Crime , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
6.
Sex Abuse ; 30(5): 593-614, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28100118

RESUMO

The present study investigated whether a latency-based Go/No-Go Association Task (GNAT) could be used as an indirect measure of sexual interest in children. A sample of 29 individuals with a history of exclusive extrafamilial offenses against a child and 15 individuals with either a history of exclusive intrafamilial or mixed offenses (i.e., against both adults and children) were recruited from a treatment center in the United States. Also, a sample of 26 nonoffenders was recruited from a university in the United Kingdom. All participants completed the Sexual Fantasy-GNAT, a Control-GNAT, and two self-report measures of sexual fantasy. It was hypothesized that, relative to the two comparison groups, the extrafamilial group would respond faster on the block that paired "sexual fantasy" and "children." Also, GNAT scores were expected to correlate with child-related sexual fantasies. Support was found for both hypotheses. Response-latency indices were also found to effectively distinguish the extrafamilial group, as well as those who self-reported using child-related sexual fantasies. The implications of these findings, along with the study's limitations and suggestions for future research, are discussed.


Assuntos
Associação , Abuso Sexual na Infância/psicologia , Criminosos/psicologia , Fantasia , Comportamento Sexual/psicologia , Adulto , Criança , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
7.
Arch Sex Behav ; 44(1): 157-66, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25107592

RESUMO

The aim of this study was to examine the relationship between denial, static risk, and sexual recidivism for offenders with different types of current sexual offense. Denial was defined as failure to accept responsibility for the current offense and was assessed using the Offender Assessment System. Static risk level (measured using a revised version of the Risk Matrix 2000) was examined as a moderator in the relationship between denial and sexual and violent recidivism. In the full sample (N = 6,891), lower levels of sexual recidivism were found for those who denied responsibility for their offense, independent of static risk in a Cox regression analysis. Higher levels of violent recidivism among those denying responsibility were not significant after controlling for static risk using Cox regression. For specific offender types, denial of responsibility was not significantly associated with sexual or violent recidivism. In conclusion, the presumption that denial represents increased risk, which is common in much of the decision making surrounding sex offenders, should be reconsidered. Instead, important decisions regarding sentencing, treatment, and release decisions should be based on empirically supported factors.


Assuntos
Criminosos/psicologia , Delitos Sexuais/psicologia , Adulto , Criminosos/estatística & dados numéricos , Negação em Psicologia , Inglaterra/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Risco , Delitos Sexuais/estatística & dados numéricos , País de Gales/epidemiologia
8.
Trauma Violence Abuse ; 15(2): 126-39, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24608540

RESUMO

This review provides an overview of current knowledge and understanding of the process of sexual grooming and exploitation of children via the Internet. Specifically, the prevalence of online sexual grooming and exploitation is explored as well as associated challenges relating to the identification of its occurrence. This is complemented by a detailed outline and discussion of the process, both online and in the physical world, and legal responses to this phenomenon. A number of factors are examined to provide an explanation of the facilitating and contributing role they may play in offense processes online. Finally, current typologies are discussed in relation to characteristics of Internet offenders in general and "groomers"/chat room offenders specifically. This review concludes by offering suggestions for future research.


Assuntos
Abuso Sexual na Infância/estatística & dados numéricos , Criminosos/estatística & dados numéricos , Internet , Pedofilia , Criança , Humanos , Prevalência , Delitos Sexuais/estatística & dados numéricos
9.
Sex Abuse ; 26(6): 503-22, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24002932

RESUMO

The effect of number of perpetrators involved in multiple perpetrator rapes on offense characteristics is underresearched despite beliefs that duos/dyads differ in their interactions and dynamics to groups of 3+ members. We analyzed a national sample of 336 allegations of completed and attempted rape of female victims from the United Kingdom. Rapes committed by multiple (duos and groups of 3+ perpetrators) and lone offenders were compared on offense characteristics (incorporating the approach, maintenance, and closure phases of each rape) and victim and offender sociodemographic characteristics. Significant differences between rapes committed by lone, duo, and 3+ group offenders were found for the age and ethnicity of the offenders; the type of approach used; the locations of the initial contact, assault, and release of the victims; the use of a vehicle; the precautions utilized; the verbal themes present; and the sex acts performed. These results have implications for educational prevention programs and interventions with offenders.


Assuntos
Mulheres Maltratadas/psicologia , Vítimas de Crime/psicologia , Relações Interpessoais , Estupro/psicologia , Apoio Social , Adulto , Agressão/psicologia , Mulheres Maltratadas/estatística & dados numéricos , Vítimas de Crime/estatística & dados numéricos , Feminino , Humanos , Masculino , Prevenção Primária/organização & administração , Estupro/prevenção & controle , Estupro/estatística & dados numéricos , Percepção Social , Reino Unido/epidemiologia , Saúde da Mulher , Adulto Jovem
10.
Sex Abuse ; 25(2): 103-22, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22565197

RESUMO

The current study examines the relationship between therapeutic climate of sexual offender treatment groups, risk level, psychopathy and phase (i.e., early/later) of treatment. The participants were 137 sexual offenders detained indefinitely under Wisconsin's Sexually Violent Person's Law who attended a treatment group based on their level of psychopathy: higher levels of psychopathy (i.e., PCL-R scores of 25 or above) or lower levels of psychopathy (i.e., PCL-R scores of less than 25). Using MANOVA with aspects of the therapeutic climate as the dependent variables, the therapeutic climate did not differ as a function of the risk level of the participants. However, the overall therapeutic climate of the two treatment tracks (Lower vs. Higher PCL-R) differed significantly. The mean therapeutic climate scores for both treatment tracks were in the medium to high range (with exception of group cohesion, which was low in the Higher PCL-R track), indicating a fairly positive therapeutic climate in both treatment tracks overall. The therapeutic climate also differed as a function of phase of treatment for each of the treatment tracks, with some aspects being rated more positively early in treatment and others in more positively in later phases. In particular, group cohesion was viewed more positively for the Higher PCL-R group in later phases of treatment.


Assuntos
Transtorno da Personalidade Antissocial/terapia , Criminosos/psicologia , Prisioneiros/psicologia , Delitos Sexuais/prevenção & controle , Comunidade Terapêutica , Adulto , Transtorno da Personalidade Antissocial/psicologia , Psiquiatria Legal , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Risco , Delitos Sexuais/psicologia
11.
Sex Abuse ; 24(6): 519-43, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22291046

RESUMO

In this study the authors assessed a Good Lives model (GLM) approach to sex offender treatment and compare it to a standard Relapse Prevention program. The comparisons examined (a) attrition rates, (b) treatment change in areas targeted in treatment and achievement of a posttreatment treated profile, and (c) views of offenders and facilitators. There were no differences in the attrition rates or the rates of treatment change between the two programs, indicating that they were equally effective at retaining participants and achieving change on areas targeted within treatment. Both facilitators and program participants reported the Good Lives approach module's impact in a positive, future-focused manner. In contrast, those who attended the Relapse Prevention module did not report their perceptions and motivations in a manner that was focused on the positives in their future as frequently as those who attended the module with the Good Lives model approach.


Assuntos
Terapia Cognitivo-Comportamental/organização & administração , Serviços Comunitários de Saúde Mental/organização & administração , Eficiência Organizacional , Assistência Centrada no Paciente/organização & administração , Psicoterapia de Grupo/organização & administração , Delitos Sexuais/prevenção & controle , Psiquiatria Legal/métodos , Pesquisa sobre Serviços de Saúde , Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Equipe de Assistência ao Paciente/organização & administração , Avaliação de Programas e Projetos de Saúde , Prevenção Secundária , Socialização
12.
Sex Abuse ; 24(5): 411-30, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22179773

RESUMO

An empathy-related component has been included in most sex offender treatment programs since the 1980s; however, research linking empathy to sexual offending and/or to treatment outcome has produced mixed findings. This study examined the relationship between victim specific empathy, general empathy, and overall treatment change (determined by responses on a battery of psychometric tests) with static risk (Risk Matrix 2000 [RM 2000]) and sexual offense reconviction data in a sample of 105 offenders who completed treatment while in prison or in the community in England and Wales and followed up for an average period of more than 10 years. Victim-specific empathy improved from pretreatment to posttreatment and related to overall treatment change. A small group of offenders, whose victim empathy scores deteriorated from pretreatment to posttreatment, had higher rates of sexual recidivism compared with the rest of the sample. In contrast, neither were any reliable pretreatment to posttreatment changes noted on general empathy scores, except for an indication on the Interpersonal Reactivity Index Personal Distress Scale, nor was any relationship found to sexual recidivism. The implications of these findings are discussed in relation to treatment goals and sexual recidivism.


Assuntos
Abuso Sexual na Infância/prevenção & controle , Terapia Cognitivo-Comportamental/métodos , Empatia , Prisioneiros/psicologia , Delitos Sexuais/psicologia , Adulto , Criança , Inglaterra , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Análise de Regressão , Reprodutibilidade dos Testes , Projetos de Pesquisa , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Prevenção Secundária , Autoimagem , País de Gales , Adulto Jovem
13.
J Interpers Violence ; 27(4): 728-52, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22203615

RESUMO

Sexual offences by multiple perpetrators are more violent and involve more severe forms of sexual violation than those perpetrated by a lone offender. Often a clear leader exists within these groups. Questions have been raised as to the relative risk of reoffending and the potentially differing criminogenic needs of leaders and followers. However, a recent study comparing leaders and followers in juvenile multiple perpetrator rapes (t'Hart-Kerkhoffs et al., 2011) failed to find some of the expected differences. It was proposed that this might be due, in part, to the way leaders and followers were classified in the study. Before work can progress in this area, it is important to devise reliable and valid means of identifying leaders and followers in multiple perpetrator rape. This article reports on a study which investigated the utility of two different methods of identifying leadership. The Scale of Influence (Porter & Alison, 2001) was applied to a sample of 256 offenders responsible for 95 multiple perpetrator rapes from the United Kingdom. Following this, the relative number of directives uttered by offenders was used to designate leadership. In 66% of the offences sampled, a leader was designated using the number of directives uttered compared with 80% when using the Scale of Influence. When combining both measures to form a composite measure of leadership, this percentage increased to 89%. Classifications of offenders as leaders, followers, and neither, according to the Scale of Influence, the count of directives, and the composite measure, were compared with classifications made by a practitioner to assess their concordance. The composite measure showed the greatest agreement with practitioner opinion. These findings suggest that the Scale of Influence could be developed to take account of other ways that leadership is displayed during multiple perpetrator rapes.


Assuntos
Processos Grupais , Liderança , Estupro/psicologia , Adolescente , Adulto , Bases de Dados Factuais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Determinação da Personalidade/normas , Poder Psicológico , Testes Psicológicos/normas , Reprodutibilidade dos Testes , Reino Unido , Comportamento Verbal , Adulto Jovem
14.
Int J Offender Ther Comp Criminol ; 55(4): 546-66, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20472705

RESUMO

This study examined the impact of Geese Theatre's Re-Connect program on a sample of offenders who attended it. This program used theatre performance, experiential exercises, skills practice role-plays, and metaphors such as the masks to invite a group of offenders to consider and explore issues connected with their release and reconnecting with a life outside prison. Pre- and postprogram psychometric tests, behavior ratings, and interviews were completed to assess the effectiveness of the program. Significant changes were observed from pre- to posttreatment in terms of self-efficacy, motivation to change, and improved confidence in skills (i.e., social and friendship, occupational, family and intimacy, dealing with authority, alternatives to aggression or offending, and self-management and self-control skills). Improved behavior and engagement within the program was observed over the 3 days of the program. Interviews also revealed the positive impact the program had on the participants. This provides evidence supporting the short-term effectiveness of the Re-Connect program.


Assuntos
Transtorno da Personalidade Antissocial/reabilitação , Alta do Paciente/legislação & jurisprudência , Prisioneiros/psicologia , Prisões , Psicodrama/métodos , Desempenho de Papéis , Meio Social , Socialização , Adulto , Transtorno da Personalidade Antissocial/psicologia , Lista de Checagem , Terapia Cognitivo-Comportamental/métodos , Terapia Combinada/psicologia , Psicologia Criminal , Feminino , Processos Grupais , Humanos , Controle Interno-Externo , Masculino , Metáfora , Pessoa de Meia-Idade , Motivação , Cooperação do Paciente/psicologia , Inventário de Personalidade/estatística & dados numéricos , Prisioneiros/legislação & jurisprudência , Resolução de Problemas , Aprendizagem Baseada em Problemas , Psicometria , Autoeficácia , Ajustamento Social , Reino Unido , País de Gales , Adulto Jovem
15.
Sex Abuse ; 22(1): 78-94, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20133961

RESUMO

This study examined the relationship between denial, motivation, static risk (Risk Matrix 2000), and sexual recidivism. Denial was measured in three ways: A Denial Index (resulting from the combination of several measures of different aspects of denial), Absolute Denial, and Denial of Risk. Motivation for treatment was also examined. Logistic regression analyses in a sample of 180 sex offenders using a fixed 10-year follow-up found that risk moderated the relationships between the Denial Index, Absolute Denial, and sexual recidivism. In particular, among high-risk offenders, denial predicted decreased sexual recidivism. An opposite pattern was observed for the low-risk offenders who were in denial, although these differences were not significant. In terms of Denial of Risk, those who were denying they presented a future risk for offending (i.e., higher on Denial of Risk) were less likely to reoffend than those who reported seeing themselves as presenting a high risk. Motivation for treatment was positively correlated with recidivism, but the effect disappeared once static risk was controlled.


Assuntos
Transtorno da Personalidade Antissocial/psicologia , Abuso Sexual na Infância/psicologia , Criminosos/psicologia , Negação em Psicologia , Prisioneiros/psicologia , Adulto , Idoso , Transtorno da Personalidade Antissocial/epidemiologia , Criança , Abuso Sexual na Infância/reabilitação , Criminosos/estatística & dados numéricos , Seguimentos , Psiquiatria Legal/métodos , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Motivação , Prisioneiros/estatística & dados numéricos , Análise de Regressão , Projetos de Pesquisa , Medição de Risco/métodos , Prevenção Secundária , Reino Unido/epidemiologia
16.
J Interpers Violence ; 23(10): 1363-79, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18309040

RESUMO

Among a number of widely used risk assessment instruments with adult sexual offenders, the Minnesota Sex Offender Screening Tool-Revised (MnSOST-R) has been subject to relatively few evaluation studies. Only two independent research groups have published replication studies in the peer-reviewed literature with data not provided by the MnSOST-R's developers, and the results regarding the accuracy of predicting sexual recidivism have been mixed. In this article, important differences between the Barbaree et al. and Langton et al. studies are presented. Analyses reported for the various subsets comprising these two samples indicate that coding discrepancies in the Barbaree et al. study account for the different findings, with a moderate level of predictive accuracy using the Receiver Operating Characteristic curve ultimately found for the MnSOST-R in both data sets.


Assuntos
Determinação da Personalidade/normas , Testes de Personalidade , Projetos de Pesquisa , Delitos Sexuais/classificação , Psiquiatria Legal/métodos , Humanos , Valor Preditivo dos Testes , Psicometria , Reprodutibilidade dos Testes , Medição de Risco/métodos , Prevenção Secundária , Índice de Gravidade de Doença , Inquéritos e Questionários
17.
Int J Offender Ther Comp Criminol ; 52(1): 31-45, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17615434

RESUMO

This study examines the relationship between recidivism rates, therapeutic climate, and composition of offenders in group-based cognitive-behavioral treatment (CBT) for sexual offenders. The Group Environment Scale (GES) is employed to measure social climate. The GES is administered to 73 male sexual offenders in groups of those who only victimized adults or children (five groups) or men who both victimized adults and those who victimized children (five groups). Group environment is not found to differ significantly as a function of group composition. Group member's ratings on the GES are in the medium to high range, indicating a generally positive group environment. Although the group environment overall does not differ between groups, groups do differ significantly in terms of expressiveness. There are no differences in recidivism rates between groups as a function of group composition. The results are discussed in the light of mixing child molesters and rapists in group-based CBT.


Assuntos
Terapia Cognitivo-Comportamental/legislação & jurisprudência , Pedofilia/terapia , Psicoterapia de Grupo/legislação & jurisprudência , Estupro/legislação & jurisprudência , Adulto , Seguimentos , Estrutura de Grupo , Humanos , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Inventário de Personalidade , Prevenção Secundária
18.
Sex Abuse ; 18(1): 99-120, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16598661

RESUMO

This study examined the relationship between recidivism and ratings of response to specialized cognitive behavioral treatment conducted in a prison setting among 418 sex offenders released to the community for an average follow-up period of over 5 years. As well as testing for a main effect for treatment ratings, the potential role of psychopathy assessed using the Psychopathy Checklist--Revised (PCL-R) as a moderator of response to treatment was investigated. Ratings of response to treatment failed to predict either serious (violent including sexual) or sexual recidivism. For the more inclusive outcome of serious recidivism, there was no significant interaction between psychopathy and treatment ratings; however, the ubiquitous effect of psychopathy on recidivism was found to be significant. For sexual recidivism, psychopathy was not significant as a main effect, but a significant interaction between psychopathy and treatment ratings was found. Among sex offenders with PCL-R scores of 25 or higher, those with ratings reflecting a more negative response to treatment recidivated sexually at a faster rate than others. This interaction effect was not significant when treatment noncompleters were removed from the data set. The results were discussed in terms of the methodology involved in the assessment of response to treatment among sex offenders.


Assuntos
Transtorno da Personalidade Antissocial/reabilitação , Abuso Sexual na Infância/reabilitação , Terapia Cognitivo-Comportamental/métodos , Prisioneiros/psicologia , Adulto , Transtorno da Personalidade Antissocial/prevenção & controle , Criança , Abuso Sexual na Infância/prevenção & controle , Seguimentos , Psiquiatria Legal/métodos , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Escalas de Graduação Psiquiátrica , Análise de Regressão , Prevenção Secundária , Índice de Gravidade de Doença , Resultado do Tratamento
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