OBJECTIVE Psychopathy is a serious personality disorder reputed for resistance to correctional and forensic mental health treatment and synonymous with being high risk for different recidivism outcomes; it is not readily associated with an abundance of positive qualities or protective factors. Research has yet to examine the presence of protective factors as a function of psychopathy in correctional samples and the risk-relevance of protective factors for high-psychopathy men. METHOD The present study examined the association of psychopathy and protective factors to recidivism in a Canadian sample of 461 men who attended sexual-offense-specific treatment and followed up nearly 10-year postrelease. The Psychopathy Checklist-Revised (PCL-R; Hare, The Hare psychopathy-checklist-revised, 1991; Hare, Manual for the revised psychopathy checklist, 2003) and the Structured Assessment of Protective Factors (SAPROF; de Vogel et al., The International Journal of Forensic Mental Health, 2011, 10, 171) were rated from institutional files and recidivism data were obtained from official criminal records. RESULTS PCL-R scores were inversely related to SAPROF scores; however, even men scoring high on the PCL-R made significant pre-post changes on protective factors. PCL-R and SAPROF scores predicted sexual, violent, and general recidivism; treatment-related changes in protective factors, controlling for PCL-R score, were significantly associated with decreased violent recidivism. CONCLUSIONS Protective factors can and do change with purposive change agents (e.g., correctional treatment), even among individuals with substantial psychopathic traits. The role and risk relevance of protective factors in sexual violence risk assessment and management with high psychopathy clientele are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

---

具有性犯罪史的高心理疾病男性也具有保护性因素：但是这些风险是否相关并且可以改变治疗方式吗？

目的精神病是一种严重的人格障碍，因其对矫正和法医心理健康治疗的抵抗力而著名，是不同累犯预后的高风险代名词。它并不容易与丰富的积极品质或保护性因素相关联。尚无研究检查矫正样本中作为精神病的功能的保护因子的存在以及高精神病男性的保护因子的风险相关性。方法本研究检查了加拿大461名接受性犯罪特异性治疗并在释放后进行了近10年随访的男性样本中，心理疾病和保护因素与累犯的关系。修订的《精神病检查表》（PCL-R； Hare，1991年的Hare精神病检查表修订版； Hare，《修订的精神病检查表手册》，2003年）和保护性因素的结构评估（SAPROF； de Vogel等人，《国际法医精神健康杂志》，2011年，第10期，第171页）均从机构档案中进行了评级，而累犯数据则是从官方犯罪记录中获得的。结果PCL-R评分与SAPROF评分成反比；但是，即使在PCL-R上得分高的男人，在保护因素方面也做出了很大的改变。PCL-R和SAPROF得分可预测性，暴力和一般再犯；控制PCL-R评分的与治疗相关的保护因子变化与暴力再犯的减少显着相关。结论即使有实质性精神病性状的人，保护性因素也可以并且确实会随着目的性改变剂（例如，矫正治疗）而改变。讨论了保护因素在高心理病患者的性暴力风险评估和管理中的作用和风险相关性。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。