Looman Jan, Abracen Jeffrey, Serin Ralph, Marquis Peter
Correctional Service of Canada.
J Interpers Violence. 2005 May;20(5):549-68. doi: 10.1177/0886260504271583.
The present study investigated 154 consecutive admissions to the Regional Treatment Center (Ontario) Sex Offender Treatment Program with reference to psychopathy and outcome. Ratings of treatment behavior, as well as clinical judgments as to whether risk was reduced, were coded based on treatment reports. With reference to Psychopathy Checklist-revised (PCL-R) scores, survival analyses indicated that high scorers recidivated at significantly higher rates than low scorers. However, offenders who received high PCL-R scores and lower scores on measures of treatment behavior recidivated at the same rate as low scorers on the PCL-R. Furthermore, among high PCL-R offenders, those rated as lower risk at post treatment in fact reoffended at a lower rate than those whose risk was rated as unchanged, although this difference failed to reach significance. Findings are discussed in light of the clinical and research literature.
本研究调查了安大略省区域治疗中心性犯罪者治疗项目连续收治的154名患者，涉及心理变态与治疗结果。根据治疗报告，对治疗行为评分以及关于风险是否降低的临床判断进行编码。参照修订版心理变态检查表（PCL-R）得分，生存分析表明，高分者的再犯率显著高于低分者。然而，PCL-R得分高但治疗行为测量得分低的罪犯，其再犯率与PCL-R低分者相同。此外，在PCL-R高分罪犯中，治疗后被评定为低风险者的实际再犯率低于风险评定未改变者，尽管这一差异未达到显著水平。结合临床和研究文献对研究结果进行了讨论。
