This study examined whether psychopathy moderated the relationship between time in treatment and forms of empathy in a sample of incarcerated male sexual offenders (N = 58). Empathy was assessed as a general personality trait as well as in attitudes toward specific victim groups (children, women).The three empathy measures were submitted to principal components analysis with oblique rotation, revealing a 3-component solution: general empathy, hostility toward women, and empathy for children. Hierarchical linear regression analyses demonstrated that level of psychopathy significantly moderated the effects of time in treatment on levels of general and victim-specific empathy, such that offenders with higher levels of psychopathy did not exhibit greater empathy with longer reported time in treatment. In contrast, offenders with lower levels of psychopathy exhibited greater empathy with longer time in treatment. Implications for treatment planning for sexual offenders are discussed.
Abracen, J., Looman, J., & Langton, C.M. ( 2008). Treatment of sexual offenders with psychopathic traits: Recent research developments and clinical implications. Trauma, Violence, and Abuse, 9, 144-166.
2.
Baron, R.M., & Kenny, D.A. ( 1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations . Journal of Personality and Social Psychology, 51, 1173-1182.
3.
Bays, L., & Freeman-Longo, R. (1989). Why did I do it again? Understanding my cycle of problem behaviors: A guided workbook for clients in treatment. Brandon, VT: Safer Society Press.
4.
Bays, L., Freeman-Longo, R., & Montgomery-Logan, D. (1990). How can I stop? Breaking my deviant cycle: A guided workbook for clients in treatment. Brandon, VT: Safer Society Press.
5.
Beckett, R., Beech, A., Fisher, D., & Fordham, A.S. ( 1994). Community-based treatment for sex offenders: An evaluation of seven treatment programs (Home Office Occasional Paper ). London, UK: Home Office.
6.
Beech, A., Fisher, D., & Beckett, R. ( 1999). An evaluation of the prison sex offender treatment programme (UKHome Office Occasional Report). London , UK: Home Office.
7.
Boer, D.P., Wilson, R.J., Gauthier, C.M., & Hart, S.D. ( 1997). Assessing risk for sexual violence: Guidelines for clinical practice. In C. D. Webster & A. M. Jackson (Eds.), Impulsivity: Theory, assessment, and treatment (pp. 326-342). New York, NY: Guilford.
8.
Burke, D.M. ( 2001). Empathy in sexually offending and nonoffending adolescent males. Journal of Interpersonal Violence, 16, 222-233.
9.
Chapman, A.L., Gremore, T.M., & Farmer, R.F. ( 2003). Psychometric analysis of the Psychopathic Personality Inventory (PPI) with female inmates. Journal of Personality Assessment, 80, 164-172.
10.
Cleckley, H. ( 1982). The mask of sanity. St. Louis, MO : Mosby. (Original work published 1941)
11.
Covell, C.N., & Scalora, M.J. ( 2001). Empathic deficits in sexual offenders: An integration of affective, social, and cognitive constructs. Aggression and Violent Behavior, 7, 251-270.
12.
Davis, M.H. ( 1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology , 10, 85.
13.
Davis, M.H. ( 1983). The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach. Journal of Personality , 51, 67-184.
14.
Decety, J., & Jackson, P.L. ( 2004). The functional architecture of human empathy. Behavioral and Cognitive Neuroscience Reviews, 3, 71-100.
15.
Dietrich, A.M., Smiley, W.C., & Frederick, C. ( 2007). The roles of childhood maltreatment and psychopathy in sexual recidivism of treated sex offenders. Journal of Aggression, Maltreatment & Trauma, 14, 19-31.
16.
Edens, J.F., Marcus, D.K., Lilienfeld, S.O., & Poythress, N.G. (2006). Psychopathic, not psychopath: Taxometric evidence for the dimensional structure of psychopathy. Journal of Abnormal Psychology, 115, 131-144.
17.
Fabrigar, L.R., Wegener, D.T., MacCallum, R.C., & Strahan, E.J. ( 1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272-299.
18.
Farr, C., Brown, J., & Beckett, R. ( 2004). Ability to empathize and masculinity levels: Comparing male adolescent sex offenders with a normative sample of nonoffending adolescents . Psychology, Crime & Law, 10, 155-168.
19.
Fernandez, Y.M., & Marshall, W.L. (2003). Victim empathy, social self-esteem and psychopathy in rapists. Sexual Abuse: A Journal of Research and Treatment, 15, 11-26.
20.
Fernandez, Y.M., Marshall, W.L., Lightbody, S., & O’Sullivan, C. (1999). The child molester empathy measure. Sexual Abuse: A Journal of Research and Treatment , 11, 17-31.
21.
Finkelhor, D., & Jones, L.M. ( 2004). Sexual abuse decline in the 1990s: Evidence for possible causes (Juvenile Justice Bulletin No. NCJ199298). Washington, DC: Office of Juvenile Justice & Delinquency Prevention.
22.
Fisher, D., Beech, A., & Browne, K. ( 1999). Comparison of sex offenders to nonoffenders on selected psychological measures. International Journal of Offender Therapy and Comparative Criminology, 43, 473-491.
23.
Freeman-Longo, R., & Bays, L. ( 1988). Who am I and why am I in treatment? A guided workbook for clients in evaluation and beginning treatment. Brandon, VT: Safer Society Press.
24.
Freeman-Longo, R.E., Bird, D., Stevenson, W.F., & Fiske, J.A. ( 1995). 1994 Nationwide Survey of Treatment Programs and Models . Brandon, VT: Safer Society Press .
25.
Freeman-Longo, R.E., & Pithers, W.D. ( 1992). A structured approach to preventing relapse: A guide for sex offenders. Brandon, VT: Safer Society Press.
26.
Gery, I., Miljkovitch, R., Berthoz, S., & Soussignan, R. (2007). Empathy and recognition of facial expressions of emotion in sex offenders, non-sex offenders and normal controls. Psychiatry Research, 165, 252-262.
27.
Goldberg, L.R., & Velicer, W.F. ( 2006). Principles of exploratory factor analysis. In S. Strack (Ed.), Differentiating normal and abnormal personality (2nd ed., pp. 209-234). New York, NY: Springer.
28.
Hanson, R.K., & Bussière, M.T. (1998). Predicting relapse: A meta-analysis of sexual offender recidivism studies. Journal of Consulting and Clinical Psychology, 66, 348-362.
29.
Hanson, R.K., & Harris, A. ( 2000). Where should we intervene? Dynamic predictors of sexual offense recidivism. Criminal Justice and Behavior, 27, 6-35.
30.
Hanson, R.K., & Morton-Bourgon, K. (2004). Predictors of sexual recidivism: An updated meta- analysis (User Report 2004-02). Ottawa, Ontario: Public Safety and Emergency Preparedness Canada.
31.
Hanson, R.K., & Morton-Bourgon, K.E. (2005). The characteristics of persistent sexual offenders: A meta-analysis of recidivism studies. Journal of Consulting and Clinical Psychology, 73, 1154-1163.
32.
Hanson, R.K., & Scott, H. ( 1995). Assessing perspective taking among sex offenders, nonsexual criminals, and nonoffenders. Sexual Abuse: A Journal of Research and Treatment, 7, 259-277.
33.
Hanson, R.K., Scott, H., & Steffy, R.A. ( 1995). A comparison of child molesters and nonsexual criminals: Risk predictors and long-term recidivism. Journal of Research in Crime and Delinquency, 32, 325-337.
34.
Hare, R.D. ( 1991). The Hare Psychopathy Checklist-Revised. Toronto, Ontario, Canada: Multi-Health Systems.
35.
Hare, R.D. ( 1993). Without conscience: The disturbing world of psychopaths among us. New York, NY: Simon & Schuster.
36.
Hare, R.D. ( 1996). Psychopathy: A clinical construct whose time has come . Criminal Justice and Behavior, 23, 25-54.
37.
Hare, R.D. ( 1998). Psychopathy, affect, and behavior. In D. Cooke, A. Forth , & R. Hare (Eds.), Psychopathy, theory, research, and implications for society (pp. 105-137). Dordrecht, Netherlands: Kluwer.
38.
Hare, R.D., & Neumann, C.S. ( 2008). Psychopathy as a clinical and empirical construct. Annual Review of Clinical Psychology, 4, 217-246.
39.
Hayashino, D.S., Wurtele, S.K., & Klebe, K.J. ( 1995). Child molesters: An examination of cognitive factors . Journal of Interpersonal Violence, 10, 106-116.
40.
Hildebrand, M., de Ruiter, C., & deVogel, V. (2004). Psychopathy and sexual deviance in treated rapists: Association with sexual and nonsexual recidivism. Sexual Abuse: A Journal of Research and Treatment, 16, 1-24.
41.
Hogan, R. ( 1969). Development of an empathy scale. Journal of Consulting and Clinical Psychology, 33, 307-316.
42.
Jolliffe, D., & Farrington, D.P. (2004). Empathy and offending: A systematic review and meta-analysis. Aggression and Violent Behavior, 9, 441-476.
43.
Knopp, F.H., Freeman-Longo, R.E., & Stevenson, W. ( 1992). Nationwide survey of juvenile and adult sex offender treatment programs. Orwell, VTSafer Society Press.
44.
Kruh, I.P., Whittemore, K., Arnaut, G.L.Y., Manley, J., Gage, B., & Gagliardi, G.J. (2005). The concurrent validity of Psychopathic Personality Inventory and its relative association with past violence in a sample of insanity acquittees. International Journal of Forensic Mental Health, 4, 135-145.
45.
Langevin, R., Curnoe, S., Fedoroff, P., Bennett, R., Langevin, M., Peever, C., Pettica, R., & Sandhu, S. ( 2004). Lifetime sex offender recidivism: A 25-year follow-up study. Canadian Journal of Criminology and Criminal Justice , 46, 531-552.
46.
Langevin, R., Write, P., & Handy, L. ( 1988). Empathy, assertiveness, aggressiveness, and defensiveness among sex offenders. Annals of Sex Research, 1, 533-547.
47.
Langton, C.M., Barbaree, H.E., Harkins, L., & Peacock, E.J. ( 2006). Sex offenders’ response to treatment and its association with recidivism as a function of psychopathy. Sexual Abuse: A Journal of Research and Treatment, 18, 99-120.
48.
Lilienfeld, S.O., & Andrews, B.F. ( 1996). Development and preliminary validation of a self-report measure of psychopathic personality traits in noncriminal populations. Journal of Personality Assessment, 66, 488-524.
49.
Lilienfeld, S.O., & Fowler, K.A. ( 2007). The self-report assessment of psychopathy: Problems, pitfalls, and promises. In C. J. Patrick (Ed.), Handbook of psychopathy (pp. 107-132). New York, NY: Guilford.
50.
Lisak, D., & Ivan, C. ( 1995). Deficits in intimacy and empathy in sexually aggressive men. Journal of Interpersonal Violence, 10, 296-308.
51.
Lynam, D.R., & Widiger, T.A. ( 2007). Using a general model of personality to identify the basic elements of psychopathy. Journal of Personality Disorders , 21, 160-178.
52.
Mahaffey, K.J., & Marcus, D.K. ( 2006). Interpersonal perception of psychopathy: A social relations analysis. Journal of Social and Clinical Psychology, 25, 53-74.
53.
Malamuth, N.M. ( 1986). Predictors of naturalistic sexual aggression. Journal of Personality and Social Psychology, 5, 953-962.
54.
Marcus, D.K., John, S.L., & Edens, J.F. ( 2004). A taxometric analysis of psychopathic personality. Journal of Abnormal Psychology, 113, 626-635.
55.
Marcus, D.K., Ruscio, J., Lilienfeld, S.O., & Hughes, K.T. ( 2008). Converging evidence for the latent structure of antisocial personality disorder: Consistency of taxometric and latent class analyses . Criminal Justice and Behavior, 35, 284-293.
56.
Marshall, W.L., Hudson, S.M., Jones, R., & Fernandez, Y.M. (1995). Empathy in sex offenders . Clinical Psychology Review, 15, 99-113.
57.
Marshall, W.L., Jones, R., Hudson, S.M., & McDonald, E. ( 1993). Generalized empathy in child molesters. Journal of Child Sexual Abuse, 2, 61-68.
58.
Marshall, W.L., Laws, D.R., & Barbaree, H.E. (1990). Handbook of sexual assault: Issues, theories, and treatment of the offender. New York, NY: Plenum.
59.
Marshall, W.L., & Maric, A. ( 1996). Cognitive and emotional components of generalized empathy deficits in child molesters. Journal of Child Sexual Abuse , 5, 101-110.
60.
Marshall, W.L., Marshall, L.E., Serran, G.A., & O’Brien, M.D. (2009). Self-esteem, shame, cognitive distortions and empathy in sexual offenders: Their integration and treatment implications . Psychology, Crime & Law, 15, 217-234.
61.
McGrath, R., Cumming, G., Burchard, B., Zeoli, S., & Ellerby, L. (2010). Current practices and emerging trends in sexual abuser management: The Safer Society 2009 North American Survey. Brandon, VT: Safer Society Press.
62.
Mehrabian, A., & Epstein, N.A. ( 1972). A measure of emotional empathy. Journal of Personality, 40, 525-543.
63.
Meis, L.A., Murphy, C.M., & Winters, J.J. (2010). Outcome expectancies of partner abuse: Assessing perpetrators’ expectancies and their associations with readiness to change, abuse, and relevant problems . Assessment, 17, 30-43.
64.
Olver, M.E., & Wong, S.C. ( 2006). Psychopathy, sexual deviance, and recidivism among sex offenders. Sexual Abuse: A Journal of Research and Treatment , 18, 65-82.
65.
Olver, M.E., & Wong, S.C. (2009). Therapeutic responses of psychopathic sexual offenders: Treatment attrition, therapeutic change, and long-term recidivism. Journal of Consulting and Clinical Psychology, 77, 328-336.
66.
Pithers, W.D. ( 1994). Process evaluation of a group therapy component designed to enhance sex offender’s empathy for sexual abuse survivors. Behavior Research and Therapy, 32, 565-570.
67.
Porter, S., Fairweather, D., Drugge, J., Hervé, H., Birt, A., & Boer, D.P. ( 2000). Profiles of psychopathy in incarcerated sexual offenders . Criminal Justice and Behavior, 27, 216-233.
68.
Poythress, N.G., Edens, J.F., & Lilienfeld, S.O. (1998). Criterion-related validity of the psychopathic personality inventory in a prison sample. Psychological Assessment, 10, 426-430.
69.
Pulos, S., Elison, J., & Lennon, R. ( 2004). The hierarchical structure of the interpersonal reactivity index. Social Behavior and Personality, 32, 355-360.
70.
Ruiz, M.A., Pincus, A.L., & Schinka, J.A. ( 2008). Externalizing pathology and the five-factor model: A meta-analysis of personality traits associated with antisocial personality disorder, substance use disorder, and their co-occurrence. Journal of Personality Disorders, 22, 365-388.
71.
Salekin, R.T., Worley, C., & Grimes, R.D. (2010). Treatment of psychopathy: A review and brief introduction to the mental model approach for psychopathy. Behavioral Sciences and the Law , 28, 235-266.
72.
Salter, A.C. ( 2003). Predators, pedophiles, rapists, and other sex offenders: Who they are, how they operate, and how we can protect ourselves and our children . New York, NY: Basic Books.
73.
Sandoval, A.R., Hancock, D., Poythress, N., Edens, J.F., & Lilienfeld, S.O. (2000). Construct validity of the psychopathic personality inventory in a correctional sample. Journal of Personality Assessment, 74, 262-281.
74.
Serin, R.C., Malcolm, P.B., Khanna, A., & Barbaree, H.E. (1994). Psychopathy and deviant sexual arousal in incarcerated sexual offenders. Journal of Interpersonal Violence, 9, 3-11.
75.
Seto, M.C., & Barbaree, H.E. (1999). Psychopathy, treatment behavior, and sex offender recidivism. Journal of Interpersonal Violence, 14, 1235-1248.
76.
Smallbone, S.W., Wheaton, J., & Hourigan, D. ( 2003). Trait empathy and criminal versatility in sexual offenders . Sexual Abuse: A Journal or Research and Treatment, 15, 49-60.
77.
Sykes, G., & Matza, D. ( 1957). Techniques of neutralization: A theory of delinquency . American Sociological Review, 22, 664-670.
78.
Webster, S.D., & Beech, A. ( 2000). The nature of sexual offenders’ affective empathy: A grounded theory analysis. Sexual Abuse: A Journal of Research and Treatment, 12, 249-261.
79.
Whittaker, M.K., Brown, J., Beckett, R., & Gerhold, C. ( 2006). Sexual knowledge and empathy: A comparison of adolescent child molesters and non-offending adolescents. Journal of Sexual Aggression, 12, 143-154.
80.
Widiger, T.A., & Sankis, L.M. ( 2000). Adult psychopathology: Issues and controversies. Annual Review of Psychology, 51, 377-404.
81.
Williams, C.A. ( 1990). Biopsychosocial elements of empathy: A multidimensional model. Issues in Mental Health Nursing, 11, 155-174.
82.
U.S. Departmentof Justice. (2009). Crime in the United States, 2008. Washington, DC: U.S. Department of Justice, Federal Bureau of Investigation.
83.
Uzieblo, K., Verschuere, B., & Crombez, G. ( 2007). The Psychopathic Personality Inventory: Construct validity of the two-factor structure. Personality and Individual Differences , 43, 657-667.
