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Assessing suspected child molesters

J V Becker1, V L Quinsey

  • 1Psychiatry Department, University of Arizona, Tucson 85724.

Child Abuse & Neglect
|January 1, 1993
PubMed
Summary
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Clinical evaluations are vital for child molester dispositional decisions when carefully applied. Useful assessments identify individuals, guide treatment, and predict future sexual offenses, aiding risk management.

Area of Science:

  • Forensic Psychology
  • Clinical Psychology
  • Criminology

Background:

  • Clinical evaluations are crucial for dispositional decisions regarding child molesters.
  • Careful application of relevant techniques and understanding limitations are essential for effective evaluations.

Purpose of the Study:

  • To determine the utility of clinical evaluations in dispositional decisions for child molesters.
  • To identify assessment instruments that differentiate, aid treatment planning, and predict sexual offending.

Main Methods:

  • Review of assessment instruments and techniques for evaluating child molesters.
  • Analysis of sex offense history, phallometric assessments, Psychopathy Checklist, and measures of attitudes/beliefs.
  • Consideration of general personality and psychopathology measures.

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Main Results:

  • Sex offense history and phallometric assessments are useful for treatment planning and risk assessment.
  • The Psychopathy Checklist predicts sexual recidivism but has equivocal treatment planning utility.
  • Measures of attitudes supporting child molestation aid treatment design; prognostic significance is unestablished.
  • General personality measures are not established recidivism predictors but address collateral issues.

Conclusions:

  • Carefully conducted clinical evaluations are valuable for child molester dispositional decisions.
  • Specific assessment tools are more useful for differentiating, treatment planning, and predicting recidivism.
  • Understanding the limitations of each assessment is critical for informed decision-making.