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The incel community—which is characterized by an anti-feminist misogynistic ideology and has been linked with terrorist attacks—has become an increasing focus of attention among social scientists, policy makers, and professionals involved in preventing radicalization and extremism. In this systematic review we provide an up-to-date account of scientific research on the incel phenomenon. Using PRISMA guidelines, we initially identified 593 records, primarily through online database research. After full screening and duplicate removal, 78 articles remained. We divided the analyzed records into four macro-categorizations, covering theoretical, technological, violent, and personality-related components of the incel ideology. We examined the clinical implications of the analyzed findings, focusing on the potential criminological and pathological consequences related to the incel status—on a personal, interpersonal, and societal basis. Finally, suggestions regarding clinical intervention and future research foci are provided based on the knowledge gaps identified through the review. [ABSTRACT FROM AUTHOR]

Theory of mind (ToM) impairment is associated with poor social functioning in some psychological disorders (e.g., autism and schizophrenia). ToM deficits have also been linked with offending behavior in the theoretical literature. However, no review has examined the empirical evidence for such a link. We carried out a systematic review to provide a critical overview of studies involving ToM ability in offenders. We included studies published in English that used an instrument to measure at least one aspect of ToM. Twenty-eight eligible studies were identified and coded. Our findings reveal a generally mixed literature. Taking study quality into account, our findings suggest that offenders and nonoffenders do not differ in their first-order ToM. For second-order ToM, findings are mixed, even when only the highest quality studies are examined. Studies exploring advanced ToM showed mixed results overall, though the highest quality research appeared to indicate that offenders have impairments in advanced ToM which means that they may have difficulty understanding various mental states such as pretense, white lies, irony, double bluffs, and sarcasm. We suggest that well-controlled future studies, which also measure other facets of ToM (e.g., distinguishing between cognitive and affective ToM or examining ToM content), are needed to fully understand the role of ToM in offending. [ABSTRACT FROM AUTHOR]

This study examined the feasibility of using crowdsourcing to recruit men who self-report sexual interest in children or sexually problematic behavior involving children. Crowdsourcing refers to the use of the internet to reach a large number of people to complete a specific task. A nonrepresentative sample of men (N = 997) participated in a brief self-report survey examining age of attraction, sexual interest in children, proclivity toward sexual offenses involving children, and history of sexual offending. Almost a quarter of the sample (23.1%) indicated some degree of sexual interest in children, propensity to sexually offend against children, and/or actual offending behavior. We present our data broken down by type of interest or behavior and examine the frequency of these outcomes. Findings are likely to be of value to those considering the viability of crowdsourcing to overcome the limitations or challenges of face-to-face research on stigmatizing interests and behaviors. Findings also contribute to estimating prevalence of self-reported sexual interest in children, and sexual offending behavior toward children, across different countries. [ABSTRACT FROM AUTHOR]

Individuals who identify as pedophilic or hebephilic, and who do not offend, are increasingly visible in online discourse and as a focus of research. Developing knowledge about this population will offer insights into their psychological needs and, potentially, into the mechanisms and strategies individuals use to live offense-free lives. This study examined coping strategies among members of an online forum supporting pedohebephilic individuals who do not wish to offend. Forum users' posts were analyzed using thematic analysis. Eleven themes emerged, which were classifiable into three superordinate themes around (a) the acceptance of pedophilia, (b) strategies to stay safe, and (c) dealing with sexual arousal. These themes offer insight into the varying strategies used by these individuals to cope with stress and/or to remain offense-free. Understanding whether these strategies are adaptive or maladaptive may help develop better support services for those who have not offended and may inform prevention efforts. [ABSTRACT FROM AUTHOR]

Ward and Keenan (1999, Child molesters' implicit theories. Journal of Interpersonal Violence, 14(8), 821–838. doi: 10.1177/088626099014008003) hypothesised that some individuals who sexually offend against children have belief systems through which they perceive the world as an inherently dangerous place – labelled a dangerous world implicit theory (DWIT). Individuals with a DWIT are hypothesised to either (1) believe it is necessary to punish women and/or children who are perceived as threatening, or (2) see children as more accepting than adults, and as capable of understanding and gratifying the individual's needs and desires. In two online studies (N = 113 and N = 123) we examined the possible overlap between the DWIT and four other constructs: hostile attribution bias, hostile sexism, emotional congruence with children, and a 'children as sexual beings' implicit theory. Results suggest that identifying with an individual holding DWIT overlaps considerably with some of the other constructs, but not with hostile attribution bias – a finding that ran counter to our hypotheses. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences have been associated with negative outcomes in adulthood, including sexual offending. Using a cross-sectional design, we investigated whether self-reported adverse childhood experiences related to the perpetration of coercive sexual acts among 250 females recruited from the community. Furthermore, we examined whether sexualised coping mediated any potential relationship between childhood experiences and sexual coercion. A Spearman's rank order correlation revealed no relationship between adverse childhood experiences and sexual coercion. However, adverse childhood experiences were significantly correlated with sexualised coping, which in turn was correlated with sexual coercion. Additionally, there was a significant but small indirect effect of adverse childhood experiences on sexual coercion through sexualised coping. Findings may help researchers to better understand the causal relationship between childhood experiences, sexual coping, and sexual coercion in females. [ABSTRACT FROM AUTHOR]

Individuals who set deliberate fires are frequently encountered by clinicians working in forensic mental health services. However, little attention has been paid to developing standardised treatment for this behaviour, and few evaluations of treatment have been conducted in forensic mental health services. This study evaluates a new standardised group cognitive behavioural treatment programme for individuals residing in forensic psychiatric hospitals who have engaged in deliberate firesetting (The Firesetting Intervention Programme for Mentally Disordered Offenders; FIP‐MO). Sixty‐three male and female patients with a history of deliberate firesetting commenced FIP‐MO treatment. Patients who met the referral criteria for treatment but who resided at hospitals where FIP‐MO treatment was not available were recruited as a treatment as usual comparison group. The treatment group completed a battery of psychometric assessments pre‐ and post‐treatment, with the comparison group completing these at similar time points. Results showed that patients who completed the FIP‐MO made significant improvements post‐treatment, relative to the comparison group on fire‐related measures (e.g., problematic interest and associations with fire) and anger expression. Further, effect size calculations showed that the treatment group made larger pre‐post treatment shifts on the majority of outcome measures compared to the comparison group. These findings suggest that FIP‐MO treatment is effective for reducing some of the key factors associated with deliberate firesetting. [ABSTRACT FROM AUTHOR]

This study investigated whether pupil size during the viewing of images of adults and children reflects the sexual orientation of heterosexual, homosexual, and bisexual men (n = 100, Mage = 22). More specifically, we explored whether this measure corresponds with sexual age preferences for adults over children in nonpedophilic men. In general, results across three experiments, in which observers freely viewed or rated the sexual appeal of person images, suggest that pupil dilation to sexual stimuli is an indicator of sexual orientation toward adults. Heterosexual men's pupils dilated most strongly to adults of the other sex, homosexual men dilated most strongly to adults of the same sex, and bisexual men showed an intermediate pattern. Dilation to adults was substantially stronger than dilation to younger age groups. Sexual appeal ratings for images of adults and children also correlated with pupil responses, suggesting a direct link between pupil dilation and sexual interest. These findings provide support for pupil dilation as a measure of sex- and age-specific sexual preferences. [ABSTRACT FROM AUTHOR]

Objective: Female fire-setters are reported to commit nearly one-third of deliberately set fires, yet there are limited studies examining the characteristics that distinguish them from suitable comparison groups. The aim of this study is to compare incarcerated female fire-setters with incarcerated male fire-setters and female offender controls on psychopathological and psychological features that could be targeted via therapeutic interventions. Method: We recruited 65 female fire-setters, 128 male fire-setters, and 63 female offenders from the prison estate. Participants completed a battery of validated tools assessing psychiatric traits and psychological characteristics (i.e., inappropriate fire interest, emotion/self-regulation, social competence, self-concept, offense-supportive attitudes, and boredom proneness) highlighted in the existing literature. Results: Major depression and an internal locus of control distinguished female fire-setters from male fire-setters. Alcohol dependence, serious/problematic fire interest, and more effective anger regulation distinguished female fire-setters from the female offender control group. Conclusions: This is the first study to examine differences between female fire-setters, male fire-setters, and female control offenders on both psychopathological features and psychological traits. These findings highlight the gender-specific and offense-specific needs of female fire-setters that clinicians need to consider when implementing programs that ensure client responsivity. [ABSTRACT FROM AUTHOR]

Objective: Practitioners working with offenders who have set fires have access to very few measures examining fire-specific treatment needs (e.g., fire interest, fire attitudes). In this article we examine the new Four Factor Fire Scales (Ó Ciardha et al., 2015), which may be used by practitioners to examine fire-specific treatment needs for offenders who have set deliberate fires. We present a standardized scoring procedure when using these scales, as well as an associated scoring template for practitioner use. Method: Norm data are based on male and female firesetters (n = 378) and nonfiresetters (n = 187) recruited from 19 prison establishments (including six female establishments, one young offender institution) and 12 secure mixed-gender mental health settings. Results: We present a full overview of all data we have collected to date relating to the Four Factor Fire Scales across prison, mental health, and young offending participants. For each population, we present mean scores as well as associated cutoff scores and reliable change indices to aid practitioners in their interpretation of scores. Conclusions: The Four Factor Fire Scales provide professionals working in the area with a robust template for administering, scoring, and interpreting the fire-specific factors currently identified as playing a role in deliberate firesetting behavior. Strengths and limitations of the measure are discussed. [ABSTRACT FROM AUTHOR]

Research to date has been equivocal on the relationship between firesetting and psychopathology and has been impeded by studies lacking adequate control samples. The present study examined psychopathology in a sample of incarcerated adult male firesetters (n= 112) and prison controls (n= 113) using the Millon Clinical Multiaxial Inventory-III. Firesetters demonstrated multiple elevated scores on personality and clinical syndrome scales. Logistic regression showed that the borderline personality scale was the strongest personality scale discriminator between firesetters and controls. Major depression and drug dependence were the strongest clinical syndrome scale predictors. However, both clinical syndrome scale predictors appeared to be mediated by borderline personality scores indicating that firesetters are best characterized by responding indicative of borderline personality traits rather than other psychopathological deficits. The results suggest that, relative to other offenders, firesetters face challenges with impulse control, affect regulation, stability of interpersonal relationships, and self-image. [ABSTRACT FROM AUTHOR]

Purpose The number of measures available to practitioners to assess fire interest and other fire-related attitudes is limited. To help establish the utility of such measures, this study explored whether three fire measures contained multiple factors and whether such factors related to firesetting behaviour. Method The Fire Interest Rating Scale, the Fire Attitude Scale, and the Identification with Fire Questionnaire were administered to 234 male prisoners (117 firesetters, 117 non-firesetters) and results were factor analyzed. To determine the relationship of the resulting factors with firesetting behaviour, their ability to discriminate firesetters from controls was examined and compared to the original scales. Results Responses were best represented by five factors, four of which discriminated firesetters from non-firesetters. One factor demonstrated significant accuracy in discriminating single offence firesetters from repeat firesetters. Taken together the factors offered more clarity than using the original scale outcomes and showed equivalent predictive accuracy. Conclusions The five factors identified may aid practitioners in helping to formulate the specific treatment needs of identified firesetters. [ABSTRACT FROM AUTHOR]

Purpose Firesetting has devastating consequences. Although some theoretical efforts have been made to explain firesetting (i.e., a small number of multi- and single-factor theories), little effort has been devoted to understand how deliberate firesetting unfolds across time (i.e., micro or offence chain theories). This research aimed to produce the first descriptive offence chain theory for incarcerated adult male firesetters. Methods Thirty-eight adult male firesetters - recruited from prison establishments in England and Wales - were interviewed about the events, thoughts, and feelings leading up to, surrounding, and immediately following a deliberate incident of firesetting. Results Using grounded theory analysis, the descriptive model of adult male firesetting ( DMAF) was developed documenting the cognitive, behavioural, affective, and contextual factors leading to a single incident of deliberate firesetting. Conclusions New information generated from the DMAF is presented and its contributions to the current evidence base are highlighted. Clinical implications, limitations, and future research directions are also discussed. [ABSTRACT FROM AUTHOR]

This study examined a theory constructed to describe the offense process of women who sexually offend—the Descriptive Model of Female Sexual Offending (DMFSO). In particular, this report sets out to establish whether the original three pathways (or offending styles) identified within United Kingdom convicted female sexual offenders and described within the DMFSO (i.e., Explicit-Approach, Directed-Avoidant, Implicit-Disorganized) were applicable to a small sample (N = 36) of North American women convicted of sexual offending. Two independent raters examined the offense narratives of the sample and—using the DMFSO—coded each script according to whether it fitted one of the three original pathways. Results suggested that the three existing pathways of the DMFSO represented a reasonable description of offense pathways for a sample of North American women convicted of sexual offending. No new pathways were identified. A new “Offense Pathway Checklist” devised to aid raters’ decision making is described and future research and treatment implications explored. [ABSTRACT FROM AUTHOR]

Background A doctor performs 160 000-300 000 interviews during a lifetime career, thus making the medical interview the most common procedure in clinical medicine. It is reported that 60-80 per cent of diagnosis is based on history taking, yet there is little published data advising on the best method for medical students to initially attain and further refine these core skills during their medical degree. Methods Medical students interviewed two patients: using an open interview first, based on the Calgary-Cambridge approach, and then using a structured pro forma. The students' medical data were assessed by a senior lecturer, and their communication skills were assessed by a behavioural scientist and by the patients. Results An exact Wilcoxon paired signed rank test was conducted to determine whether there was a difference between the open interview and pro forma methods for history taking and communication skills. The test yielded p-values of 0.0017 and 0.069, respectively, with the pro forma method providing a statistically significantly higher history-taking score and communication score than the open interview method. Subjectively, patients reported the pro forma method as being preferable. Conclusion Medical students in the early years of training benefit from a structured history-taking pro forma to assist them gather an accurate data set without compromising their interpersonal and communication skills. [ABSTRACT FROM AUTHOR]

Tasks that can measure sexual interest successfully have utility in forensic settings. Prior to use with problematic sexual interest, however, work is needed in validating such tasks. This study focused on the measurement of non-deviant sexual interest. Eleven gay and 14 straight participants each completed a pictorial Implicit Association Test (IAT), a pictorial modified Stroop task (P-MST) and a Choice Reaction Time (CRT) task. Each task was designed to tap into the sexual interest of participants. Stimuli were of males and females in bathing suits, along with control images and sexual and non-sexual words. The IAT was most successful in differentiating between gay and straight participants. The P-MST also performed well, although the task's position within the battery of tasks seemed to affect the results. The CRT task did not show group differences successfully. Theoretical and methodological implications of the effectiveness of the three tasks in tapping into sexual interest are discussed. [ABSTRACT FROM AUTHOR]

Cognitive distortions in sex offenders are specific or general beliefs/attitudes that violate commonly accepted norms of rationality that have been shown to be associated with the onset and maintenance of sexual offending. In this article, we describe the major theories that have been formulated to explain the role of distorted cognition in initiating and maintaining sexual offending. We evaluate each theory in light of a set of theory appraisal criteria and the available empirical research. Finally, we conclude by drawing together the results of this theory evaluation process and highlight the major implications for treatment and future research. [ABSTRACT FROM PUBLISHER]

This paper forms the second part of a debate led by Marshall, Marshall, and Kingston (2011) regarding the need to address so-called cognitive distortions in sexual offender treatment. In their paper, Marshall et al. argue that so-called cognitive distortions may not necessarily require intense and focused attention or challenge throughout treatment. In evaluating Marshall et al.'s arguments, we highlight some inherent differences in how both Marshall et al. and ourselves choose to define the term 'cognitive distortion'. We surmise that these key definitional differences appear to account for many of the issues that we 'debate'. In particular, for example, Marshall et al. focus their arguments regarding cognitive distortions more explicitly upon excuses, denial and minimisations, whereas we choose to focus upon schemas and higher-order belief structures. Thus, we argue that the broadness and vagueness of the term 'cognitive distortion' can lend itself to quite different interpretations and research foci. We offer some alternative views to Marshall et al.'s position and advocate the consideration of cognitions with an aetiological role in offending. We conclude with some suggestions for future research and treatment. [ABSTRACT FROM AUTHOR]