Orest E. Wasyliw

Psychological aspects of sexual functioning among cleric and noncleric alleged sex offenders.

Cleric sexual misconduct with minors is a problem receiving increased attention from the media, victims groups, and church authorities. Mental health professionals are increasingly being asked to assist church and civil authorities to help better understand the problem of cleric sexual misconduct with minors. In the current study we compared self-reported sexual functioning among cleric alleged child molesters, noncleric alleged child molesters, and normal control subjects. We hypothesized clerics would differ from nonclerics and normals in reported sexual functioning. Our sample included 30 Roman Catholic clerics and 39 nonclerics who were alleged to have engaged in sexual misconduct with minors, and 38 normal control subjects, all of whom took the Derogatis Sexual Functioning Inventory (DSFI) as part of their forensic psychiatric evaluation. Our results indicated clerics were more likely to report fewer victims, older victims, and victims of male gender than noncleric alleged child molesters. Clerics differed from nonclerics and normal control subjects on several dimensions of self-reported sexual functioning. Lower offense rate histories among clerics suggest that, as a group, clerics may be less seriously psychologically disordered than noncleric child molesters. Low DSFI scores among Roman Catholic clerics may be accounted for in part by their unique training and socialization process. Future studies should attempt to study the influence of social desirability on DSFI scores. Normative data from nonoffending celibate clergy are needed.

Cycle of abuse and psychopathology in cleric and noncleric molesters of children and adolescents

Sexual abuse in childhood is frequently reported among sex offenders and has been hypothesized to be one of a number of psychological factors etiologically related to perpetration of child molestation in adulthood. In the current study we examine a sample of cleric and noncleric admitted child molesters and normal control subjects in their exposure to sexual abuse in childhood and current psychopathology. Odds ratios for the association between exposure to sexual abuse and child molestation were obtained while adjusting for group differences in demographic and psychological characteristics. Results indicated exposure to sexual abuse in childhood was associated with becoming a child molester for both cleric and noncleric offenders (p < .0002). Nonclerics indicated more severe psychopathology than clerics. Sexual abuse in childhood is one of many risk factors for becoming a perpetrator of child molestation in adulthood for both cleric and noncleric child molesters. Noncleric offenders demonstrated more sociopathy and mental disorder in general while cleric offenders indicated more sexual conflictedness, suggesting different psychoetiologies of offending among cleric and noncleric child molesters.

Profiling Psychological Distortion in Alleged Child Molesters

Sex offenders frequendy show denial and distortion during forensic psychological evaluations, but research into assessment of rationalizations and cognitive distortions among sex offenders has been limited We examined patterns of psychological distortion in 59 alleged child molesters. We compared fake-good and fake-bad orientations on the MMPI with psychological distortion on the Multiphasic Sex Inventory questionnaire which assesses various psychosexual characteristics among sex offenders. Analysis indicated that distortion on the Multiphasic Sex Inventory indices of minimization and exaggeration was significantly associated with response-bias on the MMPI. Cognitive-distortion indices were highly influenced by response-bias. Admitters differed from deniers on scales with items requiring admission or denial of offenses. Caution is warranted in clinical interpretation of the validity scales of this questionnaire, which are of limited utility for deniers. Subtle items on cognitive-distortion indices may be useful in assessment of those who deny and should be subjected to further research.

Evaluating insanity: A study of construct validity.

In place of the individualistic-subjective approaches to insanity evaluations, a specific criterion-based construct of insanity is proposed and examined. This construct entails the presence of a severe mental disorder which has substantially impaired the individuals cognitive and/or behavioral control. The construct was tested through the utilization of a specifically designed protocol (RCRAS) on 73 insanity evaluations from three forensic settings. Estimates of inter-rater reliability were obtained by indepedent rating of 25 cases, and yielded satisfactory to exceptionally high reliability coefficients (mean kappar=0.77). Results of a discriminant analysis and MANOVA generally confirmed the validity of the construct, demonstrating that insane patients were evaluated as having more severe psycho-pathology and a greater loss of cognitive and behavioral control.

Adjustment of the Not Guilty by Reason of Insanity (NGRI) Outpatient: An Initial Report

Adjustment to outpatient treatment of not guilty by reason of insanity (NGRI) patients following discharge from inpatient settings was explored by following 44 subjects in a 2-year, longitudinal study. Data obtained for each subject included demographic characteristics, Schedule for Affective Disorders and Schizophrenia-Research Diagnostic Criteria (SADS-RDC) diagnosis, and Minnesota Multiphasic Personality Inventory (MMPI). Repeated measures included the Schedule for Affective Disorders and Schizophrenia-Change Form (SADS-C), Symptom Checklist 90 (SCL-90), and Holmes ahe Inventory. No recidivism occurred for any crime against persons, 25% of subjects were rehospitalized, and those subjects remaining in outpatient treatment showed a general pattern of stable to modestly improving functioning. Implications for safe and effective community treatment of NGRI acquittees are discussed.

Observed and Self-Reported Psychopathology in NGRI Acquittees in Court-Mandated Outpatient Treatment

Individuals, found not guilty by reason of insanity (NGRI) and involved in court-mandated outpatient treatment, were assessed for patterns of psychopathology. Comparisons of self-report and interview-based methods were made with self- report measures eliciting greater severity on initial evaluations. In general, NGRI acquittees were found to manifest mild to moderate severity of psychopathology with a greater endorse ment of depressive and aggressive symptoms.

Detection of Minimization of Psychopathology on the Rorschach in Cleric and Noncleric Alleged Sex Offenders

The assessment of response-bias is critical in forensic psychological evaluations of alleged sex offenders because sex offenders frequently minimize psychopathology or personal limitations. This study tested predictions based on prior research that minimization on the Rorschach would be reflected by higher P, D, A, Lambda, and PER, and lower R, Blends, and Zf. We divided a sample of cleric and noncleric alleged sex offenders according to (a) whether they showed minimization on the MMPI, and (b) whether they admitted to their charges. We then compared these groups on the purported Rorschach validity indices. Our results do not support the use of any of these Rorschach scores in the assessment of minimization. We recommend that in forensic psychological evaluations, the Rorschach should not be used to assess defensiveness and is best used in combination with other psychometric instruments more sensitive to response-bias.