{"title":"Dangerousness commitments: indices of future violence potential?","authors":"R A Zeiss, E D Tanke, H H Fenn, J A Yesavage","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examines the accuracy of long-term clinical predictions of dangerousness among psychiatric inpatients and explores factors influencing the levels of such accuracy. Hospital and state criminal history records of all psychiatric patients (N = 31) for whom, during a four-year period, treatment staff pursued extended civil commitments based on dangerousness under the Postcertification for the imminently Dangerous statute (California Welfare and Institutions Code section 5300) were reviewed. A matched control group consisted of 31 patients who had been placed on 14-Day Certifications for Dangerousness to Others, but who were not subsequently placed on 180-Day Postcertifications. Sixty-one percent of patients in the postcertification group engaged in documented physically assaultive behavior during the extended one- to five-year follow-up period, compared with 26 percent of patients in the matched control group, suggesting that inclusion in the extended commitment group was indicative of greater long-term potential for assault. Differences in assaultiveness did not emerge during the first year of followup, but became clear and significant over subsequent years. Accuracy of prediction differed as a function of patient ethnic group.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"247-53"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Posttraumatic stress disorder, pulp fiction, and the press.","authors":"G M Rosen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent professional publications show that the diagnosis of posttraumatic stress disorder (PTSD) may be subject to abuse in forensic settings. Now, pulp fiction portrayals of PTSD and reports in the press also reflect how this relatively new diagnostic category can be abused. This trivialization of PTSD has implications for real survivors of truly traumatic events.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"267-9"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myths, realities, and the political world: the anthropology of insanity defense attitudes.","authors":"A L Halpern","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 3","pages":"423-6"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19853493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patients' attitudes toward having been forcibly medicated.","authors":"W M Greenberg, L Moore-Duncan, R Herron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forced antipsychotic medication procedures are generally perceived to be clinically necessary options, albelt violations of individuals' bodies and autonomy. Previous studies have explored forcibly medicated patients' attitudes concerning these procedures, but as patients were interviewed while still in the hospital, this may have affected their responses. We interviewed consecutively forcibly medicated English-speaking acute-care inpatients after their discharge to the community. The interviews were conducted by telephone by a clinician not involved with their treatment. Of 65 such patients, 7 had already been rehospitalized, 3 could not recall the procedure, and 25 others refused the interview or were not locatable. Of the 30 who were successfully interviewed, only 47 percent had received any forced injections; the remainder had accepted oral medication under duress. Recollecting their experiences, 57 percent professed fear of side effects, 17 percent feared \"addiction,\" and 17 percent objected to others' controlling them. Forty percent recalled feeling angry, 33 percent helpless, 23 percent fearful, 13 percent embarrassed, but 23 percent were relieved. Surprisingly, 60 percent retrospectively agreed with having been coerced, 53 percent stating they were more likely to take medication voluntarily in the future. Other forcibly medicated patients had poorer outcomes, such as rapid readmission or discharge to a state hospital: those patients may have harbored more negative feelings. However, a substantial fraction of the patients who were reached in the community appeared to support having received medication forcibly as inpatients.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"513-24"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19963921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Criminal recidivism in mentally ill offenders: a pilot study.","authors":"V Harris, T D Koepsell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Criminal recidivism in mentally ill offenders, In the context of a county jail, has not been extensively studied. This study compares the rate of criminal recidivism between those who suffered from a mental illness at the time of arrest and those who did not. In addition, the length of incarceration between these two groups was compared. Using survival analysis, a risk assessment model describing the key features involved in criminal recidivism among the mentally ill may be built. To our knowledge, this study is the first of its kind and will suggest areas of intervention that could prevent criminal recidivism among mentally ill offenders. Due to the lack of literature on the subject, this pilot study provides estimates of key parameters, such as types of crimes and frequency of incarceration, needed to undertake a definitive study. Furthermore, the pilot study provides an opportunity to develop and field test a data abstraction form and computer matching methods.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"177-86"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19777303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The propriety of broadly worded mental health inquiries on bar application forms.","authors":"S C Gauffreau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many of our states continue to make broadly worded inquiries on bar application forms as to the mental health of the applicants. Constitutional attacks on the propriety of such inquiries have been unsuccessful. Since the passage of the Americans with Disabilities Act of 1990, however, the courts have ruled against the legality of nonspecific inquiries into issues that are not relevant to the applicant's competence to practice law. The current status of litigation in this area is discussed and recommendations are made for dealing with this issue.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"199-217"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19777305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding head injury and intellectual recovery from brain damage: is IQ an adequate measure?","authors":"G Cahn, R E Gould","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A person's intelligence (or IQ) has long been synonymous with cognitive and general abilities to function daily on an effective level. When traumatic brain injury occurs, there is a natural desire to find some measure that identifies the amount of damage that has occurred and whether it is permanent or temporary. Given the popularity of the IQ test, there is a tendency to use this measure as such a yardstick. It is argued that such a global measure is not appropriate. The predominant reason that it is not a wise choice is that IQ test does not tap into many of the critical areas of a person's functioning, such as personality regulation, shorter-term memory, various types of attentional capacity, and the ability to organize and plan effectively. Rather, to truly and accurately reflect a person's neuropsychological strengths and weaknesses requires the use of many different measures, not just a single one such as an IQ score.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 1","pages":"135-42"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19856895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S K Hoge, N Poythress, R Bonnie, M Eisenberg, J Monahan, T Feucht-Haviar, L Oberlander
{"title":"Mentally ill and non-mentally ill defendants' abilities to understand information relevant to adjudication: a preliminary study.","authors":"S K Hoge, N Poythress, R Bonnie, M Eisenberg, J Monahan, T Feucht-Haviar, L Oberlander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The legal construct of competence to stand trial, or \"adjudicative competence,\" is based on the premise that some mentally disordered defendants have impaired abilities when compared with most defendants and that adjudication should be barred if these competence-related abilities are significantly impaired. Where the line is drawn between sufficient and insufficient abilities has important consequences: as a result of being adjudicated incompetent, defendants may be detained and treated involuntarily and their trials will be delayed. However, no studies have systematically compared the capacities of relevant groups of defendants. In this study, 84 criminal defendants--42 of whom were hospitalized as incompetent and 42 of whom were regarded as unquestionably competent--were administered three instruments measuring capacity to understand legally relevant information. Incompetent defendants performed more poorly on all measures of understanding. Twenty-eight incompetent defendants were administered the measures a second time, after restoration to competence. Restored defendants improved their performance on all measures of understanding and their performance was similar to that of normal, competent defendants.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"187-97"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19777304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of serotonin in the future of forensic psychiatry.","authors":"J M Bradford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of serotonin in understanding suicidality, violence, impulse disorders, and paraphilias is described and the current state of our knowledge is reviewed. Clinical research in these areas will provide new understanding of behavior that leads to violations of the law. Forensic psychiatrists need to be more aware of these developments, and they must recognize that the uniqueness of their specialty lies in its clinical and research perspectives.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 1","pages":"57-72"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19857618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot study of the adjunct utility of a computer-assisted Diagnostic Interview Schedule (C-DIS) in forensic psychiatric patients.","authors":"J Ahlberg, J R Tuck, C Allgulander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To assess the potential usefulness of a structured and computer-assisted diagnostic interview under field conditions, menu-driven interviews with 18 of 20 probands undergoing forensic psychiatric examination were scored into axis I DSM-III diagnoses, independent of the regularly derived ICD-9 diagnoses. The computer-assisted interview yielded more affective and anxiety disorders than routine clinical procedures, many of which were amenable to treatment. The computer interview was acceptable to the probands. Controlled studies are suggested to assess the benefits of computer-assisted diagnosis in addition to traditional diagnostic procedures in forensic psychiatric patients.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 1","pages":"109-16"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19857622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}