Leshem Rotem, van Lieshout Pascal H H M, Ben-David Sarah, Ben-David Boaz M
Department of Criminology, Bar-Ilan University, Ramat Gan, Israel.
Oral Dynamics Lab, Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada.
Crim Behav Ment Health. 2019 Apr;29(2):94-110. doi: 10.1002/cbm.2110. Epub 2019 Mar 27.
Several variables have been evidenced for their association with violent reoffending. Resultant interventions have been suggested, yet the rate of recidivism remains high. Alexithymia, characterised by deficits in emotion processing and verbal expression, might interact with these other risk factors to affect outcomes.
Our goal was to examine the role of alexithymia as a possible moderator of risk factors for violent offender recidivism. Our hypothesis was that, albeit with other risk factors, alexithymia increases the risk of violent reoffending.
We conducted a systematic literature review, using terms for alexithymia and violent offending and their intersection.
(a) No study that directly tests the role of alexithymia in conjunction with other potential risk factors for recidivism and actual violent recidivism was uncovered. (b) Primarily alexithymia researchers and primarily researchers into violence have separately found several clinical features in common between aspects of alexithymia and violence, such as impulsivity (total n = 24 studies). (c) Other researchers have established a relationship between alexithymia and both dynamic and static risk factors for violent recidivism (n = 16 studies).
Alexithymia may be a possible moderator of risk of violent offence recidivism. Supplementing offenders' rehabilitation efforts with assessments of alexithymia may assist in designing individually tailored interventions to promote desistance among violent offenders.
已有多项变量被证明与暴力再犯有关。虽然已提出相应的干预措施，但累犯率仍然很高。述情障碍以情绪处理和言语表达缺陷为特征，可能与其他风险因素相互作用，从而影响结果。
我们的目标是研究述情障碍作为暴力罪犯再犯风险因素的可能调节因素的作用。我们的假设是，尽管存在其他风险因素，但述情障碍会增加暴力再犯的风险。
我们进行了一项系统的文献综述，使用了述情障碍、暴力犯罪及其交叉点的相关术语。
（a）未发现有研究直接测试述情障碍与累犯和实际暴力累犯的其他潜在风险因素共同作用的情况。（b）主要研究述情障碍的研究人员和主要研究暴力行为的研究人员分别发现了述情障碍和暴力行为在几个临床特征上的共同点，如冲动性（共24项研究）。（c）其他研究人员已经确定了述情障碍与暴力累犯的动态和静态风险因素之间的关系（共16项研究）。
述情障碍可能是暴力犯罪累犯风险的一个潜在调节因素。通过对述情障碍的评估来补充罪犯的康复努力，可能有助于设计个性化的干预措施，以促进暴力罪犯停止犯罪。
