Lindsay W R, Smith A H
Dundee Healthcare NHS Trust, and University of Abertay, UK.
J Intellect Disabil Res. 1998 Oct;42 ( Pt 5):346-53. doi: 10.1046/j.1365-2788.1998.00147.x.
The present study compares the responses to treatment of sex offenders with intellectual disability receiving 1- and 2-year probationary sentences. There were seven subjects in each group. There were no differences between subjects with regard to age, IQ or previous offences. All subjects received group treatment which addressed issues of: denial, minimization and responsibility for the offence; harm done to the victim; behaviour consistent with offending; and victim awareness and confidentiality. The subjects were assessed on a standard questionnaire designed to assess attitudes consistent with sex offending. All subjects were convicted of either indecent exposure or offences against children. There was a significant difference between the groups at the end of the probation period with subjects sentenced to 2 years' probation showing greater improvement. Subjects receiving 1 years' probation retained a number of attitudes consistent with denial and minimization of their offence. Furthermore, follow-up data underlined the poorer response to treatment for the 1-year probation group in terms of re-offending rates and assessment of attitudes consistent with sex offending. The authors recommend that a court order for a 1-year period of probation with treatment is of little value when dealing with sex offenders with intellectual disability. Rather, a period of at least 2 years' probation with a treatment recommendation is suggested.
本研究比较了被判处1年和2年缓刑的智障性犯罪者对治疗的反应。每组有7名受试者。受试者在年龄、智商或既往犯罪方面没有差异。所有受试者都接受了团体治疗,治疗内容涉及以下问题:对犯罪的否认、淡化及责任;对受害者造成的伤害;与犯罪行为一致的行为;以及对受害者的认知和保密。通过一份旨在评估与性犯罪相关态度的标准问卷对受试者进行评估。所有受试者均被判犯有露阴罪或侵害儿童罪。在缓刑期结束时,两组之间存在显著差异,被判处2年缓刑的受试者表现出更大的改善。接受1年缓刑的受试者仍保留一些与否认和淡化其犯罪行为相关的态度。此外,随访数据强调,就再犯率和与性犯罪相关态度的评估而言,1年缓刑组对治疗的反应较差。作者建议,对于智障性犯罪者,法院下达的为期1年的带治疗缓刑令几乎没有价值。相反,建议判处至少2年的缓刑并给出治疗建议。