Child sexual abuse allegations during custody litigation: Conflicts between mental health expert witnesses and the law

This article describes (1) an intrafamilial child sexual abuse case and (2) the multidisciplinary research project which developed from its outcome. The research project., in existence since 1987, is a task force of the Committee an Children, Youth, and Families of the New Jersey Psychological Association and is co-sponsored by the Committee on Child Psychiatry of the New Jersey Psychiatric Association. The research aims at developing an objective behavioral assessment instrument to validate child sexual abuse allegations, and at achieving a clinical-legal consensus regarding the credibility of the instrument. Ranking, reliability, and validity studies are described.     

Bias and expert testimony of mental health professionals in adversarial proceedings: A preliminary investigation

The role of mental health professionals testifying as expert witnesses has been the subject of increasing criticism. Cases in which opposing experts reach different conclusions are dismissed as “battles of the experts” and psychologists and psychiatrists are described as “hired guns.” This preliminary, analogue study examined the degree to which the opinions and testimony of mental health professionals may differ according to which side retains the expert. Results provided some support for the proposition that mental health professionals' testimony may vary according to the side by which they are retained.     

Relational regulation theory: a new approach to explain the link between perceived social support and mental health

Perceived support is consistently linked to good mental health, which is typically explained as resulting from objectively supportive actions that buffer stress. Yet this explanation has difficulty accounting for the often-observed main effects between support and mental health. Relational regulation theory (RRT) hypothesizes that main effects occur when people regulate their affect, thought, and action through ordinary yet affectively consequential conversations and shared activities, rather than through conversations about how to cope with stress. This regulation is primarily relational in that the types of people and social interactions that regulate recipients are mostly a matter of personal taste. RRT operationally defines relationships quantitatively, permitting the clean distinction between relationships and recipient personality. RRT makes a number of new predictions about social support, including new approaches to intervention.     

Gender bias and individualism: Responses to case vignettes among psychologists, professors, and students

This study examined the extent to which psychologists, when compared to university professors and evening school students, employ individualist values differentially in their responses to vignettes describing males and females. The participants responded to 6 vignettes by choosing initial hypotheses that reflected either utilitarian (tradition-ally masculine) or expressive (traditionally feminine) themes. Two vignettes involved a sex of client manipulation, but neither resulted in a sex of client effect. An analysis of the responses to the remaining 4 vignettes indicated a marked preference for the masculine form of individualism for males, but were evenly divided for females in all three groups. These results suggest that psychologists were just as likely to engage in bias as others.     

How and when to correct for juror hindsight bias in mental health malpractice litigation: Some preliminary observations

This article examines the hindsight bias in the context of mental health malpractice litigation, analyzes various legal mechanisms for dealing with the bias, and discusses whether the law should strive for debiasing in all mental health malpractice cases.     

Latin-American immigrant women and mental health: differences according to their rural or urban origin

Spain is one of the EU countries that receive most immigrants, especially from Latin America. The process of migration implies a high level of stress what may have repercussions for the mental health of immigrants. The purposes of this study were: (a) to determine whether the degree of mental health of immigrant women differs according to their rural or urban origin, (b) to compare the mental health of immigrant women with that of the female normative sample of host population (Spain). A sample of 186 Latin American immigrant women (142 from urban areas and 44 from rural areas) was recruited in Barcelona by means of a consecutive case method. A structured interview and the SCL-90-R were administered. The results indicated that the immigrant women from rural origin reported higher levels of psychological symptomatology than those from urban areas. Immigrants reported higher levels of psychological symptomatology than the native female population and in most of the psychological symptoms exceeded 90% of the native Spanish population. Migration is a powerful stressor which may lead to psychological distress. Being female of rural origin and being in an illegal situation is related with an increase in symptomatology.     

New application of psychology to law: Improving forensic evidence and expert witness contributions

Psychology has made a tremendous contribution to law by showing the malleability of eyewitness perception and memory, and developing best practices for obtaining eyewitness identifications. We suggest that even expert scientific witnesses, which the court heavily relies on as objective and impartial, are also susceptible to bias from various psychological influences. For example, forensic examiners’ interactions with detectives and exposure to information about the case can bias their judgments. We discuss the ten commentaries on these issues across a range of forensic science domains, and affirm what reforms are needed.     

Intraindividual and interindividual analyses of positive and negative affect: their relation to health complaints, perceived stress, and daily activities

I examined correlates of Negative Affect (NA) and Positive Affect (PA) through both within- and between-subjects analyses. Eighty subjects completed a daily questionnaire for 6-8 weeks. Each day they rated (a) their mood, (b) the extent to which they suffered from various minor physical problems, (c) their level of stress, (d) the time they spent socializing, and (e) whether or not they had exercised. Subjects also completed several trait tests measuring their general affective level, frequency of health problems, and social tendencies. A between-subjects analysis showed the expected pattern: Level of physical complaints and perceived stress were correlated with individual differences in NA but not in PA, whereas social indicators and frequency of exercise were related only to PA. The within-subjects results generally exhibited a similar pattern: Social activity and exercise were more strongly related to PA, whereas perceived stress was highly related to NA. However, the most significant finding was that, contrary to prediction, health complaints were as strongly related to intraindividual fluctuations in PA as in NA. Possible interpretations of the observed correlates of NA and PA are discussed.     

The perils of police psychology: 10 strategies for minimizing role conflicts when providing mental health services and consultation to law enforcement agencies

This article addresses common dilemmas faced by mental health professionals working on behalf of law enforcement agencies, focusing on those relating to informed consent; conflicts in values, norms, or their relative importance; and the erosion of professional identity. The authors suggest 10 strategies that mental health professionals may invoke to reduce their risk of confronting ethical dilemmas or of experiencing role conflicts while working on behalf of law enforcement agencies. The need for each strategy is illustrated with one or more examples of problems that have arisen when mental health professionals have failed to obtain consent for their activities, have been insufficiently sensitive to or unaware of conflicts between the usual norms in their professions, and the norms of law enforcement agencies, or have identified too strongly with law enforcement personnel. The 10 strategies recommended here are intended to reduce professional conflicts without compromising operational effectiveness.     

Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the "gay-friendly" Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed.     

Adaptation to British universities:homesickness and mental health of Chinese students

This paper examines the psychological reactions towards university transition with cultural relocation. Both personal factors (cognitive failures, locus of control) and environmental factors (perceived academic and social demands) are considered in this specific stressful context. General psychological symptoms and homesickness were measured. Result from a prospective study showed that homesickness is a common psychological reaction amongst Chinese students studying in Britain. This was quite separate from other psychological symptoms, and the two were influenced by different personality and environmental factors.     

Loneliness and adaptation among second-generation Portuguese migrants to France: roles of perceived responsibility and control

This study explores the association of perceived responsibility for loneliness and perceived control over loneliness on social adaptation and psychological adaptation among 109 second-generation Portuguese migrants to France. Analysis showed that rated perceived control was more highly associated with scores on social adaptation and psychological adaptation than perceived responsibility.     

Perceptions of infant boys' behavior and mental health: Relation to infant attachment

Two studies were conducted to determine the impact of infants' attachment classifications and behaviors on naive adults' impressions of their behavior and mental health. In Study 1, three groups of 44 adults viewed a videotape of episode 8 of the Strange Situation for either an avoidant, a resistant, or a secure male infant. After viewing the videotape, they made judgments about aspects of the infant's mental health. Adults viewed the resistant baby as less socially competent and more negative in affect than the other two babies and the secure baby as the least independent of the three babies. Parents rated babies as more intelligent than did nonparents. In Study 2, 15 parents were matched on race and gender with 15 nonparents. All adults viewed a videotape of the reunions of two secure, two avoidant, and two resistant male infants. Avoidant babies were viewed as more socially competent and independent than secure babies and the C2 baby was viewed as the least intelligent, least independent, least socially competent, and most affectively negative of the infants. Results are interpreted as underscoring the need to educate parents and paraprofessionals about the importance of infant distress and physical contact with parents.     

"You" and "I," "us " and them: a systemic-discursive approach to the study of ethnic stereotypes in the context of British-Greek heterosexual couple relationships

Systemic family therapy accounts of ethnic stereotypes in the context of ethnically mixed couple relationships have tended to focus on the interpersonal-psychological realm of the couple relationship. Discourse analytic research, on the other hand, has highlighted the role of such stereotypes in the construction of national identity and has stressed the importance of a historical and ideological approach. In this article, we will present our attempt to develop a systemic-discursive approach to the study of stereotypes in the particular context of British-Greek heterosexual couple relationships by building on both fields.     

Mothers' attachment style, their mental health, and their children's emotional vulnerabilities: a 7-year study of children with congenital heart disease

The long-term contribution of mothers' attachment insecurities to their own and their children's psychological functioning was examined in a 7-year prospective longitudinal study of children with Congenital Heart Disease (CHD). Sixty-three mothers of newborns with CHD participated in a three-wave study, beginning with the CHD diagnosis (T1), then 1 year later (T2), and again 7 years later (T3). At T1, the mothers reported on their attachment style and mental health. At T2, the mental health measure was administered again, along with a marital satisfaction scale. At T3, participants completed these two measures again, and their children reported on their self-concept and completed the Children's Apperception Test. Maternal avoidant attachment at T1 was the best predictor of deterioration in the mothers' mental health and marital satisfaction over the 7-year period, especially in a subgroup whose children had severe CHD. In addition, mothers' attachment insecurities (both anxiety and avoidance) at the beginning of the study were associated with their children's emotional problems and poor self-image 7 years later.     

An analysis of competency to stand trial: an integration of case law and clinical knowledge

In the past three decades competency to stand trial has emerged as a central issue in mental health law and forensic psychology. This article combines legal and clinical frameworks for a more integrated understanding of competency to stand trial. The legal framework focuses on Supreme Court decisions beginning with Dusky and reviews several legal theories of competence. The empirical framework is investigated within Grisso's (1986) conceptualization of legal competencies. In addition, the efficacy of specialized forensic assessments is evaluated, including the newly developed MacArthur Structured Assessment of the Competencies of Criminal Defendants (MacSAC-CD). The article concludes with observations of competency as a construct and their implications for forensic practice. © 1998 John Wiley & Sons, Ltd.     

The specific needs of foreign national prisoners and the threat to their mental health from being imprisoned in a foreign country

Foreign national prisoners represent an increasingly significant and vulnerable proportion of the prison estate in England and Wales, accounting for 13% of the population in custody (Prison Reform Trust, 2010). They are ever present in the Safer Custody statistics, accounting for nearly a quarter of self-harm incidents and self-inflicted deaths (HM Inspectorate of Prisons, 2009). Recent HM Inspectorate of Prisons, 2006, HM Inspectorate of Prisons, 2007, HM Inspectorate of Prisons, 2010 and a handful of research studies outline the lack of support facing many foreign national prisoners, in terms of language problems, social and cultural isolation, family support, immigration uncertainties and diversity issues. This paper reviews the current context of the foreign national prisoner population in England and Wales, paying particular attention to their experiences, specific needs, and potential threat to their mental health from being imprisoned in a foreign country. We then offer suggestions as to how these issues can be addressed by reviewing existing initiatives and making recommendations for future research.