Caoilte Ó Ciardha

The cognitive distortions of child molesters are in need of treatment

Abstract This paper forms the second part of a debate led by Marshall, Marshall, and Kingston (2011) regarding the need to address so-called cognitive distortions in sexual offender treatment. In their paper, Marshall et al. argue that so-called cognitive distortions may not necessarily require intense and focused attention or challenge throughout treatment. In evaluating Marshall et al.s arguments, we highlight some inherent differences in how both Marshall et al. and ourselves choose to define the term “cognitive distortion”. We surmise that these key definitional differences appear to account for many of the issues that we “debate”. In particular, for example, Marshall et al. focus their arguments regarding cognitive distortions more explicitly upon excuses, denial and minimisations, whereas we choose to focus upon schemas and higher-order belief structures. Thus, we argue that the broadness and vagueness of the term “cognitive distortion” can lend itself to quite different interpretations and research foci. We offer some alternative views to Marshall et al.s position and advocate the consideration of cognitions with an aetiological role in offending. We conclude with some suggestions for future research and treatment.

Theories of Cognitive Distortions in Sexual Offending What the Current Research Tells Us

Cognitive distortions in sex offenders are specific or general beliefs/attitudes that violate commonly accepted norms of rationality that have been shown to be associated with the onset and maintenance of sexual offending. In this article, we describe the major theories that have been formulated to explain the role of distorted cognition in initiating and maintaining sexual offending. We evaluate each theory in light of a set of theory appraisal criteria and the available empirical research. Finally, we conclude by drawing together the results of this theory evaluation process and highlight the major implications for treatment and future research.

Using a Pictorial-Modified Stroop Task to Explore the Sexual Interests of Sexual Offenders Against Children

The results of two studies are reported examining the utility of a pictorial-modified Stroop task (P-MST) in the assessment of sexual interest in a sample of nonoffending participants and of sexual offenders against children. A mixed factorial design was adopted for both. Nine gay and 12 straight participants took part in the first study which found that participants typically had attentional bias on the P-MST that was in line with their stated sexual interests. Twenty four sexual offenders against children and 24 control participants took part in the second study. Again results indicated that the task was tapping into the participants’ stated sexual interests. Furthermore, extrafamilial offenders and offenders with an admitted sexual interest in children demonstrated the greatest mean bias for child stimuli relative to adult stimuli. A cautious interpretation of the results was recommended, given the sample size in the study, the heterogeneity of the sample, differences in cognitive speed among offenders and controls and other methodological caveats.

Women Who Sexually Offend Display Three Main Offense Styles: A Reexamination of the Descriptive Model of Female Sexual Offending

This study examined a theory constructed to describe the offense process of women who sexually offend—the Descriptive Model of Female Sexual Offending (DMFSO). In particular, this report sets out to establish whether the original three pathways (or offending styles) identified within United Kingdom convicted female sexual offenders and described within the DMFSO (i.e., Explicit-Approach, Directed-Avoidant, Implicit-Disorganized) were applicable to a small sample (N = 36) of North American women convicted of sexual offending. Two independent raters examined the offense narratives of the sample and—using the DMFSO—coded each script according to whether it fitted one of the three original pathways. Results suggested that the three existing pathways of the DMFSO represented a reasonable description of offense pathways for a sample of North American women convicted of sexual offending. No new pathways were identified. A new “Offense Pathway Checklist” devised to aid raters’ decision making is described and future research and treatment implications explored.

Male imprisoned firesetters have different characteristics than other imprisoned offenders and require specialist treatment.

Objective: This study investigated whether a group of firesetters (n = 68) could be distinguished, psychologically, from a matched group of non-firesetting offenders (n = 68). Method: Participants completed measures examining psychological variables relating to fire, emotional/self-regulation, social competency, self-concept, boredom proneness, and impression management. Official prison records were also examined to record offending history and other offense-related variables. A series of MANOVAs were conducted with conceptually related measures identified as the dependent variables. Follow-up discriminant function and clinical cut-off score analyses were also conducted to examine the best discriminating variables for firesetters. Results: Firesetters were clearly distinguishable, statistically, from non-firesetters on three groups of conceptually related measures relating to: fire, emotional/self-regulation, and self-concept. The most successful variables for the discrimination of firesetters determined via statistical and clinical significance testing were higher levels of anger-related cognition, interest in serious fires, and identification with fire and lower levels of perceived fire safety awareness, general self-esteem, and external locus of control. Conclusions: Firesetters appear to be a specialist group of offenders who hold unique psychological characteristics. Firesetters are likely to require specialist treatment to target these psychological needs as opposed to generic offending behavior programs.

Pupillary Response as an Age-Specific Measure of Sexual Interest

In the visual processing of sexual content, pupil dilation is an indicator of arousal that has been linked to observers’ sexual orientation. This study investigated whether this measure can be extended to determine age-specific sexual interest. In two experiments, the pupillary responses of heterosexual adults to images of males and females of different ages were related to self-reported sexual interest, sexual appeal to the stimuli, and a child molestation proclivity scale. In both experiments, the pupils of male observers dilated to photographs of women but not men, children, or neutral stimuli. These pupillary responses corresponded with observer’s self-reported sexual interests and their sexual appeal ratings of the stimuli. Female observers showed pupil dilation to photographs of men and women but not children. In women, pupillary responses also correlated poorly with sexual appeal ratings of the stimuli. These experiments provide initial evidence that eye-tracking could be used as a measure of sex-specific interest in male observers, and as an age-specific index in male and female observers.

Measuring sexual interest using a pictorial modified Stroop task, a pictorial Implicit Association Test and a Choice Reaction Time task

Abstract Tasks that can measure sexual interest successfully have utility in forensic settings. Prior to use with problematic sexual interest, however, work is needed in validating such tasks. This study focused on the measurement of non-deviant sexual interest. Eleven gay and 14 straight participants each completed a pictorial Implicit Association Test (IAT), a pictorial modified Stroop task (P-MST) and a Choice Reaction Time (CRT) task. Each task was designed to tap into the sexual interest of participants. Stimuli were of males and females in bathing suits, along with control images and sexual and non-sexual words. The IAT was most successful in differentiating between gay and straight participants. The P-MST also performed well, although the tasks position within the battery of tasks seemed to affect the results. The CRT task did not show group differences successfully. Theoretical and methodological implications of the effectiveness of the three tasks in tapping into sexual interest are discussed.

The Screening Scale for Pedophilic Interests (SSPI): Construct, Predictive, and Incremental Validity

This study of 410 adult male sex offenders against children, using data from the Dynamic Supervision Project (Hanson, Harris, Scott, & Helmus, 2007), examined the construct, predictive, and incremental validity of the Screening Scale for Pedophilic Interests (SSPI; Seto & Lalumière, 2001), a brief proxy measure of phallometrically assessed sexual response to children that is based on sexual victim characteristics. As predicted, the SSPI was significantly related to the Deviant Sexual Interests item on the STABLE-2007 (Hanson et al., 2007), a dynamic risk measure encompassing multiple domains, and with the Deviant Sexual Interests item from its predecessor, the STABLE-2000 (Hanson et al., 2007). The SSPI was unrelated (or more weakly related) to items measuring general antisociality. In addition, the SSPI significantly predicted sexual recidivism, defined as new charges or convictions for sexual offenses, and a broader sexual recidivism outcome that included breaches of community supervision conditions that might involve sexually motivated behavior (e.g., being in the presence of children unsupervised). The SSPI did not add to the predictive accuracy of 2 actuarial risk measures, the Static-99R and Static-200R (Helmus, Thornton, Hanson, & Babchishin, 2012), but it did add to the predictive accuracy of the STABLE-2007. Additional analyses suggest the SSPI can serve as a substitute for the STABLE-2007 Deviant Sexual Interests item, if necessary (e.g., in archival research), when assessing sexual offenders against children.

Community Males Show Multiple-Perpetrator Rape Proclivity: Development and Preliminary Validation of an Interest Scale

The literature on Multiple Perpetrator Rape (MPR) is scant; however, a significant proportion of sexual offending involves multiple perpetrators. In addition to the need for research with apprehended offenders of MPR, there is also a need to conduct research with members of the general public. Recent advances in the forensic literature have led to the development of self-report proclivity scales. These scales have enabled researchers to conduct evaluative studies sampling from members of the general public who may be perpetrators of sexual offenses and have remained undetected, or at highest risk of engaging in sexual offending. The current study describes the development and preliminary validation of the Multiple-Perpetrator Rape Interest Scale (M-PRIS), a vignette-based measure assessing community males’ sexual arousal to MPR, behavioral propensity toward MPR and enjoyment of MPR. The findings show that the M-PRIS is a reliable measure of community males’ sexual interest in MPR with high internal reliability and temporal stability. In a sample of university males we found that a large proportion (66%) did not emphatically reject an interest in MPR. We also found that rape-supportive cognitive distortions, antisocial attitudes, and high-risk sexual fantasies were predictors of sexual interest in MPR. We discuss these findings and the implications for further research employing proclivity measures referencing theory development and clinical practice.

Specialist group therapy for psychological factors associated with firesetting: Evidence of a treatment effect from a non-randomized trial with male prisoners

Despite huge societal costs associated with firesetting, no standardized therapy has been developed to address this hugely damaging behavior. This study reports the evaluation of the first standardized CBT group designed specifically to target deliberate firesetting in male prisoners (the Firesetting Intervention Programme for Prisoners; FIPP). Fifty-four male prisoners who had set a deliberate fire were referred for FIPP treatment by their prison establishment and psychologically assessed at baseline, immediately post treatment, and three-months post treatment. Prisoners who were treatment eligible yet resided at prison establishments not identified for FIPP treatment were recruited as Treatment as Usual controls and tested at equivalent time-points. Results showed that FIPP participants improved on one of three primary outcomes (i.e., problematic fire interest and associations with fire), and made some improvement on secondary outcomes (i.e., attitudes towards violence and antisocial attitudes) post treatment relative to controls. Most notable gains were made on the primary outcome of fire interest and associations with fire and individuals who gained in this area tended to self-report more serious firesetting behavior. FIPP participants maintained all key improvements at three-month follow up. These outcomes suggest that specialist CBT should be targeted at those holding the most serious firesetting history.