Many of these factors, which may well be noteworthy when evaluating an individual offender, are not supported by empirical research on risk assessment with large samples of rapists. Generally speaking, those risk factors that consistently emerge in empirical research are: (a) impulsive, antisocial behavior; (b) psychopathy; (c) number of prior sexual offenses; (d) sexual drive strength; and (e) history of sexual coercion or documented evidence (using the penile plethysmograph) of arousal to such coercion or to rape fantasy. If we try to be even more reductionistic, we can distill the empirical research down to three basic, fundamental factors: (1) clinical traits associated with psychopathy (e.g., callous indifference to others, lack of empathy, emotional detachment, lack of affect, conning and manipulativeness, glibness, entitlement, and grandiosity); (2) a track record of impulsive, antisocial behavior; and (3) sexual coercion (a willingness to use force or manipulation to satisfy sexual needs). The last factor, referred to as "sexual coercion," has been variously described and conceptualized by different researchers and at the present time is the focus of considerable study. One element in this complex equation seems to be marked attachment deficits that permit, or increase the likelihood of, "impersonal" sex (i.e., sex in the absence of any emotional attachment). On a hypothetical interpersonal attachment continuum, we find, in addition to impersonal sex, many outlets for anonymous sex (e.g., phone and computer sex, strip clubs). If we put together these three elements, we have emotional detachment, leaving the offender relatively impervious to cues of victim distress and thus unempathic; attachment deficits, increasing the desirability and/or need for impersonal sex; and coercion, the willingness to use force to gratify personal needs.
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