Journal of the American Academy of Psychiatry and the Law最新文献_第2页

Benefits of Correctional Psychiatry Teaching and Clinical Exposure for Third-Year Medical Students. 矫正精神病学教学与医三学生临床接触的益处。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240116-24

Ibrahim Yahia Z Mohammad, Neil de Laplante, Stephen Floyd Wood

{"title":"Benefits of Correctional Psychiatry Teaching and Clinical Exposure for Third-Year Medical Students.","authors":"Ibrahim Yahia Z Mohammad, Neil de Laplante, Stephen Floyd Wood","doi":"10.29158/JAAPL.240116-24","DOIUrl":"10.29158/JAAPL.240116-24","url":null,"abstract":"Medical students have limited exposure to correctional health, and their attitudes toward inmates are understudied. We investigated medical students' attitudes toward inmates, assessing whether an intervention can improve their understanding of the correctional system and help them develop more positive attitudes toward inmates. One hundred thirty third-year medical students at the University of Ottawa attended a one-hour lecture on correctional health and adverse childhood experiences (ACEs) and subsequently observed a three-hour correctional telepsychiatry clinic during their clerkship psychiatry rotation. Students completed a preintervention and postintervention questionnaire that included a modified 20-item Attitudes Toward Prisoners (ATP) scale (quantitative) and feedback questions (qualitative). Of 130 students who completed the preintervention questionnaire, 106 completed the postintervention questionnaire (81.5%). Students' mean total modified ATP scores increased significantly after our intervention, from 72.8 to 78.4 (p < 001). Fourteen of 20 ATP items increased significantly, reflecting greater understanding of the correctional system and more positive attitudes toward inmates. Thematic analysis of qualitative feedback revealed students gained a better understanding of the correctional system and increased comfort treating inmates. Scarce criticism included minimal interactivity and a desire for more sessions. Although students perceived benefits, further research is required to determine its educational significance.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"65-73"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying AAPL Ethics and Mission in Forensic Treatment. 法医学伦理与使命的应用

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.250001-25

Charles C Dike

{"title":"Applying AAPL Ethics and Mission in Forensic Treatment.","authors":"Charles C Dike","doi":"10.29158/JAAPL.250001-25","DOIUrl":"10.29158/JAAPL.250001-25","url":null,"abstract":"The increased visibility of the patients' rights movement in medicine in recent years has left the erroneous impression that patients and their physicians are on equal footing in the physician-patient relationship. The reality is that vulnerability of patients in this relationship leaves them at the mercy of health care professionals. This is most acute in psychiatry, where patients reveal aspects of their inner being to their psychiatrist, including strange beliefs they would never disclose to their closest friends and family members, whereas psychiatrists, in contrast, reveal close to nothing of themselves to patients. Additionally, distortions of reality can strip patients of social mores and basic humanity and sometimes cause them to commit crimes. American Academy of Psychiatry and the Law (AAPL) scholars have espoused the values of treating evaluees professionally and with compassion and respect while upholding their dignity and humanity. These worthy forensic psychiatric writings, however, have unfortunately not always transitioned into the clinical treatment of forensic patients. Reports of patient abuse by staff in psychiatric hospitals, including forensic psychiatric hospitals, remain rampant. Using real-life examples, I apply forensic psychiatric ethics to patient care and offer suggestions of practices and policies that would enhance treatment of patients and decrease the potential for patient abuse in psychiatric hospitals.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"11-18"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hunger Strikes After Restricted Housing Reform. 限制住房改革后的绝食抗议。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240088-24

Anthony Tamburello, Kerri Edelman, Rusty Reeves

{"title":"Hunger Strikes After Restricted Housing Reform.","authors":"Anthony Tamburello, Kerri Edelman, Rusty Reeves","doi":"10.29158/JAAPL.240088-24","DOIUrl":"10.29158/JAAPL.240088-24","url":null,"abstract":"Hunger strikes are a common occurrence in carceral settings accompanied by serious health risks and intensive health care utilization. A 2017 study on hunger strikes within the New Jersey Department of Corrections found these events most often occurred in a disciplinary setting. We undertook this study after a new state law, the Isolated Confinement Restriction Act (ICRA), improved conditions of confinement in part by reducing the utilization, nature, and duration of disciplinary housing. We hypothesized that ICRA would reduce the frequency of hunger strikes. Although the frequency of strikes was unchanged, the mean hunger strike duration declined from 28.9 days to 9.7 days (p = .034). The typical strike was modestly briefer, with the median duration before ICRA being four days and after being three days. The rate of hunger strikes greater than three days declined (from 60.3% to 45.2%; p = .049). There was no difference in the rate of hunger striking in disciplinary housing before or after ICRA. Although hunger strikes remain a frequently used method of protest for incarcerated persons, reform to the conditions of confinement was associated with reducing the health-related dangers and associated health care costs of these phenomena and arguably was a factor in this reduction.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"45-54"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bias in Peer Review of Forensic Psychiatry Publications. 司法精神病学出版物同行评议中的偏见。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240090-24

Alan R Felthous, Robert M Wettstein, Jose Nassif

引用次数: 0

Methamphetamine-Associated Psychosis and Criminal Responsibility. 甲基苯丙胺相关精神病与刑事责任。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240121-24

Brianna Engelson, Laura Sloan, Peter J Teravskis, Chinmoy Gulrajani

引用次数: 0

Forensic Fiction: "Tangled Roots". 法医类小说：《纠结的根》。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.250002-25

Susan Hatters Friedman

引用次数: 0

Reconsidering the Relationship Between Criminal Insanity and Delusions. 重新思考精神错乱与妄想之间的关系。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240085-24

Linda Gröning, Susanna Radovic, Unn K Haukvik

引用次数: 0

Ethics Challenges in Correctional Mental Health. 惩教心理健康的伦理挑战

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240122-24

Graham Glancy

引用次数: 0

A Retrospective Analysis of Rates of Malingering in a Forensic Psychiatry Practice. 在法医精神病学实践中装病率的回顾性分析。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240083-24

Lillian J Svete, William W Tindell, Christopher J McLouth, Timothy S Allen

{"title":"A Retrospective Analysis of Rates of Malingering in a Forensic Psychiatry Practice.","authors":"Lillian J Svete, William W Tindell, Christopher J McLouth, Timothy S Allen","doi":"10.29158/JAAPL.240083-24","DOIUrl":"10.29158/JAAPL.240083-24","url":null,"abstract":"Malingering is defined as the intentional falsification or exaggeration of symptoms for secondary gain. The prevalence of malingering varies widely among different medicolegal contexts, emphasizing the need to identify additional predictive factors when considering the diagnosis. This study measured rates of malingering in a sample of 1,300 subjects from a forensic psychiatry practice located in Lexington, Kentucky. Among those who failed at least three symptom or performance validity scales, odds ratios for malingering were approximately twice as high in subjects with less than a college education (p = .011), those referred by the opposing counsel (p = .001), and those meeting criteria for a mental illness in three or more DSM-5 diagnostic categories (p = .015). Those evaluated for worker's compensation and head injury were more likely to malinger than other case types (p = .028). Men were found to malinger at a higher rate than women (p = .014), and no significant differences were observed based on race. These results indicate that education, gender, psychiatric history, case type, and referral type may be important factors to consider when assessing for malingering.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"26-34"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practice Resource for Reproductive Psychiatry/Women's Mental Health in Forensic Psychiatry Practice. 生殖精神病学实践资源/法医精神病学实践中的妇女心理健康。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-12-18 DOI: 10.29158/JAAPL.240103-24

Susan Hatters Friedman, Renée Sorrentino, Aimee Kaempf, Marilyn Price, Jacqueline Landess, Anna Glezer, Joseph Penn, Patricia Westmoreland, Catherine Lewis, Cathleen Cerny, Jeffrey Janofsky

{"title":"Practice Resource for Reproductive Psychiatry/Women's Mental Health in Forensic Psychiatry Practice.","authors":"Susan Hatters Friedman, Renée Sorrentino, Aimee Kaempf, Marilyn Price, Jacqueline Landess, Anna Glezer, Joseph Penn, Patricia Westmoreland, Catherine Lewis, Cathleen Cerny, Jeffrey Janofsky","doi":"10.29158/JAAPL.240103-24","DOIUrl":"10.29158/JAAPL.240103-24","url":null,"abstract":"This practice resource seeks to describe salient problems within reproductive psychiatry (also known as women's mental health) for the practice of forensic psychiatry. Understanding is critical and can help combat gender bias in such evaluations. Forensic psychiatric evaluations in the criminal realm, including evaluations related to neonaticide, infanticide, filicide, child abuse, and kidnapping by cesarean, require an understanding of reproductive psychiatry. Civil forensic evaluations requiring knowledge about reproductive psychiatry include parenting evaluations and risk assessments in the postpartum. Similarly, forensic psychiatrists performing a treatment role within corrections or forensic hospitals recognize the importance of understanding mental illness in pregnancy and postpartum, lactation, mother-baby units, and forced separation or custody loss. In addition to menstruation, pregnancy, and postpartum, specific concerns that bear consideration within reproductive forensic psychiatry include the periods of girlhood and menstruation. Finally, eating disorders and substance misuse bear additional attention in this group.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 4 Supplement","pages":"S1-S31"},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0