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Seattle University Collaborative Projects - International Academy of ...

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Neuropsychology, Neuroscience, Volitional Impairment and Sexually ViolentPredators: A Review <strong>of</strong> the Literature and the Law and their Application to CivilCommitment ProceedingsJohn Matthew Fabian, Consulting Psychologist, Columbus, USA(john@johnmatthewfabian.com)The U.S. Supreme Court held in Kansas v. Crane, that a person’s mental abnormality orpersonality disorder must cause the individual to have "serious difficulty in controlling his sexualbehavior," rather than "total or complete lack <strong>of</strong> control." While most state civil commitmentstatutes do not mandate this volitional impairment language relevant to loss <strong>of</strong> control, theyinstead incorporate the requirement <strong>of</strong> findings <strong>of</strong> "likely" or "likelihood" to re<strong>of</strong>fend. Yet insome <strong>of</strong> these state Sexually Violent Predator (SVP) hearings, the forensic mental health expertwitnesses testify as to the <strong>of</strong>fender’s ability to control his sex <strong>of</strong>fending behaviors. Occasionally,some <strong>of</strong> these experts are neuropsychologists and neurologists who testify about a sex <strong>of</strong>fender’sneurological and cognitive impairment resulting in sexually deviant behavior, volitionalimpairment, and likelihood <strong>of</strong> re<strong>of</strong>fending. This paper’s focus is to assess deviant sexual<strong>of</strong>fending behaviors and volitional impairment through a neuropsychological and neurologicallens. The author will provide an analysis <strong>of</strong> the literature as to the structural and functionalneurocognitive processes <strong>of</strong> sex <strong>of</strong>fending pertaining to neuropathology, neuropsychology, andneuroimaging data. The author will attempt to apply these findings to the legal requirementsoutlined in Crane necessitating commitment <strong>of</strong> sex <strong>of</strong>fenders who experience some volitionalimpairment in their behaviors that lead them to be likely to sexually re<strong>of</strong>fend. The author willreview state case law addressing neuroscience in SVP proceedings.Polygraph and Sex Offender Assessment: The Polygraph is not a RiskAssessment Tool, so How Can It Help?Kenneth Blackstone, Consulting Psychologist, Atlanta, USA (kenblackstone@gmail.com)Polygraph examination is a catch-all term used to describe the use <strong>of</strong> the polygraph instrument ina variety <strong>of</strong> applications associated with the risk assessment and treatment <strong>of</strong> sex <strong>of</strong>fenders. Thispresentation will focus on the use and misuse <strong>of</strong> the polygraph during the assessment <strong>of</strong>convicted and/or civilly committed sex <strong>of</strong>fenders. This presentation will include a history <strong>of</strong> theused <strong>of</strong> polygraphs in conviction sex <strong>of</strong>fender proceedings, descriptions <strong>of</strong> the types <strong>of</strong>examinations that can be administered and how each might play a role in risk assessments forcivil commitment proceedings, suggestions on how mental health pr<strong>of</strong>essionals can effectivelyincorporate polygraph examinations results into evaluations and recommendations, and adiscussion <strong>of</strong> the limitations <strong>of</strong> the polygraph examination and how it might be misused incommitment courts.293

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