Adolescents commit nearly one-fifth of the sex crimes each year. Among those offenders exists a group of adolescent sex offenders with callous and unemotional (CU) traits who seem to show a more severe pattern of sexual offending. The current study attempts to test the importance of these traits by comparing adolescent sex offenders high or low on CU traits based on victim and offense characteristics, and offending history. A sample of 150 detained adolescents with a current sexual offense conviction were assessed through self-report, clinical interview, and file review. Results indicated that after controlling for a history of antisocial behaviors, the high CU group was more likely to have a greater number of victims, use more violence with victims, and engage in more offense planning than the low CU group. The high CU group was also more likely to offend against both strangers and family.

Adolescent offenders commit a significant number of physical and sexual assaults every year. A critical task for researchers and clinicians is to understand the distinct pathways that lead to these serious types of offending. The current study attempts to test the importance of these different pathways by comparing violent, violent sex, non-violent sex, and non-violent offenders based on SAVRY risk items, reoffending, and effects of treatment. A sample of 517 adolescents on probation was assessed for several risk factors (i.e., anger management, ADHD, low empathy/remorse) by probation officers. Recidivism over 12 months was assessed from official records. Results indicated that after controlling for race, groups differed on several risk factors, with significant differences noted between violent and non-violent sex offenders for anger management and attention deficit/hyperactivity problems, as well as violent sex offenders and all other offenders for low empathy/remorse. In comparison to non-violent offenders, violent offenders had more any re-offense and violent re-offense. While risk factors partially predicted the relationship between offender and recidivism, treatment did not moderate this relationship.

Adolescents commit between 30% and 50% of the sexual offenses against young children in the United States. Adolescents who complete specialized treatment for sexual offending, including family therapy, have lower rates of sexual recidivism. Despite the evidence that including families in adolescents' treatment may contribute to lower sexual recidivism rates, there are few descriptions of family therapy with adolescents who sexually offend. In particular, there are no conceptualizations or models of family involvement derived from parents and adolescents' perspectives on treatment. To address this need, this study examined adolescents' and their parents\' experiences of participation in family therapy when the adolescent son had been required to complete treatment for sexual offending. In addition, the study explored how parent and adolescent participation in family therapy was associated with adolescents' progress in treatment for sexual offending. Using constructivist grounded theory methodology, a conceptualization of family therapy was developed through semi-structured interviews with ten adolescent boys who have sexually offended and their parents/caregivers. In addition, a focus group of seven family therapists who specialize in the treatment of adolescents who sexually offend reviewed the findings and offered input on refining the emerging clinical conceptualization. Findings suggest that youth have more successful outcomes when therapists foster hopefulness and use parents to help motivate youth and facilitate change. Positive outcomes of family therapy for youth included expressing himself more clearly, caring about people, thinking about his future and setting goals, having more confidence, following the rules, "progressing in treatment, being accountable for his behavior, becoming more honest, developing life skills, and understanding and expressing regret for sexually offending. Positive outcomes of family therapy for families included changes in household rules, family roles, setting boundaries, and having respectful communication. Implications for how to best include families in adolescents' treatment of sexual offending are addressed. / Ph. D.