Abstract

The decision about unsupervised privileges for sexual offenders against children (SOC) is one of the most difficult decisions for practitioners in forensic high-security hospitals. Facing the possible consequences of the decision for the society, a valid and reliable risk management of SOCs is essential. Some risk management approaches provide frameworks for the construction of relevant future risk situations. Due to ethical reasons, it is not possible to evaluate the validity of constructed risk situations in reality. The aim of the study was to test if behavioral monitoring of SOCs in high-immersive virtual risk situations provides additional information for risk management. Six SOCs and seven non-offender controls (NOC) walked through three virtual risk situations, confronting the participant with a virtual child character. The participant had to choose between predefined answers representing approach or avoidance behavior. Frequency of chosen answers were analyzed in regards to knowledge of the participants about coping skills and coping skills focused during therapy. SOCs and NOCs behavior differed only in one risk scenario. Furthermore, SOCs showed in 89% of all cases a behavior not corresponding to their own belief about adequate behavior in comparable risk situations. In 62% of all cases, SOCs behaved not corresponding to coping skills they stated that therapists focused on during therapy. In 50% of all cases, SOCs behaved in correspondence to coping skills therapists stated that they focused on during therapy. Therapists predicted the behavior of SOCs in virtual risk situations incorrect in 25% of all cases. Thus, virtual risk scenarios provide the possibility for practitioners to monitor the behavior of SOCs and to test their decisions on unsupervised privileges without endangering the community. This may provide additional information for therapy progress. Further studies are necessary to evaluate the predictive and ecological validity of behavioral monitoring in virtual risk situations for real life situations.

Highlights

  • The decision about unsupervised privileges for sexual offenders against children (SOC) is one of the most difficult decisions for practitioners in forensic high-security hospitals

  • All non-offender controls (NOC) were without history of neurological or psychiatric illness according to DSM-5 (American Psychiatric Association., 2013)

  • TP, True Positive; FP, False Positive; TN, True Negative, FN, False Negative. During which they were confronted with a virtual child

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Summary

Introduction

The decision about unsupervised privileges for sexual offenders against children (SOC) is one of the most difficult decisions for practitioners in forensic high-security hospitals. If a positive decision is made too early in the therapy process, the risk for the community in the form of a re-offense is too high. In order to mitigate possible consequences of an early release, for both the community as well as the patients, an accurate and reliable risk management is essential. The most prominent risk management model is the Risk-NeedResponsivity (RNR)-Model (Andrews and Bonta, 2010). The starting point of every risk management following the RNR is a valid and reliable risk assessment of static risk and dynamic factors (Risk principle). The treatment should focus on stable and acute dynamic risk factors (Need principle). The risk assessment guides the therapy (Andrews and Bonta, 2010)

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