Mental Abnormalities in Sexually Violent Predator Evaluations: Ethical Use of Paraphilic Disorder Diagnoses

2019 ◽  
Vol 19 (2) ◽  
pp. 170-185 ◽  
Author(s):  
Georgia M. Winters ◽  
Cynthia Calkins ◽  
Emily Greene-Colozzi ◽  
Elizabeth L. Jeglic
Sexual Abuse ◽  
2021 ◽  
pp. 107906322110423
Author(s):  
Joseph Lockhart ◽  
Melinda DiCiro ◽  
James Rokop ◽  
Anna Brennan

Tests and diagnoses used in sexually violent predator (SVP) evaluations must be reliable, as reliability is foundational to validity. The current study contained a stratified sample of evaluations of 395 individuals referred as potential SVPs between 2012 and 2017. Each individual was initially evaluated by at least two experts. The sample included three groups: individuals not meeting SVP criteria ( N = 200, or 400 evaluations), individuals meeting SVP criteria ( N = 95, with 190 evaluations), and individuals where evaluators disagreed ( N = 100, with 200 evaluations). The sample also included 200 subsequent independent evaluations on these “disagree” cases. Static-99R score intraclass coefficient (ICC) interrater reliability was good to excellent within each group and overall. Evaluators scored the Static-99R within one point of each other 87% of the time. Cohen’s kappa diagnostic agreement for Pedophilic Disorder was substantial. ASPD and substance abuse kappa were in the “fair” range, while OSPD diagnoses in the positive group were at the “moderate” level of agreement. Ethnic differences in diagnoses were consistent with other studies, with equivalent Static-99R ICC values across ethnic groups. There were no significant differences between state civil servants versus contracted experts in Static-99R ratings or final determinations. The results suggest that Static-99R scores have acceptable reliability in these evaluations, and Pedophilic Disorder (the most common paraphilic disorder in our study) and OSPD can be reliably diagnosed. We discuss limitations of the study, as well as the need for care in high-stakes evaluations given the imperfect reliability of psychological measurements.


Author(s):  
William T. O’Donohue ◽  
Olga Cirlugea ◽  
Catalina Vechiu

2020 ◽  
Author(s):  
Anthony Perillo ◽  
Cynthia Calkins ◽  
Elizabeth Jeglic

We examined state-wide data of persons evaluated for Sexually Violent Predator (SVP) commitment and compared risk-relevant data of three groups: those committed as SVPs ( n = 374), those not recommended for commitment ( n = 2,707), and those nearly committed (recommended for commitment but ultimately not committed; n = 117). Consistent with legal language for SVP commitment, binary and multinomial regression analyses revealed risk scores predicted SVP commitment recommendations in addition to some historical factors (e.g., psychiatric history, never being married, prior sex offenses). For those recommended for commitment, prior sexual offenses predicted ultimate commitment. Those nearly committed had significantly higher sexual recidivism rates than others who were not committed; however, these recidivism rates were still low (11.5%). Findings suggest evaluators’ SVP decisions incorporate risk data and follow empirically supported trends; however, the observed recidivism rates of a subset of those SVP commitment appears to target suggests SVP commitment’s potential for reducing sexual recidivism effectively and efficiently appears to have a low ceiling.


2009 ◽  
pp. n/a-n/a
Author(s):  
Sarah Scott ◽  
Brett Gilcrist ◽  
Nicole Thurston ◽  
Matthew T. Huss

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