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PubMed1989

Policing sexuality in a modern state hospital.

In 1985 a grand jury was convened by the district attorney to investigate conditions at the Rochester (N.Y.) Psychiatric Center following the center's decision not to notify police of the sodomy of a patient by another patient. The grand jury brought no civil or criminal indictments, but the incident touched off a wave of negative publicity about the hospital and prompted local police and the district attorney to demand that the hospital report any incident of sexual activity involving a mentally incompetent patient. As a result, the hospital instituted a stringent policy requiring extensive investigation and physical examination of patients found having sex. This article discusses legal and clinical issues that were raised by the incident, the impact of public scrutiny on the policing of patient sexuality. The negative aspects of overreporting sexual activity at a state hospital are described.

Hospital Bed Capacity, 500 and over↗

PubMed2004

Criminological psychology in the twenty-first century.

BACKGROUND: This article aims to review key issues that criminological psychologists should address in the twenty-first century, especially in relation to why people become offenders, why people commit offences, and the link between explanation and the prevention and reduction of offending. CONCLUSIONS: It is important to explain between-individual differences in the development of criminal potential and within-individual differences in the commission of crimes. More research is needed on protective factors, on investigating which risk factors are causes, and on causal mechanisms linking risk factors and offending. Questions about situational influences on offending should be included in longitudinal studies of the development of offenders. Comprehensive theories of offending need to be developed and tested. More longitudinal and experimental studies need to be carried out by criminological psychologists.

Crime↗

PubMed2005

The effect of gender in the perception of elder physical abuse in court.

Two experiments investigated mock jurors' perceptions of elder abuse (EA) in a physical assault case. In Experiment 1, participants read a fictional criminal trial summary of a physical assault case in which the alleged victim was 66, 76, or 86 years old. In Experiment 2, the age of the alleged victim was 76 years old, but the gender of the alleged victim and the gender of the defendant were crossed. The results of the experiments showed that women believed the alleged victim more and rendered a guilty verdict more often than men. Overall, the alleged victim was believed more than the defendant regardless of the age of the alleged victim, and most verdicts were guilty. These results are discussed in terms of the factors that affect perceptions of alleged victims of EA in court.

Aged↗

PubMed1999

Revisiting the effectiveness of methadone treatment on crime reductions in the 1990s.

This study examines the relationship between methadone treatment and the criminal activity of 126 individuals participating in treatment during the early 1990s. The primary question addressed is to what extent is methadone maintenance treatment associated with reductions in crime? Although prior studies in the 1970s and early 1980s showed significant decreases in crime for individuals in treatment programs, criteria for remaining in this treatment modality have changed in recent years, particularly with the advent of acquired immune deficiency syndrome and the need to reduce intravenous drug use. A pre-post study design is employed spanning a 6-year time period of subject recruitment and follow-up (1987-1993). Uniform administrative records on arrests are used for the analyses. A multiple regression model is employed to explain the variance in the number of arrests 2 years following program admission, with prior criminal history, prior and current drug treatment, and current cocaine use employed as explanatory variables. Results indicate that treatment retention has only a slight, though significant, effect on reducing criminal activity during treatment. Two other factors that appear to increase arrest activity are the use of cocaine and prior criminal history. The fact that arrests did not decrease during a treatment period of 18 months on average requires more investigation in light of the increase in cocaine use in this population.

Adult↗

PubMed1988

Asymmetric influence in mock jury deliberation: jurors' bias for leniency.

Investigators have frequently noted a leniency bias in mock jury research, in which deliberation appears to induce greater leniency in criminal mock jurors. One manifestation of this bias, the asymmetry effect, suggests that proacquittal factions are more influential than proconviction factions of comparable size. A meta-analysis indicated that these asymmetry effects are reliable across a variety of experimental contexts. Experiment 1 examined the possibility that the leniency bias is restricted to the typical college-student subject population. The decisions of college-student and community mock jurors in groups beginning deliberation with equal faction sizes (viz., 2:2) were compared. The magnitude of the asymmetry effect did not differ between the two populations. We hypothesized that the asymmetry effect was caused by an asymmetric prodefendant standard of proof--the reasonable-doubt standard. In Experiment 2, subjects received either reasonable-doubt or preponderance-of-evidence instructions. After providing initial verdict preferences, some subjects deliberated in groups composed with an initial 2:2 split, whereas other subjects privately generated arguments for each verdict option. A significant asymmetry was found for groups in the reasonable-doubt condition, but group verdicts were symmetrical under the preponderance-of-evidence instructions. Shifts toward leniency in individual verdict preferences occurred for group members, but not for subjects who performed the argument-generation task. The theoretical and applied significance of these findings is discussed.

Adolescent↗

PubMed2003

[How does a general hospital psychiatric unit deal with violent patients? The border between community psychiatric services and forensic psychiatric hospitals].

ISSUE: In psychiatric and psychotherapeutic clinics that are responsible for supplying care for a region, how often are patients transferred to forensic psychiatric hospitals? Is there a tendency to "send off" aggressive or threatening patients as quickly as possible? METHOD: In the psychiatric and psychotherapeutic clinic responsible for the Berlin's Neukölln district, for one year (2000) all patients who committed a severe criminal offence immediately before or during their in-patient treatment were registered for observation in 2000. The steps of investigation and further legal consequences were recorded. RESULTS: During the period of observation, 0.1 percent of the patients were transferred from the clinic to a forensic psychiatric hospital. Weeks or months after their regular release, 0.4 percent of the patients were committed to a forensic department. The court ordered an ambulant psychiatric evaluation for 0.5 percent of the patients. CONCLUSION: Only a few patients were transferred to forensic psychiatric hospitals. A tendency to "send off" aggressive patients as soon as possible, thus abusing forensic psychiatry, was not found in this study.

Aggression↗

PubMedDate not supplied

Female alcoholism: differences between female alcoholics with and without a history of additional substance misuse.

The purpose of the present study was to investigate personality traits and platelet monoamine oxidase (MAO) activity, as well as occurrence of personality disorder criteria, family characteristics, and criminal activity as related to misuse pattern in a sample of female in-patients with severe alcohol dependence. In accordance with theoretical assumptions and empirical findings of underlying neurobiological correlates of disinhibition in individuals with double or multiple misuse patterns, the female alcoholics were divided into subgroups with: (1) alcohol as their single drug of misuse (ALC; n = 16); (2) a history of additional substance misuse (ALC-DRUG; n = 11). Platelet MAO activity of the female subgroups was studied in comparison to a control group of non-clinical female subjects. Marked differences were obtained between the two subgroups. The ALC-DRUG females scored significantly higher with regard to Karolinska Scales of Personality (KSP) impulsiveness, anxiety-related traits, and non-conformity, displayed higher frequency of depression in first degree relatives, were more frequently involved in criminal activity, and more frequently diagnosed for any personality disorder according to DSM-IV, axis II. Finally, the ALC-DRUG females displayed significantly lower platelet MAO activity than controls. In conclusion, the results support the usefulness of a classification of severe alcoholic female subjects according to having/not having a history of additional substance misuse. The present female alcoholics with a history of additional misuse formed a group of individuals fulfilling the criteria similar for male type 2 alcoholism.

Alcoholism↗

PubMed2002

Emergency involuntary psychiatric examinations in Florida.

The authors used statewide data from 2000 on 80,869 examination initiations to determine characteristics of emergency involuntary psychiatric examinations in Florida and the individuals subject to them. Information about the evidence indicated on the initiation forms and the types of professionals who initiated the examinations is presented. These data allow not only description of involuntary examinations and the characteristics of those subject to them for an entire state, but also investigation of the involvement of these individuals with certain services, such as mental health services, and systems, such as the criminal justice system.

Commitment of Persons with Psychiatric Disorders↗

PubMed1998

Clinical symptom presentation in suspected malingerers: an empirical investigation.

To empirically investigate the usefulness and validity of clinical presentation and recent history variables in the detection of malingered psychiatric disorder, 30 criminal defendants involved in forensic evaluations, who had a documented history of psychiatric hospitalization preceding their arrest on the instant offense (low risk of malingering group) and 30 defendants who complained of psychiatric difficulties but had no history of psychiatric hospitalization or treatment (suspected malingering group) were studied. Each subject's mental status was rated, blind to psychiatric history, diagnosis, and psycholegal opinions, on a Likert-like scale for the uncommon nature of their symptom presentation. In addition, the final outcome of the court cases, whether they were found competent to stand trial, not guilty by reason of insanity, or evidenced diminished capacity was determined by obtaining the court disposition in each case. Based on the unusual nature of their presentation, the defendants suspected of malingering were discriminated from the low risk of malingering defendants with a 90 percent rate of correct classification. Suspected malingerers were found to evidence current psychiatric presentations inconsistent with their recent Global Assessment of Functioning, unusual symptom presentation, and hallucinatory experiences rated as atypical for psychiatric disorder. A high proportion of suspected malingerers were found competent to proceed. The results are discussed in terms of the usefulness of clinical identification of malingering.

Adult↗

PubMed2006

The future of forensic and crime scene science. Part I. A UK forensic science user and provider perspective.

This paper presents an overview of the views expressed by UK forensic science users and providers during the Centre for Forensic Investigation's 1 day conference 'The Future of Forensic and Crime Scene Science' and is set in the context of the changing national agenda and likely advances in current and future technology. It begins by examining the success of the Home Office DNA Expansion Programme and future demands of the Criminal Justice System, highlighting the changing use of forensic science both at the crime scene and within the forensic process itself. In particular, the use of forensic science at the early stages of an investigation to provide intelligence and support the decision making process is discussed together with the need to adopt a partnership approach to tackling crime and its causes. Key system and technological drivers for performance improvement and change are identified and the likely timescales and implications of their introduction are discussed. Finally, the Home Office plans to build on the success of the DNA Expansion Programme, through the introduction of the proposed Home Office Forensic Integration Strategy, are explored and the paper concludes by highlighting the benefits, implications and issues arising from the changing and developing use of forensic science.

Congresses as Topic↗

PubMed2000

[Aggressive behavior of mentally incompetent psychiatrically ill criminals during inpatient treatment].

UNLABELLED: OBJECTIVE, METHODS: To assess the amount of violent behaviour among mentally ill offenders NGRI during forensic long-term inpatient-treatment we retrospectively investigated the official incident-reports concerning verbal and physical aggression and damage to foreign property during an 8-year period in Austria's central high-security institution. RESULTS: 29.2% of our patients exhibited violent behaviour with only 7.8% being responsible for 41.1% of all incidents. Mentally impaired patients were significantly overrepresented in the violent group. Physical violence was reported in 25.8% (= 16.48 assaults/100 patients/year). 68% of the total amount of physical violence was directed against fellow patients. Violent behaviour was less driven by psychotic symptoms but rather by current everyday conflicts and stress situations. CONCLUSIONS: The majority of incidents had only minor consequences. Yet, an inquiry concerning the offenders' intentions and the danger experienced by staff members indicated a reasonable violent potential also in minor assaults which appears to be important with respect to ward climate and distress of staff.

Adult↗

PubMed1999

The role of the medical examiner in mass casualty situations with special reference to the Alfred P. Murrah Building bombing.

OBJECTIVE: To describe the events that shaped the investigation by the Oklahoma Office of the Chief Medical Examiner with regard to the terrorist bombing of the Alfred P. Murrah Federal Building in Oklahoma City in 1995 and to provide lessons learned for reinforcement and future planning. STUDY POPULATION: All persons known to have been killed by the blast. METHODS: Standard forensic techniques with regard to crime scene investigation, documentation, body identification and cause of death determinations were followed. MAIN OUTCOME MEASURES: Fatality injury and related evidence documentation. RESULTS: A total of 168 people died principally from secondary and tertiary injuries caused by projectiles, victim displacement, and crushing. Emphasis is placed on the methods of operation required to find, remove, identify, and determine cause of death in these individuals. Simultaneously, evidence must be identified and preserved in a homicide investigation of this type. Close cooperation must exist among multiple varied agencies and disciplines to accomplish the task and to prepare for subsequent analysis and courtroom testimony required by the criminal justice system. CONCLUSIONS: Terrorism, both foreign and domestic, is a current fact and will be a problem in many forms in the 21st century. No one is immune. The key to success is to plan ahead and be aware of available resources. Preplanning for short comings and difficult issues, and most importantly, relying on team work will allow future participants to successfully meet and complete the challenge. The investigation developed detailed injury data and mechanisms that were available for subsequent judicial proceedings and for in-depth epidemiological studies spearheaded by the Injury Prevention Service of the Oklahoma State Department of Health.

Coroners and Medical Examiners↗

PubMed2004

The antisocial attitudes and associates of sex offenders.

INTRODUCTION: Meta-analyses have demonstrated that attitudes and associates (peer group behaviour) are among the best predictors of antisocial behaviour in offender populations. Research on sex offender attitudes has typically focused on sex-related content and not antisocial attitudes in general. This study investigates the antisocial attitudes of sex offenders by comparing them with non-sex offenders on responses to the Measures of Criminal Attitudes and Associates (MCAA). METHOD: The MCAA comprises two parts. Part A is a quantified self-report measure of criminal friends. Part B contains four attitude scales: Violence, Entitlement, Antisocial Intent and Associates. Ninety sex offenders were compared with 119 nonsex offenders on their endorsement of the MCAA and criminal history. RESULTS: Sex offenders endorsed fewer antisocial attitudes, reported fewer criminal friends and had fewer incarcerations than did non-sex offenders. Rapists endorsed antisocial attitudes more than did child molesters and incest offenders. However, these differences disappeared on controlling for age. A finding of fewer previous incarcerations among sex offenders was robust even controlling for age. CONCLUSION: The MCAA appears to be a reliable and valid instrument with sex offender samples. General antisocial attitudes appear to have a similar relationship with criminal history for both sex offenders and non-sex offenders, and should not be ignored in future studies or clinical practice. While a general sense of entitlement was not associated with sex offending per se, its stronger association with incarceration among sex offenders than non-sex offenders might suggest that this has the potential for identifying an important, perhaps more serious sub-group of sex offenders.

Adult↗

PubMed1995

Ventral frontal deficits in psychopathy: neuropsychological test findings.

The hypothesis of prefrontal dysfunction in psychopathy has been pursued for many years, without convincing results. It is proposed here that this approach in previous studies was far too global. The present investigation was carried out in order to test a more specific hypothesis of orbitofrontal and/or frontal ventromedial deficits in psychopathy. Psychopathic criminals were compared to non-psychopathic criminals with measures related to orbitofrontal or frontal ventromedial functioning, as well as with control measures more associated with frontodorsolateral and posterorolandic functions. All subjects provided urine samples for drug assay. It was found that, while the two groups performed similarly on all the control measures, including the drug tests, the psychopaths were significantly impaired on all the orbitofrontal-ventromedial tasks. The psychopaths were significantly impulsive on several tests as well as significantly dysosmic [corrected]. The latter finding is particularly important in the sense that it cannot readily be explained socioculturally, thus presenting a new and convincing argument for brain-based etiology of this disorder. The results are discussed in relation to other psychiatric disorders characterized by impulse dyscontrol as well as in relation to other putative neurobiological etiological factors in psychopathy.

Adult↗

PubMed2006

Personality strengths in adolescence and decreased risk of developing mental health problems in early adulthood.

The aim of this study was to investigate whether personality strengths during adolescence are associated with decreased risk of developing psychiatric disorders, educational or occupational problems, violent or criminal behaviors, and interpersonal difficulties during early adulthood. A representative community sample of 688 mothers from upstate New York and their offspring was interviewed in the period of 1985-1986 (mean offspring age = 16 years) and in that of 1991-1993 (mean offspring age = 22 years). Results showed that youths with numerous personality strengths at the mean age of 16 years were at a decreased risk of developing psychiatric disorders, educational and occupational problems, interpersonal difficulties, and criminal behaviors at the mean age of 22 years. These associations remained significant after controlling for age, sex, socioeconomic status, verbal intelligence, preexisting psychiatric disorders, and corresponding problems at the mean age of 16 years. Although youths with fewer personality strengths who experienced numerous stressful events were at elevated risk of developing psychiatric disorders during early adulthood, those with a higher number of personality strengths at the mean age of 16 years did not share this vulnerability. We conclude that personality strengths during adolescence may contribute to a decreased risk of developing a wide range of adverse outcomes during early adulthood. Systematic evaluation of character strengths may improve the clinical assessment of adolescents.

Adolescent↗

PubMed2000

Psychopathy (PCL-R) as a predictor of violent recidivism among criminal offenders with schizophrenia.

Hare's Psychopathy Checklist--Revised (PCL-R) was used to test the hypothesis that psychopathy predicts violent recidivism in a cohort subjected to forensic psychiatric investigation and consisting of male violent offenders with schizophrenia (N = 202). Psychopathy was assessed with retrospective file-based ratings. Mean follow-up time after detainment was 51 months. Twenty-two percent of the offenders had a PCL-R score > or = 26 (cutoff), and the base rate for violent recidivism (reconvictions) during follow-up was 21%. Survival analysis revealed that psychopathy was strongly associated to violent recidivism (log-rank = 17.71, df = 1, p < 0.0001). The area under the curve (AUC) of the receiver operating characteristics (ROC) of PCL-R total score to predict violent recidivism varied between different time frames from .64 to .75. Cox regression analyses revealed that other potential risk factors could not equally well or better explain violent recidivism in the cohort than psychopathy as measured by PCL-R.

Adolescent↗

PubMed2004

Psychotic symptoms among male adolescent detainees in The Netherlands.

This study investigated the prevalence of psychotic symptoms among incarcerated boys as well as the relationship between these symptoms and violent offending and criminal recidivism. The presence of psychotic symptoms was assessed in a representative sample of 204 incarcerated boys aged 12-18 using the Diagnostic Interview Schedule for Children (DISC-2.3). Seventy-two percent of the study participants had committed a violent index offense and 30 percent were criminal recidivists. Thirty-four percent (95% confidence interval [CI]: 27-41%) were DISC-2.3 psychosis screen positive: 25% (95% CI: 19-31%) reported at least one pathognomonic of schizophrenia symptom and 9% (95% CI: 6-14%) reported at least three non-pathognomonic psychotic symptoms. In addition, 33 percent (95% CI: 26-40%) reported one or two isolated, atypical psychotic symptoms. The presence of psychotic symptoms was not associated with violent offending or criminal recidivism. The high prevalence rate of psychotic symptoms among incarcerated boys calls for increased attention to diagnosis and treatment of psychosis. To obtain conclusive answers regarding the relationship between psychosis and violent offending, additional studies are needed in general population samples.

Adolescent↗

PubMed1975

Family reaction to homicide.

This pilot study identifies a two-phased syndrome experienced by families of homicide victims. The crisis phase consists of an acute grief process, including immediate reactions to the homicide, the funeral details, and police investigations. The long-term reorganization phase includes the psychological issues of bereavement and the socio-legal issues of the criminal justice process.

Aggression↗