Thirteen sex killers were compared to 13 nonsex killers and 13 nonhomicidal sexually aggressive men on sexual history, substance abuse, history of violence, mental illness and personality, brain pathology and endocrine abnormalities.There were more similarities among the three groups than differences. Among the findings, the presence of transvestism and the early appearance of sadism differentiated the sex killers from the other two groups. Sex killers also killed by strangulation more often than nonsex killers and more often victimized a female stranger. The sex killer was more often diagnosed as 'antisocial' personality and 'sadist' than the other two groups. They were more often considered psychotic at the time of their offence and more often considered not guilty by reason of insanity. Directions for future research are noted.

Thirty-three sex killers were compared to 80 sexual aggressives, 23 sadists, and 611 general sex offenders on sexual history and preferences, substance abuse crime, violence, mental illness, personality, neurological and endocrine abnormalities. Compared to other groups, sex killers started their criminal careers earlier, more often had been to reform school, were members of criminal gangs, set fires, and were cruel to animals. They tended so show more sadism, fetishism, and voyeurism. They more often collected pornography, but they did not use it in their offenses. They more often abused drugs and some suffered from drug induced psychoses. Their most common diagnosis was antisocial personality disorder, but only 15.2% met criteria for psychopathy. Sex killers showed most signs of neuropsychological impairment, grades failure, and learning disabilities. Results suggest that greater emphasis be placed on studying adolescent sex offenders and conduct disordered children which may help identify potential sex killers.

Background-Child sexual abuse is associated with a plethora of devastating repercussions. A significant number of sexually abused children are likely to experience other forms of maltreatment that can seriously affect their emotion regulation abilities and impede on their development. The aim of the study was to test emotion regulation and dissociation as mediators in the association between cumulative childhood trauma and internalized and externalized behavior problems in child victims of sexual abuse.Methods-Participants were 309 sexually abused children (203 girls and 106 boys; Mean age = 9.07) and their non-offending parent. Medical and clinical files were coded for cumulative childhood trauma. At initial evaluation (T1), parents completed measures assessing children's emotion regulation abilities and dissociation. At Time 2 (T2), parents completed a measure assessing children's behavior problems. Mediation analyses were conducted with emotion regulation and dissociation as sequential mediators using Mplus software.Results-Findings revealed that cumulative childhood trauma affects both internalized and externalized behavior problems through three mediation paths: emotion regulation alone, dissociation alone, and through a path combining emotion regulation and dissociation.Limitations-Both emotion regulation and dissociation were assessed at T1 and thus the temporal sequencing of mediators remains to be ascertained through a longitudinal design. All measures were completed by the parents.Conclusions-Clinicians should routinely screen for other childhood trauma in vulnerable clienteles. In order to tackle behavior problems, clinical interventions for sexually abused youth need to address emotion regulation competencies and dissociation.

A sample of 320 sex offenders and 31 violent non-sex offenders, seen for psychiatric assessment between 1966 and 1974, were compared retrospectively on lifetime recidivism rates to 1999 over a minimum of 25 years. A number of criteria and data sources were used; RCMP records and hospital records were the best sources, albeit the RCMP had records for only 54.1% of the cases. Approximately three in five offenders reoffended, using sex reoffence charges or convictions or court appearances as criteria, but this proportion increased to more than four in five when all offences and undetected sex crimes were included in the analysis. Group differences in recidivism were noteworthy, with child sexual abusers and exhibitionists most likely to reoffend and incest offenders least likely. Time at large and time incarcerated played a relatively minor role overall in results, except in the case of offenders who were sexually aggressive against adult females, courtship disordered, or violent. The typical known criminal career spanned almost two decades, indicating that sex offence recidivism remained a problem over a significant part of the offenders' adult lives.

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