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Enhancing Pre-Treatment Motivation Improves Forensic Mental Health Outcomes. 增强治疗前动机可改善法医心理健康结果。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-05 DOI: 10.1177/0306624X241228229
Heather M Moulden, Samuel A Matthew, Gary Chaimowitz

Despite evidence that psychological treatments benefit from pre-treatment intervention, there remains no published research on the value of including a pre-treatment intervention in forensic mental health settings. The present study aimed to address this gap by examining the effects of adding a brief motivational preparatory program (MPP) to standard forensic psychiatric care. The MPP was based on hope theory and motivational interviewing within a cognitive-behavioral therapy approach. MPP participants and a waitlist control group completed a battery of self-report measures of hope and motivation to change, which were compared with respect to risk, demographic, offence history, and outcome variables. There was a significant increase in client motivation for change after completing the MPP. Additionally, those who completed the MPP evidenced modest reductions in aggressive behavior, but significantly increased engagement in subsequent forensic treatment and programming.

尽管有证据表明,心理治疗可以从治疗前干预中获益,但目前仍没有关于在法医心理健康环境中加入治疗前干预的价值的公开研究。本研究旨在通过考察在标准法医精神病治疗中加入简短动机准备计划(MPP)的效果来弥补这一空白。MPP 以希望理论和动机访谈为基础,采用认知行为疗法的方法。MPP 参与者和候补对照组完成了一系列关于希望和改变动机的自我报告测量,并与风险、人口统计学、犯罪史和结果变量进行了比较。完成 MPP 后,客户的改变动机明显增强。此外,完成 MPP 的人的攻击性行为略有减少,但参与后续法医治疗和计划的程度明显提高。
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引用次数: 0
Police-Identified Psychological Distress, Substance Use, and Physical Violence Among Male Intimate Partner Stalkers. 警方确认的男性亲密伴侣跟踪者的心理压力、药物使用和身体暴力。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-05 DOI: 10.1177/0306624X241228977
Ebonnie Landwehr, Lynne Roberts, David Garratt-Reed, Chloe Maxwell-Smith

Risk factors for stalking violence are not well understood and few studies have examined psychological distress and substance use specifically. This study aimed to assess whether factors extant in police data could predict severity of stalking violence against intimate partner victims. Western Australia Police Force provided data for 603 men linked to a stalking charge relating to a female intimate partner. Binomial logistic regressions showed police-identified histories of psychological distress and drug use predicted moderate violence, but not severe violence. A co-occurring history of drug use and alcohol use was the strongest predictor of moderate violence (OR = 6.8). These findings suggest accounting for violence severity and substance type when examining stalking violence risk factors. Whether psychological distress and/or substance use were active problems for the men during their stalking behavior is unknown, however the detection of these problems may indicate an unmet need for treatment among this group.

人们对跟踪暴力的风险因素了解不多,很少有研究专门研究心理困扰和药物使用情况。本研究旨在评估警方数据中存在的因素能否预测亲密伴侣受害者遭受跟踪暴力的严重程度。西澳大利亚警方提供了 603 名与女性亲密伴侣相关的男性数据。二项式逻辑回归结果显示,警方认定的心理困扰史和吸毒史可预测中度暴力,但不能预测严重暴力。吸毒和酗酒并发史是中度暴力的最强预测因素(OR = 6.8)。这些研究结果表明,在研究跟踪暴力风险因素时,应考虑暴力的严重程度和药物类型。目前尚不清楚这些男性在实施跟踪行为期间是否存在心理困扰和/或药物使用问题,但这些问题的发现可能表明该群体中存在未得到满足的治疗需求。
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引用次数: 0
A Phenomenological Investigation into the Use of Therapist Self-disclosure in Compassion-Focused Therapy With Forensic Clients. 在对法医客户进行以同情为重点的治疗时治疗师自我披露的现象学调查。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-05 DOI: 10.1177/0306624X241227409
Francesca Rachwal, Neil Gredecki

Existing research has demonstrated the benefits of therapist self-disclosure (TSD) in strengthening therapeutic alliance. However, little is known about its effectiveness in the forensic context. The current research sought to address this gap by interviewing six Compassion Focused (CFT) therapists who had experience of working across a range of forensic settings. Results of an Interpretative Phenomenological Analysis (IPA) indicated that all participants advocated using TSD as a powerful therapeutic tool when working with forensic clients. However, there was a tension between balancing risk with the rewards of TSD, and participants expressed how the secure forensic environment was not conducive to its use. There was a consensus that TSD was more strongly discouraged with clients who had sexual convictions. For some, this had an impact on their own disclosures. Training on the function of TSD is recommended in forensic practice to address some of the environmental barriers to its implementation.

现有研究已经证明了治疗师自我披露(TSD)在加强治疗联盟方面的益处。然而,人们对其在法医环境中的有效性知之甚少。目前的研究试图通过采访六位具有法医环境工作经验的慈悲为怀(CFT)治疗师来填补这一空白。解释性现象学分析(IPA)的结果表明,所有参与者都主张在与法医客户合作时将 TSD 作为一种强大的治疗工具。然而,在平衡 TSD 的风险与回报之间存在着矛盾,参与者表示安全的法医环境不利于 TSD 的使用。与会者一致认为,对有性犯罪前科的当事人更不鼓励使用 TSD。对一些人来说,这对他们自己的披露产生了影响。建议在法医实践中开展有关 TSD 功能的培训,以解决实施 TSD 的一些环境障碍。
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引用次数: 0
Nonconsensual Sexual Experience Histories of Incarcerated Men: A Mixed Methods Approach. 被监禁男性的非自愿性经历史:混合方法。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-01 Epub Date: 2021-12-19 DOI: 10.1177/0306624X211065584
Raymond M McKie, Shulamit Sternin, Chelsea D Kilimnik, Drake D Levere, Terry P Humphreys, Alyna Reesor, Elke D Reissing

Nonconsensual sexual experiences (NSEs) may contribute to mental health concerns among incarcerated individuals, yet NSEs are understudied in this population. This study takes a novel approach in examining the prevalence of NSEs among incarcerated males by utilizing both quantitative and qualitative measures. The sample consisted of 189 men from three provincial maximum-security prisons in Ontario, Canada. Based on quantitative findings, 44.2% of the sample experienced NSEs before the age of 18, and 41.7% of the sample endorsed an experience that fit the legal definition of a NSEs as adults. Participants also responded to a qualitative open-ended question about their history of NSEs. Based on qualitative findings, a total of 23% of the men reported at least one incident of a NSE (e.g., child and adult). Based Findings highlight the high prevalence of NSEs among incarcerated men with quantitative responses demonstrating how the use of a behavioral questionnaire may, to some extent, correct for underreporting of NSEs. Qualitative responses illustrate the lived experience of incarcerated men and provide a deeper understanding of their NSEs. Responses also speak to the lack of resources and support available to these men. Findings underscore the need for proactive approaches in meeting mental health needs of incarcerated men in general and with regard to NSEs in particular. Results may inform the development of future correctional procedures (i.e., intake protocols that account for men with NSEs) and resources to support incarcerated men in navigating the psychological impact of non-consensual sexual experiences.

未经同意的性经历(NSEs)可能会导致被监禁者的心理健康问题,但对这一人群中的 NSEs 却研究不足。本研究采用了一种新颖的方法,通过定量和定性测量来研究非自愿性经历在被监禁男性中的流行程度。样本包括来自加拿大安大略省三所省级最高戒备监狱的 189 名男性。定量研究结果显示,44.2% 的样本在 18 岁之前经历过 NSE,41.7% 的样本认可其经历符合成人 NSE 的法律定义。参与者还回答了一个开放式定性问题,了解他们的 NSE 历史。根据定性调查结果,共有 23% 的男性报告了至少一次 NSE 事件(如儿童和成人)。研究结果强调了非礼行为在被监禁男性中的高流行率,定量回答则表明行为问卷的使用可在一定程度上纠正非礼行为报告不足的情况。定性回答说明了被监禁男性的生活经历,并对他们的 NSE 有了更深入的了解。答复还说明了这些男性缺乏资源和支持。调查结果表明,有必要采取积极主动的方法来满足被监禁男性的心理健康需求,尤其是在 NSE 方面。研究结果可为今后制定惩教程序(即考虑到有 NSE 的男性的收监协议)和资源提供参考,以支持被监禁男性应对未经同意的性经历所带来的心理影响。
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引用次数: 1
The Role of Dynamic Risk and Protective Factors in Predicting Violent Recidivism: Intellectual Ability as a Possible Moderator? 动态风险因素和保护性因素在预测暴力再犯中的作用:智力是否可能起到调节作用?
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-01 Epub Date: 2022-02-28 DOI: 10.1177/0306624X221079695
Karolien Garritsen, Marija Janković, Erik Masthoff, Elien De Caluwé, Stefan Bogaerts

This study investigated which risk and protective factors, based on the 14 clinical indicators of the Historical-Clinical-Future Revised, significantly predicted violent recidivism in a sample of 315 male forensic psychiatric patients. Additionally, it was investigated whether these associations were moderated by intellectual ability. Regarding risk factors, a stronger influence of risky network members, and higher levels of hostility, impulsivity, and addiction significantly predicted violent recidivism. Likewise, regarding protective factors, poorer social and labor skills, and a lower degree of patient's acceptance of crime responsibility were significant predictors of violent recidivism. Contrary to our expectations, better coping skills and more insight into risky behaviors that can lead to relapse also contributed significantly to an increased likelihood of violent recidivism. Intellectual ability had no significant moderating effect on the associations between the factors and violent recidivism. The results offer an insight into which factors need to be prioritized during treatment.

本研究基于《历史-临床-未来修订版》的14项临床指标,对315例男性法医精神病患者的暴力再犯进行了风险和保护因素的显著预测。此外,研究人员还调查了这些关联是否受到智力能力的调节。在危险因素方面,风险网络成员的影响较强,敌意、冲动和成瘾水平较高,显著预测暴力再犯。同样,在保护性因素方面,较差的社会和劳动技能以及患者对犯罪责任的接受程度较低是暴力再犯的重要预测因素。与我们的预期相反,更好的应对技能和对可能导致复发的危险行为的更深入的了解也大大增加了暴力再犯的可能性。智力对这些因素与暴力再犯的关系无显著调节作用。结果提供了在治疗过程中需要优先考虑哪些因素的见解。
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引用次数: 3
Persons With Histories of Traumatic Brain Injury and Problematic Sexual Behavior: An Exploratory Analysis. 有脑外伤史和问题性行为的人:探索性分析。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-01 Epub Date: 2021-12-29 DOI: 10.1177/0306624X211066831
Carrie C LeMay, Jill D Stinson

Persons with traumatic brain injuries (TBI) who have engaged in problematic or illegal sexual behavior present with complex assessment and intervention needs yet remain understudied within the empirical literature. In the current exploratory analysis, important differences in adaptive and clinical functioning, adverse childhood experiences, and criminal offense history are examined in 25 persons with previous brain injury, 118 persons with intellectual disability but no known TBI, and 103 persons with no history of brain injury or intellectual disability, all of whom have engaged in problematic sexual behavior and who were residing in secure forensic inpatient care. Group differences were examined using comparisons of means and chi-squares. Results highlight important differences in education and employment experiences, diagnostic presentation, exposure to childhood maltreatment, and justice system involvement and characteristics of their sexual offense victims. Associations with prior literature and future research directions are discussed.

有问题或非法性行为的脑外伤(TBI)患者需要进行复杂的评估和干预,但实证文献对他们的研究仍然不足。在目前的探索性分析中,我们研究了 25 名曾有脑损伤的患者、118 名有智力障碍但不知道有创伤性脑损伤的患者以及 103 名没有脑损伤或智力障碍史的患者在适应能力和临床功能、童年不良经历以及刑事犯罪史方面的重要差异。我们使用均值比较法和卡方检验了群体差异。研究结果凸显了他们在教育和就业经历、诊断表现、童年遭受虐待的经历、司法系统参与情况以及性犯罪受害者特征等方面的重要差异。本文还讨论了与先前文献的关联以及未来的研究方向。
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引用次数: 0
Relationships Between Psychopathy and DSM Personality Disorders in Men and Women. 男性和女性精神病与DSM人格障碍的关系。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-01 Epub Date: 2022-05-14 DOI: 10.1177/0306624X221094993
Henriette Bergstrøm, David P Farrington, Jeremy W Coid

The current investigation asseses the relationship between DSM personality disorders (PDs) and PCL psychopathy in a community study: the Cambridge Study in Delinquent Development (CSDD). The children (Generation 3) of the original CSDD males (Generation 2) were assessed for PDs and psychopathy in early adulthood. Generation 3 consisted of both males (n = 291) and females (n = 260) and allowed for analyses separately for each gender. Cluster B PDs showed the strongest relationships with psychopathy, especially Borderline and Antisocial PD. Histrionic PD did not appear to have strong relationships with psychopathy, and there were no indications that histrionic PD overlaps with psychopathy in females as past research has hypothesized. There were however some other gender-specific relationships in the analyses, most notably between psychopathy and schizoid and schizotypal PDs for females, and between psychopathy and paranoid PD in males. Implications for the understanding of psychopathy in males and females are discussed.

目前的调查评估DSM人格障碍(pd)和PCL精神病之间的关系在一个社区研究:剑桥研究在不良发展(CSDD)。原始CSDD男性(第2代)的孩子(第3代)在成年早期评估pd和精神病。第3代包括男性(n = 291)和女性(n = 260),并允许对每种性别分别进行分析。B类人格障碍与精神病的关系最为密切,尤其是边缘型人格障碍和反社会人格障碍。装腔作势的PD似乎与精神病没有很强的关系,并且没有迹象表明装腔作势的PD与过去研究假设的女性精神病有重叠。然而,在分析中也有一些其他的性别特异性关系,最明显的是女性精神病患者与分裂样和分裂型PD之间的关系,以及男性精神病患者与偏执型PD之间的关系。对理解男性和女性精神病的意义进行了讨论。
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引用次数: 1
Critical Social Media Analysis: Problematising Online Policy Representations of the Impact of Imprisonment on Families. 批判性社交媒体分析:监禁对家庭影响的在线政策表述问题。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-02-01 Epub Date: 2022-04-22 DOI: 10.1177/0306624X221086559
Pamela Ugwudike, Yadira Sánchez-Benitez

Drawing on the Foucauldian policy analysis framework developed by Bacchi (2009) and building on insights distilled from a study of discourses on the microblogging SNS, Twitter, this paper makes three novel contributions. It unravels how the impact of imprisonment on families is represented in or produced through policy discourses and other governance practices. It also demonstrates how SNS affordances enable affected families to resist and challenge the discourses and proffer alternatives strategies that can inform a transformational problematization model. The paper makes a third contribution by demonstrating how a methodologically innovative triangulation of computational and social science methods can be used to study the contributions of hard-to-reach populations such as the families of people in prison.

本文借鉴了Bacchi(2009)提出的傅政策分析框架,并基于对微博SNS、Twitter上的话语研究得出的见解,做出了三个新颖的贡献。它揭示了监禁对家庭的影响是如何在政策话语和其他治理实践中体现或产生的。它还展示了SNS可供性如何使受影响的家庭能够抵制和挑战话语,并提供替代策略,为转型问题化模型提供信息。这篇论文做出了第三个贡献,展示了如何利用计算和社会科学方法的方法创新三角测量来研究难以接触的人群(如监狱中的人的家人)的贡献。
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引用次数: 1
Don't Beat Around the Bush! The Relationship Between Forensic Vigilance and Communication Style. 不要绕圈子!法医警惕性与沟通风格之间的关系。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-01-31 DOI: 10.1177/0306624X241228214
Maartje Clercx, Lisanne van Pinxteren

The field of forensic mental healthcare is unique in several ways. Forensic vigilance is a specialty needed by forensic mental health professionals, consisting of professional forensic psychiatric knowledge, knowledge of individual patients, environmental observations, and clinical judgment. Though communication seems to play an important role in forensic vigilance, it is still unknown which communication styles are related to forensic vigilance, if any. In the current study, we examined if certain communication styles are related to forensic vigilance by means of an online survey among forensic mental health professionals. In total 138 Dutch forensic psychiatric professionals participated in the survey. The expressive and precise communication styles positively predict forensic vigilance, while the emotional and manipulative communication styles show a negative relationship with forensic vigilance. Findings of the present study further the understanding of the construct of forensic vigilance. The findings presented here may give rise to attention for specific manners of communication in supervision and training programs. The current study represents the first effort to study the relationship between communication styles and forensic vigilance.

法医精神保健领域在几个方面都很独特。法医警惕性是法医精神保健专业人员所需的一项专业技能,由专业的法医精神病学知识、对个别病人的了解、环境观察和临床判断组成。虽然沟通似乎在法医警觉性中扮演着重要角色,但哪些沟通方式与法医警觉性有关(如果有的话)仍是未知数。在本研究中,我们通过对法医心理健康专业人员进行在线调查,研究了某些沟通方式是否与法医警惕性有关。共有 138 名荷兰法医精神病学专业人员参与了调查。结果表明,表达型和精确型沟通方式能积极预测法医警惕性,而情感型和操纵型沟通方式与法医警惕性呈负相关。本研究的结果进一步加深了对法医警惕性这一概念的理解。本文的研究结果可能会引起人们对监督和培训计划中特定沟通方式的关注。本研究是研究沟通方式与法医警惕性之间关系的首次尝试。
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引用次数: 0
Forensic Case Formulation: Exploring the Knowledge, Opinions, and Training Experiences of Staff Working Within the Offender Personality Disorder Pathway. 法医案例分析:探索罪犯人格障碍路径下工作人员的知识、观点和培训经验。
IF 1.5 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2024-01-28 DOI: 10.1177/0306624X231219986
Victoria Wheable, Jason Davies

Forensic case formulation (FCF) is a key activity within the Offender Personality Disorder Pathway (OPDP), performed by OPDP specialist offender managers (OMs) and psychologists. Although FCF training is provided to OMs, there are a number of questions about the adequacy and effectiveness of this training. Furthermore, it is unclear whether psychologists receive sufficient support to keep their FCF skills relevant and effective over time. This study aimed to investigate the FCF training experiences of OPDP staff, to assess staff satisfaction with this training, to identify ways of improving this training, and to explore the value of FCF from a staff perspective. To meet these aims, OPDP staff were asked to complete an online Qualtrics survey disseminated nationally. Results reveal a lack of standardized FCF training across the OPDP, contributing to poor staff satisfaction and confidence. These results highlight a need for FCF training improvement within the OPDP.

法医病例制定(FCF)是罪犯人格障碍路径(OPDP)中的一项关键活动,由OPDP的专业罪犯管理者(OMs)和心理学家执行。虽然对罪犯管理者进行了 "犯罪证据框架 "培训,但对这种培训是否充分和有效还存在一些疑问。此外,目前还不清楚心理学家是否获得了足够的支持,使他们的 "罪犯心理辅导 "技能长期保持相关性和有效性。本研究旨在调查 OPDP 员工的 FCF 培训经历,评估员工对培训的满意度,找出改进培训的方法,并从员工的角度探讨 FCF 的价值。为了实现这些目标,我们要求 OPDP 员工完成一项在全国范围内传播的在线 Qualtrics 调查。结果显示,整个 OPDP 缺乏标准化的 FCF 培训,导致员工满意度和信心不足。这些结果凸显了改进 OPDP 内部 FCF 培训的必要性。
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引用次数: 0
期刊
International Journal of Offender Therapy and Comparative Criminology
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