Hillbrand M, Foster H, Hirt M
Department of Psychology, Whiting Forensic Institute, Middletown, Connecticut 06457.
Arch Sex Behav. 1990 Feb;19(1):65-71. doi: 10.1007/BF01541826.
The availability of psychosocial treatment for sex offenders is influenced to a considerable extent by the process of adjudication. Convicted rapists are usually incarcerated, and thus receive treatment in a high-structure setting. Convicted child molesters are usually paroled and receive treatment in the low-structure setting of outpatient psychotherapy. In the present study, three types of sex offenders (child molesters, child rapists, and adult rapists) were compared to examine the validity of the match between type of sex offender and type of treatment modality. No differences were found on factor-analytically derived psychological and social historical factor scores between child molesters and child rapists. Adult rapists, however, demonstrated considerably higher levels of pathology characterized by dysphoria, subjective distress, and inhibition, than child molesters and child rapists. The egodystonic psychopathology of the rapists suggests a more favorable prognosis.
性犯罪者心理社会治疗的可获得性在很大程度上受到审判过程的影响。被定罪的强奸犯通常会被监禁,因此在高度结构化的环境中接受治疗。被定罪的儿童性侵犯者通常会被假释,并在门诊心理治疗这种低结构化的环境中接受治疗。在本研究中,对三种类型的性犯罪者(儿童性侵犯者、儿童强奸犯和成年强奸犯)进行了比较,以检验性犯罪者类型与治疗方式类型之间匹配的有效性。在通过因素分析得出的心理和社会历史因素得分上,儿童性侵犯者和儿童强奸犯之间没有发现差异。然而,成年强奸犯表现出比儿童性侵犯者和儿童强奸犯更高水平的病理特征,表现为烦躁不安、主观痛苦和抑制。强奸犯的自我不协调心理病理学表明预后更有利。