There have been few attempts to build a model of sexual offending for men with intellectual disabilities and hence clarify appropriate intervention. This study examines any commonalities that characterize the offence process of such men. Using a grounded theory approach, qualitative interviews with sex offenders with intellectual disabilities are analyzed to generate a model of the offence process. Data from qualitative interviews with clinicians is used to triangulate offender participants' data. The subsequent model highlights the importance of individual's attitudes and beliefs and the impact that they have at all stages of the offence process. It raises issues concerning the variation in the process that is seen within and between offences. Additionally, it identifies a marked lack of awareness of any "decency insult" in these offenders, an inability to empathize with society's view of sex offending. A clear implication is that thorough assessment and formulation are likely to be the key to successful and appropriate intervention.
Allam, J., Middleton, D., & Browne, K. (1997). Different clients, different needs? Practice issues in community-based treatment for sex offenders. Criminal Behaviour and Mental Health, 7, 69-84.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorder (4th edn.). Washington, DC: Author .
3.
Arscott, K., Dagnan, D., & Stenfert-Kroese, B. (1998). Consent to psychological research by people with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 11 (1), 77-83.
4.
Bremble, A., & Rose, J. (1999). Psychological intervention for adults with learning disabilities accused of sexual offending. Clinical Psychology Forum, 131, 24-30.
5.
British Psychological Society. (2001). Learning disability: Definitions and contexts. Leicester , UK: Professional Affairs Board of the British Psychological Society.
6.
Brown, H. (1997). Introduction to special issue on sexuality. Journal of Applied Research in Intellectual Disabilities, 10(2), 80-82.
7.
Charman, T., & Clare, I. (1992). Education about the laws and social rules relating to sexual behaviour. Mental Handicap, 20, 74-80.
8.
Clare, I. (1993). Issues in the assessment and treatment of male sex offenders with mild learning disabilities. Sexual and Marital Therapy, 8(2), 167-180.
9.
Clare, I.C.H., & Murphy, G.H. (1998). Working with offenders or alleged offenders with intellectual disabilities. In E. Emerson, C. Hatton, J. Bromley, & A. Caine (Eds.), Clinical psychology and people with intellectual disabilities (pp. 154-176). Chichester, UK: Wiley.
10.
Day, K. (2000). Offenders with mental retardation. In C. R. Hollin (Ed.), Handbook of offender assessment and treatment, Chichester, UK: Wiley.
11.
Denzin, N. (1988). The research act. Upper Saddle River, NJ: Prentice Hall.
12.
Elliott, R., Fischer, C.T., & Rennie, D.L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38, 215-229.
13.
Finklehor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press.
14.
Griffiths, S., Quinsey, V., & Hingsburger, D. (1989). Changing inappropriate sexual behaviour: A community based approach for persons with developmental disabilities. Baltimore: Brookes .
15.
Haaven, J., Little, R., & Petre-Miller, D. (1990). Treating intellectually disabled sex offenders: A model residential program. Orwell, VTSafer Society Press.
16.
Haaven, J.L., & Coleman, E.M. (2000). Treatment of the developmentally disabled sex offender. In D. R. Laws, S. M. Hudson, & T. Ward (Eds.), Remaking relapse prevention with sex offenders: A sourcebook (pp. 369-388). Thousand Oaks, CA: Sage.
17.
Hill-Tout, J., Thomas, A., & Dunkerton, K. (1998). Managing the support of a sex offender with learning disabilities in the community: A team approach to intervention. Journal of Learning Disabilities for Nursing Health and Social Care, 2(3), 163-167.
18.
Keating, T.P. (2000). Respect: A 7 step system to treat pedophiles who are mentally retarded, have mental illness, and physical handicaps. Journal of Psychology and Human Sexuality, 11(3), 89-114.
19.
Keeling, J., & Rose, J. (in press). The adaptation of a cognitive-behavioural treatment programme for special needs sexual offenders relapse prevention with intellectually disabled sexual offenders. British Journal of Learning Disabilities .
20.
Lindsay, W.R. (1999). Cognitive therapy. The Psychologist ,12(5), 238-241.
21.
Lindsay, W.R., Neilson, C., Morrison, F., & Smith, A. (1998). The treatment of six men with a learning disability convicted of sex offences with children. British Journal of Clinical Psychology, 37(1), 83-98.
22.
Lindsay, W.R., & Smith, A.H.W. (1998). Responses to treatment for sex offenders with intellectual disability: A comparison of men with 1- and 2-year probation sentences. Journal of Intellectual Disability Research, 42(5), 346-353.
23.
Lund, C.A. (1992). Long-term treatment of sexual behavior problems in adolescent and adult developmentally disabled persons. Annals of Sex Research, 5(1), 5-31.
24.
Mann, R.E. (2004). Innovations in sex offender treatment. Journal of Sexual Aggression, 10(2), 141-152.
25.
Mann, R.E., & Thornton, D. (1998). The evolution of a multisite sexual offender program . In W. L. Marshall, Y. M. Fernandez, S. M. Hudson, & T. Ward (Eds.), Sourcebook of treatment programs for sexual offenders (pp. 47-57). New York: Plenum.
26.
Marshall, W.L., & Barbaree, H.E. (1990). An Integrated theory of the etiology of sexual offending. In W. L. Marshall, D. R. Laws, & H. E. Barbaree (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 257-275). New York: Plenum.
27.
Murphy, G.H., Holland, A., Fowler, P., & Reep, J. (1991). MIETS: A service option for people with mild mental handicaps and challenging behaviour or psychiatric problems. 1. Philosophy, service, and service users. Mental Handicap Research, 4(1), 41-66.
28.
Murphy, W.D., Coleman, E.M., & Haynes, M.R. (1983). Treatment and evaluation issues with the mentally retarded sex offender. In J. G. Greer & I. R. Stuart (Eds.), The sexual aggressor: Current perspectives in treatment. New York: Van Nostrand Reinholt.
29.
Nolley, D., Muccigrosso, L., & Zigman, E. (1996). Treatment successes with mentally retarded sex offenders. In E. M. Coleman, M. S. Dwyer, & N. J. Pallone (Eds.), Sex offender treatment: Biological dysfunction, intrapsychic conflict, interpersonal violence (pp. 125-141). New York: Haworth Press.
30.
O'Connor, C., & Rose, J. (1998). Sexual offending and abuse perpetrated by men with learning disabilities: An integration of current research concerning assessment and treatment. Journal of Learning Disabilities for Nursing, Health and Social Care, 2(1), 31-38.
31.
O'Connor, W. (1996). A problem-solving intervention for sex offenders with an intellectual disability. Journal of Intellectual and Developmental Disability, 21 (3), 219-235.
32.
O'Connor, W. (1997). Towards an environmental perspective on intervention for problem sexual behaviour in people with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 10(2), 159-175.
33.
Perkins, D. (1991). Clinical work with sex offenders in secure settings . In C. Hollin & K. Howells (Eds.), Clinical approaches to sex offenders and their victims (pp. 151-178). Chichester, UK: Wiley.
34.
Perkins, D., Hammond, S., Coles, D., & Bishopp, D. (1998). Review of sex offender treatment programmes. Department of Psychology, Broadmoor Hospital. Prepared For The High Security Psychiatric Services Commissioning Board.
35.
Pithers, W.D. (1990). Relapse prevention with sexual aggressors: A method for enhancing therapeutic gain and enhancing external supervision. In W. L. Marshall, D. R. Laws, & H. E. Barbaree (Eds.), Handbook of sexual assault: Issues, theories, and treatment of the offender (pp. 343-361). New York: Plenum .
36.
Rose, J., Jenkins, R., O'Connor, C., Jones, C., & Felce, D. (2002). A group treatment for men with intellectual disabilities who sexually offend or abuse. Journal of Applied Research in Intellectual Disabilities, 15(2), 138-150.
37.
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
38.
Swanson, C.K., & Garwick, G.B. (1990). Treatment for low-functioning sex offenders: Group therapy and interagency co-ordination. Mental Retardation , 28(3), 155-161.
39.
Sykes, G., & Matza, D. (1957). Techniques of neutralization: A theory of delinquency . American Sociological Review, 22(6), 664-670.
40.
Thompson, D. (1997). Profiling the sexually abuse behaviour of men with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 10(2), 125-139.
41.
Thompson, D., & Brown, H. (1997). Men with intellectual disabilities who sexually abuse: A review of the literature. Journal of Applied Research in Intellectual Disabilities, 10(2), 140-158.
42.
Ward, T., & Hudson, S.M. (1998). A model of the relapse process in sexual offenders . Journal of Interpersonal Violence, 13(6),700-725.
43.
Webster, S.D., & Marshall, W.L. (2004). Generating data with sexual offenders using qualitative material: A paradigm to complement not compete with quantitative methodology. Journal of Sexual Aggression , 10, 117-122.
44.
Wolf, S. (1985). A multifactor model of deviant sexuality. Victimology: An International Journal, 10, 359-374.
