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A Pilot Study of Group Administered Metacognitive Training (MCT) for Schizophrenia Patients in a High-Security Forensic Setting: Subjective Training Success and Health-Related Quality of Life 高安全法医环境下精神分裂症患者群体元认知训练(MCT)的试点研究:主观训练成功与健康相关生活质量
Pub Date : 2015-08-04 DOI: 10.1080/15228932.2015.1053546
Riitta Kuokkanen, K. Aho-Mustonen, Joona Muotka, R. Lappalainen, J. Tiihonen
Metacognitive group training (MCT) for psychosis has showed promising effects on positive symptoms of schizophrenia, even in forensic settings. Its effect on health-related quality of life (HRQOL) or patient perspective of it has not been studied before in violent inpatients. This pilot study investigated the patient perspective of the MCT, assessed the intervention’s effects on HRQOL compared with the control group, and compared the patients’ HRQOL with that of the general population. Twenty male violent inpatients with schizophrenia participated and were randomized to the eight-session MCT or to treatment as usual. The participants’ HRQOL was assessed at baseline, at posttreatment, and 3 and 6 months later. Also, participants appraised the MCT immediately after treatment. The training satisfaction was high and compliance was good. On average, the patients’ HRQOL was significantly worse than in the general population and MCT did not have any effect on it, positive or adverse. Special efforts to improve patients’ HRQOL should be made.
精神疾病的元认知群体训练(MCT)对精神分裂症的阳性症状显示出有希望的效果,甚至在法医环境中也是如此。其对健康相关生活质量(HRQOL)的影响或患者对此的看法在暴力住院患者中尚未被研究过。本初步研究从患者角度考察MCT,与对照组比较干预对患者HRQOL的影响,并将患者HRQOL与普通人群进行比较。20名患有精神分裂症的男性暴力住院患者参与了这项研究,他们被随机分为8期MCT和常规治疗两组。在基线、治疗后、3个月和6个月后评估参与者的HRQOL。此外,参与者在治疗后立即对MCT进行评价。培训满意度高,依从性好。平均而言,患者的HRQOL明显差于一般人群,MCT对其没有任何影响,无论是积极的还是不利的。应特别努力提高患者的HRQOL。
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引用次数: 2
Sex Selling and Autism Spectrum Disorder: Impaired Capacity, Free Enterprise, or Sexual Victimization? 性交易与自闭症谱系障碍:能力受损,自由企业,还是性受害者?
Pub Date : 2015-08-04 DOI: 10.1080/15228932.2015.1053557
M. Palermo, S. Bogaerts
Sexual behavior is a complex phenomenon. While appetitive and linked to reproduction, it also has a strong hedonic component to it. Like other human behaviors, it is dimensional and, although it may fall along a continuum of normality, it may also deviate in a variety of directions. Selling and buying sex is one of said deviations. We report the case of a young man with an autism spectrum disorder who began to sell himself in exchange for money in a country where sex selling, or prostitution, is not in and of itself illegal. The case is noteworthy as it explores issues of freedom of will, capacity to consent to sexual relations in an individual with a clinically diagnosed psychiatric condition at risk for victimization, exploitation of the disabled, and medico-legal responsibility. We likewise underscore the clinical complexity of assessing the relationship between moral understanding, cognitive skills, and sanctionable and risky behaviors.
性行为是一个复杂的现象。虽然这是一种欲望,与繁殖有关,但它也有很强的享乐成分。像其他人类行为一样,它是有维度的,尽管它可能沿着正常的连续体下降,但它也可能在各种方向上偏离。买卖性行为是上述偏差之一。我们报道了一个患有自闭症谱系障碍的年轻人的案例,他开始在一个性交易或卖淫本身并不违法的国家出卖自己以换取金钱。该案件值得注意,因为它探讨了意志自由、在临床诊断为精神疾病的个体中有受害风险的同意发生性关系的能力、对残疾人的剥削以及医疗法律责任等问题。我们同样强调了评估道德理解、认知技能和可制裁和危险行为之间关系的临床复杂性。
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引用次数: 1
States’ Standards for Training and Certifying Evaluators of Competency to Stand Trial 国家培训和认证出庭能力评估员标准
Pub Date : 2015-08-04 DOI: 10.1080/15228932.2015.1046798
W. Gowensmith, D. Pinals, A. C. Karas
The standards used to select, train, certify, and retain forensic evaluators of Competency to Stand Trial (CST) vary widely across states. Despite the very important ramifications that CST evaluations have for the defendants who undergo them, little is currently known about how states ensure that evaluators provide the highest-quality work possible. A survey was sent to all 50 states and Washington, DC, to solicit information regarding evaluator selection and certification processes, payment of CST evaluators, and other related topics. Results were compared to previous studies completed in 1997 and 2006 to allow for a longitudinal analysis. Results indicate that although some progress has occurred since the publication of those studies, most states still do not have a formal process for selecting or certifying their CST evaluators. Also, professional qualifications for CST evaluations are loosening, and payment remains relatively low. These findings, as well as the importance of retaining high standards for the field of forensic mental health assessment, are discussed. Specific components of existing certification programs are also detailed.
用于选择、培训、认证和保留出庭能力法医评估人员(CST)的标准在各州之间差别很大。尽管CST评估对接受评估的被告产生了非常重要的影响,但目前人们对各州如何确保评估人员提供尽可能高质量的工作知之甚少。一项调查被发送到所有50个州和华盛顿特区,以征求有关评估员选择和认证过程、CST评估员支付和其他相关主题的信息。研究结果与1997年和2006年完成的先前研究进行了比较,以便进行纵向分析。结果表明,尽管自这些研究发表以来取得了一些进展,但大多数州仍然没有正式的程序来选择或认证其CST评估人员。此外,CST评估的专业资格正在放宽,支付仍然相对较低。讨论了这些发现,以及在法医心理健康评估领域保持高标准的重要性。现有认证程序的具体组成部分也详细说明。
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引用次数: 18
Towards an Evidence-Based Clinical Forensic Diagnostic Assessment Framework for Juvenile Fire Setting and Bomb Making: DSM-5 Quadrant 迈向青少年纵火和炸弹制造的循证临床法医诊断评估框架:DSM-5象限
Pub Date : 2015-05-27 DOI: 10.1080/15228932.2015.1022479
Ronna C. Johnson
Juvenile fire setting and bomb making (JFSB) poses clinical, cross-disciplinary, ethical, and legal challenges. For example, the discipline lacks an available assessment method that is specifically designed to guide the diagnostic work with JFSBs. Consistent with the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5), an expanded dimensional diagnostic framework referred to as the DSM-5 Quadrant is recommended as a valid approach to augment the clinical utility for both case conceptualization and crafting forensically relevant interventions aimed at these youth. This article identifies issues associated with assessing mental health symptoms frequently found within the JFSB population.
青少年纵火和炸弹制造(JFSB)提出了临床,跨学科,伦理和法律挑战。例如,该学科缺乏专门用于指导JFSBs诊断工作的可用评估方法。符合精神障碍诊断和统计手册(第5版);DSM-5),一个被称为DSM-5象限的扩展维度诊断框架被推荐为一种有效的方法,以增加病例概念化和针对这些年轻人制定法医相关干预措施的临床效用。本文确定了与评估在JFSB人群中经常发现的心理健康症状相关的问题。
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引用次数: 1
Cold Case Reviews of Serious Sexual Offenders: An Exploration of Pre- and Post-Index Offending Patterns 重刑犯悬案回顾:索引前和索引后犯罪模式的探索
Pub Date : 2015-05-27 DOI: 10.1080/15228932.2015.1032143
Louise Almond, M. McManus, J. Worsley, P. Gregory
This exploratory study investigates offending patterns of perpetrators of serious sexual assaults (SSA) who were not initially identified at the time of the offense. Thirty-eight adult male offenders were identified through Operation Advance, a phased approach program that forensically reviewed historical sexual offense cases submitted to the UK Forensic Science Service during 1989 to 1999. Results indicated that approximately one-third of the SSA offenders received a post-offense conviction for a sexual‐contact offense. Results showed greater chronicity and versatility of the subsequent offenses for those younger index offenders. Explanations for the findings are discussed with implications for suspect prioritization.
本探索性研究调查了在犯罪时未被识别的严重性侵犯(SSA)犯罪者的犯罪模式。通过“提前行动”(Operation Advance)确定了38名成年男性罪犯,这是一项分阶段实施的计划,该计划对1989年至1999年期间提交给英国法医科学服务处的历史性犯罪案件进行法医审查。结果表明,大约三分之一的SSA罪犯因性接触犯罪而被定罪。结果显示,年龄较小的指导性犯罪者的后续犯罪具有更大的长期性和多样性。对研究结果的解释进行了讨论,并对嫌疑人的优先级进行了讨论。
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引用次数: 3
The Effects of Lineup Administrator Influence and Mortality Salience on Witness Identification Accuracy 队列管理者影响和死亡率显著性对证人识别准确性的影响
Pub Date : 2015-05-27 DOI: 10.1080/15228932.2015.1041362
Lindsey M. Rhead, Dario N. Rodriguez, V. Korobeynikov, Jimmy Yip, Margaret Bull Kovera
We manipulated mortality salience, perpetrator presence in the lineup, and administrator steering in a mock crime paradigm to examine whether reminders of one’s mortality increase susceptibility to influence from a lineup administrator. When steered toward the suspect, witnesses were more likely to choose, yielding lower lineup rejection rates than double-blind administration. Further, steering administrators effectively guided non-mortality-salient (but not mortality-salient) witnesses toward suspect identifications, regardless of the suspect’s actual guilt. Mortality salience similarly increased suspect identifications relative to the double-blind, non-mortality-salient condition. We discuss the implications of these results for the external validity of laboratory eyewitness research.
我们在模拟犯罪范式中操纵死亡率显著性、行为人在队列中的存在和管理人员的指导,以检验对死亡的提醒是否会增加对队列管理人员影响的敏感性。当被引导向嫌疑人时,证人更有可能选择,比双盲管理产生更低的阵容拒绝率。此外,指导管理员有效地引导非死亡率显著(但不是死亡率显著)证人识别嫌疑人,而不考虑嫌疑人的实际罪行。与双盲、非死亡率显著性条件相比,死亡率显著性同样增加了可疑识别。我们讨论了这些结果对实验室目击证人研究的外部效度的影响。
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引用次数: 8
Should Police Use ACID? Training and Credibility Assessment Using Transcripts Versus Recordings 警察应该使用硫酸吗?使用成绩单和录音进行培训和可信度评估
Pub Date : 2015-05-27 DOI: 10.1080/15228932.2015.1035187
Kevin R. Colwell, Neslihan James-Kangal, Cheryl Hiscock-Anisman, Vivian Phelan
There is a need for an applicable system of investigative interviewing and credibility assessment that extends science to practice. Experiment 1: Officers assessed the credibility of colleagues in a face-to-face interaction. Fourteen of sixteen officers were wrong in determining whether their colleague was responding honestly to them or lying to them. Experiment 2 compared untrained officers to officers trained in Assessment Criteria Indicative of Deception (ACID) in their ability to assess the credibility of statements regarding real and mock crimes by analyzing either verbatim transcripts or audio recordings. Officers who were trained in ACID performed significantly better after training than before, and significantly better than a group of officers who were never trained in ACID (89% correct versus 53% correct). No differences emerged due to analyzing transcripts versus recordings. The practical aspects of these results are discussed, including success rate, ease of application, and ease of training. The theoretical discussion includes differential recall enhancement and impression management. Finally, limitations and suggestions for future research are presented.
有必要建立一套适用的调查访谈和可信度评估系统,将科学推广到实践中。实验一:警官们在面对面的交流中评估同事的可信度。16名警官中有14名在判断他们的同事是在诚实地回答他们还是对他们撒谎时犯了错误。实验2比较了未经训练的警官和接受过欺骗评估标准(ACID)训练的警官通过分析逐字记录或录音来评估真实和模拟犯罪陈述可信度的能力。接受过ACID培训的警官在培训后的表现明显好于培训前,也明显好于从未接受过ACID培训的警官(89%对53%)。分析文本和录音没有发现差异。讨论了这些结果的实际方面,包括成功率、应用的便利性和培训的便利性。理论讨论包括差异回忆增强和印象管理。最后,提出了未来研究的局限性和建议。
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引用次数: 11
Forensic Assessment via Videoconferencing: Issues and Practice Considerations 通过视频会议进行法医评估:问题和实践考虑
Pub Date : 2015-05-27 DOI: 10.1080/15228932.2015.1015363
Samuel Adjorlolo, H. Chan
Forensic assessment videoconferencing (VC) is gradually gaining popularity among forensic mental health practitioners. Given the profound impacts of the characteristics of VC on forensic assessment destined for courts, knowledge of and familiarity with the salient features of the technology and its application in forensic assessment is relevant so as to obviate any potential negative impact. The present study examines some issues as well as practice considerations that may help forensic psychologists enhance the results of forensic assessments conducted with VC technology. Discussions and suggestions on how to advance forensic assessment via VC are offered.
法医评估视频会议(VC)在法医精神卫生从业人员中逐渐普及。鉴于VC的特点对法院法医评估的深远影响,了解和熟悉该技术的显著特征及其在法医评估中的应用是相关的,以避免任何潜在的负面影响。本研究探讨了一些问题以及实践上的考虑,这些问题可能有助于法医心理学家提高使用VC技术进行法医评估的结果。对如何利用VC推进司法鉴定提出了讨论和建议。
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引用次数: 23
The Duty to Protect a Patient’s Right to Confidentiality: Tarasoff, HIV, and Confusion 保护病人保密权利的责任:塔拉索夫、艾滋病毒和困惑
Pub Date : 2015-03-15 DOI: 10.1080/15228932.2015.1007776
L. Downs
This paper sets out to discuss the legal complexities that arise when a clinician is faced with an HIV-positive patient who reveals an intention to engage in sexual activity with an unknowing partner. The landmark Tarasoff case and notion of a clinician’s duty to protect are reviewed. Actual courtroom decisions in cases involving similar issues of disease transmission are examined. The criminalization of HIV-positive individuals who are sexually active without making partners aware of their seropositivity is also discussed. Although no definitive guidelines exist for what to do in this specific situation, clinicians who know the legal landscape and practice defensive medicine are in the best position to fulfill legal and moral responsibilities in protecting third parties, patients, and themselves.
本文旨在讨论当临床医生面对一名艾滋病毒阳性患者,该患者表示有意与不知情的伴侣进行性活动时,出现的法律复杂性。具有里程碑意义的塔拉索夫案和临床医生的保护责任的概念进行了回顾。对涉及类似疾病传播问题的案件的实际法庭判决进行审查。还讨论了将性活跃的艾滋病毒阳性个体在不让伴侣知道其血清阳性的情况下定为刑事犯罪。尽管在这种特殊情况下没有明确的指导方针,但了解法律环境并实践防御性医疗的临床医生在履行法律和道德责任方面处于最佳位置,以保护第三方,患者和他们自己。
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引用次数: 3
What Did the Child Tell? The Accuracy of Parents’ Reports of a Child’s Statements When Suspecting Child Sexual Abuse 孩子说了什么?怀疑儿童遭受性虐待时,父母报告儿童陈述的准确性
Pub Date : 2015-03-15 DOI: 10.1080/15228932.2015.1003439
Julia Korkman, T. Laajasalo, Aino Juusola, Liisa Uusivuori, P. Santtila
Often cases of suspected child sexual abuse (CSA) come forward through children’s accounts to their parents and the parents’ subsequent reporting thereof. In this study (N = 22), randomly assigned parents listened to a mother-daughter conversation concerning suspected CSA. When freely reporting “what the child told,” participants assessed most of the information brought up by the mother as being brought up by the child. However, when asked to assess the source for each utterance, participants differentiated better. Interestingly, who they deemed brought up an event was not associated with how probable participants deemed it was that the event had occurred.
怀疑儿童性虐待的案件通常是通过儿童向其父母的陈述和父母随后的报告而出现的。在本研究中(N = 22),随机分配父母听一段关于疑似CSA的母女对话。当自由地报告“孩子说了什么”时,参与者将母亲提出的大部分信息评估为孩子提出的。然而,当被要求评估每句话的来源时,参与者区分得更好。有趣的是,他们认为是谁提出了一个事件,与参与者认为该事件发生的可能性无关。
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引用次数: 6
期刊
Journal of forensic psychology practice
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