PubMed · 15967135
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
Richard N Kocsis. 2004. Profiling the criminal mind: does it actually work?. https://doi.org/10.1016/s0140-6736(04)17623-x
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
A confession, when properly and fairly obtained, is powerful evidence against a suspect and will generally guarantee a conviction. There are a number of theoretical models that explain why suspects confess to crimes they have committed. In this chapter, the key models and the relevant empirical evidence are discussed. The evidence shows that sex offenders, and particularly child molesters, sometimes have a strong need to talk about their crimes due to the feelings of guilt and this gives the police an advantage. However, sex offenders also find it difficult to be open, honest and complete when interrogated due to the feelings of shame, which act to inhibit their motivation to confess. They are therefore torn between feelings of guilt, which encourages them to confess, and feelings of shame, which inhibit them from confessing. As a consequence, feelings of shame need to be overcome during the interrogation, which means that sex offenders need to be interviewed sensitively and skillfully. Any challenges need to be presented in a 'softly' fashion and with understanding of the perpetrator's perspective and emotional needs.
Clinical predictions of violence are a necessary part of clinical practice despite extensive literature validating the use of actuarial rather than clinical prediction. The current study examined clinicians' use of risk cues in predictions of violence. Clinicians identified several risk cues as significant in clinical assessments of risk, including a history of assaults, hostility, medication noncompliance, paranoid delusions, presence of psychosis, and family problems. However, further results indicated that clinician-endorsed risk cues lack predictive power in the present sample.
The prosecution of Charles Cullen, a nurse who killed at least 40 patients over a 16-year period, highlights the need to better understand the phenomenon of serial murder by healthcare professionals. The authors conducted a LexisNexis search which yielded 90 criminal prosecutions of healthcare providers that met inclusion criteria for serial murder of patients. In addition we reviewed epidemiologic studies, toxicology evidence, and court transcripts, to provide data on healthcare professionals who have been prosecuted between 1970 and 2006. Fifty-four of the 90 have been convicted; 45 for serial murder, four for attempted murder, and five pled guilty to lesser charges. Twenty-four more have been indicted and are either awaiting trial or the outcome has not been published. The other 12 prosecutions had a variety of legal outcomes. Injection was the main method used by healthcare killers followed by suffocation, poisoning, and tampering with equipment. Prosecutions were reported from 20 countries with 40% taking place in the United States. Nursing personnel comprised 86% of the healthcare providers prosecuted; physicians 12%, and 2% were allied health professionals. The number of patient deaths that resulted in a murder conviction is 317 and the number of suspicious patient deaths attributed to the 54 convicted caregivers is 2113. These numbers are disturbing and demand that systemic changes in tracking adverse patient incidents associated with presence of a specific healthcare provider be implemented. Hiring practices must shift away from preventing wrongful discharge or denial of employment lawsuits to protecting patients from employees who kill.