bluuebunny/crossref_metadata_2025 huggingface dataset:
A Synthesis of Knowledge Relevant to Pathways of service Delivery for Young Children With or at Risk of Challenging Behavior
Authors: Powell Diane , Fixsen Dean , Dunlap Glen , Smith Barbara , Fox Lise
Published: February 2008

The serious consequences of challenging behaviors in young children have become an increasing concern of caregivers. Without intervention, the presence of challenging behaviors in young children is associated with unfavorable outcomes in school and later life. This paper describes a synthesis of the existing knowledge related to the processes of identification and access to services for children with challenging behaviors and their families. A variety of data sources were examined to extract findings relevant to national initiatives. Findings are presented as a description of the existing federal programs and funding streams that provide pathways to services and associated mandates relating to cross-system convergence, along with the limited empirical data related to their implementation, utilization, and effectiveness. Service pathways for identification and referral were found to be fragmented with less than complete implementation of many mandates, largely unaccompanied by utilization and evaluation data. These gaps are described and recommendations are offered to guide research for addressing the paucity of systems information for this important group of children.
Enhancing Parent- Child Interactions through Home Visiting: Promising Practice or Unfulfilled Promise?
Authors: Peterson Carla A. , Luze Gayle J. , Eshbaugh Elaine M. , Jeon Hyun-Joo , Kantz Kelly Ross
Published: February 2008

Many intervention programs use home visiting to target enhanced parent-child interactions; however, few studies have examined specific intervention strategies, limiting the potential utility of evaluation results to guide practice, research, or policy effectively. In this paper, we recommend that researchers and program evaluators open the "black box" of home visiting intervention strategies. We initiate this effort by exploring the overall intervention processes in two home visiting programs and describing specific strategies (e.g., coaching and modeling) interventionists used during triadic interactions with the parent and child together. One study included 28 families parenting a child with a disability and receiving Part C services, and the second study included 92 families receiving Early Head Start services. Interventions were not homogeneous across programs or families. Minimal time was focused on facilitating parent-child interactions; when these strategies were used, however, mothers were more likely to be engaged in the intervention activities.
Influence of Disability, Gender, and Time Engaged on the Developmental Level of Children's Art Work: Findings from Three Years of Observation
Authors: Hanline Mary Frances , Milton Sande , Phelps Pamela C.
Published: February 2008

The purpose of this study was to assess the developmental progression of preschoolers' abilities to draw and paint. Over 3 years, 68 children were observed easel painting 595 times and 65 children were observed drawing 545 times. Results of hierarchical linear modeling indicated that (a) the complexity of children's drawings and paintings increased with chronological age, (b) children wit, disabilities progressed at a slower rate than children without disabilities, (c) gender did not influence the complexity of the art products, and (d) time engaged had a positive effect on the complexity of the art product. Implications of findings are discussed in relation to the assessment of representational abilities and instructional environments.
Moderation and Mediation in Structural Equation Modeling: Applications for Early Intervention Research
Authors: Hopwood Christopher J.
Published: February 2008

Second-generation early intervention research typically involves the specification of multivariate relations between interventions, outcomes, and other variables. Moderation and mediation involve variables or sets of variables that influence relations between interventions and outcomes. Following the framework of Baron and Kenny's (1986) seminal paper, this paper differentiates moderation and mediation conceptually and methodologically. Four cases of moderation defined by the scale of predictor and moderator variable scales are described, and several design and statistical issues associated with testing mediation are discussed. Use of structural equation modeling is proposed to address some of the difficulties in testing moderation and mediation effects. A hypothetical early intervention data set is used to discuss and demonstrate the use of structural equation modeling for examining moderation and mediation.
Older Siblings' Use of Responsive Interaction Strategies and Effects on Their Younger Siblings with Down Syndrome
Authors: Trent-Stainbrook Alacia , Kaiser Ann P. , Frey Jennifer R.
Published: February 2008

The effects of an intervention designed to facilitate interactions between older typically developing siblings and their younger siblings with Down syndrome were investigated. Older siblings were taught to use two responsive interaction strategies through the use of written materials, modeling, role play, and oral feedback. Following training, older siblings increased their use of mirroring and verbal responding. Intentional communicative behaviors increased among their younger siblings. One-month follow-up observations indicated that older siblings maintained their use of the responsive interaction strategies, but the effects of the intervention did not appear to generalize to an untrained setting. In an assessment of social validity, blind observers found sibling interactions to appear more positive and reciprocal following intervention than during baseline.
Supporting Learning Opportunities in Natural Settings Through Participation-Based Services
Authors: Campbell Philippa H. , Sawyer L. Brook
Published: February 2008

Recommended early intervention practices emphasize family-centered approaches provided within natural settings through interventionist interactions with caregivers. We defined this approach as participation-based and used the Home Visiting Observation Form (HVOF) and the Natural Environments Rating Scale (NERS) to describe 50 home visits and to examine the extent to which participation-based services could be identified and distinguished from traditional services. A minority of the sample visits were described as participation-based although participation-based services were clearly distinguishable from traditionally provided services. Interventionists using participation-based approaches interacted with the caregiver-child dyad and caregivers were actively involved with their children during the session. Results from the study suggest the NERS can be used to describe characteristics of participation-based services and holds promise as a measure that might be used by interventionists, their supervisors, or by researchers to measure intervention fidelity during home visits.
Were Adolescent Sexual Offenders Children with Sexual Behavior Problems?
Authors: Burton David L.
Published: February 2008

This article compares responses of three groups of incarcerated adolescents who admitted to sexual offending in an anonymous survey project on measures of trauma, sexual offending, the relationship between trauma and perpetration, and adjudication status. The first group admitted to sexual offending before the age of 12 only (n = 48), the second after the age of 12 only (n = 130), and the third before and after the age of 12 (n = 65). More than 46% of the sexually aggressive adoles cents began their deviant behaviors before the age of 12. Level and complexity of perpetration acts were more severe for the continuous offenders than for the other groups. Victimization and perpetration were significantly correlated for all three groups. This study supports a social learning hypothesis for the development of sexual offending by adolescents. Implications for research and clinical practice are drawn.
Psychometric Analysis of the Sexual Interest Cardsort Questionnaire
Authors: Holland Laura A. , Zolondek Stacey C. , Abel Gene G. , Jordan Alan D. , Becker Judith V
Published: February 2008

Reliability, measured by Cronbach's coefficient alpha, and concurrent validity, measured by Pearson's r and polychoric correlation coefficients, were evaluated in this study. A sample of 371 sexual offenders referred to the Behavioral Medicine Institute of Atlanta for evaluation of sexual interests and behaviors by the courts were assessed using the Sexual Interest Cardsort Questionnaire (SI), a self-report measure of deviant and nondeviant sexual interest, as well as indicator variables obtained from classifications assigned by clinicians as a result of 2 hour-long, semistructured clinical interviews. Internal consistency of 75 items from the SI ranged from 0. 71 to 0.96, across 15 categories of sexual interest and behavior. Additionally, the SI was shortened utilizing Cronbach's alphas to maintain a high level of internal consistency. The resulting questionnaire, the shortened SI (SIS), had 45 items and 15 categories. Cronbach's alpha ranged from 0.78 to 0.97. Utilizing Pearson's r and polychoric correlation coefficients, significant correlations were found for the 11 sexually deviant categories of the SI and indicator variables, and the 10 sexually deviant categories of the SIS and indicator variables. The SI and SIS showed a high level of reliability and concurrent validity. Clinical and research issues pertaining to the clinical assessment of male sexual offend ers utilizing self-report and clinical interview data, both obtained as the result of comprehensive evaluations, are discussed.
The Impact of Polygraphy on Admissions of Victims and Offenses in Adult Sexual Offenders
Authors: Ahlmeyer Sean , Heil Peggy , McKee Bonita , English Kim
Published: February 2008

Sexual offenders are extremely reluctant to disclose their offending histories for a variety of psychosocial and legal reasons. The polygraph has shown promise as a intervention for eliciting admissions of past sexual offending behaviors. For 60 adult male sexual offender (35 inmates and 25 parolees), the number of victims and offenses were recorded from the Presentence Investigative Report, Sexual History Disclosure form, and 2 consecutive polygraph examination reports. Dramatic increases in the number of admitted victims and offenses were found for inmates, but not for parolees, across each source. However, there was a substantial decline in the number of victim and offense admissions by the second polygraph examination for both groups, even though 80% of the examination results reveled deception about sexual offending behaviors. Standardized use of sanctions and privileges for deceptive and nondeceptive polygraph results, respectively, are proposed as a way of eliciting full disclosure of offending histories for these offenders.
Outcome of an Institutional Sexual Offender Treatment Program: A Comparison Between Treated and Matched Untreated Offenders
Authors: Nicholaichuk Terry , Gordon Arthur , Gu Deqiang , Wong Stephen
Published: February 2008

Data from a sexual offender treatment program operated by the Correctional Service of Canada at the Regional Psychiatric Center (Saskatoon) supported the conclusion that cognitive behavioral treatment can reduce sexual offense recidivism. The study compared 296 treated and 283 untreated offenders followed for a mean of 6 years after their release. An untreated comparison subject was located for each treated offender on three dimensions: (a) age at index offense, (b) date of index offense, and (c) prior criminal history. Data were analyzed using tests of proportion, survival analysis, and analysis of offender Criminal Career Profiles.

Over a mean follow-up period of almost 6 years, convictions for new sexual offenses among treated offenders were 14.5% versus 33.2% for untreated offenders. During the follow-up period, 48% of treated offenders remained out of prison compared to 28.3% of untreated offenders. Time series comparisons of treated and comparison samples also showed that treated men reoffended at significantly lower rates after 10 years.

A Criminal Career Profile (CCP) was constructed by taking the Age at First Conviction and plotting the offender's successive lengths of time free against time incarcerated. Pre- and posttreatment slopes of the CCP were lower for both groups posttreatment; however, the degree of change was significantly greater for the treated group, indicating a greater reduction in criminal activity among these offenders. Taken together, the results of all three analytic techniques supported the efficacy of appropriate correctional treatment for effective reduction of recidivism.
A Cautionary Note Regarding Nicholaichuk et al. (2000)
Authors: Hanson R. Karl , Nicholaichuk Terry
Published: February 2008

The treatment outcome study by Nicholaichuk, Gordon, Gu, and Wong (2000) used a novel method for identifying a comparison group of untreated sex offenders (i.e., drawing from existing criminal history records). A potential problem with their approach is that older records would be expected to include a disproportionate numbers of recidivists. Such an artifact is identified in Nicholaichuk et al.'s (2000) study; nevertheless, their data continue to suggest a small, positive effect for treatment even after eliminating the cases in which bias is most likely.
Sex As a Coping Strategy and Its Relationship to Juvenile Sexual History and Intimacy in Sexual Offenders
Authors: Cortoni Franca , Marshall William L.
Published: February 2008

The current research examined the hypothesis that sexual activity functions as a coping strategy for sexual offenders. A 16-item scale, the Coping Using Sex Inventory (CUSI), was developed to assess the presence of and the degree to which sex was used to deal with problematic situations. Sexual offenders consistently reported using sexual activities, both consenting and nonconsenting, as a coping strategy to deal with stressful and problematic situations. In the first study, when compared to nonsexual violent offenders, sexual offenders showed evidence of sexual preoccupation during adolescence, and this preoccupation was related to the latter use of sex as a coping strategy. In the second study, intimacy deficits and loneliness were related to greater use of sexual activity as a coping mechanism. The third study examined the psychometric properties of the CUSI. A factor analysis revealed 3 factors in the CUSI corresponding to consenting sexual themes, rape themes, and child sexual abuse themes. Sexual offenders reported higher use of each type of sexual activity to cope with stressful and difficult situations as compared to nonsexual offenders. Theoretical and clinical implications are discussed here.
Great Analysis, But Problematic Assumptions: A Critique of Janus and Meehl (1997)
Authors: Doren Dennis M. , Epperson Douglas L.
Published: February 2008

Janus and Meehl (Psychology, Public Policy, and Law (1997), 3(1), 33-64) employed a sophisticated analysis to discover what is the actual standard that judges use in determining which sex offenders meet criteria for a civil commitment within the purviews of "sexual predator" laws. Their analysis relied on various assumptions, most of which were specified and explicated by the authors. They concluded that the judiciary does not even approach meeting the standards that it sets for itself when it comes to adjudicating the threshold for these types of commitments. Two of the fundamental underlying assumptions within their analysis may be seriously flawed, however. Using current information related to either of these assumptions, without changing any other aspect of the analysis, the ultimate finding concerning the judiciary standard would actually be reversed from what Janus and Meehl concluded.
Calculating Number of Offenses and Victims of Juvenile Sexual Offending: The Role of Posttreatment Disclosures
Authors: Baker Amy J. L. , Tabacoff Risa , Tornusciolo Gabril , Eisenstadt Marvin
Published: February 2008

This research was designed to compare data obtained from agency records at three treatment programs for juvenile male sex offenders with information available from clinicians once youth and their families had been in treatment for at least 6 months. Results revealed that over the course of treatment, youth and their families disclosed information about additional victims and offenses, physical and sexual abuse of the offenders, and several aspects of a violent and sexualized family environment. Over half the boys reported additional victims or additional offenses or both. There were significant increases in the number of reports of physical abuse, witnessing of domestic violence, living in a sexual environment, maternal sexual victimization, maternal victimization of domestic violence, and fathers being perpetrators of domestic violence. These data clearly support the hypotheses of the study and have important implications for both clinical practice and future research in this area.
Predictors of Recidivism in Australian Juvenile Sex Offenders: Implications for Treatment
Authors: Kenny Dianna T. , Keogh Timothy , Seidler Katie
Published: February 2008

Juvenile sex offenders charged with their first sexual offence were compared with recidivist juvenile sex offenders who had been charged with more than one sexual offence on a number of factors related to sexual offending. Participants were 70 male juvenile sex offenders, aged 13-21 years who were awaiting court disposition. Negative family history, negative family characteristics, school and learning problems, social skill deficits, deviant sexual experiences, deviant sexual fantasies, and cognitive distortions were assessed for their direct and mediating roles in recidivism. Path analysis indicated that poor social skills, learning problems, and deviant sexual experiences were causally related to recidivism of sexual offending. Poor social skills were directly related to recidivism, whereas cognitive distortions and deviant sexual fantasies mediated the role of learning problems and deviant sexual experiences. There was a significant association between deviant sexual experience and learning problems. The findings support the role of cognitive distortions and deviant sexual fantasies in recidivist sexual offending for this sample. The causal role identified for poor social skills and learning problems in recidivism for sexual offending has implications for treatment and therefore deserves further attention.
Personality-Based Typology of Adolescent Male Sexual Offenders: Differences in Recidivism Rates, Victim-Selection Characteristics, and Personal Victimization Histories
Authors: Worling James R.
Published: February 2008

California Psychological Inventory scores from 112 adolescent male sexual offenders aged 12-19 (M = 15.59, SD = 1.46) were examined. A cluster analysis of factor-derived scores revealed four personality-based subgroups: Antisocial/ Impulsive, Unusual/lsolated, Overcontrolled/Reserved, and Confident/Aggressive. Significant differences were observed between groups regarding history of physical abuse, parental marital status, residence of the offenders, and whether or not offenders received criminal charges for their index sexual assaults. Subgroup membership was unrelated to victim age, victim gender, and offenders' history of sexual victimization. Recidivism data (criminal charges) were collected for a period ranging from 2 to 10 years (M = 6.23, SD = 2.02). Offenders in the two more pathological groups (Antisocial/Impulsive and Unusual/Isolated) were most likely to be charged with a subsequent violent (sexual or nonsexual) or nonviolent offense. The four-group typology based solely on personality functioning is remarkably similar to that found by W. R. Smith, C. Monastersky, and R. M. Deisher in 1987 from their cluster analysis of MMPI scores. In addition to implications for risk prediction, the present typology is suggestive of differential etiological pathways and treatment needs.
Constructing and Testing a Framework for Dynamic Risk Assessment
Authors: Thornton David
Published: February 2008

This paper describes the construction and testing of a framework for dynamic risk assessment. A review of previous studies identified 4 domains into which dynamic risk factors for sexual offending seem to fall. These were sexual interests, distorted attitudes, socioaffective functioning, and self-management. Psychometric indicators for 3 of the domains were identified, and 2 studies are reported using these indicators to test the framework. Study 1 divided men serving a prison sentence for a sexual offense against a child into 2 groups-those with a previous conviction of this kind (Repeaters) and those for whom this was the only time they had been sentenced for such an offense (Current Only). The Repeaters were found to show more distorted attitudes, worse socioaffective functioning, and poorer self-management than did the Current Only group. Study 2 used a simple algorithm to combine these psychometric indicators into an overall "Deviance" classification. Reconviction data was obtained for offenders classified as high, moderate, or low on Deviance. Sexual reconviction was found to be monotonically associated with the Deviance classification. Logistic regression analysis showed that both static variables (Static-99) and the Deviance classification made independent contributions to prediction. It is suggested that risk assessment procedures should combine these 2 approaches.
A Comparison of Objective Measures of Sexual Arousal and Interest: Visual Reaction Time and Penile Plethysmography
Authors: Letourneau Elizabeth J.
Published: February 2008

This study assessed the reliability and validity of a visual reaction time (VRT) measure of sexual interest (G. G. Abel, J. Huffman, B. Warberg, & C. L. Holland, 1998) and the penile plethysmograph (PPG) with audio stimuli. A sample of 57 sex offenders incarcerated at a high-security military prison completed physiological and self- report measures of sexual interest, including the VRT and the PPG. Results indicated adequate internal consistency for both measures. Convergent validity and an assessment of clinical usefulness for both measures indicated that (a) both measures accurately identified offenders against young boys; (b) the VRT, but not the PPG, significantly identified offenders against adolescent girls; (c) neither measure reached statistical significance in identifying offenders against adult women; and (d) the VRT did not reach statistical significance in identifying offenders against young girls and the PPG did reach statistical significance but in the opposite direction as was expected (i.e., men with female child victims had significantly lower arousal to female child stimuli than did men in other victim choice categories).
Characteristics of Perpetrators of Child Sexual Abuse Who Have Been Sexually Victimized as Children
Authors: Craissati Jackie , McClurg Grace , Browne Kevin
Published: February 2008

This paper reports on a study of all convicted child sexual abusers in S.E. London. Almost half the offenders reported experiences of sexual victimization in childhood, and the authors aimed to explore the differences between the abused and nonabused child sexual abusers. A range of background and offending variables were examined. It was found that sexually victimized child abusers were significantly more likely to have experienced a range of childhood abuse and associated difficulties; they were more likely to have a range of psychosexual difficulties, to report greater levels of deviant offence-related attitudes on psychometric measure, to be recidivists, and to offend against boys. Both emotional abuse/physical neglect in childhood and having homosexual contacts in adulthood significantly contributed to a predictive model, reliably distinguishing between sexually victimized and nonsexually victimized child sexual abusers. The implication of these findings for treatment approaches for sex offenders is discussed.
An Evaluation of the Empat as a Measure of Victim Empathy With Civilly Committed Sexual Offenders
Authors: Hennessy Matt , Walter Joni S. , Vess James
Published: February 2008

Enhancement of victim empathy is a common component in the treatment of sexual offenders. However, consensus about the definition of empathy and the best instrument to measure empathy in sexual offenders is lacking. This paper evaluates the Empat as a measure of empathy with patients civilly committed under California's Sexually Violent Predator law Rapists and child molesters in the current sample scored significantly higher in victim empathy than any of the original sex offender groups, with rapists scoring higher than the control group cited by M. McGrath, S. Cann, and R. Konopasky (1998). Clinicians have found the Empat to be too face valid and easily manipulated by patients within this population. The construct of empathy as applied to sex offenders is reviewed and the properties of a more adequate measure of this construct are suggested.
Childhood Attachment, Childhood Sexual Abuse, and Onset of Masturbation Among Adult Sexual Offenders
Authors: Smallbone Stephen W. , McCabe Billee-Anne
Published: February 2008

Written autobiographies of48 incarcerated adult male sexual offenders (22 rapists, 13 intrafamilial child molesters, and 13 extrafamilial child molesters) were used to generate retrospective self-report measures of their childhood maternal and paternal attachment, childhood sexual abuse experiences, and onset of masturbation. Contrary to expectation, the offenders as a combined group more often reported secure than they did insecure childhood maternal and paternal attachment. There were no differences between the three offender subgroups with respect to maternal attachment; however the rapists and the intrafamilial child molesters were more likely to report insecure paternal attachment than were the extrafamilial child molesters. There were no differences between these offender subgroups in the frequency with which childhood sexual abuse was reported. However, offenders with insecure paternal attachment were more likely to report having been sexually abused than were those with secure paternal attachment. Sexually abused offenders in turn reported earlier onset of masturbation than did those who were not sexually abused. These results are consistent with contemporary attachment models linking insecure childhood attachment to childhood sexual abuse, and with traditional conditioning models linking childhood sexual abuse, early masturbation, and sexual offending.
A Brief History of Behavioral and Cognitive Behavioral Approaches to Sexual Offenders: Part 1. Early Developments
Authors: Laws D.R. , Marshall W.L.
Published: February 2008

This is the first of two papers which briefly outline the development of behavioral and cognitive behavioral treatment of sexual offenders from the mid-1800s to 1969. We first consider the historic role of Sigmund Freud and note that a broad scientific interest in deviant sexual behavior was well established by 1900. In the early to mid-20th century, two psychologies were prominent in the development of behavioral approaches, those of John B. Watson and Alfred Kinsey. Behavior therapy for a variety of problems emerged in the 1950s and soon found application to deviant sexuality. The development of penile plethysmography helped to focus interest on deviant sexual preference and behavior. While nonbehavioral approaches to sexual offenders paralleled these developments, a combination of behavioral and cognitive behavioral treatments began to emerge in the late 1960s which ultimately developed into the approaches more commonly seen today.
College Women Who Had Sexual Intercourse When They Were Underage Minors (13-15): Age of Their Male Partners, Relation to Current Adjustment, and Statutory Rape Implications
Authors: Leitenberg Harold , Saltzman Heidi
Published: February 2008

In a survey of 1,439 female college students, 24% reported that they had what they considered consensual sexual intercourse between ages 13 and 15 (2% at age 13, 7% at age 14, and 15% at age 15). Contrary to the impression left by studies of teenage mothers, the majority of their male sexual partners were not substantially older than them but instead were more typically "somewhat older" (2-4 years apart) or similar aged (less than 2 years apart). The percentage of "much older" partners (5 or more years older) was 31 % for those who had intercourse at age 13, 17% for those who had intercourse at age 14, and 13% for those who had intercourse at age 15. Women who had intercourse at age 13 endorsed more current symptoms of psychological distress than those who first had intercourse at age 14 or 15. There were no significant differences between the groups in current levels of sexual satisfaction. Partner's age difference was not significantly associated with current levels of either psychological distress or sexual satisfaction. The implications of these results were discussed in light of recent calls in the United States for more strict and rigorous enforcement of statutory rape laws.
Adolescents' Perceptions of the Seriousness of Sexual Aggression: Influence of Gender, Traditional Attitudes, and Self-Reported Experience
Authors: Hilton N. Zoe , Harris Grant T. , Rice Marnie E.
Published: February 2008

Little is known about adolescents' perceptions of interpersonal aggression and the role of traditional social attitudes in these perceptions. Sixteen-year-old students (N = 212) of both sexes rated the seriousness of 9 aurally presented scenarios depicting either sexual or nonsexual, physical aggression. Sex of perpetrator and sex of victim were manipulated partly factorially. Students also reported on their own experiences (as perpetrators and victims) of the aggression portrayed, and completed a measure of traditional sex role ideology. Sexual aggression was rated as more serious than nonsexual physical aggression, especially when involving physical force. Girls gave higher seriousness ratings than did boys. Male-to-female aggression was rated as most serious, and male-to-male aggression, least serious. Self-reported perpetrators tended to give lower ratings of seriousness than did victims. Traditional sex-role attitudes were associated with lower rated seriousness but not with reported perpetration or victimization. Multivariate analyses suggested that the effects of traditional sex-role attitudes could largely be subsumed by the effects of other study variables, especially participant sex. The role of attitudes as a direct cause of interpersonal aggression is discussed along with implications for intervention.
Crossover Sexual Offenses
Authors: Heil Peggy , Ahlmeyer Sean , Simons Dominique
Published: February 2008

Crossover sexual offenses are defined as those in which victims are from multiple age, gender, and relationship categories. This study investigates admissions of crossover sexual offending from sex offenders participating in treatment who received polygraph testing. For 223 incarcerated and 266 paroled sexual offenders, sexual offenses were recorded from criminal history records and admissions during treatment coupled with polygraph testing. The majority of incarcerated offenders admitted to sexually assaulting both children and adults from multiple relationship types. In addition, there was a substantial increase in offenders admitting to sexually assaulting victims from both genders. In a group of incarcerated offenders who sexually assaulted children, the majority of offenders admitted to sexually assaulting both relatives and nonrelatives, and there was a substantial increase in the offenders admitting to assaulting both male and female children. Although similar trends were observed for the sample of parolees, the rates were far less dramatic. Parolees appeared to have greater levels of denial, had participated in fewer treatment sessions, and perceived greater supervision restrictions as a result of admitting additional offenses. These findings support previous research indicating that many sexual offenders do not exclusively offend against a preferred victim type.
An Evaluation of the Bumby RAPE and MOLEST Scales as Measures of Cognitive Distortions With Civilly Committed Sexual Offenders
Authors: Arkowitz Steve , Vess James
Published: February 2008

Cognitive distortions are commonly viewed as an important factor in the assessment and treatment of sexual offenders. However, consensus about the operational definition of cognitive distortions and the best instrument to measure such distortions is lacking. This paper evaluates the Bumby MOLEST and RAPE scales as measures of cognitive distortions with patients civilly committed under California's Sexually Violent Predator law. Rapists and child molesters in the current sample endorsed markedly fewer cognitive distortions than the sexual offenders in Bumby's original study (K. M. Bumby, 1996). It is suggested that current self-report measures such as the MOLEST and RAPE scales are too susceptible to a socially desirable response set to provide useful data with sexual offenders who are involuntarily committed for treatment.
Considerations on Fantasy Use by Child Molesters and Exhibitionists
Authors: Dandescu Andrei , Wolfe Roger
Published: February 2008

In many sex offender treatment programs, the examination and replacement of deviant fantasy use with appropriate fantasy use is a well-established practice. This practice is based on the assumption that sexual offenders use deviant masturbatory fantasies prior and after committing sexual offenses, but the data available to support this assumption is fairly limited. This study attempted to test the validity of this assumption by finding out whether a majority of exhibitionistic offenders and child molesters used deviant masturbatory fantasies prior and/or after their first offense. Data analysis from 57 child molesters and 25 exhibitionistic offenders indicate that a majority of these offenders used masturbatory deviant fantasies before and after their first offenses, but they tended to use significantly more deviant fantasies after they engage in their first actual offense. Content of deviant fantasies was examined in relation to victim specificity. There were no significant differences between the number of deviant fantasies reported about a specific victim versus the number of fantasies reported about a nonspecific victim. We found a significant positive correlation between the number of deviant fantasies reported and the number of months spent in treatment by child molesters, but not by exhibitionistic offenders. Some tentative explanations for these findings are offered, but further elucidation is necessary.
Engagement, Denial, and Treatment Progress Among Sex Offenders in Group Therapy
Authors: Levenson Jill S. , Macgowan Mark J.
Published: February 2008

This study investigates the relationship between engagement, denial, and treatment progress among a sample of 61 male sex offenders in outpatient group therapy. Three hypotheses were posed: (1) that denial is inversely related to engagement in group therapy; (2) that denial is inversely related to treatment progress, and (3) that engagement is correlated with treatment progress. Results revealed a strong correlation between engagement in group therapy, measured by the Group Engagement Measure, and sex offender treatment progress, assessed by the Sex Offender Treatment Rating Scale. Denial, measured by the Facets of Sexual Offender Denial Scale, demonstrated a strong inverse relationship to treatment progress. Engagement and denial were also strongly inversely related. Together, engagement and denial explained a significant amount of the variance in treatment progress. The findings provide support for current standards of practice that maintain that admitting to a sex crime is a necessary condition for progress and engagement in treatment. Strategies for increasing engagement and treatment progress, and reducing denial, are discussed.
Accuracy of Actuarial Procedures for Assessment of Sexual Offender Recidivism Risk May Vary Across Ethnicity
Authors: LÅngström Niklas
Published: February 2008

Little is known about whether the accuracy of tools for assessment of sexual offender recidivism risk holds across ethnic minority offenders. I investigated the predictive validity across ethnicity for the RRASOR and the Static-99 actuarial risk assessment procedures in a national cohort of all adult male sex offenders released from prison in Sweden 1993-1997. Subjects ordered out of Sweden upon release from prison were excluded and remaining subjects (N = 1303) divided into three subgroups based on citizenship. Eighty-three percent of the subjects were of Nordic ethnicity, and non-Nordic citizens were either of non-Nordic European (n = 49, hereafter called European) or African Asian descent (n = 128). The two tools were equally accurate among Nordic and European sexual offenders for the prediction of any sexual and any violent nonsexual recidivism. In contrast, neither measure could differentiate African Asian sexual or violent recidivists from nonrecidivists. Compared to European offenders, African Asian offenders had more often sexually victimized a nonrelative or stranger, had higher Static-99 scores, were younger, more often single, and more often homeless. The results require replication, but suggest that the promising predictive validity seen with some risk assessment tools may not generalize across offender ethnicity or migration status. More speculatively, different risk factors or causal chains might be involved in the development or persistence of offending among minority or immigrant sexual abusers.
The Estimate of Risk of Adolescent Sexual Offense Recidivism (ERASOR): Preliminary Psychometric Data
Authors: Worling James R.
Published: February 2008

The Estimate of Risk of Adolescent Sexual Offense Recidivism (ERASOR) is an empirically guided checklist designed to assist clinicians to estimate the short-term risk of a sexual reoffense for youth aged 12-18 years of age. The ERASOR provides objective coding instructions for 25 risk factors (16 dynamic and 9 static). To investigate the psychometric properties, risk ratings were collected from 28 clinicians who evaluated 136 adolescent males (aged 12-18 years) following comprehensive, clinical assessments. Preliminary psychometric data (i.e., interrater agreement, item-total correlation, internal consistency) were found to be supportive of the reliability and item composition of the tool. ERASOR ratings also significantly discriminated adolescents based on whether or not they had previously been sanctioned for a prior sexual offense.
Effects of a Relapse Prevention Program on Sexual Recidivism: Final Results From California's Sex Offender Treatment and Evaluation Project (SOTEP)
Authors: Marques Janice K. , Wiederanders Mark , Day David M. , Nelson Craig , van Ommeren Alice
Published: February 2008

Final results from a longitudinal investigation of the effectiveness of cognitive- behavioral treatment with sexual offenders are presented. The study was a ran domized clinical trial that compared the reoffense rates of offenders treated in an inpatient relapse prevention (RP) program with the rates of offenders in two (untreated) prison control groups. No significant differences were found among the three groups in their rates of sexual or violent reoffending over an 8-year follow-up period. This null result was found for both rapists and child molesters, and was confirmed in analyses using time to reoffense as the outcome and those controlling for static risk differences across the groups. Closer examination of the RP group's performance revealed that individuals who met the program's treatment goals had lower reoffense rates than those who did not. Although our results do not generally support the efficacy of the RP model, they do suggest a number of ways in which this kind of treatment program can be improved. This study also emphasizes the importance of including appropriate control groups in treatment outcome research. Additional controlled investigations are needed to address the many questions that remain about when and how treatment works for sexual offenders.
Testosterone, Sexual Offense Recidivism, and Treatment Effect Among Adult Male Sex Offenders
Authors: Studer Lea H. , Aylwin A. Scott , Reddon John R.
Published: February 2008

The relationship between serum testosterone and sexual violence was examined in a sample of 501 convicted adult male sex offenders attending an intensive in-hospital group psychotherapy treatment program. It was found that men with higher testosterone tended to have committed the most invasive sexual crimes (p < .001, two-tailed). Further, a positive partial correlation (controlling for age) between testosterone and sexual offense recidivism over a lengthy follow-up period (mean = 8.9 years) was found. When the sample was separated into one group that completed treatment and one group that did not, an important ameliorating treatment effect was observed. Although controlling for age, serum testosterone remained significantly predictive of sexual recidivism for the treatment noncompleter group (p < .05, two-tailed). For those who completed treatment testosterone was no longer predictive of sexual reoffense (p > .05, two-tailed). Among convicted sex offenders, higher serum testosterone appears to be associated with greater likelihood of further sexual violence. Effective therapy, however, appears able to intercede in the influence of testosterone on sexually deviant behavior. It is suggested that serum testosterone may be an informative static risk factor and completion of intensive treatment should be accorded significance in future actuarially based risk prediction instruments.
Post-conviction Sex Offender Polygraph Examination: Client-Reported Perceptions of Utility and Accuracy
Authors: Kokish Ron , Levenson Jill S. , Blasingame Gerry D.
Published: February 2008

Post-conviction polygraph testing of adult sex offenders in treatment has been a somewhat controversial subject. This study (n = 95 participants who took 333 polygraph tests) explored how sexual offenders enrolled in outpatient treatment programs perceived their polygraph experience. Participants reported a relatively low incidence of false indications of both deception (22 of 333 tests) and truthfulness (11 of 333) tests, suggesting that clients agreed with examiners' opinions 90% of the time. The majority of clients reported that polygraph testing was a helpful part of treatment. Finally, about 5% of participants reported that they responded to allegedly inaccurate accusations of deception by admitting to things they had not done. The data offer encouragement for continued but cautious use of polygraphs by sex offender treatment programs. Implications for practice and research are identified.
Juvenile Sex Offenders: A Case Against the Legal and Clinical Status Quo
Authors: Letourneau Elizabeth J. , Miner Michael H.
Published: February 2008

The past two decades have seen a movement toward harsher legal sanctions and lengthy, restrictive treatment programs for sex offenders. This has not only been the case for adults, but also for juveniles who commit sex offenses. The increased length and severity of legal and clinical interventions for juvenile sex offenders appear to have resulted from three false assumptions: (1) there is an epidemic of juvenile offending, including juvenile sex offending; (2) juvenile sex offenders have more in common with adult sex offenders than with other juvenile delinquents; and (3) in the absence of sex offender-specific treatment, juvenile sex offenders are at exceptionally high risk of reoffending. The available data do not support any of the above assumptions; however, these assumptions continue to influence the treatment and legal interventions applied to juvenile sex offenders and contributed to the application of adult interventions to juvenile sex offending. In so doing, these legal and clinical interventions fail to consider the unique developmental factors that characterize adolescence, and thus may be ineffective or worse. Fortunately, a paradigm shift that acknowledges these developmental factors appears to be emerging in clinical areas of intervention, although this trend does not appear as prevalent in legal sanctions.
Evaluation of the SORAG and the Static-99 on Belgian Sex Offenders Committed to a Forensic Facility
Authors: Ducrol C. , Pham T.
Published: February 2008

This study evaluated the convergent and predictive validity of the Sex Offender Risk Appraisal Guide (SORAG; V L. Quinsey, G. T. Harris, M. E. Rice, & C. A. Cormier, 1998) and the Static-99 (R. K. Hanson & D. Thornton, 1999, 2000) among 147 male sex offenders committed to a high-security hospital in Belgium (Centre de Défense Sociale "Les Marronniers"). Of the sample, 63.8% were child abusers (victims under 14 years of age), 24.6% were rapists (victims aged 14 years or more), and 11.5% were mixed-victim offenders (victims less than 14 years of age and victims aged 14 years or more). After an average follow-up period of 4.2 years (SD = 3.4 years), the sexual recidivism rate was 25.2%, the violent recidivism rate was 17.1 %, and the general (any) recidivism rate was 33.1 %. The SORAG and the Static-99 were moderately correlated with each other (r = .55), and both showed strong predictive validity for general and violent recidivism (ROC AUC's ranging from .68 to .72 for the total sample). Both instruments showed moderate predictive validity for sexual recidivism (AUC of .64 for SORAG and .66 for Static-99).
The Use of Clarification Sessions in the Treatment of Incest Victims and Their Families: An Exploratory Study
Authors: DeMaio Christine M. , Davis Joanne L. , Smith Daniel W.
Published: February 2008

The "clarification session" has been implicated as an important component of the treatment of families affected by incest. On the basis of information presented in clinical literature, however, the specific nature of this intervention varies widely. This exploratory study examined the practices and attitudes regarding clarification sessions of select members of the Association for the Treatment of Sexual Abusers. Surveys were completed by 483 members. Results indicated that approximately 77% of respondents had experience in conducting clarification sessions. The top two reported reasons for conducting clarification sessions were for the perpetrator to assume all responsibility for the abuse and to decrease the level of self-blame of the victim. The majority of respondents concurred that several activities needed to occur prior to the clarification session, whereas less consensus was indicated for activities that were deemed essential during the clarification session. Respondents' practices, attitudes, and beliefs are discussed in terms of the current state of limited, empirically based knowledge in this area. Directions for future research are suggested.
The Offence Process of Sex Offenders with Intellectual Disabilities: A Qualitative Study
Authors: Courtney Jude , Rose John , Mason Oliver
Published: February 2008

There have been few attempts to build a model of sexual offending for men with intellectual disabilities and hence clarify appropriate intervention. This study examines any commonalities that characterize the offence process of such men. Using a grounded theory approach, qualitative interviews with sex offenders with intellectual disabilities are analyzed to generate a model of the offence process. Data from qualitative interviews with clinicians is used to triangulate offender participants' data. The subsequent model highlights the importance of individual's attitudes and beliefs and the impact that they have at all stages of the offence process. It raises issues concerning the variation in the process that is seen within and between offences. Additionally, it identifies a marked lack of awareness of any "decency insult" in these offenders, an inability to empathize with society's view of sex offending. A clear implication is that thorough assessment and formulation are likely to be the key to successful and appropriate intervention.