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Adverse childhood experiences (ACEs) are a broad conceptual framework in the social sciences that have only recently been studied within criminology. The purpose of this paper is to utilize this framework by applying it to one of the most potentially dangerous forensic populations.

Archival data from 225 federal sex offenders was used to perform descriptive, correlational, and negative binomial regression models.

There was substantial evidence of ACEs including father abandonment/neglect (36 percent), physical abuse (nearly 28 percent), verbal/emotional abuse (more than 24 percent), and sexual abuse (approximately 27 percent). The mean age of sexual victimization was 7.6 years with the youngest age of victimization occurring at the age of 3. Offenders averaged nearly five paraphilias, the most common were pedophilia (57 percent), pornography addiction (43 percent), paraphilia not otherwise specified (35 percent), exhibitionism (26 percent), and voyeurism (21 percent). The offenders averaged 4.7 paraphilias and the range was substantial (0 to 19). Negative binomial regression models indicated that sexual sadism was positively and pornography addiction was negatively associated with serious criminal violence. Offenders with early age of arrest onset and more total arrest charges were more likely to perpetrate kidnaping, rape, and murder.

ACEs are common in the life history of federal sex offenders, but have differential associations with the most serious forms of crime.

The comorbidity of paraphilia-related disorders and other psychiatric disorders is high, but the paraphilia-related disorder often remains untreated until patients seek help for the comorbid disorder. A case of a patient in Mexico with comorbid paraphilia and depressive disorder, who was effectively treated with antidepressive medication and psychotherapy, is reported. The effect of stigmatization of homosexuality on the access to care of persons with sexual disorders is discussed.

There remains a lack of knowledge surrounding paraphilic or deviant arousal sexual behaviours in individuals with Autism spectrum disorder (ASD) (Kellaher, 2015). The purpose of this paper is to explore the literature for any empirical study, case study or discussion/review paper surrounding individuals with ASD and zoophilia or bestiality.

A systematic PRISMA review was conducted.

This systematic review highlighted only a small number of papers, which have looked at zoophilia or bestiality in individuals with ASD. Only one article was identified as being relevant in the present review, three further articles included a description of a case involving someone with ASD who engaged in zoophilia or bestiality and another paper, although not the focus of the study, found one person with Asperger’s disorder who had several paraphilias including olfactophilia, podophilia and zoophilia in a sample of 20 institutionalised, male adolescents and young adults with Autistic disorder and borderline/mild mental retardation. All the case studies clearly highlight some of the ASD symptomology that can contribute to engaging in bestiality or zoophilia.

It is important that individuals with ASD have access to appropriate and timely sex education and that parents are supported by healthcare professionals to engage with their children with ASD in such interactions across the autism spectrum irrespective of the parent’s expectations.

To the author’s knowledge, this is the first review of ASD in relation to bestiality and zoophilia.

The purpose of this paper is to examine the dark figure of crime among federal sex offenders from the USA to quantify crime victims and sex crime events among those with no official criminal record.

Using data on 119 offenders selected from a five-year census of sex offenders selected from a federal probation jurisdiction in the Midwestern United States, descriptive, partial correlations, and ROC-AUC models were conducted.

In total, 69 percent of offenders self-reported a contact sexual offense during polygraph examination. In total, 34 offenders had zero official record of sexual abuse but non-zero self-reported history of sexual abuse. These 34 clients offended against 148 victims that potentially denoted a minimum number of 148 sex crime events, a median number of 1,480 sex crime events, a mean number of 32,101 sex crime events, and a maximum number of 827,552 sex crime events. Total paraphilias were not predictive of self-reported sexual offending but were strongly associated with prolific self-reported sexual offending.

The dark figure of sexual offending is enormous and the revelation of this information is facilitated by polygraph examination of federal sex offenders. Ostensibly non-contact sex offenders such as those convicted of possession of child pornography are very likely to have a history of contact sexual offending. Consistent with the containment model, polygraph examinations of the sexual history of offenders convicted of sexual offenses should be required to facilitate public safety.

The purpose of this paper is to increase our understanding of the role of mental disorder in sexual offending as well as identifying innovations in assessment and treatment with offenders who present with these typically complex risks and needs.

The converging literatures on “good lives” and other developments in sexual offender treatment are compared with recovery from mental disorder and what is known about the particular needs and characteristics of sexual offenders with mental illness and severe personality disorder (PD).

A key outcome of this review is that many mentally disordered sexual offenders have similar needs to those in prison and the community but there are particular challenges posed by severe PD, paraphilias and the relatively rare individuals whose offending is functionally linked to psychotic symptoms.

Practical implications include the need for case formulation of complex needs related to mental disorder using direct and indirect measures of attitudes and interests. Treatment needs to be responsive to very different personality and mental health presentations as well as problems with offending and cognitive schemas. Direct functional links between mental health symptoms such as delusions and hallucinations are very rare in practice and are usually secondary to PD and sexual offending issues. In practice, treatment promoting recovery from mental disorder is highly compatible with the “good lives” approach to sexual offender treatment. Staff development, supervision and support are particularly important for staff treating mentally disordered sexual offenders.

It is argued that mentally disordered sexual offenders are an under-researched sub-group within the wider sexual offender population. This paper brings together the relatively limited literature on treatment with examples of recent treatment innovations, multi-modal assessment approaches and reviews of research on the needs of this relatively uncommon but highly risky group.

Sexual sadism is a well-known risk factor for severe forms of sexual violence including sexual homicide and serial sexual homicide. The research is decidedly mixed about the association between sexual sadism and other, nonsexual forms of criminal conduct. The paper aims to discuss these issues.

Drawing on data from a census of 225 federal sex offenders from a jurisdiction in the Midwestern USA, the current study examined whether sexual sadism had a spillover effect into nonsexual crimes using correlation, ANOVA, and negative binomial regression models.

Sexual sadism was strongly associated with diverse forms of nonsexual criminal behavior, and sexual sadists had more extensive and versatile criminal careers than sex offenders without a formal diagnosis.

Practitioners should be aware of sexual sadism as a criminogenic risk factor. Sexual sadism is associated with sexual deviance and sexual violence. Sexual sadism also has spillover effects where it is associated with nonsexual offending.

Sexual sadism can be a useful risk factor for other forms of crime and recidivism and has broad application in applied correctional and research settings.

Since Barker, Gupta, and Iantaffi (2007), in both mainstream cultural products and academic literature dealing with BDSM, there has been an increase in emanations of the “healing narrative,” which suggests that BDSM practices offer therapeutic potential. However, no significant attempt has been made to explore in greater detail the problematic relationship between this healing narrative and the history of pathologization of sadomasochistic desires and practices. Barker et al. (2007) rightly point out that in suggesting BDSM has healing potential, one runs the risk of implying that individuals who practice BDSM are in need of healing to begin with. This could be damaging to the image of BDSM, which after centuries of pathologization finally appears to be moving into a realm of acceptability. However, the experiences of BDSM practitioners who describe their practices as healing should not be discounted and could actually help to cultivate a more positive reputation, which makes the issue a political one. In this chapter, through an exploration of the concept of “healing” in cultural objects such as the film Secretary (2002, directed by Steven Shainberg) and the Showtime cable television series Billions (2016–present), this issue will be investigated further, leading to a way out of the apparent double bind. The aim is to come to an understanding of the therapeutic potential of BDSM, which would not only reframe the discourse of pathologization surrounding BDSM but also further the political goal of creating space for BDSM practitioners to explore their desires without having to experience stigmatization.

The management of sexual offending is a major challenge, particularly in men who have an intellectual disability. Psychological therapies have been shown beneficial, and programmes designed for use in the general population have been adapted for use in offenders who have an intellectual disability. There is also a role for pharmacological management, although the quality of evidence for this is noticeably lacking, most likely associated with the ethical and legal issues encountered in conducting well designed and controlled trials in this area. The purpose of this paper is to look at the pharmacological management options available.

A literature search of electronic databases was undertaken. Additionally, the references lists for identified papers were examined for any further relevant publications.

The two main categories of drugs used in the management of inappropriate sexual behaviour are the testosterone-lowering drugs and the psychotropic drugs. Most trials were open and utilised self-report measures of drug effectiveness, limiting their usefulness. Most trials noted beneficial effect. Side effect profiles and patient adherence can limit the effectiveness of anti-libidinal medication in practice.

There is very limited evidence available for the use of pharmacological agents in the management of inappropriate sexual behaviour, owing to the lack of adequately controlled clinical trials. New studies are therefore required, particularly of larger sample sizes, longer durations, and examining characteristics of those who benefit from pharmacological treatment, although the ethical issues of conducting such studies is duly acknowledged.