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This prospective study examined the predictive validity of the Sex Offender Treatment Intervention and Progress Scale (SOTIPS; McGrath et al., 2012), a sexual recidivism risk/need tool designed to identify dynamic (changeable) risk factors relevant to supervision and treatment. The SOTIPS risk tool was scored by probation officers at two sites ( n = 565) for three time points: near the start of community supervision, at 6 months, and then at 12 months. Given that conventions for analyzing dynamic prediction studies have yet to be established, one of the goals of the current paper was to demonstrate promising statistical approaches for the analysis of longitudinal studies in corrections. In most analyses, static SOTIPS scores predicted all types of recidivism (sexual, violent, and general [any]). Dynamic SOTIPS scores, however, only improved the prediction of general recidivism, and only when the analyses with the greatest statistical power were used (Cox regression with time dependent covariates).

Sexual sadism is a paraphilia that focuses on domination, humiliation, and infliction of pain on a victim to stimulate sexual arousal. Although extensively described in psychology and forensic sciences, less is known about whether the harmful acts committed by sexual sadists are accompanied by deficits in moral judgment. A limited amount of behavioral research suggests moral insensitivity in sexual sadists; however, the neural networks underlying moral judgment in sadists have not been studied. In this pilot study, 21 incarcerated male sexual offenders with (n = 11) and without (n = 10) sexual sadism were scanned with functional magnetic resonance imaging (fMRI) while they viewed pictures that did or did not depict situations considered by most individuals to represent moral transgressions, and rated their degree of moral transgression severity. Results indicated primarily overlapping neural systems underlying moral judgment in sadists and non-sadists. However, non-sadists but not sadists showed a positive correlation between moral transgression severity ratings and activity in the anterior temporal cortex (ATC). This lack of ATC engagement in sadists might be a biomarker of altered moral judgment.

Empirically supported risk factors are predictive of sexual re-offense regardless of whether individuals suffer from a major mental illness. A small subgroup of individuals with major mental illness may be more likely to demonstrate acute psychotic symptoms at the time of their sexual offending behavior (Smith & Taylor, 1999). This study reviewed archival data from a high-risk sample to identify 55 individuals with major mental illness who had committed a total of 176 sex offenses. The relationship between acute psychiatric symptoms and criminogenic needs was explored. Most sex offenses were not temporally related to acute psychiatric symptoms. The apparent effect of mental health symptoms on criminogenic factors over the individual’s life was rated. Where acute symptoms were associated with worsened criminogenic factors, this most often involved Grievance Thinking, Poor Emotional Control, and Poor Problem-Solving. Typologies emerged based on the pattern of criminogenic needs along with demographic and offense characteristics. Assessment and treatment implications are discussed.

Vitamin D status may be important for stress resilience. This study investigated the effects of vitamin D supplements during winter on biological markers of stress resilience such as psychophysiological activity, serotonin, and cortisol in a placebo-controlled, randomized clinical trial. Eighty-six participants were randomly assigned to the Intervention (vitamin D) or Control (placebo) groups. Before and after the intervention participants were exposed to an experimental stress procedure. Psychophysiological activity was measured during three main conditions: baseline, stress, and recovery. Fasting blood samples were taken in the morning and saliva samples were collected at seven different time points across 24 h. Prior to intervention both groups had normal/sufficient vitamin D levels. Both groups showed a normal pattern of psychophysiological responses to the experimental stress procedure (i.e., increased psychophysiological responses from resting baseline to stress-condition, and decreased psychophysiological responses from stress-condition to recovery, all p &lt, 0.009). Post-intervention, the Intervention group showed increased vitamin D levels (p &lt, 0.001) and normal psychophysiological responses to the experimental stress procedure (p &lt, 0.001). Importantly, the Control group demonstrated a classic nadir in vitamin D status post-intervention (spring) (p &lt, 0.001) and did not show normal psychophysiological responses. Thus, physiologically the Control group showed a sustained stress response. No significant effects of vitamin D were found on serotonin and cortisol.

Risk Matrix 2000’s ability to assess relative risk for sexual and violent recidivism has been well established through meta-analysis. However, the instrument was originally designed for use in the United Kingdom and has not been widely tested in other parts of Europe, raising questions about how generalizable the results are. This paper assessed the instrument’s ability to assess relative risk for these outcomes in a sample of over 300 Austrian adult males serving a prison sentence for a sexual offense for whom 5-year rates of sexual and violent recidivism were available. Results indicated an ability to assess relative risk that was comparable to that observed in the United Kingdom. In the context of previous results from Germany, the findings of the present study indicate that Risk Matrix 2000 may be appropriately applied in Europe. Analyses explored the added value of using the Sexual and Violence risk scales in conjunction to identify the kinds of criminogenic need that should be addressed in treatment and supervision.

This paper describes a study of player behavior and electroencephalography (EEG) headset readings while playing a cybersecurity educational video game. While difficulty was progressively increased, player actions and EEG readings were recorded, along with a pre- and post-test of student knowledge and opinions regarding information security awareness and perceived immersion. This study employed Brute Force, a tower defense game that teaches players to choose strong, unique, and memorable passwords. Participants reported significantly more responsible attitudes regarding the importance of strong, unique passwords. More successful players who played the full fifteen minutes tended to improve at identifying strong passwords from a list. After playing the game, participants were most likely to add password length and uniqueness as important password strategies.

The sensorimotor dorsal stream is known to activate in both overt and covert speech production. However, overt production produces sensory consequences that are absent during covert production. Thus, the purpose of the current study is to investigate differences in dorsal stream activity between these two production conditions across the time course of utterances. Electroencephalography (EEG) was recorded from 68 channels while 23 participants overtly (Op) and covertly (Cp) produced orthographically cued bisyllabic targets. Sensorimotor mu and auditory alpha components (from anterior and posterior aspects of the dorsal stream) were identified using independent component analysis (ICA). Event-related spectral perturbation (ERSP) analyses identified changes in mu and alpha oscillatory power over time, while intercomponent phase coherence (IPC) measured anterior–posterior connectivity in the two conditions. Results showed greater beta (15–25 Hz) suppression during speech planning across left and right hemisphere sensorimotor and temporal ICs for Op relative to Cp. By contrast, greater intrahemispheric beta coherence was observed for Cp compared to Op during speech planning. During execution, greater beta suppression was observed along with greater low frequency (

Forensic evaluators may be assisted by comparing their use of instruments with that of their peers. This article reports the results of a 2017 survey of instrument use by forensic evaluators carrying out sexual recidivism risk assessments. Results are compared with a similar survey carried out in 2013. Analysis focuses primarily on adoption of more recently developed instruments and norms, and on assessment of criminogenic needs and protective factors, and secondarily, on exploring factors related to differences in evaluator practice. Findings indicate that most evaluators have now adopted modern actuarial instruments, with the Static-99R and Static-2002R being the most commonly used. Assessment of criminogenic needs is now common, with the STABLE-2007 being the most frequently used instrument. Evaluators are also increasingly likely to consider protective factors. While a majority of evaluators uses actuarial instruments, a substantial minority employs Structured Professional Judgment (SPJ) instruments. Few factors discriminated patterns of instrument use.

The present study sought to develop updated risk categories and recidivism estimates for the Violence Risk Scale-Sexual Offense version (VRS-SO; Wong, Olver, Nicholaichuk, & Gordon, 2003-2017), a sexual offender risk assessment and treatment planning tool. The overarching purpose was to increase the clarity and accuracy of communicating risk assessment information that includes a systematic incorporation of new information (i.e., change) to modify risk estimates. Four treated samples of sexual offenders with VRS-SO pretreatment, posttreatment, and Static-99R ratings were combined with a minimum follow-up period of 10-years postrelease (N = 913). Logistic regression was used to model 5- and 10-year sexual and violent (including sexual) recidivism estimates across 6 different regression models employing specific risk and change score information from the VRS-SO and/or Static-99R. A rationale is presented for clinical applications of select models and the necessity of controlling for baseline risk when utilizing change information across repeated assessments. Information concerning relative risk (percentiles) and absolute risk (recidivism estimates) is integrated with common risk assessment language guidelines to generate new risk categories for the VRS-SO. Guidelines for model selection and forensic clinical application of the risk estimates are discussed. (PsycINFO Database Record

To investigate the effect of a long-term fatty fish intervention on a pure cognitive mechanism important for self-regulation and mental health, i.e. working memory (WM), controlling for age and IQ. A randomized controlled trial. A forensic facility. Eighty-four young to middle aged male forensic inpatients with psychiatric disorders. Consumption of farmed salmon or control meal (meat) three times a week during 23 weeks. Performance on WM tasks, both accuracy and mean reaction time, were recorded pre and post intervention. Performance on a cognitive functioning tasks taxing WM seemed to be explained by age and IQ. Fatty fish consumption did not improve WM performance in a group of young to middle aged adults with mental health problems, as less impressionable factors such as aging and intelligence seemed to be the key components. The present study improves the knowledge concerning the interaction among nutrition, health and the aging process.

This article describes principles for developing risk category labels for criterion referenced prediction measures, and demonstrates their utility by creating new risk categories for the Static-99R and Static-2002R sexual offender risk assessment tools. Currently, risk assessments in corrections and forensic mental health are typically summarized in 1 of 3 words: low, moderate, or high. Although these risk labels have strong influence on decision makers, they are interpreted differently across settings, even among trained professionals. The current article provides a framework for standardizing risk communication by matching (a) the information contained in risk tools to (b) a broadly applicable classification of "riskiness" that is independent of any particular offender risk scale. We found that the new, common STATIC risk categories not only increase concordance of risk classification (from 51% to 72%)-they also allow evaluators to make the same inferences for offenders in the same category regardless of which instrument was used to assign category membership. More generally, we argue that the risk categories should be linked to the decisions at hand, and that risk communication can be improved by grounding these risk categories in evidence-based definitions. (PsycINFO Database Record

According to the Risk-Need-Responsivity framework dynamic risk factors play a central role in effective correctional services. Recently this risk-focused clinical response has been supplemented by attention to the development of protective factors. The theoretical and clinical use of these constructs has been handicapped by a failure to analyze how they work and implicit assumption that they work in the same way for all clients. This paper seeks to remedy the first difficulty by applying to protective factors a theoretical model originally developed to understand the processes underlying dynamic risk factors. It seeks to address the second difficulty by examining how the protective factors developed for mainstream sexual offenders differ from those developed when problematic sexual behavior co-occurs with major mental illness. What emerges is a need for a three-level analysis to understand protective factors. At the most abstract level, protective processes can be understood within the same theoretical model used to explicate the operation of risk factors. At an intermediate level, much of what are called “protective factors” can be better understood as arenas within which protective processes can operate. To this must be added, however, a third tier defined by the needs and responsivity of the individual. This tier determines the particular form that protective factors will need to take for them to constitute arenas in which relevant protective processes can operate.

Sensorimotor activity during speech perception is highly variable and is thought to be related to the underlying cognitive processes recruited to meet task demands. The purpose of the current study was to evaluate the impact of cognitive load on sensorimotor-based attention and working memory processes during speech perception. Manipulations of set size and signal clarity were employed to alter cognitive load. Raw EEG data recorded from 42 subjects during accurate discrimination of CV syllable pairs were decomposed by Independent component analysis; identifying sensorimotor mu components from 37 subjects. Time-frequency analyses revealed event related desynchronization (ERD) across alpha and beta frequency bands during and following stimulus presentation in all conditions, reflecting working memory maintenance through covert articulatory rehearsal. No early attentional activity was observed, suggesting adaptation to tasks. However, modulation of late working memory activity was observed between degraded and non-degraded conditions. Weak and delayed alpha and beta ERD in degraded conditions were interpreted as evidence of delayed implementation of covert rehearsal due to the prolonged time necessary to extract a phonological representation from the auditory signal. Findings are interpreted within Analysis by Synthesis to characterize the multi-faceted and temporally distinct contributions of anterior sensorimotor regions to working memory in support of speech discrimination.

Nominal risk categories for actuarial risk assessment information should be grounded in nonarbitrary, evidence-based criteria. The current study presents numeric indicators for interpreting one such tool, the Risk Matrix 2000, which is widely used to assess the recidivism risk of sexual offenders. Percentiles, risk ratios, and 5-year recidivism rates are presented based on an aggregated sample ( N = 3,144) from four settings: England and Wales, Scotland, Germany, and Canada. The Risk Matrix 2000 Sex, Violence, and Combined scales showed moderate accuracy in assessing the risk of sexual, non-sexual violent, and violent recidivism, respectively. Although there were some differences across samples in the distributions of risk categories, relative increases in recidivism for ascending risk categories were remarkably consistent. Options for presenting percentiles, risk ratios, and absolute recidivism estimates in applied evaluations are offered, with discussion of the advantages, disadvantages, and limitations of these risk communication metrics.

Attempts at classifying sexual offenses and the persons who commit them are reviewed relative to different ways that classifications can have value. Classifying offenses continues to be a productive exercise. The diversity of novel types of offending is being mapped and the identification of psychologically meaningful behavioral themes within broad categories of offense is promising as is the application of Routine Activities theory to target selection scripts. Classifying those who commit sexual offenses, despite considerable research effort being expended in the endeavor, has turned out to be less productive with typological models being largely superseded by dimensional systems. However, the development of standardized risk classes has value for improving communication in the sub-field of actuarial risk assessment and the development of theory-based prototypes has potential for theory development.

The present study investigated whether a latency-based Go/No-Go Association Task (GNAT) could be used as an indirect measure of sexual interest in children. A sample of 29 individuals with a history of exclusive extrafamilial offenses against a child and 15 individuals with either a history of exclusive intrafamilial or mixed offenses (i.e., against both adults and children) were recruited from a treatment center in the United States. Also, a sample of 26 nonoffenders was recruited from a university in the United Kingdom. All participants completed the Sexual Fantasy-GNAT, a Control-GNAT, and two self-report measures of sexual fantasy. It was hypothesized that, relative to the two comparison groups, the extrafamilial group would respond faster on the block that paired "sexual fantasy" and "children." Also, GNAT scores were expected to correlate with child-related sexual fantasies. Support was found for both hypotheses. Response-latency indices were also found to effectively distinguish the extrafamilial group, as well as those who self-reported using child-related sexual fantasies. The implications of these findings, along with the study's limitations and suggestions for future research, are discussed.

This paper reviews recent research into four different approaches to the assessment of offense-related sexual deviance. Two of these approaches, structured rating scales and phallometry, have a sufficient basis in research for clinical use but have undergone significant refinements in recent years. One approach, the use of cognitive tasks to indirectly assess sexual deviance, is approaching the point where it has a sound research basis for clinical use though too many promising tasks have yet to make the transition from laboratory to clinical practice. This approach has however begun to map the earlier stages of sexual response including preconscious processes. The final approach, assessment through neuroimaging, is at the earliest stage of development with research findings having yet to reach sufficient stability for clinical application. Existing assessment technologies, despite their limitations, allow professionals to assess offense-related sexual deviance. New approaches, currently being developed, potentially allow a better understanding of underlying processes and, when sufficiently mature, will be more therapeutically useful.

The Propensities Model is now the dominant applied conceptualization of dynamic risk factors for sexual offending. In this paper five important limitations of this model are identified: it asserts ...

Recently, Wollert and colleagues proposed that sex offender recidivism estimates should be stratified by age and they developed an age-stratified scale called the MATS-1 (Multisample Age-Stratified Table of Sexual Recidivism). The purpose of this article is to highlight concerns with the development of the MATS-1 and to validate the scale using 3,510 sex offenders from 14 unique samples. Concerns with the scale’s development fall into three categories: approximations leading to considerable loss of precision, absence of appropriate statistical tests, and the use of inappropriate statistical techniques. The predictive accuracy of the MATS-1 (Area Under the Curve [AUC] = .663) was significantly lower than Static-99R (AUC = .708). The MATS-1 also significantly underestimated recidivism for some offenders. Both the relative and absolute predictive properties of the MATS-1 were not stable across samples. We conclude that the MATS-1 is not appropriate to use for applied risk assessment. Proposals are made for alternate ways to develop risk scales using the age-stratification method.

This review summarizes and critically examines the changes in how the Diagnostic and Statistical Manual of Mental Disorders (DSM) characterizes paraphilias. Attention is paid to the diagnostic options that were included in DSM-5, the decision not to include criterion sets for two additional disorders (paraphilic coercive disorder and hypersexual behavior disorder), and the further decision not to modify the diagnosis of pedophilic to pedohebephilic disorder. The three most significant changes are (a) the move to distinguish paraphilias from paraphilic disorders (allowing unusual sexual interests to be studied by researchers but only regarded as disorders when they cause distress or dysfunction), (b) introducing criteria describing paraphilic disorders as being in remission (when they no longer cause distress or dysfunction), and (c) clarifying the relationship between behavior and paraphilias. Concerns are noted about the forensic use of diagnoses and the lack of funding for field trials in this revision of the DSM. Suggestions are given for future directions in order to further research efficacy and clinical diagnosis.

This study examines the integration of statistical and psychological risk factors using psychometric markers of psychopathology and psychosexual characteristics from the Static-99 in 119 sexual offenders. Psychological risk markers are combined to approximate four deviancy domains: sexual interests, distorted attitudes, socio-affective functioning, and self-management. The sexual interests domain predicts sexual reconviction independent of Static-99. The four deviancy domains are used to calculate the Psychological Deviance Index, which was also found to predict sexual reconviction independent of Static-99. Organizing the Static-99 risk items into three subscales (sexual deviance, general criminality, and immaturity) reveals a distinct pattern of correlations within the psychological markers and risk domains. The Static-99 sexual deviance and general criminality subscales make modest predictions. Results support the use of integrating statistical and psychological markers within a risk domains framework in predicting sexual reconviction.

Empirical actuarial risk tools are routinely used to assess the recidivism risk of adult sexual offenders. Compared with other forms of risk assessment, one advantage of actuarial risk tools is that they provide recidivism rate estimates. Previous research, however, suggests that there is considerable variability in the recidivism rates associated with the most commonly used sexual offender risk assessment tools (Static-99/R, Static-2002/R). The current study examined the extent to which the variability in the recidivism rates across 21 Static-99R studies ( N = 8,805) corresponded to the normative groups proposed by the STATIC development group (routine, treatment, high risk/high need). We found strong evidence that routine (i.e., complete) samples were, on average, less likely to reoffend with a sexual offense than offenders in the high-risk/high-need samples (i.e., those explicitly preselected on risk-relevant variables external to STATIC scales). The differences between routine/complete and high-risk/high-need samples, however, were only consistently observed for offenders with low or moderate scores; for offenders with high STATIC scores, the 5-year sexual recidivism rates for these two groups were not meaningfully different. There was only limited evidence to support treatment samples as a distinct sample type; consequently, the use of separate normative tables for treatment samples is not recommended. The current results reinforce the value of regularly updating the norms for empirical actuarial risk tools. Options are discussed on how STATIC scores could be used to inform recidivism rates estimates in applied assessments.

This study was designed to compare the Adam Walsh Act (AWA) classification tiers with actuarial risk assessment instruments and existing state classification schemes in their respective abilities to identify sex offenders at high risk to re-offend. Data from 1,789 adult sex offenders released from prison in four states were collected (Minnesota, New Jersey, Florida, and South Carolina). On average, the sexual recidivism rate was approximately 5% at 5 years and 10% at 10 years. AWA Tier 2 offenders had higher Static-99R scores and higher recidivism rates than Tier 3 offenders, and in Florida, these inverse correlations were statistically significant. Actuarial measures and existing state tier systems, in contrast, did a better job of identifying high-risk offenders and recidivists. As well, we examined the distribution of risk assessment scores within and across tier categories, finding that a majority of sex offenders fall into AWA Tier 3, but more than half score low or moderately low on the Static-99R. The results indicate that the AWA sex offender classification scheme is a poor indicator of relative risk and is likely to result in a system that is less effective in protecting the public than those currently implemented in the states studied.

This research explored empirical dimensions of sex offender recidivism risk. Study 1 portrayed descriptive statistics and factor structure information concerning actuarial risk instruments and diagnoses derived from a sample of sex offenders being evaluated for civil commitment in Wisconsin. Study 2 used a sample from England and Wales to analyze the relationships between individual risk factors commonly found as items within actuarial scales. Factor structure results from Study 2 conceptually overlapped those found in the first sample, and variables developed from this factor structure predicted sexual reconviction as well. Results from these two studies are discussed in terms of separable components of risk for sexual recidivism and the roles those components may play in processes underlying sexual reoffense.

This paper describes the construction and testing of a framework for dynamic risk assessment. A review of previous studies identified 4 domains into which dynamic risk factors for sexual offending seem to fall. These were sexual interests, distorted attitudes, socioaffective functioning, and self-management. Psychometric indicators for 3 of the domains were identified, and 2 studies are reported using these indicators to test the framework. Study 1 divided men serving a prison sentence for a sexual offense against a child into 2 groups-those with a previous conviction of this kind (Repeaters) and those for whom this was the only time they had been sentenced for such an offense (Current Only). The Repeaters were found to show more distorted attitudes, worse socioaffective functioning, and poorer self-management than did the Current Only group. Study 2 used a simple algorithm to combine these psychometric indicators into an overall "Deviance" classification. Reconviction data was obtained for offenders classified as high, moderate, or low on Deviance. Sexual reconviction was found to be monotonically associated with the Deviance classification. Logistic regression analysis showed that both static variables (Static-99) and the Deviance classification made independent contributions to prediction. It is suggested that risk assessment procedures should combine these 2 approaches.

A new national prison strategy for the assessment and treatment of sex offenders in England is described. Its main features are the potential inclusion of all convicted sex offenders sentenced to 4 or more years in prison, a coordinated and systematized assessment and treatment package, reliance on nonspecialist personnel to deliver treatment, and the integration of population and program research. Individuals are allocated to treatment depending on an assessment of the seriousness of their offending and their risk of reoffending, using an algorithm based on conviction history. The rationale underlying key decisions is described, and issues raised by the program are discussed.

Meta-analysis (R. K. Hanson & M. T. Bussière, 1998) has indicated an overall negative correlation between age and sexual recidivism, but also found that the size of this inverse relationship varies significantly between samples. The present study examined the relationship between age on release and sexual recidivism in a large (N = 75 2), nationally representative, sample of imprisoned male sexual offenders followed up for 10 years. Sexual offenders released at a younger age tended to be more general criminals while those released at an older age tended to be sexual specialists. Consistent with C. F. Roberts, D. M. Doren, and D. Thornton (2002), age on release was found to make a significant contribution to the prediction of sexual reconviction when two aspects of criminal history (sexual deviance and general criminality) were controlled. Overall, the odds of being sexually reconvicted declined by about 0.02 with each year of increasing age. In addition to this general decline in recidivism with increasing age, there was also a cubic effect of age for the offenders who had been sentenced for sexual offenses on at least two prior occasions. This group showed an exceptionally high sexual recidivism rate when released between the ages of 18-24 (80%). For those aged between 25 and 59 their sexual reconviction rate was consistently just under 50% regardless of age. Then for the small group aged 60+ no further sexual reconvictions were found.

This paper describes an approach to treatment for sexual offenders who are in categorical denial. Other efforts to have them, at least partially, admit responsibility had failed and they were to be released from prison without any treatment. Evidence that suggests denial is not predictive of risk and that treatment may reduce the risk of these offenders is reviewed. Essentially, this paper offers a possible approach to dealing with these intractable deniers which, it is suggested, is better than not trying to modify their risk, and that may prove to be effective.