Paraphilic Sexual Interests and Sexual Offending: Implications for Risk Assessment and Treatment

2018 ◽  
Vol 15 (7) ◽  
pp. 927-928 ◽  
Author(s):  
Joana Carvalho
Keyword(s):  
Risk Assessment ◽  
Sexual Offending ◽  
Assessment And Treatment ◽  
Sexual Interests

scholarly journals Dynamic sexual offense risk assessment using the VRS-SO with indeterminate sentenced men

2021 ◽  
Vol 16 ◽  
Author(s):  
Mark E. Olver
Keyword(s):  
Risk Assessment ◽  
Sexual Violence ◽  
Sexual Offending ◽  
Dynamic Assessment ◽  
Sexual Offense ◽  
Violence Risk ◽  
High Stakes ◽  
Dynamic Risk ◽  
Assessment And Treatment ◽  
Dynamic Risk Assessment

Indeterminate detention (ID) is a high stakes sanction reserved for exceptionally high risk-high need (HRHN) persons who are deemed to pose an undue risk to public safety. It is one of the most extreme measures that is routinely taken by justice systems to manage sexual violence risk and prevent sexual and violent recidivism. Naturally, risk assessment is most frequently employed as a mechanism to keep dangerous people in custody; but seldom is risk assessment viewed as a possible ticket out for men with an ID designation who have made substantive risk changes and whose risk can be safely managed in the community. This article features applications of a dynamic sexual violence risk assessment and treatment planning tool, the Violence Risk Scale-Sexual Offense version (VRS-SO), with ID individuals and other HRHN men, to assess risk in a dynamic manner to inform risk management efforts and release decisions. VRS-SO data on an ID sample are presented along with clinical illustrations of dynamic risk assessment. Several propositions are made with supporting data from VRS-SO normative research with treated sexual offending samples regarding the use of dynamic tools with ID men and the perils and pitfalls of relying solely on static measures. Ultimately, dynamic risk instruments can be used to track progress and monitor risk change over multiple assessments to inform release and reintegration decisions with ID persons. In this regard, dynamic assessment has the potential to help, rather than hinder, reintegration of ID sentenced persons and can inform safe, fair, and humane decisions.

scholarly journals Psychodynamic approaches to suicide and self-harm

2018 ◽  
Vol 24 (1) ◽  
pp. 37-45
Author(s):  
Jessica Yakeley ◽  
William Burbridge-James
Keyword(s):  
Risk Assessment ◽  
Suicide Attempts ◽  
List Type ◽  
Relational Context ◽  
Transference And Countertransference ◽  
Assessment And Treatment ◽  
Self Harm ◽  
Psychoanalytic Theories ◽  
Risk Assessment And Management

SUMMARYRates of suicide and self-harm are rising in many countries, and it is therapeutically important to explore the personal stories and relationships that underlie this behaviour. In this article psychoanalytic and psychodynamic principles and concepts in relation to violence towards the self are introduced and the various unconscious meanings of suicide and self-harm are explored within a relational context and attachment framework. We describe how a psychodynamic approach may enhance the risk assessment and treatment of patients presenting with self-harm and suicidality, particularly examining the role of transference and countertransference within the therapeutic relationship.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories and concepts regarding the aetiology of suicide and self-harm•Understand the different meanings and expressions of acts of suicide and self-harm•Understand the use of countertransference in the risk assessment and management of self-harm and suicide attemptsDECLARATION OF INTERESTNone.

Assessing Dynamic Violence Risk in a High-Risk Treated Sample of Violent Offenders

Assessment ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1886-1900 ◽  
Author(s):  
Richard B. A. Coupland ◽  
Mark E. Olver
Keyword(s):  
Risk Assessment ◽  
Cox Regression ◽  
Predictive Accuracy ◽  
Characteristic Curve ◽  
Violent Offenders ◽  
Violence Risk ◽  
Violence Risk Assessment ◽  
Change Scores ◽  
Assessment And Treatment ◽  
General Community

The present study featured an investigation of the predictive properties of risk and change scores of two violence risk assessment and treatment planning tools—the Violence Risk Scale (VRS) and the Historical, Clinical, Risk–20, Version 2 (HCR-20)—in sample of 178 treated adult male violent offenders who attended a high-intensity violence reduction program. The cases were rated on the VRS and HCR-20 using archival information sources and followed up nearly 10 years postrelease. Associations of HCR-20 and VRS risk and change scores with postprogram institutional and community recidivism were examined. VRS and HCR-20 scores converged in conceptually meaningful ways, supporting the construct validity of the tools for violence risk. Receiver operating characteristic curve analyses demonstrated moderate- to high-predictive accuracy of VRS and HCR-20 scores for violent and general community recidivism, but weaker accuracy for postprogram institutional recidivism. Cox regression survival analyses demonstrated that positive pretreatment and posttreatment changes, as assessed via the HCR-20 and VRS, were each significantly associated with reductions in violent and general community recidivism, as well as serious institutional misconducts, after controlling for baseline pretreatment score. Implications for use of the HCR-20 and VRS for dynamic violence risk assessment and management are discussed.

Aggressive Script Rehearsal in Adult Offenders: Characteristics and Association With Self-Reported Aggression

2021 ◽  
pp. 088626052110629
Author(s):  
Julia Hosie ◽  
Ashley Dunne ◽  
Katrina Simpson ◽  
Michael Daffern
Keyword(s):  
Risk Assessment ◽  
Aggressive Behavior ◽  
Violent Offenders ◽  
Assessment And Treatment ◽  
History Of ◽  
Over Time

This study explored the frequency, recency, content, severity, and targets of aggressive scripts reported by 94 incarcerated Australian males. The scripts of participants who reported a history of repeated and severe aggression were compared with the scripts of participants who reported a history of less severe and less frequent aggression. As hypothesized, participants with a history of more frequent and severe aggressive behavior reported more severe aggressive script content and more frequent script rehearsal. Furthermore, participants with a history of more frequent and severe aggressive behavior reported feelings of anticipation and excitement when they rehearsed aggressive scripts as well as an increase in the severity of aggressive scripts rehearsed over time. These results have important implications for risk assessment and treatment of violent offenders.

Sign in / Sign up

Export Citation Format

Share Document