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：

---

有性犯罪史的高精神病男性也有保护因素：但这些风险是否相关，他们可以改变治疗吗？

目的 精神病是一种严重的人格障碍，以抵制矫正和法医心理健康治疗而闻名，并且与不同再犯结果的高风险同义；它不容易与大量的积极品质或保护因素联系起来。研究尚未检查作为矫正样本中精神病的函数的保护因素的存在以及保护因素对高度精神病男性的风险相关性。方法 本研究调查了加拿大 461 名男性样本中的精神病和保护因素与再犯之间的关联，这些人参加了针对性犯罪的治疗并在出狱后近 10 年进行了随访。The Psychopathy Checklist-Revised (PCL-R; Hare, The Hare Psychopath-checklist-revised, 1991; Hare, Manual for the modified psychopathy checklist, 2003) 和保护因素的结构化评估 (SAPROF；de Vogel 等人，《国际法医心理健康杂志》，2011, 10, 171) 是从机构档案中评级的，累犯数据则从官方犯罪记录中获得。结果 PCL-R 分数与 SAPROF 分数呈负相关；然而，即使在 PCL-R 上得分高的男性也对保护因素进行了显着的前后变化。PCL-R 和 SAPROF 评分预测性、暴力和一般累犯；控制 PCL-R 评分的保护因素的治疗相关变化与暴力再犯的减少显着相关。结论保护因素可以并且确实会随着有目的的改变剂（例如，矫正治疗）而改变，即使在具有实质性精神病特征的个体中也是如此。讨论了保护因素在高精神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）。