Becker J V, Quinsey V L
Psychiatry Department, University of Arizona, Tucson 85724.
Child Abuse Negl. 1993 Jan-Feb;17(1):169-74. doi: 10.1016/0145-2134(93)90016-x.
Clinical evaluations can play a useful role in making a variety of dispositional decisions concerning child molesters provided they are done carefully, using relevant techniques, and their limitations are clearly understood. Assessment instruments and techniques that can differentiate child molesters from other persons, that are related to treatment planning, and that predict the commission of future sexual offending are the most useful. Sex offense history and phallometric assessments are useful in planning treatment and supervision programs and in assessing risk. The Psychopathy Checklist is also a strong predictor of sexual recidivism but its usefulness in treatment planning is equivocal. Measures of attitudes and beliefs that support child molestation are suitable for designing treatment programs but their prognostic significance remains to be established. More general measures of personality and psychopathology have not been established as predictors of recidivism but can be used to address collateral clinical issues.
只要临床评估做得仔细，运用相关技术，并且清楚地了解其局限性，那么在做出有关儿童性侵犯者的各种处置决定时，临床评估就能发挥有益作用。能够将儿童性侵犯者与其他人区分开来、与治疗计划相关且能预测未来性犯罪行为的评估工具和技术最为有用。性犯罪历史和阴茎测量评估在规划治疗和监管项目以及评估风险方面很有用。《精神病态检查表》也是性再犯的有力预测指标，但其在治疗计划中的实用性尚不确定。支持儿童性骚扰的态度和信念测量适用于设计治疗项目，但其预后意义仍有待确定。更一般的人格和精神病理学测量尚未被确立为再犯的预测指标，但可用于处理附带的临床问题。
