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

Empathy is an aspect of social cognition which has gained much attention to explain sexual violence perpetration, with research resulting in mixed and contradictory findings. Another aspect of social cognition, which has been linked to, and even used synonymously with, cognitive empathy is Theory of Mind (ToM). However, research is severely lacking on the role which ToM may play in sexual violence. Hence, in order to elucidate such issues, following a theoretical discussion of these concepts, we propose an integrated Social Information Processing (SIP) framework to understand how empathy and ToM may be involved in sexual violence perpetration. This framework includes the steps laid out by Crick and Dodge's original SIP model, the emotional processes emphasised by Lemerise and Arsenio, the empathy stages identified by Marshall and colleagues, and our propositions concerning the role played by ToM. In this theoretical article, we argue that ToM and empathy are primarily involved in earlier SIP stages, but may have repercussions on subsequent stages as SIP is cyclical. Nonetheless, greater research is needed to conclusively identify where deficits lie. In terms of clinical implications, we recommend that empathy and ToM be targeted in interventions (primary, secondary and tertiary) using cognitive-behavioural therapy principles which are involved in, and affect, SIP.

Recent research has highlighted the importance of protective factors in preventing sexual offense recidivism and led to the development of a number of strengths-based approaches to the treatment of adult males who have been convicted of sexual offenses. However, these approaches have not been supported by structured methods to assess protective factors. The Structured Assessment of PROtective Factors against Sexual Offending (SAPROF-SO) was designed to bridge the gap between assessment and strengths-based treatment, and the current study contributes to the validation of that instrument. The SAPROF-SO was rated retrospectively for adult males released on supervised release from a secure treatment center in the US (N = 170). SAPROF-SO total scores predicted supervised release success as measured by revocation outcomes. In addition, results highlighted the utility of the SAPROF-SO Resilience subscale in predicting supervised release revocation for any reason and the Adaptive Sexuality subscale in predicting sexually related revocations. Notably, the SAPROF-SO demonstrated incremental validity over the Static-99R, which was not predictive of revocation outcomes. Implications for the management of sexual offense risk when planning and administering release from criminal justice contexts are discussed.

The number of reports of child sexual abuse material (CSAM) detected on online platforms has increased dramatically in the last decade. Research has suggested that some individuals engage in a progression from typical adult pornography to atypical adult pornography (e.g., bondage, discipline, sadism, and masochism (BDSM), bestiality) to CSAM. Examining the onset to adult pornography and CSAM can therefore help identify intervention points for prevention and disruption. To investigate first exposure to adult pornography and CSAM, we anonymously surveyed a community sample of 5512 adults in five different countries: 742 (13.5%) survey participants self-reported viewing CSAM; 77% were male, 19.5% were female and 3.5% identified as another gender/sex. Majorities of respondents who viewed CSAM (71.2%), BDSM adult pornography (66.6%), and bestiality adult pornography (62.4%) were first exposed to this material prior to age 18. Females were significantly more likely than males to view adult content at younger ages. Younger age of exposure to typical and atypical adult pornography predicted younger age of exposure to CSAM, and respondents aged under 40 years were significantly more likely to view CSAM at younger ages (p < .001). Self-reported CSAM viewers predominantly first discovered CSAM unintentionally (86.1%) and when alone (76%). The findings suggest a need for increased interventions that prevent exposure to CSAM and illegal adult content among adolescents.

The report presents study on child sexual abuse within the Catholic Church in Poland from 1950 to 2021, using data collected in three comprehensive queries conducted between 2014 and 2021. The analysis is based on notifications reported to dioceses and male religious congregations, processed by the Institute for Catholic Church Statistics. The study categorizes cases based on the credibility of allegations and tracks the evolution of data collection methodologies, moving from handwritten questionnaires to more detailed online surveys. The research explores variables such as victim demographics (age, gender, and Church affiliation), perpetrator profiles, forms and circumstances of abuse, and reporting patterns. Over the analyzed period, 1,193 minors were identified as victims in notifications, with 1,018 credible allegations. Boys constituted 56% of victims, with an average age of abuse rising from 11 to nearly 15 years. Of 838 accused clergy, 394 were credibly implicated, primarily priests. Most offenders harmed a single victim, though 20% had multiple victims. Findings indicate a significant increase in abuse cases from the 1970s to the 1980s. Despite the detailed data, the study emphasizes limitations, including the inability to fully ascertain the prevalence of abuse due to underreporting and varied motivations for disclosure. The results highlight the need for continuous monitoring to comprehensively understand and address this issue. This research contributes to broader efforts to enhance transparency, accountability, and preventive measures within the Church.

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.

Prisons in South Korea have implemented psychotherapy programs for people convicted of sexual offenses to reduce sexual crime recidivism post-release. This study evaluated the effectiveness of the treatment by analyzing data from 13,200 men convicted of sexual offenses released from 2015 to 2019. We estimated the latent change score (LCS) for rape myths acceptance (RMA) and child sexual assault supportive attitudes (CSA) utilizing the 2W-LCS model. We examined the relationship between the LCS and sexual crime recidivism. Additionally, we employed multigroup analysis to compare the results based on program completion status. The results showed that regardless of completion, the LCSs for both RMA and CSA were significant and negative, indicating a decrease in both levels of cognitive distortion after treatment. In addition, the absolute values of the LCSs for both RMA and CSA were larger in the fully-treated group than in the partially-treated group. The CSA LCSs exhibited a significant relationship with sexual crime recidivism only in the fully-treated group. Overall, the study supports the treatment's effectiveness and underscores the importance of treatment completion.

There is some evidence that testosterone-lowering medications (TLM) may be an effective treatment for men convicted of sexual offenses by attenuating paraphilic sexual fantasies and behaviors and reducing the recidivism risk. To date, however, only little is known about the effects of TLM stopping on risk-relevant aspects. Therefore, the current study aimed at examining the recidivism risk as measured by Stable-2007 as well as official records of reoffenses in 29 men having stopped TLM treatment as compared to 37 men with ongoing TLM treatment. The Stable-2007 was rated retrospectively at 4 time points: committal to forensic treatment (T1), starting (T2) and stopping of TLM treatment (T3), and at reporting date (T4). There was a significant decrease in Stable-2007 scores over time, but there were no significant group differences. Within the stopped-TLM group, there were no significant differences between T3 and T4, implying that the recidivism risk remained stable over an average observation period of 4.5 years after TLM stopping. In addition, there was no significant difference in actual reoffending rates between the groups. For sexual reoffending, the percentages were 17.2% for the stopped-TLM group and 10.8% for the ongoing-TLM group. However, although the current results suggest that there is at least no increase in risk assessment (i.e., Stable-2007) after having stopped TLM, the actual reoffending rates of both groups were higher than expected. This once again demonstrates that TLM stopping decisions remain very difficult to make. Further studies are urgently needed to draw clearer conclusions.

Recidivism among individuals who have sexually offended poses a significant public health and safety concern. It is crucial to assess the predictive validity of traditional risk factors in individuals engaged in online child exploitation. This study examines recidivism rates and risk factors among individuals involved in online child sexual exploitation, analyzing data from a sample of 228 adult males who had committed sexual and nonsexual offenses at their index crime. The findings suggest that offense-supportive cognitions (Harrell's C = .73-.75) and emotional congruence with children (Harrell's C = .77) serve as predictors for contact sexual recidivism. Consumption of child sexual exploitation material and bestiality pornography are linked to online sexual recidivism (.69 and .75, respectively) and negatively related to sexual recidivism (.29 and .32, respectively). Overall, this research contributes to a more nuanced understanding of recidivism patterns and risk factors among individuals engaged in online sexual offenses against children, emphasizing the need for tailored intervention strategies in this population.

Stigma-related stress may contribute to increased risk in individuals who are sexually attracted to children. Further, certain subgroups of people attracted to children may be more stigmatized than others; this has important implications for prevention programs. We conducted a vignette study to examine whether public stigma toward people attracted to children differed based on the person's gender (man/woman), the gender of the child to whom the person is attracted (boy/girl), and preferentiality (non-preferentially/preferentially attracted to children). A sample of 385 participants (M_age = 41; 66% White; 52% male; 57% US residents) were recruited through Prolific. Participants were randomly assigned to one of eight vignettes presenting a non-offending individual attracted to children. Vignettes varied on the person's gender, the gender of the child to whom they were attracted, and whether they were preferentially or non-preferentially attracted to children. Participants were asked to rate their perception of risk for the person to commit a child sexual offense (and give their reasoning) as well as fill out a measure of stigma regarding the person in the vignette. The only characteristic associated with perception of risk and stigma was preferentiality; participants rated preferentially attracted persons as being a higher risk to offend and endorsed higher stigma regarding that individual. Open-ended responses indicated that in rating risk to offend, participants were concerned with the role of attraction to children, characteristics of the attraction, loss of control and opportunism, lack of offense history, and lifestyle factors.