scholarly journals Sexual Sadism Among Sex Offenders in Switzerland

Sexual Abuse ◽  
2018 ◽  
Vol 32 (1) ◽  
pp. 79-100 ◽  
Author(s):  
Leonel C. Gonçalves ◽  
Astrid Rossegger ◽  
Juliane Gerth ◽  
Jay P. Singh ◽  
Jérôme Endrass

The Sexual Sadism Scale (SeSaS) was developed to assist in the diagnosis of sexual sadism, and it revealed adequate psychometric properties in prior research. This study cross validated the SeSaS in Switzerland using a sample of 179 male sex offenders. Specifically, the SeSaS conformed to a Mokken model of double monotonicity (scalability coefficient [ H] = .46, coefficient of reproducibility [CR] = .89), indicating that it measures a unidimensional construct of sexual sadism with hierarchically ordered items. The reliability of the scale was acceptable to high (ρ = .80, λ2 = .75, κ = .88). In addition, the SeSaS was strongly associated with sexual sadism diagnoses based on mental health manuals ( rpb = .60, odds ratio [OR] = 13.02, area under the curve [AUC] = 1) but not with recidivism. The results suggest that the use of the SeSaS may improve the validity and reliability of sexual sadism diagnoses, therefore playing a role in the assessment and management of sex offenders.

2000 ◽  
Author(s):  
Ronna J. Dillinger ◽  
Susan L. Amato ◽  
Kelly Hardy

2016 ◽  
Vol 61 (14) ◽  
pp. 1593-1605 ◽  
Author(s):  
Richard W. Elwood ◽  
Sharon M. Kelley ◽  
James C. Mundt

The Static-99R is an actuarial scale that is commonly used to assess the recidivism risk of male sex offenders. Hanson, Thornton, Helmus, and Babchishin recently revised the Static-99R norms based on revised analyses that excluded the large Bridgewater sample. As a result, the sample size of the high risk/high need (HR/HN) group was reduced substantially, which increased the confidence intervals around the predicted recidivism rates. This study provides alternative 5- and 10-year recidivism rates based on logistic regression analyses of the entire 2009 Static-99R HR/HN group that includes the Bridgewater sample. These rates fit the observed 2009 data well and have smaller confidence intervals. We propose that using alternative sexual recidivism rates from the 2009 HR/HN group is a viable option for assessing sexually violent person (SVP) and other high-risk offenders.


Author(s):  
Gene G. Abel ◽  
Joanne-L. Rouleau

Sexual Abuse ◽  
2019 ◽  
Vol 32 (2) ◽  
pp. 203-219
Author(s):  
Leonel C. Gonçalves ◽  
Juliane Gerth ◽  
Astrid Rossegger ◽  
Thomas Noll ◽  
Jérôme Endrass

This study evaluated the validity of the Static-99 and Static-99R in assessing sexual recidivism in Switzerland, based on a sample of 142 male sex offenders. Both tools showed predictive validity, but the Static-99R had better discrimination (OR = 1.82, AUC = .81) and calibration (Brier = .078, P/E = 0.96) than the Static-99. A cut score of four on the Static-99R maximized sensitivity (92.9%) and specificity (60.2%). However, although most offenders (98.7%) with a score < 4 did not commit sexual offenses in the 5-year follow-up period, only one in five (20.3%) offenders with a score ≥ 4 actually recidivated. Furthermore, the predicted number of recidivists in the well above average risk category (Static-99R ≥ 6) was 24% higher than expected in routine samples. The results suggest that the Static-99R may be a useful screening tool to identify low-risk individuals but offenders with scores ≥ 4 should be subjected to a more thorough assessment.


Author(s):  
Gian Lippi ◽  
Paul J. Van Staden

Background: Cyproterone acetate (CPA) is a steroidal anti-androgenic medication used in the field of psychiatry for the treatment of paraphilic disorders, hypersexuality, and inappropriate sexual behaviour which may be present in patients with disorders such as mild and major neurocognitive disorders. In the forensic psychiatric population, it is prescribed for these indications especially for patients with a history of committing a sexual offence or who are at moderate to high risk of recidivism.Objectives: To investigate the use of CPA in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning.Methods: Seventy-six forensic psychiatric patients from Weskoppies Hospital in Pretoria, South Africa, participated in the study which measured their sexual functioning. A specifically designed questionnaire was used to capture relevant background information. The use of CPA was studied. The Changes in Sexual Functioning Questionnaire, Male Clinical Version (CSFQ-M-C) was used to measure sexual functioning of participants. The CSFQ-M-C scores, and those of all its subscales, of participants on CPA were compared to those not on the drug. Relevant statistical analyses were performed.Results: Thirteen out of the 76 participants were being treated with CPA (17.11%). In total, 53.85% of the participants on CPA and 65.08% not on CPA had scores indicating the presence of sexual dysfunction. The total CSFQ-M-C scores for participants on CPA (mean = 40.54; median = 42) were not statistically significantly lower than those not on the drug (mean = 41.22; median = 41). More notable is that the use of CPA in this population was associated with lower levels of desire, frequency of and pleasure from sexual activity. There was an association between having intellectual disability and being treated with CPA.Conclusion: That all the participants were being treated with psychotropic medication could account for the high percentage of sexual dysfunction in any or all areas of sexual functioning and contribute to the small difference in CSFQ-M-C scores between the two groups. Only a tentative conclusion can be made that CPA may be more effective in decreasing levels of desire, frequency and pleasure related to sexual activity than other areas of sexual functioning. The indication for the use of CPA in this population should be assessed clinically according to patient circumstances and risk assessment.


2015 ◽  
Vol 24 (4) ◽  
pp. 333-353 ◽  
Author(s):  
Wai-Ching Irene Ng ◽  
Monit Cheung ◽  
Anny Kit-Ying Ma

2020 ◽  
Vol 8 (3) ◽  
pp. 539-554 ◽  
Author(s):  
Jan Willem van den Berg ◽  
Wineke Smid ◽  
Jolanda J. Kossakowski ◽  
Daan van Beek ◽  
Denny Borsboom ◽  
...  

Although dynamic risk factors are considered important in the assessment and treatment of adult male sex offenders, little is known about their interrelationships. We apply network analysis to assess their associations and to provide an analysis of their shortest pathways to sexual and violent (including sexual contact) recidivism. Analyses revealed a central position for general rejection/loneliness (in all networks), poor cognitive problem solving (in networks containing sexual or violent—including sexual contact—recidivism), and impulsive acts (only in the network including sexual recidivism). These variables represented links between clusters of dynamic risk factors composed of factors relating to sexual self-regulation, emotionally intimate relationships, antisocial traits, and self-management. Impulsive acts showed the strongest independent association with sexual and violent (including sexual contact) recidivism.


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