Lec 9/ Ch 13, 14 Flashcards
IPV
- Domestic violence
- IPV
- type of ??
- 4 types (PSEF)
-
Domestic violence: violence b/w family members
- Typically occurs in private settings
- In Canada, there’s more attention to domestic violence since the 80s b/c of social activism.
-
Intimate partner violence: violence b/w intimate partners
- A specific type of domestic violence; sometimes called “spousal violence”
- Physical abuse (e.g., hitting, punching)
- Sexual abuse (i.e., forcing sex)
- Financial abuse (e.g., restricting access to personal funds)
- Emotional abuse (e.g., verbal attacks, degradation)
Measurement
- Measurement for IPV?
- 5 subscales PPSIN
-
Meta-Analysis on CTS
- F: Type of violence
- M: Type of violence
- IPV vs normal men
- Violence among uni/community: M vs F?
- Partner report vs self report
- male vs female report
- 3 criticisms
- scales does no access…
- Conflict Tactics Scale - measure IPV
- Self-report engaging and exp b, 40 items
- 5 subscales – sample items
-
Negotiation subscale (lack violence, eval healthy strategies)
- Explained side of argument
- Respected partner’s feelings
- Suggested compromise to an argument
-
Psychological Aggression
- Insulted or swore at partner
- Called partner fat or ugly
- Destroyed something of partner’s
-
Physical Assault
- Slapped partner
- Sexual Coercion
- Injury Scale
-
Negotiation subscale (lack violence, eval healthy strategies)
Meta-Analysis on CTS
- F: use minor physical aggression (e.g., slapping, kicking) & verbal aggression
- M: beat up or choke partners
- Men in treatment for IPV hv higher rates of minor & physical violence than community samples
- Good validity proof: men w/ IPV actually are more violent
- Ppl in community & uni: M & F commit equal amounts of violence
- People self-report fewer violent acts than their partners’ report; males are more likely to under-report
Criticisms of the CTS/CTS2
- Criticism 1: do not assess all potential violent acts
- Impractical to list out all types of violence
- Criticism 2: do not assess motives for violence; initiating and responding with violence are treated equally.
- Criticism 3: do not account for the diff cons of the same act for M vs F (e.g., getting punched by M vs F)
- Statistics Canada (2016): 40% of women vs. 24% of men report being injured in their most recent violent episode
Q&A
- Is intimate partner violence always male-initiated?
- Do gay and lesbian couples show similar patterns of intimate partner violence?
Stat Can GSS Findings
- General Findings: last 12 mo vs 5 yr
- Gender: (which gender)
- sever forms of IPV
- Get injured
- % IPV reported to police
- Why ppl don’t report?
- Which gender orientation more likely to report?
- Abor
- IPV prevalence
- Prevalence contact police
- Others
- Common in current vs past relationships
- Age w/ least?
- Q: Is intimate partner violence always male-initiated?
- A: No. 2 most common types of violence were mutual mild and mutual severe violence.
- Q: Do gay and lesbian couples show similar patterns of intimate partner violence?
- A: No. Gay men are often both perpetrators and victims;
- Lesbian couples tend to socially isolate themselves; bad b/c social isolation predicts increased physical abuse.
Findings from the General Social Survey (stat Canada, 2014)
- modified version of the CTS
- asked IPV in the last 12 mo and past 5 years
-
General Findings
- 1% experiencing physical or sexual assault in the last 12 months
- 4% experiencing physical or sexual assault in the last 5 years
-
Gender
- F report experiencing more severe forms of IPV than men
- Women more likely to get injured (40% vs 24%)
- 20% IPV reported to police; violence against women more likely to be reported
- common reason for not reporting: victims felt it was a personal matter
-
Sexual Orientation
- Lesbian and bisexual women were 4x more likely to report violence than heterosexual women
-
Aboriginal Populations
- had 2x more the amount of IPV than non-Abor (10 vs 5%) over last five years
- Abor F more likely tb victimized than non-abor F
- Experience and witness more abuse as children
- more likely to contact the police than non-Abor
- Despite relying on law enforcement more, Abor F still experience a higher incidence of IPV
- Violence is more common in prev partners than in current relationships
- Rates of violence across age is similar; lower among older couples (55+)
TB: IPV Among uni students
- Dating violence in CAN
- Sexual coercion in CAN
Psychological Theories of IPV
-
Social learning theory
- observational learning
- Major learning sources
- Rewards
- Which gender is more likely to have observed parent IPV?
- define Instigators
-
2 types
-
Aversive instigators:
- emotional funnel system”
- Incentive instigators
-
Aversive instigators:
- define regulators
- 2 types
- external punishment
- self punishment
- What situation is violence likely to happen?
- 2 types
-
Evo theory
- Premise
- Strength of EVO theory
- Stepkids
- Canadian dating physical violence rates were lower than half of surveyed countries
- Had higher rates of sexual coercion compared to other countries
Psychological Theories of IPV
- Social Learning Theory (Albert Bandura)
-
Observational learning: Ppl learn new b observing the rewards and punishments of others (vicarious learning)
- Major learning sources: Fam, subculture, media
- Rewarding imitated b → more likely to get repeated
- Male batterers are more likely to have witnessed parental violence than nonviolence
-
Instigators: events that act as a stimulus for an acquired behavior
-
Aversive instigators: produce emo arousal;
- male batterers tend to label diff emo (ex. guilt, shame) states as anger (“emotional funnel system”)
- IOW: funnel all emotions as “anger”
- Incentive instigators: perceived rewards; perception that aggression can satisfy needs
-
Aversive instigators: produce emo arousal;
-
Regulators: consequences of behavior
- External punishment—ex getting arrested
- Self-punishment, ex— remorse
- If rewards outweigh regulators (and there are no alt/coping strategies) → high chance of violence
- Evolutionary Psychology
- selective pressures → losing access to resources (e.g., sexual competitors → lose sex)
- So humans evolve strategies to protect resources
- IPV may be one such strategy
- E.g., Emotional abuse → partner feel unloveable by others, discouraging them to leave
- E.g., Physical abuse → prevent partner show interest in other potential mates
- Major learning sources: Fam, subculture, media
- Strength of EVO theory: Makes specific predictions
- IPV is more likely when there is sexual infidelity, when one more attractive, in families involving stepchildren
- Step kids → male is he is raising offspring that aren’t his -> can’t pass his own genes
Why Do Battered Women Stay?
- Ewing and Aubrey reason
- 3 stage cycle of abuse model (HAT)
- 3 stages
- critique
- Learnt helplessness
- explanation
- 2 critiques
- Survey
- 3 Primary reasons for leaving
- 4 Reasons for returning at least once
- Survey
- 4 predictors of leaving
- 2 Outcomes of leaving
Ewing and Aubrey (1987)
- show hypothetical scenario couple w/ IPV
- Ppl rate their agreement with some statements
- Ppl agree w/ the “myths”
- Point: women stay for complex reasons
3-stage cycle of abuse (Walker)
- 1 Tension-building: interpersonal tension, poor communication, victim is fearful
- 2 Acting-out: violent, abusive incident
- 3 Honeymoon: abuser apologizes, affection returns
- Critique: not very predictive of IPV; phases don’t always appear in order among IPV
Learned Helplessness (Seligman)
- Battered women just “give up”
- Critique:
- (1) Battered women pretends to be passive so they don’t get more hurt/appease abuser
- (2) Many women do attempt to leave
Johnson, 1996
- 40% leave
- Primary reasons: fear of increasing severity, kids witness the violence, reporting violence to police
- 70% of women returned home at least once
- Primary reasons: for the sake of the children (31%), give relationship another change (24%), husband promised to change (17%), money/shelter (9%)
- Kim and Gray (2008)
- Predictors of leaving: more financial dependence, less fear of leaving, higher SE, more internal locus of control
- One year after leaving: women had more vitality, better mental health, and more relationships
- But still scored below average on these variables
Other TB info
- Male IPV and animal abuse
- Delay leaving and animal welfare
- Battered Woman Syndrome - R. v. Lavallee (1990)
- incident
- SCC ruling
*
- 40% of IPV men committed at least 1 act of animal abuse (vs 2% in general pop)
- Another reason women delay leaving is out of concern for their animals’ welfare
Box 13.4 Battered Woman Syndrome - R. v. Lavallee (1990)
- Wife: Angelique Lavallee
- Husband: Kevin Rust
- Kevin is abusive for many years
- During party, Kevin abused Angelique, Angelique shot and killed him
- Trial: acquitted; Appeal: charged
- Husband fits Walker’s cycle of violence: abuse → nice → abuse
- SCC – restore acquittal
- battered wife/woman syndrome exists: cumulative years of abuse → induce severe terror → shooting
- Self-defence apply
TB: Types of Male Batterers
- 3 types (fam, borderline, violent)
- Lv of violence
- Pattern of violence
- PD
- Attitude on supporting violence
- Impulse control
- Attachment to partner
- How common
Typologies for F batterers
- 2 types
- Motive
Typologies of Male Batterers
- 3 types of male batteres
- Family only
- Dysphoric/borderline
- Generally violent/antisocial
- Family-only batterer (least violence)
- Not violent outside home
- No psychopathology
- No -ve attitude supporting violence
- Mod impulse control problems
- No issue w/ attachment to partner
- Most common (50% of batterers)
- Dysphoric/borderline batterer (mod to severe)
- Show some violence outside fam/ criminal b
- borderline PD; jealous
- Mod problems w/ impulsivity, and drug use
- Preoccupied attachment style
- 25% of batterers
- Generally violent/ antisocial batterer
- Violent outside of home/ criminal b
- Antisocial and narc PD
- Violence-supportive beliefs
- Impulse control problems; use drugs
- Dismissive attachment style
- 25% of batterers
- Studies support this typology in offender and community samples of male batterers
Typologies for F batterers
- 2 types
- Partner-only group (PO)
* Use reactive violence out of fear and self defense
- Partner-only group (PO)
- Generally violent (GV) group
* More instrumental violence
* Experienced more trauma; physical abuse from moms
- Generally violent (GV) group
Police Discretion: Mandatory Charging Policies
- Prior, wife battering
- 1980s mandatory charging policies
- Effectiveness: employed vs not
- Dual arrests
Police Discretion: Mandatory Charging Policies
- b4, Wife battering is a family matter; police only help restore calm.
- 1980s, mandatory charging policies came into effect
- Police can lay charges if there is reasons to believe domestic assault occurred
- b4, women had to charge their partners; most were fearful → fewer charges
- Police can lay charges if there is reasons to believe domestic assault occurred
- Study: this policy deter employed men (lower recidivism rates) but not for unemployed.
- Arrests increase court-mandated treatment
- Dual arrests happen when
- police cannot determine who is the primary aggressor
- AND there are minor injuries to both parties
IPV treatment
- Duluth model
- assumption
- drop out
- 4 criticisms
- CBT
- Assumption
- how is violence reinforced
- Treatment goal
- Study results
- recidivism b/w treatments
- recidivism b/w completed vs incomplete treatments
6 Predictors of treatment completion
1 issue w/ treatment
Duluth Model: Feminist psychoeducational program
-
Assume all men are patriarchy; treat these beliefs
- Treatment atmosphere is blaming and punitive
- High drop-out rate (up to 75%)
-
Criticisms
- Focuses on violence done by men to women; neglects woman-to-man and woman-to-woman violence;
- Views violence as one-sided but violence is often mutual (cannot only be the man that needs to change);
- Uses shaming—fails to establish therapeutic alliance between client and therapist
- For therapy to be effective and ppl don’t drop off -> dev trust
- Violence is multi-dimensional, but the Duluth Model mostly focused on power and control in relationships.
- has negligible success
-
Cognitive Behavioral Therapy (CBT):
- Violence is learned behavior
- violence is reinforced as victim becomes compliant and this reduces feelings of tension.
- dev alternatives to violence (e.g., anger management and communications skills training)
- No diff b/w IPV treatments on recidivism
- men who completed treatment were less than half as likely to be re-arrested for IPV
Predictors
- specific goals approved by counsellor
- employed
- older
- court-mandated treatment
- Tailor treatment to batterer type
- The couple go to therapy together
- Issue w/ treatment
- Victim may have a false sense of security
- If the batterer sought treatment, victim is more likely to return to batterer
- CSC Family Violence Prevention Program
- based on which theory?
- What treatment model
- effectiveness?
- issue
- 3 factors predict treatment completion
CSC Family Violence Prevention Programs
- Treatment primer: enhance motivation of potential participants
- Based on social learning model
- Treatment: CBT - identify abusive b → replace w/ alt
- Effectiveness
- Mod to strong treatment effects
- Issue: motivation for treatment differs
- predictors of treatment completion: employed, older aged, court-mandated treatment
Stalking: Definition, Prevalence
- Stalking/criminal harassment cwt
- Condition
- Stat Can 2014
- Gender, age
- group
- victim type
- most common type of relationship b/w stalker and victim
- F vs M
- Issue
- Prevalence of violence
- Predictors of violence
- Stalking and homicide
- Stalking/Criminal harassment: crime that involved repeatedly following, communicating, watching, or threatening a person directly or indirectly
- The person being stalked must fear for his/her own safety, or the safety of someone they know for police to charge them
- Stat Can 2014
- Gender: F more likely
- Age: 15-24
- More common among uni students
- Most stalking victims know their stalkers
- Most common type of relationships
- F stalked by partner prev romantic relationship
- Men stalked by acquaintances
- Stat Can 2014
- Male underreport
- Violence occur in 40% of cases
- Variables sig related to violence
- Mental D
- former intimate relationship
- F who were stalked: 2x more likely tb attempted/actual homicide victims
- Man threaten of harm kids; if the F did not go back to stalker, 9x increase in attempted or actual homicide
Types of Stalker
- 4 types of stalkers
- how common
- why stalking?
- 4 Occupations w/ most stalkers
- motive
- 4 types of stalkers
- Ex-intimate stalker (most common)
* Stalks after intimate relationship break up- Can’t let go of partner
- history of IVP
- Ex-intimate stalker (most common)
- Love-obsessional stalker (rare)
* Stalker has intense emo feelings for victim but never had an intimate relationships- an acquaintance or co-worker
- No symptoms of depression/psychosis
- Love-obsessional stalker (rare)
- Delusional stalker (rare)
* delusions he/she has a relationship w/ victim- Can target celebrity, media figure, or politician
- Delusional stalker (rare)
- Grudge stalkers (rare)
* Stalker who knows and is angry at the victim for perceived injustice
- Grudge stalkers (rare)
- Politicians - mainly hate
- doctors (esp psychiatrists),
- F patients - love
- M patients - not happy w/ treatment
- uni prof have high chance of being stalked
- grades, love, MD
- Celebrities
- love
TB 14: Prevalence of Sexual Violence
- % no consent
- % sexual touching
- % forced sex
- Prevalence Abor vs non-Abor
- Issue of official stats
- Reason of not reporting
- adult victims: 6 reasons
- child victims: 4 reasons
Prevalence of Sexual Violence
- In 2014
- 21k reported cases in CAN
- 10% no consent (drugs/forced)
- 70% sexual touching
- 20% forced sex
- 4.5k sexual assaults against children
- sexual assault among the Abor 2x higher than non-Abor
- Official statistics don’t necessarily provide an accurate measure.
- 95% of adult sexual assault victims didn’t report the assault to police
- Adult victims:
- matter not important enough
- fear revenge
- police can’t find offender
- don’t want to get the offender in trouble
- shame
- feel the matter is personal
- Child victims
- fearful what will happen to them or their parents
- don’t think they’ll be believed
- think they’re somehow to blame
- not fully aware that what happened is unacceptable
- Adult victims:
- 95% of adult sexual assault victims didn’t report the assault to police
TB 14: What is sexual assault
- b4 1980s definition
- 2 issues w/ this definition
- Today’s definition of sexual assault
- 3 types of sexual assault (law definitions)
What is sexual assault
- b4 1980s male has sex with a female who is not his wife…without her consent”
- Issues
- doesn’t take different relationships into account
- doesn’t describe the nature of sexual assault (intercourse)
- Sexual Assault: Any non-consensual sexual act by either a male or female person to either a male or female person, regardless of the relationship between the people involved.
- 3 types of sexual assault (law definitions)
- Simple sexual assault: Maximum sentence = 10 years
- Sexual assault with weapon or causing bodily harm: Maximum sentence = 14 years
- Aggravated sexual assault (victim is wounded, maimed, disfigured, brutally beaten, or in danger of losing her/his life): Max sentence = life imprisonment
TB Ch 14: Consequences for Victims
- Physical cons
- Psychological
- Rape Trauma Syndrome
- 2 phases
- duration
- symptom
- recovery
- PTSD
- 4 main symptoms
- Prevalence of PTSD among sexual violence victims
- 2 phases
- most common perpetrator-victim relationship
- Rape Trauma Syndrome
- Physical: STD, pregnancy
-
Rape Trauma Syndrome: common symptoms after rape
- 2 phases
-
Acute crisis phase:
- duration: days to weeks
- Symptom: fear, anxiety, and depression; ask “why did this happen to me?”; self blame
-
Long-term reactions phase:
- duration: months year
- 25% of women don’t really recover
- develop phobias (e.g.,left home alone); sexual problems and depression; chronic physical symptoms (e.g., poor sleep, muscle tension)
-
Acute crisis phase:
- 2 phases
-
Post-Traumatic Stress Disorder (from DSM-5):
- 4 symptoms
- Avoidance of stimuli
- Reoccurring distressing mem
- -ve altered cog and mood (Details in lec)
- Alter state of arousal and reactivity
- Dissociative symptoms (e.g., flashbacks) in which victim feels like he or she is reliving the event
- 4 symptoms
- Prevalence of PTSD among sexual violence victims
- 1 mo later: 65% of victims hv PTSD
- 9 mo later: 50%
- 15 yo later: 20%
- Myth: sexual assault is mainly committed by strangers - False; by ppl you know
TB 14: Classification of Sexual Offenders
- Voyeurs
- Exhibitionists
- Rapists
-
Pedophile ( 3 types)
- Child molester
- Intra-fam molester
- Extra-fam molester
Types of Rapists
- Revised Rapist Typology, Version 3
- Opportunistic type
- Pervasively angry type
- Sexual type
- Sadistic Type
- Vindictive Type
- Groth - 3 main types
- anger rapists
- power rapists
- sadistic rapists
- Is resisting sexual attack a good idea?
Types of child molesters
- Fixated child molesters
- Regressed child molesters
- Do public sex offender registries make communities safer?
- 3 reasons
- Do public sex offender registries make communities safer?
Classification of Sexual Offenders
- Voyeurs: observing people undressing or hv sex
- Exhibitionists: expose their genitals to strangers
- Rapists: sexually assault victims 16+ yo
-
Pedophile: adult want to have sex w/ kids
- Child molester: sexually molested a children
- Intra-familial molester: sexually abuses own kids or children for whom they play a parental role
- Extra-familial molester: sexually abuses kids outside their own family.
- Not all pedophiles are child molesters; vv is true tho
Rapist Typologies
-
Revised Rapist Typology, Version 3
- Opportunistic type: impulsive, driven by situational factors, not gratuitously violent (e.g., a burglar breaks in a home to steak but impulsively rapes a female occupant)
- Pervasively angry type: high anger; impulsive; use unnecessary force, causes serious injury
- Sexual type: motivated by sexual fantasies
- Sadistic type: motivated by sexual fantasies but includes sadistic elements
- Vindictive type: anger toward women; goal to demean and degrade victims
- Groth - three main types of rapists:
-
Anger rapists Uses more force than necessary to obtain compliance; engages in a variety of sexual acts to degrade victims
- 50% of rapists fit this type
-
Power rapists Seeks to establish dominance and control over victims; force depends on the amount of submission by victim
- 40% of rapists are power rapists
-
Sadistic rapists Obtains sexual gratification by hurting victims
- 5% of rapists are sadistic rapists
- Is resisting sexual attack a good idea? - depends on type of rapist
-
Anger rapists Uses more force than necessary to obtain compliance; engages in a variety of sexual acts to degrade victims
Child Molester Typologies: 2 types
- Fixated child molesters
- Long standing, exclusive preference for kids
- don’t feel remorse
- Regressed child molesters
- Primary sexual orientation is toward adults
- sex interests revert to kids after stressful event or b/c of feelings of inadequacy
- feel remorse after
- Do public sex offender registries make communities safer?
- No, gives false sense of security, no decline in sex offences
- Offenders have low chance of reoffending
- Public registries marginalize them, harder to reintegrate
TB 14: Adolescent, female, and Abor Sexual Offenders
- Adolescent Sexual Offenders
- b4 1980s
- prevalence
- Characteristics
- Gender
- abuse history
- interpersonal issues
- trait
- Female Sexual Offenders
- prevalence
- victim age gp
- victim gender
- 3 reasons why rates of F sexual offences are underest
- Issue w/ studies
- 4 types
- Teacher/lovers
- Male-coerced
- Male-accompanied
- Predisposed
- link b/w VG and sexual assault myths
- Paul Bernardo: rapist type
- Female Sexual Offenders
- Aboriginal Sex offenders
- Prevalence of Abor offenders w/ sex offence
- Characteristics
- OH
- Victim type
Adolescent Sexual Offenders
- B4 1980s: Sexually aggressive teens were seen as them experimenting
- sig portion of rapes are done by teens (20%)
- Characteristics
- 90% were male
- are victims of sex abuse; exposed to porn/sex early, weird sex preferences
- BUT: most sexually abused kids don’t become sex offenders
- social inadequacy, lack of intimacy, impulsiveness
Female Sexual Offenders
- Only 5% of sex offenders are F
- Sex abuse of kids and males is more prevalent
- lower reoffending rates than males
- shorter sentences
- rates maybe underestimated
- sexually abusive b via caregiving
- target their own kids, less likely to disclose abuse
- Boys are targets; less likely to disclose
- Issue: Studies in this area hv small sample sizes
- 4 types of F sexual offenders - Atkinson 1998
- Teacher/lovers
* Initiate sexual abuse of M teen they relate as a peer
* Offender is on position of power
* Offenders are not aware of b is inappropriate
- Teacher/lovers
- Male-coerced
* Offenders forced into sexual abuse by abusive male; passive offenders
* Victim is offender’s own daughter
- Male-coerced
- Male-accompanied
* Engage in sex abuse w/ male partner; willing participant
* Victims are in and out of fam
- Male-accompanied
- Predisposed
* Initiate sex abuse alone; offender was victim
* Have deviant sex fantasies
* Involve young kids, own kids, abuse and neglect them
- Predisposed
Box 14.4 Sexual Objectification in Video Games and Sexual Assault Myths: Is There a Link?
- VG w/ sexual objectification of F and violence against F is related to more rape-myth attitudes in males
In the Media: A Seemingly Normal Couple: The Facade of Paul Bernardo and Karla Homolka
- Karla Homolka/ Leanne Teale worked as vet technician
- Paul Bernardo, educated man but sadistic rapist
- Sexually assaulted and murdered 3 young teens
- Raped over 30 women
Aboriginal Sex offenders
- Lack of rs
- 40% of Abor offender pop committed sexual offence
- Score higher on risk factors (substance, edu, job)
- CSC
- Abor offenders 90% were under the influence of OH
- Most victims were among Abor and known to offender
*
TB 14: Theories of Sexual Aggression
- Finkelhor’s precondition model of child molestation (1984)
- 4 preconditions
- 3 factors of precondition 1
- “Integrated Model” / “Summary Model”
- Evolutionary Theory
- 4 preconditions
Theories of Sexual Aggression
- Finkelhor’s precondition model of child molestation (1984)
- 4 preconditions
- offender is motivated to sexually abuse; has 3 factors
* 1 emo congruence: desire for child satisfy emo need
* 2 sexual attraction
* 3 no outlets for offender to meet sex and emo needs
- offender is motivated to sexually abuse; has 3 factors
- lack of internal inhibition
* OH and impulse problems weaken offender’s ability to restrain the b
- lack of internal inhibition
- offender must overcome external inhibitors for abuse to occur
* Ex. create opportunities to be along w/ kid
- offender must overcome external inhibitors for abuse to occur
- Offender overcome child’s resistance
* Offender reward child w/ attention or bribes to encourage kid to cooperate/ use violence
- Offender overcome child’s resistance
-
“Integrated Model” / “Summary Model”
-
Marshall and Barbaree (1990)
- Biological factors, childhood experiences, sociocultural influences, and situational events (sort of listing all the factors that cause ppl rape)
- People typically learn to inhibit sexual aggression through the development of positive attachments; sexual offenders fail to develop such self-control because of poor upbringing.
-
Marshall and Barbaree (1990)
-
“Integrated Model” / “Summary Model”
-
Evolutionary Theory
- E.g., Rape as a mating strategy reproductive advantage for males
TB 14: Assessment and Treatment of Sexual Offenders
- Most treatment programs address
- Denial, minimizations,
- cog distortions
- empathy
- social skills
- Substance abuse
- deviant sex interest
- assessment tool
- 3 types of therapy
- Relapse prevention
- 2 Goals
- Lapse
- Apparently irrelevant decisions
- Abstinence violation effect
- 2 situations
- Overall cycle
Effectiveness of Treatment
- Incarceration and recidivism
- Treated vs untreated victims on recidivism
*
- Assssments: Goal (1) determine risk of reoffending, (2) evaluate whether treatments work
-
Treatment programs must address
-
Denial: offenders often deny or don’t take full responsibility (up to 70% of offenders; Jung and Daniels, 2012)
- “The victim wanted to have sex with me”
- “I was drunk; I didn’t know what I was doing”
-
Cognitive distortions deviant cognitions, values, or beliefs that are used to justify or minimize sexual offenses
- Example: An incest child molester might say, “It was better for her to have her first sexual experience with me since I love her…”
- cognitive distortions predict recidivism
-
Denial: offenders often deny or don’t take full responsibility (up to 70% of offenders; Jung and Daniels, 2012)
-
Empathy Some sexual offenders general lack empathy (i.e., psychopaths); many lack empathy toward their victims
- Cognitive distortions can play a role here too
- Empathy training getting the offender to understand the impact of abuse
-
Social Skills Offenders generally lack social skills, and this lack may play a contributing role (e.g., anger control, communication)
- Treatment programs may aim to improve such scales
-
Substance Abuse Offenders may use alcohol to facilitate offending by reducing their inhibitions
- Offenders may be referred to substance-abuse programs
-
Deviant Sexual Interests Can be assessed with penile phallometry
- Aversion therapy deviant fantasies are paired with aversive stimuli (e.g., smells); classical conditioning
- Masturbatory satiation offender is told to masturbate to non-deviant stimuli
- Pharmacological intervention drugs, like SSRIs, given to reduce sexual interest
- Relapse prevention
- Identify pre-offence thoughts, feelings, and b
- generate options/ alt b
- must be motivated to stop/prevent offending
- Identify pre-offence thoughts, feelings, and b
- Lifestyle imbalance -> feelings of deprivation, hv urges and cravings -> irrelevant decisions (ex. go for drive) -> high risk situations (ex. stop at playground)
- -> coping response -> decrease chance of relapse
- -> no coping response -> lapse (fantasize about sex w/ kid) -> abstinence violation effect (ex. feel he failed treatment) -> increase chance of relapse
- Lapse: fantasize about sexual offending
- Apparently irrelevant decisions: conscious or unconscious decisions offender made that put them in high-risk situations
- Abstinence violation effect: how offender reacts to lapse
- If offender see lapse as irreversible failure -> relapse
- If lapse is seen as reasonable mistake in learning process 0> offender is more confident in own ability to avoid/handle future lapses
Effectiveness of Treatment
- Incarceration doesn’t seem to be a deterrent for sexual offenders
- Sexual offenders who refused treatment had the highest rate of recidivism
- Treatment was equally effective for adolescents and adults
- Institutional and community treatment were associated with reduced recidivism
- CBT elements are important
- Olver et al. (2011) found that 27.6% of offenders drop out of treatment