Journal of the American Academy of Psychiatry and the Law最新文献_第3页

Effectiveness of Dialectical Behavior Therapy (DBT) in a Forensic Psychiatric Hospital. 辩证行为疗法 (DBT) 在法医精神病院的疗效。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240009-24

Liyah Marshall, Nicole Kletzka, Jean Kanitz, Kiel J Opperman, Jason Rockwell

{"title":"Effectiveness of Dialectical Behavior Therapy (DBT) in a Forensic Psychiatric Hospital.","authors":"Liyah Marshall, Nicole Kletzka, Jean Kanitz, Kiel J Opperman, Jason Rockwell","doi":"10.29158/JAAPL.240009-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240009-24","url":null,"abstract":"Dialectical behavior therapy (DBT) has strong evidence in support of its effectiveness in reducing suicide attempts, anger, impulsivity, and substance abuse. It has been implemented in a variety of forensic settings to help with these challenges, despite limited research on the efficacy of DBT within this population. The current study presents treatment outcomes from an established DBT program in a maximum-security forensic facility. Outcomes included self-reported functioning, behavioral outcomes, and assessment of DBT skills knowledge among inpatients who participated in either comprehensive DBT or DBT skills training. Behaviorally, the study found a significant decrease in rates of patient assaults and reduced use of \"Pro re nata\" (PRN) medication for anxiety or agitation over the course of DBT treatment. During the first six months of treatment, self-reported symptoms of depression, emotional and behavioral dysregulation, and psychological inflexibility significantly decreased. Within this time frame, patients also displayed a significant decrease in the use of dysfunctional coping skills and a significant increase in knowledge pertaining to emotion regulation and interpersonal effectiveness. The results of this study largely support the use of DBT in forensic settings.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"196-206"},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248912","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

Forensic Neurology and the Role of Neurologists in Forensic Evaluations. 法医神经学和神经学家在法医评估中的作用。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240018-24

William C Darby, Ciaran M Considine, R Ryan Darby

{"title":"Forensic Neurology and the Role of Neurologists in Forensic Evaluations.","authors":"William C Darby, Ciaran M Considine, R Ryan Darby","doi":"10.29158/JAAPL.240018-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240018-24","url":null,"abstract":"Forensic psychiatrists may be asked to opine on neurological evidence or neurological diseases outside the scope of their expertise. This article discusses the value of involving experts trained in behavioral neurology in such cases. First, we describe the field of behavioral neurology and neuropsychiatry, the subspecialty available to both neurologists and psychiatrists focused on the behavioral, cognitive, and neuropsychiatric manifestations of neurological diseases. Next, we discuss the added value of behavioral neurologists in forensic cases, including assisting in the diagnostic evaluation for complex neuropsychiatric diseases, using expertise in localization to provide a strong scientific basis for linking neurodiagnostic testing to relevant neuropsychiatric symptoms, and assisting in relating these symptoms to the relevant legal question in cases where such symptoms may be less familiar to forensic psychiatrists, such as frontal lobe syndromes. We discuss approaches to integrating behavioral neurology with forensic psychiatry, highlighting the need for collaboration and mentorship between disciplines. Finally, we discuss several forensic cases highlighting the additional value of experts trained in behavioral neurology. We conclude that forensic psychiatrists should involve behavioral neurology experts when encountering neurological evidence that falls outside their scope of expertise, and the need for further cross-disciplinary collaboration and training.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"139-148"},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248936","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

Mute by Visitation of God, Competency to Stand Trial and Fitness to Plead. 因上帝探视而哑巴、有能力出庭受审和适于认罪。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240005-24

Alec Buchanan

引用次数: 0

Forensic Neurology and the Role of Neurologists in Forensic Evaluations. 法医神经学和神经学家在法医评估中的作用。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240023-24

Hal S Wortzel

{"title":"Forensic Neurology and the Role of Neurologists in Forensic Evaluations.","authors":"Hal S Wortzel","doi":"10.29158/JAAPL.240023-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240023-24","url":null,"abstract":"There is a clear need for experts with the requisite knowledge and experience to offer medicolegal opinions pertaining to various neuropsychiatric conditions. There is also an important distinction between clinical and medicolegal roles, and the need for training and expertise applicable to forensic assessment. But there remain few available experts with credentials spanning neuropsychiatry and forensic assessment. This creates a dilemma whereby parties involved in litigation featuring neuropsychiatric illness or injury are frequently forced to choose between experts with either knowledge and skills applicable to neuropsychiatric conditions or experts with skills and experience applicable to forensic assessment. Either choice introduces risk. Whether flawed medicolegal opinions are a consequence of deficient medical knowledge or an inadequate forensic evaluation process, the result remains the same, with triers of fact potentially being exposed to problematic testimony. There is, however, a more fundamental problem that implicates patient care more broadly: spurious dichotomies created by the historical segregation of psychiatry and neurology. Optimizing clinical care for patients with neuropsychiatric conditions, improving medical education in support of such care, and enabling forensic neuropsychiatric assessment must then start with more proactive efforts to reintegrate psychiatry and neurology.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"149-152"},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248946","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

Forensic Assessments of Racial-Ethnic Differences in Genuine and Malingered Psychotic Presentations. 法医评估真正精神病表现和臆想精神病表现中的种族-民族差异》（Forensic Assessments of Racial-Ethnic Differences in Genuine and Malingered Psychotic Presentations）。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240007-24

Richard Rogers, Amor A Correa, Lindsey D Ryan-Jones

引用次数: 0

A Primer for Increasing Competency in Forensic Psychiatry Research. 提高法医精神病学研究能力的入门指南》。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240032-24

Nathan J Kolla

引用次数: 0

An Assessment of the Quality of Competence Restoration Research. 能力恢复研究质量评估。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240008-24

Philip J Candilis, George F Parker

引用次数: 0

The Important Role of an Amicus Brief on Cases of Torture, Abuse, and Injury. 关于酷刑、虐待和伤害案件的法庭之友书状的重要作用。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240037-24

Stephen N Xenakis

引用次数: 0

Extreme Risk Protection Orders in Connecticut, 2013-2020. 2013-2020 年康涅狄格州的极端风险保护令。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240022-24

Reena Kapoor, Bettina Viereck, Hsiu-Ju Lin, Jeffrey W Swanson, Michele M Easter, Madelon V Baranoski, April M Zeoli, Shannon Frattaroli, Michael A Norko

{"title":"Extreme Risk Protection Orders in Connecticut, 2013-2020.","authors":"Reena Kapoor, Bettina Viereck, Hsiu-Ju Lin, Jeffrey W Swanson, Michele M Easter, Madelon V Baranoski, April M Zeoli, Shannon Frattaroli, Michael A Norko","doi":"10.29158/JAAPL.240022-24","DOIUrl":"10.29158/JAAPL.240022-24","url":null,"abstract":"Twenty-one states and the District of Columbia have enacted Extreme Risk Protection Order (ERPO) statutes, which allow temporary removal of firearms from individuals who pose an imminent risk of harm to themselves or others. Connecticut was the first state to enact such a law in 1999. The law's implementation and use between 1999 and 2013 were previously described, finding that ERPOs were pursued rarely for the first decade and that most orders were issued in response to concerns about suicide or self-harm rather than about interpersonal violence. The current study analyzes over 1,400 ERPOs in Connecticut between 2013 and 2020 in several domains: respondent demographics, circumstances leading to ERPO filing, type of threat (suicide, violence to others, or both), number and type of firearms removed, prevalence of mental illness and drug and alcohol use, and legal outcomes. Results are similar to the earlier study, indicating that ERPO respondents in Connecticut are primarily White, male, middle-aged residents of small towns and suburbs who pose a risk of harm to themselves (67.9%) more often than to others (42.8%). Significant gender differences between ERPO respondents are discussed, as are state-specific trends over time and differences between Connecticut and other states with published ERPO data.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"165-175"},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187091","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

The Present State of Housing and Treatment of Transgender Incarcerated Persons. 变性被监禁者的住房和待遇现状。

IF 2.7 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240020-24

Lauren K Robinson, Juliette Dupré, Ariana Nesbit Huselid, Shane Burke

{"title":"The Present State of Housing and Treatment of Transgender Incarcerated Persons.","authors":"Lauren K Robinson, Juliette Dupré, Ariana Nesbit Huselid, Shane Burke","doi":"10.29158/JAAPL.240020-24","DOIUrl":"10.29158/JAAPL.240020-24","url":null,"abstract":"The care and housing of transgender (TGD) incarcerated persons is a complex concern that is growing because of the increased recognition and diagnosis of gender dysphoria in society. To remain current in this evolving landscape, there have been updates to federal manuals and state guidelines regarding the medical care and housing of the TGD population. Since the publication by Glezer and colleagues in 2013, there has not been a comprehensive overview of current federal and state guidelines, and legal and other considerations on this topic. We provide an update with special consideration given to housing practices, safety, and access to care. A review of the literature shows that the World Professional Association for Transgender Health (WPATH) standards and Prison Rape Elimination Act (PREA) requirements are not uniformly implemented and enforced on a state level. In fact, some states have policies that are in direct conflict with federal requirements. The safety and equitable treatment of both TGD and cisgender populations is an important topic that merits attention. As new challenges emerge, an increase in federal enforcement and consistency is needed to ensure the humane treatment and protection of TGD inmates.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"186-195"},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248978","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