A model for the assessment of static and dynamic factors in sexual offenders.The assessment, treatment, and management of sex offenders sex offender n. generic term for all persons convicted of crimes involving sex, including rape, molestation, sexual harassment and pornography production or distribution. has become a preoccupation pre·oc·cu·pa·tion n. 1. The state of being preoccupied; absorption of the attention or intellect. 2. Something that preoccupies or engrosses the mind: Money was their chief preoccupation. of the criminal justice system, despite low rates of recidivism recidivism: see criminology. among released sex offenders (Hanson & Bussiere, 1998). Public concern has heightened regarding community safety, at least in part due to a relatively small number of sensational sen·sa·tion·al adj. 1. Of or relating to sensation. 2. Arousing or intended to arouse strong curiosity, interest, or reaction, especially by exaggerated or lurid details: sex crimes which have received media attention. Such attention promotes the mistaken view that all sex offenders are alike. These issues require a criminal justice response regarding both policy and resource allocation resource allocation Managed care The constellation of activities and decisions which form the basis for prioritizing health care needs . Given the community concern and the significant resources invested in this population, it is not surprising that views abound regarding the preferred management strategy. At the same time, competing perspectives regarding the utility of treatment (see Abracen & Looman, 2004: Marshall, Anderson, & Fernandez, 1999, for recent reviews on this topic) and the use of prolonged pro·long tr.v. pro·longed, pro·long·ing, pro·longs 1. To lengthen in duration; protract. 2. To lengthen in extent. incarceration Confinement in a jail or prison; imprisonment. Police officers and other law enforcement officers are authorized by federal, state, and local lawmakers to arrest and confine persons suspected of crimes. The judicial system is authorized to confine persons convicted of crimes. in the form of detention (Nugent & Zamble, 2001) make consensus problematic. Addressing the concerns of one group by definition ignores the concerns of another. We believe that an integrated assessment strategy regarding the management of sex offenders must, at the very least, account for the following issues: (a) the marked heterogeneity het·er·o·ge·ne·i·ty n. The quality or state of being heterogeneous. heterogeneity the state of being heterogeneous. among sex offenders regarding needs and risk (b) the preference for a differentiated strategy such that lower risk offenders are managed differently than high risk offenders; and (c) the fact that multi-method assessment and reassessment Reassessment The process of re-determining the value of property or land for tax purposes. Notes: Property is usually reassessed on an annual basis. You may request a "reassessment" if you disagree with your assessment. will be more effective than attempting to develop a single, one-time, "ideal" approach for sex offenders. Based on the available evidence (Andrews & Bonta, 1998; Marshall, Anderson, & Fernandez, 1999), it seems fair to speculate that sexual offender offender n. an accused defendant in a criminal case or one convicted of a crime. (See: defendant, accused) assessment needs may overlap with other groups of offenders but that unique treatment targets (e.g., inappropriate arousal arousal /arous·al/ (ah-rou´z'l) 1. a state of responsiveness to sensory stimulation or excitability. 2. the act or state of waking from or as if from sleep. 3. ) may require assessment in the case of sexual offenders as well. Theoretical developments within the field of sex offender treatment should also be incorporated into any comprehensive assessment strategy. The purpose of this paper is to provide guidelines guidelines, n.pl a set of standards, criteria, or specifications to be used or followed in the performance of certain tasks. regarding the necessary domains which should be addressed in any comprehensive assessment of sex offenders. We established these assessment targets based on the available empirical research Noun 1. empirical research - an empirical search for knowledge inquiry, research, enquiry - a search for knowledge; "their pottery deserves more research than it has received" , and they represent an attempt to integrate the various approaches that have been suggested for use with sex offenders. Several reviews are available regarding the assessment and treatment of sex offenders (Abracen & Looman, 2004; Blanchette, 1996; Hanson & Bussiere, 1998: Marshall et al. 1999). Blanchette's (1996) conclusion is representative: Sexual aggression is a complexly-determined phenomenon, with varied antecedents and sequelae. Perpetrators of sexual crimes differ in their personal and criminal histories, the circumstances preceding their offences, their victim age and gender preferences, the attitudes and beliefs that support their deviant behaviour, and the degree to which they have used force or brutality or caused physical harm to their victims. Thus, sexual offenders are a heterogeneous group of individuals, with diverse evaluative and treatment needs. (p. 4) Multimethod assessment is thus a critical issue with reference to the management of sexual offenders (Abracen & Looman, 2004; Blanchette, 1996). We believe that the investigation of systematic, multimethod assessments completed on large numbers of sex offenders can provide clarity, such that an assessment of risk that incorporates dynamic factors as well as static variables is possible. Static or actuarial ac·tu·ar·y n. pl. ac·tu·ar·ies A statistician who computes insurance risks and premiums. [Latin risk consists of an appraisal of historical factors (e.g., criminal history) and, with reference to some measures, personality characteristics that are not generally susceptible to significant change over time. Static risk is typically assessed using such instruments as the Hare hare, name for certain herbivorous mammals of the family Leporidae, which also includes the rabbit and pika. The name is applied especially to species of the genus Lepus, sometimes called the true hares. Psychopathy psy·chop·a·thy n. Mental disorder, especially when manifested by antisocial behavior. psychopathy Antisocial personality disorder, see there Checklist-Revised (PCL-R PCL-R Psychopathy Checklist Revised PCL-R Psychopathy Checklist-Revised (criminal psychology) ) as well as other indices. Dynamic risk consists of an analysis of daily variables which are susceptible to change via treatment or other interventions. In terms of treatment, the most highly regarded approach, a cognitive-behavioral model employing relapse prevention in high risk situations, is described by Marques Marques may refer to:
adj. 1. Lacking emotional stability; not well-adjusted. 2. Lacking self-confidence; plagued by anxiety. in attachment patterns and intimacy This article or section may contain original research or unverified claims. Please help Wikipedia by adding references. See the for details. This article has been tagged since September 2007. deficits in the etiology etiology /eti·ol·o·gy/ (e?te-ol´ah-je) 1. the science dealing with causes of disease. 2. the cause of a disease. of sexual offending of·fend v. of·fend·ed, of·fend·ing, of·fends v.tr. 1. To cause displeasure, anger, resentment, or wounded feelings in. 2. and has offered suggestions as to how cognitive-behavioral approaches may be adapted based on these developments (See Marshall et al., 1999, for a review of this research). This research suggests that the stability of relationships and relationship difficulties are particularly salient issues to address in the assessment of sexual offenders. In addition, substance abuse and in particular alcohol abuse may be an important domain to assess with reference to sexual offending (Abracen & Looman, 2003). Inappropriate sexual arousal sexual arousal Horny/horniness, randy/randiness Physiology A state of sexual 'yellow alert' which has a mental component–↑ cortical responsiveness to sensory stimulation, and physical component–↑ penile sensitivity, neural response to stimuli, has also been identified as an important risk factor related to recidivism (Hanson & Bussiere, 1998). Other authors have developed actuarial risk instruments or scales (see Andrews & Bonta, 1998: Hare, 1998; Quinsey, Harris, Rice, & Cormier, 1998: Wong, 2000, for reviews of some of these measures) as a requisite management strategy. While these results are encouraging, additional research specific to the full range of offenders seen by Correctional Service of Canada The Correctional Service of Canada (French: Service correctionnel du Canada), or CSC, is a Canadian government agency responsible for the incarceration and rehabilitation of convicted criminal offenders. (CSC (Card Security Code) A three- or four-digit number printed on the back of credit cards for security purposes. Called "Card Verification Value" (CVV) by Visa, "Card Validation Code" (CVC) by MasterCard and "Card Identification (CID) by American Express and Discover, ) and other jurisdictions is necessary. These scales highlight the importance of criminal history variables as well as a variety of personality and/or dynamic variables that are important to address in any comprehensive assessment of sexual offenders. Two of the measures that have been most widely supported are the PCL-R (Hare, 1991) and the Level of Supervision Inventory (LSI LSI: see integrated circuit. (Large Scale Integration) Between 3,000 and 100,000 transistors on a chip. See SSI, MSI, VLSI and ULSI. ; Bonta & Andrews, 1993). Although these measures have proven very useful for predicting risk for future recidivism, more research is needed on dynamic or changeable risk factors (e.g., inappropriate arousal, treatment motivation). The majority of CSC programs lack a sufficient sample size for rigorous analysis. The goal of the present research was to investigate the utility of a model that incorporates literature from each of the domains listed above regarding the management of sex offenders. It is intended to add to existing research conducted by our team (e.g., Mailloux et al., 2003; Mailloux & Serin, 2001) that is relevant to the assessment and treatment of the broad range of sexual offenders seen by a variety of correctional jurisdictions. We expected that the final model would be generic across types of sex offenders (i.e., rapists, child molesters Noun 1. child molester - a man who has sex (usually sodomy) with a boy as the passive partner paederast, pederast degenerate, deviant, deviate, pervert - a person whose behavior deviates from what is acceptable especially in sexual behavior , and incest incest, sexual relations between persons to whom marriage is prohibited by custom or law because of their close kinship. Ideas of kinship, however, vary widely from group to group, hence the definition of incest also varies. offenders) but would incorporate information specific to these subtypes. In this way, differentiated assessment strategies would potentially be possible. To offer a preliminary test of this model, we used an assessment sample taken from the Millhaven Assessment Unit (MAU (Multi-station Access Unit) A central hub in a Token Ring local area network. See hub. MAU - Media Access Unit ), which assesses all sex offenders admitted to the Ontario Region of CSC. The present investigation represents an initial evaluation of the model. Should this initial validation See validate. validation - The stage in the software life-cycle at the end of the development process where software is evaluated to ensure that it complies with the requirements. yield significant findings, we will attempt to validate To prove something to be sound or logical. Also to certify conformance to a standard. Contrast with "verify," which means to prove something to be correct. For example, data entry validity checking determines whether the data make sense (numbers fall within a range, numeric data the model in future investigations. It is important to emphasize, however, that this model does not represent a substitute for the actuarial assessment of sex offenders. Rather, the model incorporates elements of traditional risk assessments but also incorporates additional information (e.g., relevant to relationship history and treatment motivation). Seto, Barbaree, Serin, and Malcohn (1997) developed a two-tier model to begin to organize the many variables that appear to be related to sexual offending. The goal was first to develop a model consisting of a relatively small number of factors which might account for the complexity of issues related to sexual offending. The first tier reflects core constructs considered central to risk factors in sexual offenders: deviant deviant /de·vi·ant/ (de´ve-int) 1. varying from a determinable standard. 2. a person with characteristics varying from what is considered standard or normal. de·vi·ant adj. sexual interest and criminality (Andrews & Bonta, 1998; Lalumiere & Quinsey, 1996). The second tier describes moderating variables: substance abuse, social competence, and treatment readiness. Within each of these domains it is possible to conceptualize con·cep·tu·al·ize v. con·cep·tu·al·ized, con·cep·tu·al·iz·ing, con·cep·tu·al·iz·es v.tr. To form a concept or concepts of, and especially to interpret in a conceptual way: both static and dynamic variables. Similarly, the moderating variables also represent responsivity factors that are expected to have an impact on treatment. Deficiencies in these areas will tend to attenuate To reduce the force or severity; to lessen a relationship or connection between two objects. In Criminal Procedure, the relationship between an illegal search and a confession may be sufficiently attenuated as to remove the confession from the protection afforded by the positive treatment effects, independent of the assessment strategy employed (i.e., self-report, behavioral observation, interview-based). We reviewed the literature related to these domains and selected robust variables for inclusion in our analyses. The domains and the variables proposed for the assessment model are presented in Table 1. These variables were selected consensually among the authors based on empirical support (correlated cor·re·late v. cor·re·lat·ed, cor·re·lat·ing, cor·re·lates v.tr. 1. To put or bring into causal, complementary, parallel, or reciprocal relation. 2. with sexual recidivism) or clinical utility (impact on treatment response). This list is not unique, as many are represented in various assessment strategies either partially or fully. Upon compiling com·pile tr.v. com·piled, com·pil·ing, com·piles 1. To gather into a single book. 2. To put together or compose from materials gathered from several sources: this list of variables, we needed to determine the extent to which explicit or proxy measures for each are available in the MAU database. That is, for some variables included in the model the available data in the MAU database only partially reflected the desired variable. For example, it was difficult to obtain information regarding intimacy deficits from the MAU database. As a result, we used data regarding the absence of stable relationships and markers of relationship difficulties in place of questions directly related to intimacy deficits. In developing scoring criteria for each of the variables in Tables 1 and 2, we determined that there were two notable areas where the proxy measures might be considered marginal. Existing measures in the MAU database for criminal attitudes and associations and sexual preoccupation and compulsivity com·pul·sive adj. 1. Having the capacity to compel: a frightening, compulsive novel. 2. Psychology Caused or conditioned by compulsion or obsession. n. are quite limited. This exercise in itself was therefore useful, as it identified domains where more detailed assessment would better reflect the conceptual model. This is also consistent with the long term intent to use these analyses to inform MAU and possibly other sites about how to further refine their comprehensive assessment batteries. Although this model provides a clinical assessment protocol consistent with standards of practice (CSC, 2001), the initial focus was to determine their relative contribution to the assessment of risk for different types of sex offenders. Having determined which variables are significantly related to sex offender risk, we can then turn to the question of differential assessment. For example, do different domains postdict different types of sex offenders? Although these data are preliminary, they should be viewed as a further attempt to identify a set of domains with reasonable conceptual integrity which may further aid in the assessment of sexual offenders. This is particularly important with reference to dynamic factors (e.g., responsivity issues) that have received insufficient attention in the literature. METHOD Participants Participants consisted of all offenders assessed at MAU between 1993 and 1998. By definition, all participants were incarcerated incarcerated /in·car·cer·at·ed/ (in-kahr´ser-at?ed) imprisoned; constricted; subjected to incarceration. in·car·cer·at·ed adj. Confined or trapped, as a hernia. in Canadian federal penitentiaries. Within the Canadian context, any offender sentenced to 2 years or more falls under federal jurisdiction. The sample consisted of 519 participants. All participants had been convicted of a sexual offence OFFENCE, crimes. The doing that which a penal law forbids to be done, or omitting to do what it commands; in this sense it is nearly synonymous with crime. (q.v.) In a more confined sense, it may be considered as having the same meaning with misdemeanor, (q.v. or an offence to which there was a suspected or actual sexual component. Detailed descriptions regarding the entire sample can be found in Mailloux and Serin (2001). In brief, the mean age at index offEnce for the sample was 32 (SD = 8.95). Participants in the current sample had an average of 3.94 (SD = 5.0) sexual convictions on their records. The mean PCL-R score for the sample was 18.79 (SD = 8.12; n = 470), which corresponds to the low end of the moderate risk range for general or violent recidivism. Procedure Detailed information regarding each participant was coded based on file information. We produced a coding manual that included information regarding demographics The attributes of people in a particular geographic area. Used for marketing purposes, population, ethnic origins, religion, spoken language, income and age range are examples of demographic data. , juvenile history, type of sexual offender, and characteristics of the sexual offence (e.g., degree of force used, degree of planning, use of instrumental violence, etc.). We also coded information regarding nonsexual offences. Background information regarding substance abuse and motivation for treatment (e.g., prior sex offender treatment, denial, minimization) were also scored. In all, we obtained data for over 500 variables. The items listed in the coding manual were itemized according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. their level of importance to the construction of each domain (critical, desirable, or speculative). We performed a frequency analysis for each item, eliminating items for which more than 25% of the data was missing. Of the remaining items, those which were considered to be a duplicate DUPLICATE. The double of anything. 2. It is usually applied to agreements, letters, receipts, and the like, when two originals are made of either of them. Each copy has the same effect. of other information were eliminated. For most of the variables in the analyses, we coded data in a binary Meaning two. The principle behind digital computers. All input to the computer is converted into binary numbers made up of the two digits 0 and 1 (bits). For example, when you press the "A" key on your keyboard, the keyboard circuit generates and transfers the number 01000001 to the fashion (i.e., 0 or 1) depending on the presence or absence of that characteristic. However, for a number of variables this was not possible. For example, type of sex offender, number of partners, and Blishen Index (social class) were scored either categorically (in the case of type of sex offender) or as interval data (e.g., in the case of number of sexual partners). We grouped the items according to the domains established by the model: criminality, sexual deviance Conspicuous dissimilarity with, or variation from, customarily acceptable behavior. Deviance implies a lack of compliance to societal norms, such as by engaging in activities that are frowned upon by society and frequently have legal sanctions as well, for example, the , social competence, substance abuse, and treatment readiness. Since the items included in the coding manual were scored on a variety of measurement scales, we transformed the item scores into standardized standardized pertaining to data that have been submitted to standardization procedures. standardized morbidity rate see morbidity rate. standardized mortality rate see mortality rate. scores so that each item was on the same measurement scale. The items could then be summed without concern for the differential weighting of items. The items included in each of the domains are listed in Table 1. With reference to three domains (criminality, sexual deviance, and substance abuse) all items were coded such that higher scores reflected more criminogenic crim·i·no·gen·ic also crim·o·gen·ic adj. Producing or tending to produce crime or criminality: "Alcohol is the most criminogenic substance in America" James B. Jacobs. attributes. For example, higher scores on the criminality domain reflected a more significant criminal history. With reference to social competence and treatment readiness, higher scores on these domains reflected increased levels of prosocial attributes. For example, higher scores on treatment readiness reflected more motivation for treatment or less resistance on the part of the client. RESULTS Background Information In all the sample consisted of 519 consecutive admissions to the Millhaven Assessment Unit (MAU). Data with reference to type of sex offender were not available or could not be coded for 7 participants. Among the remaining 512 participants, we identified three groups of sex offenders: rapists (n = 166), child molesters (n = 168), and incest offenders (n = 178). The overall ANOVA anova see analysis of variance. ANOVA Analysis of variance, see there indicated that the groups did not differ significantly on age at index offense, F(2, 479) = 2.71, ns. With reference to number of sexual assault victims, the ANOVA indicated that there were significant group differences, F(2,507) = 4.11, p < .05, [[eta].sub.2] = .016. Post-hoc testing using the Scheffe procedure indicated that rapists had significantly fewer victims than either child molesters (mean difference = -1.42, p < .05) or incest offenders (mean difference = -1.39. p < .05). There were no significant differences between child molesters and incest offenders. Alpha Reliabilities of Domains Each of the five domains, which we computed using standardized scores, were subjected to a reliability analysis to determine whether the items reflected a cohesive cohesive, n the capability to cohere or stick together to form a mass. unit. We further refined the domains to maximize the associated alpha reliability for that domain. The alpha reliabilities for each domain as well as the final number of items constituting that domain are listed in Table 2. The number of items in each domain varied from 5 to 16. Standardized alphas were in the moderate range with the exception of sexual deviance and treatment readiness. The low reliability for treatment readiness is perhaps not surprising given the limited number of items included in the domain. Unfortunately, given that relatively few items related to treatment readiness could be coded from file information, it was not possible to increase the number of items in the domain. Type of Sex Offender by Domain To investigate whether there were differences between rapists, child molesters, and incest offenders on each of the five domains, we computed a 3 (Group) x 5 (Domain) MANOVA MANOVA Multivariate Analysis of the Variance . The overall MANOVA using the Wilks criterion was significant, F(10,1008) = 15.41, p < .001, [[eta].sub.2]= .13. Univariate tests of significance revealed that the groups differed significantly with reference to criminality, F(2,508) = 31.0, p < .001: social competence, F(2,508) = 27.82, p < .001: sexual deviance, F(2,508) = 38.61, p < .001: and substance abuse, F(2,508) = 26.52, p < .001. There were no significant differences between the groups with reference to treatment readiness. The means and standard deviations In statistics, the average amount a number varies from the average number in a series of numbers. (statistics) standard deviation - (SD) A measure of the range of values in a set of numbers. for each of the standardized domain scores are listed in Table 3. Table 4 lists the between-groups significance levels using Tamhane's test with reference to each of the four domains for which significant univariate results were obtained. As can be seen from inspection of Tables 3 and 4, rapists were significantly more criminal than either of the other groups, with incest offenders being the least criminal of the groups. The incest offenders were rated as being the most socially competent group, followed by child molesters. We found rapists to be significantly less socially competent than either of the other groups. Both groups of child molesters were found to be more deviant than the rapists. Last, rapists had significantly greater difficulty with substance abuse than either of the other groups. There were no statistically significant differences between the two groups of child molesters with reference to either sexual deviance or substance use. Table 5 lists the correlations between the five standardized domain areas. Regression regression, in psychology: see defense mechanism. regression In statistics, a process for determining a line or curve that best represents the general trend of a data set. analyses We conducted a series of regression analyses to further investigate the relevance of the standardized domains. We performed a binary logistic regression In statistics, logistic regression is a regression model for binomially distributed response/dependent variables. It is useful for modeling the probability of an event occurring as a function of other factors. using the five domains as predictor variables Noun 1. predictor variable - a variable that can be used to predict the value of another variable (as in statistical regression) variable quantity, variable - a quantity that can assume any of a set of values , and child molesters (including incest offenders) and rapists as the outcome variables. A test of the full model with all five predictors against a constant-only model was statistically reliable, [chi square chi square (kī), n a nonparametric statistic used with discrete data in the form of frequency count (nominal data) or percentages or proportions that can be reduced to frequencies. ] (5, N = 511) = 116.93, p < .001, indicating that the predictors as a set reliably distinguished between child molesters and rapists. The amount of variance accounted for by the model was moderate (Nagelkerke's [R.sup.2] = .285). Overall, the model correctly classified 73.6% of the sample. The model was much better at predicting child molesters (85.8% correct classification) than rapists (48.2% correct classification). According to the Wald criterion, only sexual deviation sexual deviation n. See paraphilia. (z = 43.66, p < .001) and substance abuse (z = 8.71, p < .01) reliably predicted group outcome. To investigate whether the model predicted severity of offending behaviour, we conducted a regression procedure (backward) using the five domains as predictor variables and number of sexual assault victims as the outcome variable. The best fit model indicated that the selected domains significantly predicted number of sexual assault victims, F(3,510) = 33.03, p < .001. Analyses of the individual domains indicated that three of the domains were retained in the final model: criminality, t = -2.38, p < .05; sexual deviance, t = 9.56, p < .001 ; and substance abuse, t = 2.15, p < .05. The adjusted [R.sup.2] for the best fit model was .16, suggesting that the best fit model accounted for a limited degree of variance. Last, to investigate issues associated with predictive validity In psychometrics, predictive validity is the extent to which a scale predicts scores on some criterion measure. For example, the validity of a cognitive test for job performance is the correlation between test scores and, for example, supervisor performance ratings. , we divided participants included in the present sample into high and low with respect to the LSI (based on a median split). We performed a binary logistic regression using LSI low (2-23) and high (24-50) scores as the outcome measure and the five domain variables as predictors. A test of the full model with all five predictors against a constant-only model was statistically reliable, [chi square] (5, N = 488) = 334.832, p < .001. The amount of variance accounted for by the model was high, (Nagelkerke's [R.sup.2] = .662). Overall, correct classification was very high with 84% of the sample correctly classified. Low LSI score was correctly classified 86% of the time, and high LSI score was correctly classified 82% of the time. According to the Wald criterion, three of the domains were significantly associated with the prediction of low or high LSI score: criminality, z = 37.42, p < .001; social competence, z = 36.14, p < .001; and substance abuse, z = 16.41, p < .001. DISCUSSION The results of the present investigation offer mixed support for the model described above. Three of the five domains evidenced reasonable levels of internal reliability. However, internal reliabilities for both sexual deviation and treatment readiness were low. In all likelihood, the internal reliabilities associated with these two domains are related to limitations associated with the information available in the present database. There was insufficient information to code phallometric data for over 75% of the sample: therefore, information related to this variable was not included in the present analyses. This is perhaps not surprising in light of the fact that the model was developed after the data had been collected. Given that phallometric data are related to outcome (Hanson & Bussiere, 1998: but see Marshall & Fernandez, 2000, for additional comments), the fact that data related to this variable were not included in the analyses represents a potentially important loss of information. Nonetheless, it is interesting to note that deviant arousal was a significant predictor of type of sex offender and number of sexual assault victims. Relatively little information was available in the file information regarding treatment readiness. As such, there were few items (e.g., in comparison to the criminality domain) upon which to develop the domain. These data suggest that treatment readiness is one area in which more comprehensive assessment might be useful. Other jurisdictions where comprehensive assessment of sexual offenders is undertaken may also be interested in investigating whether this domain has received adequate attention. Treatment readiness is a potentially important responsivity factor. Motivational interviewing Motivational interviewing refers to a counseling approach initially developed by clinical psychologists Professor William R Miller, Ph.D. and Professor Stephen Rollnick, Ph.D. techniques might be used to address issues related to treatment readiness (e.g., minimization: Miller & Rollnick, 2002). The lack of information available regarding this domain is perhaps not surprising because many people view treatment responsivity as a static (i.e., unchangeable un·change·a·ble adj. Not to be altered; immutable: the unchangeable seasons. un·change ) factor. This is perhaps the reason some programs deny entry to the majority of offenders who significantly minimize or deny their history of sexual offending (e.g., Hunter & Figueredo, 1999). This domain may be particularly important in light of the fact that the majority of sex offenders either minimize or deny some aspect of their sexual offending history (Barbaree & Cortoni, 1993). With reference to the question of whether types of sex offenders differed on each of the five domains, a number of findings are relevant. First, the fact that rapists were significantly more criminal than either the child molesters or incest offenders is certainly in keeping with clinical impression. Likewise, the finding that child molesters evidenced higher scores on the sexual deviance domain is also not surprising in light of past research on the subject. The evidence appears more robust with reference to the presence of deviant sexual arousal being a criminogenic need for child molesters than for rapists (Marshall, 1996), a finding supported by the current data. In terms of social competence, the results of the present analyses contradict con·tra·dict v. con·tra·dict·ed, con·tra·dict·ing, con·tra·dicts v.tr. 1. To assert or express the opposite of (a statement). 2. To deny the statement of. See Synonyms at deny. some research in the area. Our study found that rapists had significantly lower levels of social competence than both child molesters and incest offenders. Nonetheless, Segal and Marshall (1985) found that rapists functioned reasonably well in terms of social skills in comparison to other incarcerated sexual offenders. Likewise, Overholser and Beck (1986) observed a trend for child molesters to be more deficient de·fi·cient adj. 1. Lacking an essential quality or element. 2. Inadequate in amount or degree; insufficient. deficient a state of being in deficit. than rapists in assertiveness assertiveness /as·ser·tive·ness/ (ah-ser´tiv-nes) the quality or state of bold or confident self-expression, neither aggressive nor submissive. . As Gordon, Marshall, Loeber, & Barbaree (1977) observed several decades ago (an observation that still applies at present), social scientists need to be clear about what we mean when we state that sex offenders have social deficits. The present study adds to the existing knowledge with reference to this domain. Of course, more research using standardized measures and comparison groups involving nonsexual offenders are also necessary to further elucidate e·lu·ci·date v. e·lu·ci·dat·ed, e·lu·ci·dat·ing, e·lu·ci·dates v.tr. To make clear or plain, especially by explanation; clarify. v.intr. To give an explanation that serves to clarify. the relationship between social skills deficits and sexual offending. In point of fact, the lack of correspondence between the current study and others in the area are likely due to differences in methods and the relative paucity pau·ci·ty n. 1. Smallness of number; fewness. 2. Scarcity; dearth: a paucity of natural resources. of information related to the topic. For example. Overholser and Beck (1986) investigated issues associated with assertiveness in sexual offenders. The social competence domain used in our study was certainly more global in nature than the more restricted definition used by these authors. One aspect of social skills deficits that has received attention in the literature is the fact that sex offenders as a group appear to have difficulties with intimacy and loneliness (see Marshall et al., 1999, for a review of this research). It seems reasonable to speculate that such deficits may be in keeping with our social competence domain variables. This domain incorporated a number of variables specifically related to the absence of a stable relationship or difficulties in maintaining a relationship. As such, the variables included in our model seem to have received substantial support in the literature. To determine whether the five domains were able to predict group membership, we performed a binary logistic regression that indicated that the model was very good at predicting child molesters but much less accurate at predicting rapists. Nonetheless, the model did account for a moderate amount of variance associated with the prediction of group membership. We found sexual deviation and substance abuse to be significant predictors of group membership. It is possible that subsequent refinements to the model might result in even better prediction of group membership. It should also be kept in mind that recent research suggests that categorizing sexual offenders on the basis of index sexual offence may be less sophisticated an approach than classifying sex offenders on the basis of theoretically derived criteria such as attachment style (e.g., Ward, Hudson, & McCormack, 1997). We conducted analyses on the five domains to determine whether they could predict the number of sexual assault victims. Regression analyses revealed that the criminality, sexual deviance, and substance abuse domains were all significant predictors. The fact that social competence did not significantly predict number of victims is surprising. It may be that future studies will have to investigate more specific elements of social competence for significant relationships to emerge (e.g., related to intimacy deficits specifically). With reference to treatment readiness, more specific measures that account for a greater range of information may need to be included before significant relationships emerge. Last, to investigate issues associated with predictive validity, we divided subjects based on their score on the LSI into low and high groups. The domain variables did an excellent job at predicting LSI score based on median split data. The model accounted for over 65% of the variance. This suggests that across type of sexual offender, the model did an excellent job of predicting risk level. Criminality, social competence, and substance abuse were all significant predictors in the model. Nonetheless, the fact that the model predicted LSI score so well should not be viewed as surprising. The assessed domains and the LSI overlap in terms of the items included in the respective assessment strategies. Nonetheless, each assessment strategy also investigates a unique subset A group of commands or functions that do not include all the capabilities of the original specification. Software or hardware components designed for the subset will also work with the original. of items. For example, the LSI does not investigate deviant arousal or issues related to treatment readiness directly. The only domain that emerged as a significant predictor in each of the analyses was substance abuse. This is perhaps not as surprising as one might first think. Recent research has demonstrated that substance abuse is one of the most salient issues associated with sexual offending. This finding applies whether path analytic an·a·lyt·ic or an·a·lyt·i·cal adj. 1. Of or relating to analysis or analytics. 2. Expert in or using analysis, especially one who thinks in a logical manner. 3. Psychoanalytic. techniques (Johnson & Knight, 2000) or balanced placebo placebo (pləsē`bō), inert substance given instead of a potent drug. Placebo medications are sometimes prescribed when a drug is not really needed or when one would not be appropriate because they make patients feel well taken care of. designs (Marx, Gross, & Adams, 1999) are employed. Further, data available from a recent national sample of female college students in the U.S. revealed that alcohol plays both direct and indirect roles in the outcomes of sexual assault (Ullman, Karabatsos, & Koss, 1999). Abracen and Looman (2003) reported that sexual offenders evidenced a distinct pattern of substance abuse in comparison to violent nonsexual offenders. Further, our data suggest that the pattern of substance abuse shown by sexual offenders may act synergistically syn·er·gis·tic adj. 1. Of or relating to synergy: a synergistic effect. 2. Producing or capable of producing synergy: synergistic drugs. 3. with the intimacy deficits seen in this group as well. Based on the available evidence, it appears that substance abuse may play a more substantial role in sexual offending than previously believed. Criminality also emerged as a significant predictor in three of our analyses, supporting the inclusion of this variable in the model. Sexual deviation emerged as a significant predictor in three of the analyses. Nonetheless, given that the sexual deviation domain had a low internal reliability, it is perhaps more difficult to determine what exactly this domain measures. The low internal reliability may in part be due to the fact that phallometric data were not included. Although treatment readiness did not emerge as a significant predictor in several analyses and evidenced low levels of internal reliability, we do not believe that the variable should be dropped from the model. On the contrary, there is a relative paucity of information regarding this domain. However, both the view of clinicians as to the importance of this variable and the results of recent research (e.g., Serin & Kennedy, 1997) attest To solemnly declare verbally or in writing that a particular document or testimony about an event is a true and accurate representation of the facts; to bear witness to. To formally certify by a signature that the signer has been present at the execution of a particular writing so as to the potential impact of this variable. In summary, our proposed model received some support in this study, with three of the five domains showing acceptable levels of internal reliability. Analyses of predictive validity also supported the use of the model. This model offers clinicians and researchers a list of both dynamic and static variables that may inform clinical decision making and the prediction of recidivism. It should not be viewed as a substitute for the actuarial assessment of sex offenders; rather, our study suggests that a comprehensive assessment should also include data related to other domains (e.g., inappropriate arousal, patterns of substance abuse, issues related to treatment responsivity). It may also be the case that the first tier of the model may need to incorporate issues associated with intimacy and loneliness as well as substance abuse. The use of criminality in the first tier of the model was supported by the available data. Rather than viewing the domains in our model hierarchically, it may be more relevant to investigate the manner in which the domains interact with one another. For example, as Hanson (2000) has argued, it may be the density of risk factors present which is of primary importance rather than any particular ordering of the variables. Alternately, the manner in which the assessed domains work in concert and the impact of various protective mechanisms may be more important than the use of a hierarchical model In a hierarchical data model, data are organized into a tree-like structure. The structure allows repeating information using parent/child relationships: each parent can have many children but each child only has one parent. . The present investigation offers guidelines regarding important topics to assess in any comprehensive assessment of sexual offenders. It is only when such comprehensive assessments are undertaken that important questions regarding the relative density of risk factors and the impact of protective mechanisms can be investigated with more rigor rigor /rig·or/ (rig´er) [L.] chill; rigidity. rigor mor´tis the stiffening of a dead body accompanying depletion of adenosine triphosphate in the muscle fibers. . The investigation of each of our five domains using standardized scales with demonstrated psychometric psy·cho·met·rics n. (used with a sing. verb) The branch of psychology that deals with the design, administration, and interpretation of quantitative tests for the measurement of psychological variables such as intelligence, aptitude, and properties and the refinement of the current model are areas where additional research would clearly be desirable. At present, gains have been made in the area of actuarial assessment (e.g., with the use of the PCL-R). However, additional research on dynamic variables is clearly necessary. This investigation represents a preliminary step in that direction.
Table 1. Variable List by Domain
Domain Variables
Criminality Number of nonsexual (violent & nonviolent)
convictions
Young offender arrests
Juvenile convictions
Early onset of behavioural problems
History of fighting
Trouble with police
Predominantly procriminal peers
Criminal attitudes
Employed at time of arrest
Quit jobs without another arranged
Crime as primary means of self support
Dangerous offender designation
Sexual deviance Gender of victim
Deviant fantasies
Planning/grooming
Number of sexual convictions
Stranger victim
Paraphilias endorsed
Proportion sexual/total
Use of deceit
Total number of victims
Early onset of sexual offending
Diverse sex crimes
Type of sexual contact
Social competence Marital status
Social class
Education level
Developmental history
Indicators of dysfunctional childhood
Unstable employment
Relationship difficulties (a)
Absence of stable relationship
Longest job in the community
Number of times fired
Used others for support
Employment as primary means of support
Global rating of lifestyle stability
Substance abuse Alcohol used during offense
Drugs used during offense
Alcohol used as a teen
Alcohol used as an adult
Drugs used as a teen
Drugs used as an adult
Leisure activities related to substances
Treatment readiness Prior sex offender treatment
Had non-sex offender treatment
Poor treatment motivation
Denial of offense
Indicators of denial/minimization/rationalization
(a) Four variables were included in this subdomain.
Table 2. Domain Reliabilities
Domain Number of items [alpha]
Criminality 12 .83
Sexual deviance 12 .59
Social competence 16 .75
Substance use 7 .74
Treatment readiness 5 .51
Table 3. Means (Standard Deviations) by Group for Each Domain
(standardized scores)
Domain Rapists Child molesters Incest offenders
n = 166 n = 168 n = 177
Criminality 2.80 (7.41) .29 (6.96) -2.87 (5.64)
Social competence -2.77 (6.44) -.38 (7.08) 2.88 (7.57)
Sexual deviance -2.61 (4.13) 1.79 (5.84) .82 (4.29)
Substance use 1.94 (4.04) -.57 (4.53) -1.15 (3.90)
Treatment readiness -.22 (2.83) .20 (3.04) 2.62E-02 (2.81)
Table 4. Mean Differences by Group on Each Domain
Rapists vs. Rapists Child molesters
child molesters vs. incest vs. incest
Domain n = 512 n = 512 n = 512
Criminality 2.51 * 5.67 ** 3.15 **
Social competence -2.40 * -5.66 ** -3.26 **
Sexual deviance -4.40 ** -3.43 ** .96
Substance use 2.52 ** 3.10 ** .58
* p < .01. ** P < .001.
Table 5. Pearson Correlations (ns in parentheses) Between the Domains
Social
Criminality competence
Criminality
Social competence -.655 ** (518)
Sexual deviance -.115 ** (519) .104 * (518)
Substance abuse .542 ** (519) -.477 ** (518)
Treatment readiness .064 (519) -.014 (518)
Sexual Substance
deviance abuse
Criminality
Social competence
Sexual deviance
Substance abuse -.180 ** (519)
Treatment readiness .296 ** (519) .014 (519)
Note. Analyses computed based on standardized domain scores.
*p < .05. ** p < .01.
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