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

Hookups can result in sexual assault when men do not listen to requests from women to stop. It is thus important to identify factors that influence men's decisions to override direct refusals in these situations. Presently, we administered first-person vignettes depicting a prototypical hookup wherein the woman refuses the man's attempt to escalate intimacy. Using a national sample of emerging adult men (N = 420), we found that they on average did not completely rule out coercive or forcible tactics, but those elevated on rape myth acceptance, hypermasculinity, and psychopathy were uniquely at risk of assault when controlling for several other traits known to correlate with rape. Participants also reported being likelier to use coercive sexual practices when refusals occurred at higher levels of sexual intimacy already attained. Notably, diagnostic analyses revealed that a subset of men had a disproportionate influence on the regression estimates, and that these men were not only elevated across a range of assault-relevant traits, but also endorsed higher likelihoods of using coercion and force in the face of female sexual refusal. Although removal of these cases did not substantively alter the results, exploratory analyses revealed that these individuals responded differently to situational factors in ways that suggested sexual opportunism. Theoretical and practical implications of these findings are discussed.

The Child Pornography Offender Risk Tool (CPORT) is a seven-item actuarial risk assessment tool that is used to estimate the potential for sexual recidivism among men convicted of child sexual exploitation material (CSEM; legally referred to as child pornography) offenses. In the current study, we examined the convergent and divergent validity of the CPORT in a clinical sample of 224 men on federal probation in the United States who were convicted of at least one type of CSEM offense. CPORT scores were significantly, moderately, and positively correlated with scores on another sexual offense risk assessment tool, the Risk Matrix 2000 (RM2000/S), showing broad evidence of convergent validity, and was nonsignificantly associated with scores on a general offense risk assessment tool, the Level of Service/Case Management Inventory (LS/CMI), showing evidence of divergent validity. There was also evidence of specific convergent validity; for example, the CPORT item reflecting prior criminal history was most strongly related to the Criminal History domain of the LS/CMI, and CPORT items reflecting sexual interest in children were significantly and strongly associated with self-reported sexual interest in children from the clinical evaluation. We also examined the impact of including clinical information in the scoring of the CPORT. Including this information reduced the amount of missing scores, but the impact on predictive accuracy is not yet known. Implications for clinical practices are discussed.

Not much is known about the etiology, or development, of deviant sexual interests. The aim of this systematic review was to provide a broad overview of current theories on the etiology of sexual deviance. We conducted a systematic search of the databases PubMed and APA PsycInfo (EBSCO). Studies were included when they discussed a theory regarding the etiology or development of sexual deviance. Included studies were assessed on quality criteria for good theories. Common etiological themes were extracted using thematic analysis. We included 47 theories explaining sexual deviance in general as well as various specific deviant sexual interests, such as pedophilia and sadism/masochism. Few theories (k = 7) were of acceptable quality as suggested by our systematic assessment of quality criteria for good theories (QUACGOT). These theories indicated that deviant sexual interests may develop as the result of an interplay of various factors: excitation transfer between emotions and sexual arousal, conditioning, problems with "normative" sexuality, and social learning. Neurobiological findings could not be included as no acceptable quality neurobiological theories could be retrieved. The important roles of excitation transfer and conditioning designate that dynamic, changeable processes take part in the etiology of sexual deviance. These same processes could potentially be deployed to diminish unwanted deviant sexual interests.

"Sexually violent predator" (SVP) legislation requires, in part, that an individual has a mental abnormality that causes difficulty in controlling sexual behavior. Previous research has found paraphilia not otherwise specified (NOS) as one of the most prevalent diagnoses proffered in SVP evaluations. However, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) modified paraphilia NOS diagnosis in two ways. First, this diagnosis was divided into two new diagnostic categories: other specified paraphilic disorder (OSPD) and unspecified paraphilic disorder. Second, OSPD required an added specifier to indicate the individual's source of sexual arousal. To date, no study has systematically explored how the revision to paraphilia NOS has affected diagnoses within SVP evaluations. The current study explored the frequency and diagnostic reliability of paraphilic disorders in a sample of 190 adult men evaluated for SVP civil commitment using the DSM-5. Results indicated that OSPD was the second most common paraphilic disorder, next to pedophilic disorder. However, there was poor to fair agreement (kappa = 0.21, p < .01) between independent evaluators in providing this diagnosis. Additionally, the two most common OSPD specifiers were non-consent and hebephilia, despite recent debate and rejection of these constructs from the DSM-5. While these constructs were the most prevalent, the specifiers contained quite varied terminology, suggesting vague diagnostic tendencies within these evaluations. Given that the presence of a mental abnormality is the cornerstone to the constitutionality of SVP commitment, diagnostic practices should be based in reliable and valid techniques.

Child sexual exploitation is a form of interpersonal violence which involves the use of manipulation, control, and coercion strategies to recruit and dominate minors. This study aimed to develop and validate a taxonomy that identifies, defines, and classifies these abusive strategies. The taxonomy was developed from an extensive literature review and its contents were validated via expert evaluation through a two-round Delphi method with 31 participants. Experts also judged the frequency of each strategy's usage to recruit and dominate the victims in sex trade, sex trafficking, sex tourism, and online sexual exploitation. The taxonomy comprises 20 specific strategies, classified into five categories: isolation, control of personal life, emotional abuse, cognitive manipulation, and behavioral domination. According to the experts, the strategy most frequently used to recruit the minors is "affective enticement", and the strategy that contributes most to the maintenance of the exploitative situation is "instrumentalization of sexuality". Nevertheless, different patterns were found regarding the frequency with which each strategy is used when considering the four manifestations of sexual exploitation separately. Delimiting the abusive strategies commonly perpetrated in child sexual exploitation improves our understanding of this complex phenomenon and could contribute to the development of effective prevention and intervention approaches.

Against a backdrop of legislative change that sees the taking of private sexual images underneath the clothing of a non-consenting other being made a criminal offence - upskirting - there is a need to understand the public's judgments of and motivations to perpetrate said behavior. In this study (N = 490), we investigated whether judgments of upskirting differed as a function of the sex of the person who was upskirted (male, female) and their perceived attractiveness (attractive, unattractive), as well as how variation in voyeuristic interest, belief in a just world, and dark personality traits predicted judgments of and proclivity to engage in upskirting. We consistently observed more lenient judgments of upskirting behavior when the person who was upskirted was attractive and male, with such judgements predicted by older age across all conditions. Moreover, proclivity to engage in upskirting was predicted by past voyeuristic behaviors, higher psychopathic personality, and being male and of older age. We discuss our findings in the context of needing to qualitatively understand the rationale underpinning these judgments, combating barriers to disclose victimization, and practitioner implications.

Hypersexuality and impulsivity are regarded as risk factors for sexual offending against children. Studies exploring these factors in undetected men who offended or are at risk of offending are rare. This study aims to investigate hypersexuality and impulsivity in treatment-seeking men with and without a diagnosis of (exclusive) pedophilia who committed child sexual abuse (CSA), consumed child sexual abuse images (CSAI), or feel at risk of offending sexually. Data were obtained from three child abuse prevention projects in Bamberg, Germany. We employed self-report (BIS-11, HBI), objective measures (TSO), and risk assessment tools (STABLE-2007). We computed Bayesian ordinal logit and binomial generalized linear models to explore differences between groups and to predict lifetime CSA and CSAI. Hypersexuality scores were particularly pronounced in patients with exclusive and non-exclusive pedophilia. Patients without pedophilia scored similarly to nonclinical samples. Impulsivity measures did not consistently differ between groups. We could not predict lifetime CSA and CSAI using impulsivity and hypersexuality measures. Sexual rather than general impulsivity seems to be an issue in men with pedophilia. The motivation to offend in patients without pedophilia is discussed.

The main objective of this research is to study the relationships of offense-supportive cognitions and sexual fantasies with sex crime. The research involved 48 men: 26 convicted of sexual offenses against minors and 22 convicted of sexual offenses against adults from different prisons in the Community of Madrid, Spain. We used the RAPE Scale and the Sex With Children Scale to evaluate offense-supportive cognitions and an ad hoc adaptation of the Multidimensional Developmental, Sex and Aggression Inventory to evaluate sexual fantasies with minors and sadomasochistic fantasies. The results show that both groups present similar offense-supportive cognitions, while each group had significantly more sexual fantasies related to their specific crime. Participants who had sexual fantasies about minors presented significantly more offense-supportive cognitions justifying child sexual abuse than those who did not present these fantasies, while participants with sadomasochistic fantasies did not present more offense-supportive cognitions about rape. After collecting this information, we ran four mediation models to assess potential relationships between fantasies, offense-supportive cognitions, and specific sexual crime. The mediation models showed that both sexual fantasies with minors and sadomasochistic fantasies had direct relationships with sex crimes. Upon further confirmation with studies with larger sample sizes, our findings support the importance of dealing with sexual fantasies in treatment of people convicted of sexual offenses and imply a need for differentiated treatment, since the content of sexual fantasies was different in each group.

Research has consistently found risk for sexual recidivism drops as men convicted of a sexual offense age. One question that remains, however, is whether this age-related reduction in risk applies to men who commit their sexual offenses at an older age. The current study examined this question in a sample of 939 men who were screened for civil management and released to the community (mean follow-up = 6.33 years, SD = 3.98 years), by comparing the sexual recidivism rates of (a) 238 men convicted of sexual offenses committed over the age of 60 (Over-60 Index group), and (b) 701 men who committed sexual offenses under the age of 60 but who were released to the community over the age of 60 (Under-60 Index group). Even though the Under-60 Index group was significantly higher risk at release, the Over-60 Index group sexually recidivated at a significantly higher rate, a difference largely driven by the small group of men who had committed sexual offenses both under and over the age of 60. The Static-99R was a strong predictor of sexual recidivism regardless of age at sexual offending (i.e., just under 60, just over 60, or both under and over 60). The 2021 Routine Samples norms significantly overpredicted sexual recidivism for the Under-60 Index group and significantly underpredicted sexual recidivism for the Over-60 Index group, indicating that the use of the 2016 High Risk/High Needs norms could be more appropriate for the Over-60 Index group, particularly those men who sexually offended under the age of 60 before sexually offending over the age of 60.

Although studies have been made of different subtypes of individuals who committed sexual homicides, the research into nonstranger and stranger sexual homicides remains limited. This study therefore aimed to examine whether those who sexually murder nonstrangers differ from those who kill strangers. Data derived from police records, court documents, and published case reports spanning a 31 year period (1988-2018) in mainland China were used to examine the modus operandi of 127 males who committed sexual homicides (45 nonstranger and 82 stranger cases). Relative to nonstranger sexual homicides, stranger sexual homicides were more likely to have been committed by individuals with a previous sexual offense conviction and the victims were more likely to have been single and employed at the time of the offense. Furthering the analysis, a logistic regression found that individuals who targeted strangers were significantly more likely to have committed their homicide at an outdoor location, to have been sexually motivated, and to have used murder weapons that required more physical strength than those who killed nonstranger victims. These findings can be informative to law enforcement agents and security professionals in their investigative processes.