Some offenders are at very high risk to reoffend. Research conducted a
t the author's institution and elsewhere shows that psychopathic offen
ders are especially likely to be violent, that future violence can be
predicted with considerable accuracy among men who have committed at l
east 1 violent offense, and that treatment programs to reduce dangerou
sness do not always have the intended effects (i.e., they may actually
increase the dangerousness of some individuals). Implications for the
criminal justice system pertain to release following insanity acquitt
al, offender sentencing and parole, preventive detention, offender tre
atment, and program evaluation.