The Bulletin of the American Academy of Psychiatry and the Law最新文献_第7页

Comparative forensic psychiatry: I. Commentary on the Italian system. 比较法医精神病学:1 .意大利制度评析。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

J R Ciccone, S Ferracuti

引用次数: 0

Involuntary hospitalization and police referrals to a psychiatric emergency department. 非自愿住院和警察转介到精神病急诊科。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

L W Reinish, J R Ciccone

{"title":"Involuntary hospitalization and police referrals to a psychiatric emergency department.","authors":"L W Reinish, J R Ciccone","doi":"","DOIUrl":"","url":null,"abstract":"This study compares the demographic and clinical characteristics of police referrals with referrals from other sources to the psychiatric emergency department of a university hospital and the demographic and clinical characteristics of police referrals who were involuntary hospitalized with police referrals who were discharged from the emergency department (ED). In our study, 182 cases were seen in the psychiatric ED over the one-month period; 32 (17.6%) were police referrals. Police referrals were not more frequently hospitalized than referrals from other sources. Police referrals were, however, more likely to have been violent towards others preceding admission (59.4% versus 20.0%; chi 2 = 20.8; df = 1; p < .01) and to be intoxicated on presentation (31.3% versus 10.7%; chi 2 = 91; df = 1; p < .01). Police referrals also were significantly more likely to be violent in the psychiatric ED than referrals from other sources (37.5% versus 3.4%, chi 2 = 36.5, df = 1, p < .01) and to be restrained or secluded (34.4% versus 4.0%; chi 2 = 28.8; df = 1; p < .01). Involuntarily hospitalized police referrals were significantly more likely to be suffering from a major psychiatric disorder than police referrals not hospitalized (83.3% versus 11.8%; chi 2 = 14.7; df = 1; p < .01). They also were significantly more likely to have been violent towards other ED (66.7% versus 23.5%; Fisher test, p < .05) and to have been restrained or secluded in the ED (58.3% versus 23.5%; Fisher test, p < .05) than police referrals who were not admitted.","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"23 2","pages":"289-98"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19585339","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}

引用次数: 0

Lethal violence and psychosis: a clinical profile. 致命暴力与精神病:临床分析。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

P G Nestor, J Haycock, S Doiron, J Kelly, D Kelly

引用次数: 0

Long-term, assenting psychiatric patients: decisional capacity and the quality of care. 长期同意精神病患者:决策能力和护理质量。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

S K Hoge, T C Feucht-Haviar

{"title":"Long-term, assenting psychiatric patients: decisional capacity and the quality of care.","authors":"S K Hoge, T C Feucht-Haviar","doi":"","DOIUrl":"","url":null,"abstract":"The objectives of this study were (1) to investigate whether the relationship between functional decisional capacity and the resulting quality of treatment posited by the informed consent theory is found in clinical practice; and (2) to describe the range of decisional impairments found in long-term psychiatric inpatients who comply with prescribed treatment. Eighty-eight long-term, compliant, psychiatric inpatients, in two public hospitals, who were prescribed antipsychotic medications were assessed. Following a formal assessment of decisional capacity, subjects were categorized according to level of impairment, using a hierarchical scheme. All subjects were evaluated for the presence of abnormal involuntary movements. The appropriateness of treatment with antipsychotic medications was determined using accepted clinical guidelines. Patients with more serious impairments of decisional capacity were more likely to receive inappropriate treatment with antipsychotic medication; and serious impairments of decisional capacity were common. The study lends empirical support to one of the bases of the doctrine of informed consent: the notion that capable patient involvement in decisionmaking plays an important role in checking the judgments of treating physicians. Remedial measures are needed to protect long-term psychiatric inpatients with impaired decisional capacity from receiving inappropriate treatment.","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"23 3","pages":"343-52"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19812826","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}

引用次数: 0

Rates of insanity acquittals and the factors associated with successful insanity pleas. 精神错乱无罪释放率和成功的精神错乱抗辩相关因素。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

C Cirincione, H J Steadman, M A McGreevy

引用次数: 0

A history of subspecialization in forensic psychiatry. 法医精神病学的分支历史。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

S E Prentice

引用次数: 0

After the ADA: service dogs on inpatient psychiatric units. 根据《美国残疾人法》:精神科住院病人的服务犬。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

R P Houghtalen, J Doody

引用次数: 0

Violence, sensation seeking, and impulsivity in schizophrenics found unfit to stand trial. 精神分裂症患者的暴力、寻求刺激和冲动被认为不适合接受审判。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

S Z Kaliski, T Zabow

{"title":"Violence, sensation seeking, and impulsivity in schizophrenics found unfit to stand trial.","authors":"S Z Kaliski, T Zabow","doi":"","DOIUrl":"","url":null,"abstract":"Many studies have confirmed an association between violent behavior, impulsivity, and sensation seeking in nonpsychotic subjects. Schizophrenic patients (n = 49) who had been found unfit to stand trial were investigated for violence, according to index offenses and longitudinal histories (before and after admission) for violence. Those charged with violent offenses were significantly more often married with children, and were equally likely to direct their assaultiveness to strangers, acquaintances, and family members. The nature of the index offense seemed to be a good indicator of general violent propensity. No significant differences were found on Barratt's Impulsivity Scale and Zuckerman's Sensation Seeking Scale, except that schizophrenic patients with negative histories of violence scored higher on the thrill and adventure subscale. No pattern of substance abuse differentiated the groups. Patients charged with violent offenses more often presented with persecutory delusions, but this did not extend to those whose histories were positive for repetitive violence. Although impulsivity and sensation seeking do not seem to cause violent behavior in this group, psychopathology can also only be regarded as a necessary but not sufficient determinant.","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"23 1","pages":"147-55"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18604643","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}

引用次数: 0

Sex offenders who claim amnesia for their alleged offense. 性犯罪者声称对自己的罪行失忆。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

D Bourget, J M Bradford

引用次数: 0

The mental state of arsonists as determined by forensic psychiatric examinations. 纵火犯的精神状态，由法医精神病检查确定。

The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1995-01-01

P Räsänen, H Hakko, E Väisänen

{"title":"The mental state of arsonists as determined by forensic psychiatric examinations.","authors":"P Räsänen, H Hakko, E Väisänen","doi":"","DOIUrl":"","url":null,"abstract":"In this study we evaluated whether arsonists (n = 98) differ from homicide offenders (n = 55) in regard to psychiatric disorders, suicidality, and criminal responsibility in the context of forensic psychiatric pretrial examinations. Arsonists were mainly male, poorly educated, unemployed, and living in rural areas. Eighty-four percent of the arsonists and 62 percent of the homicide offenders had an alcohol abuse problem. This difference was statistically significant (p = .002). The arsonists more commonly had suicidal thoughts and attempted suicides. Over one-third of the arsonists used fire-setting as a suicide attempt. In comparing the arsonists with the control group, there was a statistically significant difference in the variables that indicate suicidality. Arsonists more commonly had diagnosed psychiatric diseases (p = .008). The incidence of psychoses was fourfold, chronic or severe depression about threefold, and mental retardation twofold when compared with the homicide offenders. Eighty-five percent of the arsonists had received psychiatric care before the crime was committed. The arsonists were more often found to be not criminally responsible for the crime committed (p = .01).","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"23 4","pages":"547-53"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19617882","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}

引用次数: 0