Psychosis and Sexual Offending: A Review of Current Literature

Lewis, E Thomas; Dwyer, Ross G.

doi:10.1177/0306624x17740016

Cited by 13 publications

(14 citation statements)

References 29 publications

(56 reference statements)

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“…Nationally in the United States, 2.3% of people on sex offender registries are female (Ackerman, Harris, Levenson, & Zgoba, 2011). A growing body of literature is examining females with sexual offenses (Lewis & Dwyer, 2018; Morgan & Long, 2018; Williams, Gillespie, Elliott, & Eldridge, 2017), and with time, we may have a better understanding of female veterans who commit sexual offenses. We did not examine active duty military members nor are we able to determine if a veteran’s sexual offense was committed after military service or during military service.…”

Section: Discussionmentioning

confidence: 99%

Veterans in Prison for Sexual Offenses: Characteristics and Reentry Service Needs

et al. 2018

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Among prison-incarcerated men in the United States, more veterans (35%) have a sexual offense conviction than nonveterans (23%). Limited research has investigated factors explaining the link between military service and sexual offending. Nationally representative data from prison-incarcerated men ( n = 14,080) were used to examine the association between veteran status and sexual offenses, adjusting for demographic, childhood, and clinical characteristics. Veterans had 1.35 higher odds (95% confidence interval = [1.12, 1.62], p < .01) of a sexual offense than nonveterans. Among veterans, those who were homeless or taking mental health medications at arrest had lower odds and veterans with a sexual trauma history had higher odds of a sexual offense compared with other offense types. Offering mental health services in correctional and health care settings to address trauma experiences and providing long-term housing options can help veterans with sexual offenses as they transition from prison to their communities.

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Section: Discussionmentioning

confidence: 99%

Veterans in Prison for Sexual Offenses: Characteristics and Reentry Service Needs

et al. 2018

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“…It is therefore likely that the psychiatrists in question chose a less specific diagnosis within the psychotic disorder spectrum. Despite considerable variations (7), a recent review found that 5–10% of the subjects in sex offender samples are diagnosed with psychotic disorders (13), with similar prevalence rates in a Swedish context (8). Logically, forensic treatment samples demonstrate higher prevalence rates (7,13).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, MDSOs who present symptoms from the psychotic disorder spectrum represent a subgroup of sex offenders that offers unique challenges with regard to motivations, risks, and treatment needs. In a 2018 review on sex offenders with psychotic disorders, Lewis & Dwyer addressed several areas requiring more research (13). This included further studies on female offenders, offenders found not guilty by reason of insanity, and possible effects of comorbidity.…”

mentioning

confidence: 99%

A 24‐Year Follow‐up Study on Recidivism in Male Mentally Disordered Sexual Offenders With and Without Psychotic Disorders

Baudin

Nilsson

Wallinius

et al. 2020

Journal of Forensic Sciences

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There is a lack of knowledge on mentally disordered sex offenders (MDSOs) targeting adult victims, especially regarding recidivism patterns and the specific subgroup with psychiatric disorders. This paper presents index offense data, clinical data, and recidivism patterns over up to 24 years in a cohort of 146 MDSOs, with and without psychotic disorders, sentenced in Sweden between 1993 and 1997. At the time of the offense, all offenders were affected by clinical, developmental, and criminal history factors. MDSOs with psychotic disorders only marginally differed from those without, the former being less likely to have been institutionalized during childhood, intoxicated during the index offense, or diagnosed with a personality disorder, substance use disorder, or paraphilic disorder. In the cohort, 3.4% of the MDSOs were reconvicted for a new sex offense over 2 years, 9.6% over 5 years, 13.0% over 10 years, and 17.1% over the entire follow‐up period of 24 years. In MDSOs with psychotic disorders, no subjects were reconvicted during the first 2 years, while 2.6% were reconvicted over 5 years, 5.3% over 10 years, and 7.9% over 24 years. Recidivism rates for violent and general reoffenses were 39.0% and 37.7%, respectively, for the cohort of MDSOs, and subjects with psychotic disorders reoffended significantly later in general offenses. In conclusion, MDSOs with psychotic disorders showed the same recidivism pattern as MDSOs without psychotic disorders. Furthermore, recidivism research may preferably focus on follow‐up periods of 5–10 years since most offenders appear to recidivate within this timeframe.

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“…Rehabilitation is based on the underlying principle that people can and want to change and is delivered though a Cognitive-Behavioural framework that uses strength-based models and pro-social behaviour modelling [1, 12••, 62, 63••, 64-68]. In recent years, we have seen a de-pathologising of people who commit sexual offences as it is no longer accepted that all people who commit sexual offences have a severe mental illness [69][70][71]. Instead, we are seeing that inclusion IN treatment programmes is being determined not by their offence but instead by level of anti-sociality, any co-morbidities and risk of re-offending [69][70][71].…”

Section: Current Approaches To Community Risk Managementmentioning

confidence: 99%

The Integration of People Convicted of a Sexual Offence Into the Community and Their (Risk) Management

McCartan

Richards

2021

Curr Psychiatry Rep

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Purpose of Review We are reviewing recent research into the community integration of men convicted of a sexual offence and their (risk) management. This is a high-profile political issue that binds together research in psychology, criminology, politics, health, public health, and policy studies. The review will demonstrate that a multi-disciplinary, life course, EpiCrim-oriented approach is the most effective way of reducing re-offending and promoting desistance in this population. Recent Findings Research demonstrates that life course development, especially from psychology and criminology, has an impact on whether people sexually offend or not. Therefore, to understand sexual offending behaviour, we need to look at the aetiology of said behaviour from a nature and a nurture perspective. Therefore, we need to use an Epidemiological Criminology (a marriage of Public Health and criminology) approach that works at all four stages of the Socio-Ecological Model (SEM) (individual, interrelationship, community, and societal). The research encourages a person first approach, that we look at Adverse Childhood Experiences and past trauma in the lives of men who sexually offend and use this, in conjunction with strength-based approaches, to inclusively integrate them into society. Summary The prevention of sexual offending, both first time offending, and relapse prevention require a multi-level, multi-disciplinary approach. Successful desistance from sexual offending is as much about the community and society as it is about the individual.

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Psychosis and Sexual Offending: A Review of Current Literature

Cited by 13 publications

References 29 publications

Veterans in Prison for Sexual Offenses: Characteristics and Reentry Service Needs

Veterans in Prison for Sexual Offenses: Characteristics and Reentry Service Needs

A 24‐Year Follow‐up Study on Recidivism in Male Mentally Disordered Sexual Offenders With and Without Psychotic Disorders

The Integration of People Convicted of a Sexual Offence Into the Community and Their (Risk) Management

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