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Richard Rogers

Publications and source records attributed to Richard Rogers.

30 records · Page 2Linked to original sources

The antisocial process screening device: an examination of its construct and criterion-related validity.

The clinical assessment of psychopathy in adulthood is well established via programmatic research. More recently, psychopathy has been extended to children and adolescents with correlates to maladaptive personality traits, violent behavior, and noncompliance with institutional rules. To screen for adolescent psychopathy, the Antisocial Process Screening Device (APSD) was developed as a 20-item self-report measure of psychopathy. The original validation of the APSD was limited to samples of clinic-referred and community-based children. In extending this research to delinquent populations, the current article uses two separate samples of adolescent offenders incarcerated in a maximum security facility (n = 78) and a local juvenile detention facility (n = 77). As evidence of criterion-related validity, the APSD was compared with two versions of the Psychopathy Checklist that yielded mixed results. Construct validity was examined via a confirmatory factor analysis that provided support for a three-factor model of the APSD.

Adolescent↗

Detection of feigned mental disorders: a meta-analysis of the MMPI-2 and malingering.

The validity of test data from multiscale inventories is dependent on self-reports that may be easily distorted by malingering. In examining the Minnesota Multiphasic Personality Inventory-2's (MMPI-2) role in the assessment of feigning, this review provides a conceptual analysis of the detection strategies underlying the MMPI-2 validity scales. The conceptual analysis is augmented by comprehensive meta-analysis of 65 MMPI-2 feigning studies plus 11 MMPI-2 diagnostic studies. For the rare-symptoms strategy, Fp (Cohen's d = 2.02) appears especially effective across diagnostic groups; its cut scores evidence greater consistency than most validity indicators. The data supported the F as an effective scale but questioned the routine use of Fb. Among the specialized scales, Ds appeared especially useful because of its sophisticated strategy, consistent cut score, and minimalfalse-positives. General guidelines are offeredfor specific MMPI-2 validity scales in the assessment of malingering with specific diagnoses.

Factitious Disorders↗

Assessing dimensions of competency to stand trial: construct validation of the ECST-R.

Four decades of forensic research have left unanswered a fundamental issue regarding the best conceptualization of competency to stand trial vis-à-vis the Dusky standard. The current study investigated three competing models (discrete abilities, domains, and cognitive complexity) on combined data (N = 411) from six forensic and correctional samples. Using the Evaluation of Competency to Stand Trial-Revised (ECST-R), items representative of the Dusky prongs were used to test the three models via maximum-likelihood confirmatory factor analyses (CFA). Of the three, only the discrete abilities model evidenced a good fit, indicating that competency to stand trial should consider separately each defendant's factual understanding of the proceedings, rational understanding of the proceedings, and ability to consult with counsel. ECST-R competency scales, based on the current CFA, have excellent alphas (.83 to .89) and interrater reliabilities (.97 to .98).

Adult↗

Standardizing DSM-IV diagnoses: the clinical applications of structured interviews.

Psychological assessments of Axis I and Axis II diagnoses are strongly enhanced by the use of structured interviews. Structured interviews standardize the clinical inquiries, sequencing of diagnostic issues, and criterion-based ratings. For a broad range of clinical settings, structured interviews can systematically assess changes in patient status, corroborative data from multiple sources, interrater and test-retest reliability, and diagnostic validity. This article outlines the potential uses of different diagnostic interviews that are tailored for or adapted to specific clinical purposes.

Diagnostic Errors↗

Assessing Axis I symptomatology on the SADS-C in two correctional samples: the validation of subscales and a screen for malingered presentations.

The Schedule of Affective Disorders and Schizophrenia-Change Version (SADS-C; Spitzer & Endicott, 1978b) is a brief, highly reliable structured interview with clinical applications to diverse populations. This investigation involved reanalyses of data from 2 earlier studies (Rogers, Grandjean, Tillbrook, Vitacco, & Sewell, 2001; Ustad, Rogers, & Salekin, 1998). Focusing on 2 clinical samples from a metropolitan jail, we investigated its subscales via exploratory and confirmatory factor analysis. A good model fit was found (comparative fit index =.92; robust comparative fit index =.94) for 4 subscales (Dysphoria, Psychosis, Mania, and Insomnia) with good interrater reliability (M intraclass coefficient =.95) and clinical relevance. As a preliminary screen for feigned mental disorders, 2 detection scales (Symptom Combinations and Symptom Selectivity) were moderately successful. By maximizing negative predictive power, the SADS-C detection strategies proved effective at ruling out feigning for mentally disordered offenders with a high likelihood of genuine disorders.

Adult↗

Combining fMRI with a pharmacokinetic model to determine which brain areas activated by painful stimulation are specifically modulated by remifentanil.

We present a method for investigating the dynamic pharmacological modulation of pain-related brain activity, measured by BOLD-contrast fMRI. Noxious thermal stimulation was combined with a single infusion and washout of remifentanil, a short-acting opioid analgesic agent. The temporal profile of the effect site concentration of remifentanil, estimated from a pharmacokinetic model, was incorporated into a linear model of the fMRI data. The methodology was tested in nine healthy male subjects. During each imaging session the subjects received noxious thermal stimulation to the back of the left hand, prior to infusion, during infusion to a remifentanil effect site concentration of 1.0 ng/ml, and during washout of the remifentanil. Infusions were repeated with saline. Remifentanil-induced analgesia was confirmed from subjective pain intensity scores. Pain-related brain activity was identified in a matrix of regions using a linear model of the transient BOLD responses to noxious stimulation. Of those regions, there was a significant fractional reduction in the amplitude of the pain-related BOLD response in the insular cortex contralateral to the stimulus, the ipsilateral insular cortex, and the anterior cingulate cortex. Statistical parametric mapping of the component of pain-related BOLD responses that was linearly scaled by remifentanil concentration confirmed the contralateral insular cortex as the pain-processing region most significantly modulated by remifentanil compared to saline. The mapping of specific modulation of pain-related brain activity is directly relevant for understanding pharmacological analgesia. The method of examining time-dependent pharmacological modulation of specific brain activity may be generalized to other drugs that modulate brain activity other than that associated with pain.

Analgesics, Opioid↗

The detection of feigned mental disorders on specific competency measures.

Psychologists have standardized competency-to-stand-trial (CST) assessments through the development of specialized CST measures. However, their research has largely neglected the possibility that CST measures may be stymied by feigning mental disorders and concomitant impairment. The current study is the first systematic examination of (a) how feigned mental disorders may affect CST measures and (b) which scales are effective at identifying feigned cases. Bona fide patients (n = 65) were compared with suspected malingerers (n = 22) on 3 CST measures: the Georgia Court Competency Test (GCCT), the MacArthur Competence Assessment Tool--Criminal Adjudication, and the Evaluation of Competency to Stand Trial--Revised (ECST-R). Results indicated that these CST measures are vulnerable to feigning. The development of specialized GCCT and ECST-R scales yielded moderately effective screens for feigned mental disorders in the context of CST evaluations.

Adult↗

Screening for adolescent psychopathy among at-risk youth: initial validation of the Survey of Attitudes and Life Experiences.

Psychopathic youth pose special challenges to clinicians in providing effective treatment and safe management. Because comprehensive assessments of psychopathy are time intensive and require specialized training, programmatic research is needed to develop time-efficient and useful screens that eliminate from further consideration acting-out adolescents who are unlikely to be psychopathic. The clinical utility of the Survey of Attitudes and Life Erperiences as a psychopathy screen was investigated by combining three samples of adolescent offenders (total N = 223). Its primary purpose was the identification of nonpsychopaths who were distinguished from adolescents in either the mixed or psychopathic ranges. A Psychopathy Screen (PS) Scale was developed with 24-item (PS-24) and 11-item (PS-11) versions. Both appeared moderately effective in excluding nonpsychopaths from further evaluation. Preliminary data on response styles suggest that these scales are not susceptible to social desirability.

Adolescent↗

Faking psychopathy? An examination of response styles with antisocial youth.

Psychopaths frequently con and manipulate others in an attempt to achieve their own objectives. In the current literature, correlational research has generally found that psychopathy has (a) an inverse relation with social desirability and (b) a positive relation with malingering. Although instructive, these correlational data do not address whether the assessment of psychopathy is vulnerable to specific response styles. This study examined 2 response styles among adolescent offenders in the context of pending adjudication: social desirability and social nonconformity. On 3 measures of psychopathy (i.e., Psychopathy Checklist: Youth Version, Psychopathy Screening Device, and Self-Report of Psychopathy-Second Edition), a simulation design was employed with a realistic scenario, incentives for successful deception, and appropriate manipulation checks. Results indicated moderate to large effect sizes for social desirability and large effect sizes for social nonconformity. The implications of these results for the clinical assessment of psychopathy are discussed.

Adolescent↗