The management of sex offenders betweeen mental disorders and recidivism risk. Treatment perspectives

Abstract

Sex crimes provoke alarm and strong reactions from the public to a greater extent than any other type of crimes; this occurs especially when the victims are perceived to be particularly weak subjects and/or the perpetrators are affected by psychiatric disease. For these reasons, over the last few years a growing attention has been paid to abusive sex behaviors in the medical and legal fields, leading to the introduction and development of legal procedures and alternative treatments to allow comprehensive management of the different aspects of the phenomenon. This paper analyzes the relationship between mental disorders and sex crimes. Moreover, we focus on the treatment programs offered to sex offenders in some European and North American countries and, in view of the reported results, evaluate their possible introduction in Italy. Such programs are currently in force in many countries, including the United States, Scandinavia, France, Germany, Poland and the United Kingdom.

They include a first phase of evaluation of the level of risk posed by the perpetrator, followed by a treatment phase, that often includes psychiatric therapy and the use of drugs. To illustrate this type of approach, we describe the U.S. and the German experiences of subject evaluation and classification, as well as the treatments administered and the benefits observed. The data available on sex offenders show a strong risk of reiteration of the crime and therefore the need for a specific management of the problem. This has convinced certain countries to adopt specific treatment strategies, even mandatory ones, that raise ethical and legal issues, especially when they involve the mandatory use of drugs. We believe these issues warrant further in-depth analysis, as well as evaluation of the role that such programs could have in Italy.