What clinicians need to know before assessing risk in sexual offenders

Darjee, Rajan; Russell, Katharine

doi:10.1192/apt.bp.110.008094

Cited by 8 publications

(2 citation statements)

References 53 publications

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“…It is not our intention here to describe in detail the assessment and management of risk in sexual offenders. This has been comprehensively covered in two recent articles in this journal (Darjee 2012;Russell 2013).…”

Section: Risk Assessmentmentioning

confidence: 99%

Paraphilias and paraphilic disorders: diagnosis, assessment and management

Yakeley¹,

Wood²

2014

Adv. psychiatr. treat

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SummaryWe outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce, particularly for individuals presenting with legal paraphilias or those who are committing paraphilic sexual offences but who have not been convicted.LEARNING OBJECTIVESBe able to diagnose a paraphilic disorder according to DSM-5 criteria.Understand the epidemiology, comorbidity and theories of aetiology of paraphilic disorders.Know how to assess the need for disclosure if the patient presents with illegal paraphilias.

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Section: Risk Assessmentmentioning

confidence: 99%

Paraphilias and paraphilic disorders: diagnosis, assessment and management

Yakeley¹,

Wood²

2014

Adv. psychiatr. treat

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“…So, one might assume that the GFV paradigm and its pragmatic branch, threat assessment and management, are irrelevant to sexual violence and vice versa. So much has been written about risk assessment and management with those who commit sexual offenses ( Davis and Ogloff, 2008 ; Darjee and Russell, 2012 ; Russell and Darjee, 2013 ; Craig and Rettenberger, 2016 ; Kemshall, 2017 ; Helmus, 2018 ; Levenson, 2018 ; Brankley et al, 2021 ; Raymond et al, 2021 ), and although threat and risk assessment and management overlap ( Meloy et al, 2021 ), and some behaviors manage to sit across both camps (e.g., stalking and intimate partner violence), many behaviors seem to fall in one or other, and sexual offending practice is squarely in the risk one. Traditionally with sexual offending the emphasis has been on preventing recurrence after an offense has occurred, rather than preventing an offense in someone with concerning thoughts or behavior.…”

Section: Introductionmentioning

confidence: 99%

Grievance-fueled sexual violence

et al. 2023

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The grievance fueled violence paradigm encompasses various forms of targeted violence but has not yet been extended to the theoretical discussion of sexual violence. In this article, we argue that a wide range of sexual offenses can be usefully conceptualized as forms of grievance fueled violence. Indeed, our assertion that sexual violence is often grievance fueled is unoriginal. More than 40 years of sexual offending research has discussed the pseudosexual nature of much sexual offending, and themes of anger, power, and control – themes that draw clear parallels to the grievance fueled violence paradigm. Therefore, we consider the opportunities for theoretical and practical advancement through the merging of ideas and concepts from the two fields. We examine the scope of grievance in the context of understanding sexual violence, and we look to the role of grievance in the trajectory toward both sexual and nonsexual violence, as well as factors that might distinguish grievance fueled sexual from nonsexual violence. Finally, we discuss future research directions and make recommendations for clinical practice. Specifically, we suggest that grievance represents a promising treatment target where risk is identified for both sexual and nonsexual violence.

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Forensic Psychiatry

Sivaswamy

2023

Prepare for the MRCPsych CASC Exam

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What clinicians need to know before assessing risk in sexual offenders

Cited by 8 publications

References 53 publications

Paraphilias and paraphilic disorders: diagnosis, assessment and management

Paraphilias and paraphilic disorders: diagnosis, assessment and management

Grievance-fueled sexual violence

Forensic Psychiatry

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