Sexual Abuse: A Journal of Research and Treatment最新文献

Techniques aimed at modifying or managing paraphilic sexual interests have been a mainstay of many sexual offending treatment programs internationally for a number of decades, based largely on behavioral traditions. However, research interest and innovation with regard to these techniques has notably stagnated over time. The current narrative review aimed to explore arousal management techniques used in contemporary rehabilitative practice, to consider current evidence regarding the effectiveness of such methods, as well as to overview available guidance regarding the suitability of therapeutic applications of the techniques with different populations of those who have been apprehended for perpetrating sexual offenses. Overall conclusions support the inclusion of some form of arousal modification and management targets in programs for selected individuals, largely based on recent meta-analytic findings regarding the effectiveness of relevant techniques in reducing paraphilic interest, as well as their empirical association with reduced sexual reoffending. The need for fresh research in this area is also highlighted.

The present study investigates the onset, persistence and diversity in sexual offending by exploring Norwegian registry data on the social and criminal trajectories of juveniles charged with a sexual crime before the age of criminal responsibility, compared to juveniles charged with other types of offenses. The sample consisted of all persons aged 15 during the period 1997-2005 (N = 388,814). Of those, 19,559 juveniles (5%) were charged with a crime, mostly (83%) of a non-violent nature. For the remaining 16.9% (n = 3,309), the charge involved violence, either non-sexual (n = 2,991, 15.3% of those charged) or sexual (n = 318, 1.6% of those charged). Proportional hazard models were used to investigate background characteristics and risk of recidivism. Early onset of offending was related to a more disadvantaged background. Juveniles charged with violent and sexual offenses were generally younger and had more charges against them than juveniles charged with any other crimes. Early sexual crime carried higher hazard rate (HR) of future sexual crime (HR = 3.6) than early violent (HR = 1.9) and other crimes (HR = 1.4). The risk of later violent crime was similar among those with early onset violent (HR = 2.8) and sexual (HR = 2.5) crime, and higher than for early onset general crime (HR = 1.7). Since violent crime has a higher base rate than sexual crime, violence is more dominant in the criminal careers of people with early onset sexual offending. However, the majority of adult sexual criminal charges are raised against persons without a juvenile criminal record.

This study examined dynamics of childhood sexual image abuse episodes prior to age 18, based on victim self-reports. An online sample of individuals aged 18-28 filled out a survey, yielding 3,254 episodes of image abuse that occurred prior to age 18. The majority (86%) of abusive episodes involved images that were produced by youth, either as victims or perpetrators. Less than 8% of episodes involved adult-produced images. Youth were identified as perpetrators in 30% of the episodes, and adults were perpetrators in 29%, with the remainder unidentified. Notably, even among adult-perpetrated episodes, 75% of the images had been originally produced by the youth victim. In cases of adult perpetrators, 59% were offline acquaintances. To better understand the diversity of image abuse experiences, we proposed a five-category framework. Adult perpetrator cases were subdivided into (1) adult image producers, (2) adult coercers of youth made images and (3) adult groomers of youth made images. Youth perpetrator cases were subdivided into (4) juvenile coercers, who pressured victims, and (5) juvenile betrayers, who misused images originally taken or exchanged voluntarily. The prevalence of youth-produced and youth-involved image abuse highlights the importance of prevention strategies tailored to school-aged youth.

Forensic sexual behavior programs provide assessment and treatment services to individuals who have committed a sexual offense and/or who are at risk of sexually offending. In Canada, practices vary across these programs as publicly funded community-based forensic sexual behavior programs do not adhere to a federal standard of practice. Although several practice surveys have been developed in previous years to explore techniques within these programs, updated research is needed due to recent developments in the field. The present study provides a comprehensive overview of assessment, treatment, and preventive practices in Canada by surveying 16 publicly funded Canadian forensic sexual behavior programs. Results found that programs generally followed evidence-based practices when conducting risk assessments, although adherence to evidence-based guidelines showed greater variation for treatment. Additionally, 70.6% of surveyed programs reported providing prevention services to individuals who have not crossed a legal sexual boundary, although approaches to these services varied across programs. Findings from the present study allow for a stronger understanding of forensic sexual behavior program practices nationwide and have implications for clinical practice.

Victim age polymorphism describes a pattern of sexual offending in which individuals target victims from multiple distinct age categories (e.g., both child and adult victims). Research on victim age polymorphism and its association with risk-related domains - namely atypical sexuality and antisociality - and recidivism is mixed, potentially due to methodological differences across studies (e.g., how victim age is classified). This meta-analysis (k = 23, N = 12,333) examined associations between victim age polymorphism, the two main risk-related domains (atypical sexuality, antisociality), and recidivism. Meta-regression and the between-level Q statistic were used to examine various methodological differences that might contribute to disparate findings. Results indicated that victim age polymorphism was associated with multiple paraphilias, psychopathy, and recidivism. Moderator analyses were limited due to the small number of studies and did not consistently explain the variation in effect sizes. Overall, individuals who are polymorphic share more clinically relevant similarities to individuals who offend exclusively against adults than those who exclusively offend against children. These findings suggest that a greater focus on generalist criminogenic needs (e.g., antisociality) may be warranted in the management of individuals who are polymorphic.

Sextortion is a form of digitally facilitated sexual abuse that causes severe psychological, financial, and social harm, particularly to minors and marginalized adults. This study presents the first quantitative typology of people who commit sextortion, based on a clustering analysis of 111 U.S. judicial cases. Four distinct subtypes of offenders were identified: adult-focused financial sextortion; minor-focused CSAM-related sextortion; technologically sophisticated coercion of minors, sometimes resulting in fatal outcomes; and adult-focused hybrid sextortion that escalates from online manipulation to in-person exploitation. These subtypes differ in motivation, technical capacity, victim profiles, and sentencing outcomes, with the most technologically advanced group paradoxically receiving more lenient sentences. Overall, the findings extend existing typologies and highlight the need for differentiated investigative, prosecutorial, and policy responses to address the varied tactics and harms of sextortion.

The Correlates of Admission of Sexual Interest in Children (CASIC) is a six-item proxy measure of sexual interest in children in individuals involved with child sexual exploitation material (CSEM) based on behavioral characteristics. Originally developed to replace the sexual interest item of the Child Pornography Offender Risk Tool (CPORT) when information is missing, some evidence suggests that the CASIC may also be useful for broader risk assessment purposes. This study examined the ability of the CASIC to identify CSEM recidivism among individuals with a history of CSEM offenses. In a sample of 126 individuals incarcerated for CSEM offenses and released from the Austrian prison system between 2002 and 2019, the CASIC total score was associated with CSEM recidivism (Harrell's C = .75, 95% CI [.63, .87]). This association remained consistent in a subsample with fixed 5-year follow-up periods (n = 103, AUC = .77, 95% CI [.64, .89]). Our findings highlight the ability of the CASIC to reliably assess sexual interest in children as a risk factor for CSEM offending, which may support risk management and treatment planning.

Standardized risk assessments are essential to evidence-based responses to criminal behaviour, including sexual offending. Since the 1990s, many actuarial and structured risk assessment instruments have been developed that are now routinely used in sentencing, treatment, and post-release risk management. The majority of these scales, however, were developed using undifferentiated groups, raising questions about their utility within meaningful subgroups, such as persons with low intellectual ability. This study presents meta-analytic findings of the predictive accuracy (discrimination) of risk tools for crime and violence when used with men with low intellectual ability and a history of sexual offending. We also examined age as a recidivism risk predictor. Database searches identified 15 distinct samples (N = 923). Age, as a single variable, showed moderate to large effects for sexual, violent, and general (any) recidivism. Overall, the predictive accuracies of the instruments were moderate and similar to those observed for other samples. Amongst the measures investigated, a measure specifically for persons with low intellectual ability (ARMIDILO-S; Boer et al., 2013) demonstrated the highest predictive accuracy. Larger effects were found when recidivism was measured by staff reports than by official records (e.g., charges, convictions). Our findings support the use of existing risk tools with men with low intellectual ability. Researchers should privilege staff reports over official records of recidivism for studies concerned with sexual recidivism.

Distinguishing factors between pedohebephebophilic actors and non-actors remain a critical area of research for understanding offending behavior and developing targeted interventions. This meta-analysis synthesizes evidence on motivating, facilitating, situational, and other factors that differentiate individuals who have committed sexual offenses against children from those who have not. Following PRISMA guidelines, systematic searches were conducted across PsycNet, ProQuest, Web of Science, PubMed, and PSYNDEX, supplemented by manual searches. Data were analyzed using fixed and random effects models. From 2,185 records screened, 34 studies from 22 datasets met inclusion criteria. We conducted meta-analyses for 50 potential distinguishing factors. The strongest effect sizes were discovered for intelligence (g = -.86), stigma (g = .61), male sex (g = .51), age (g = .48), therapy attendance (g = .43) and interest (g = .43), and sexual (g = .38) and non-sexual (g = .38) adverse childhood experiences. The average quality score was 11.13 (SD = 1.82) out of maximum score of 16. Findings provide support for some motivating, facilitating, situational, and other factors distinguishing pedohebephilic actors from non-actors. These findings offer opportunities for improved risk assessment, prevention strategies, and therapeutic interventions, however, they are limited by the cross-sectional nature of the results.

The offending trajectories of those who begin sexually offending in adulthood are poorly understood. The present study examines offending trajectories between the ages of 18 and 60 of 520 adult-onset men who were assessed at a sexual behavior clinic between 1995 and 2006. Using group-based trajectory modeling, a four-group trajectory model was retained to account for heterogeneity in the sample. The trajectories were compared on criminal career parameters (e.g., individual court contacts), victim number, and indicators of sexual interest in children (e.g., phallometric results). A trajectory with an escalating pattern of offending which onset in early adulthood was found to be associated with all three indicators of sexual interest in children and a high frequency of sexual offending. The findings of this study underscore the heterogeneity of adult-onset sexual offending, reinforcing the improbability that a one-size-fits-all approach for those who sexually offend against children would be effective.