Treatment recommendations for mentally disordered offenders: More than roulette?

Clinical judgments on the treatability and prognosis of mentally disordered offeenders (MDO) may strongly influence legal dispositions and the availability of treatment resources. This study examined 1,238 discharge summaries for MDOs referred for court assessments. Psychiatrists evidenced marked variability in how often they recommended treatment and how frequently they judged patients to have a poor prognosis. Two logit analyses suggested that diagnosis and consultation by other clinicians were associated with (a) treatment recommendations (i.e., Axis I diagnosis and social work consultations) and (b) prognosis (i.e., Axis II diagnosis and psychology consultations).     

Common response processing and psychological refractoriness

This experiment examined whether structural considerations, that is the functional closeness of limb control centres (Kinsbourne and Hicks 1978), have a role to play in common processing models of psychological refractoriness. A typical double stimulation paradigm was used (Kantowitz 1974). On experimental trials, subjects responded with the right hand (RT1) to an auditory signal (0.80 probability). After a varied interstimulus interval (ISI) of 100, 200, 300 or 700 msec, one of three lights corresponding to one of the other limbs provided the signal for the second response (RT2). Control trials for RT1 and RT2 involved both stimuli, but subjects were required to make only one response. Results indicated that experimental RT1 was lengthened considerably over control values. While typical double stimulation effects were found at short ISIs, that is RT2 was lengthened, RT2 at long ISIs was actually faster than double stimulation control values. Although the RT results were not in a pattern that would be predicted by functional distance (Kinsbourne and Hicks 1978), within subject correlations of RT1 and RT2 by limb condition suggest that structural considerations may have a role to play. While within subject correlations were positive at all levels of ISI, they decreased as the interval between the two signals increased. The implications of these results for common processing models are discussed.     

PROCESS PHILOSOPHY, SOCIAL THOUGHT, AND LIBERATION THEOLOGY

Abstract. This essay sets forth the decisive notions and postulates of process philosophy in Process Philosophy and Social Thought , edited by John B. Cobb, Jr. and W. Widick Schroeder. After commenting on the circumstances in which process philosophy came to be a major option among philosophical theologians, I provide some amplification of those notions and postulates. Then, selecting material from the eighteen articles in the volume, I offer several critical assessments of the process viewpoint and its relation to science and to the contemporary call for liberation.     

LONGITUDINAL STUDY OF PROCRASTINATION, PERFORMANCE, STRESS, AND HEALTH:

Abstract— Procrastination is variously described as harmful, innocuous, or even benefical. Two longitudinal studies examined procrastination among students. Procrastinators reported lower stress and less illness than nonprocrastinators early in the semester, but they reported higher stress and more illness late in the term, and overall they were sicker. Procrastination thus appears to be a self-defeating behavior pattern marked by short-term benefits and long-term costs.     

Suicide attempts in twins whose co-twins' deaths were non-suicides

Familial similarity for suicidal behavior has been interpreted by psychosocially oriented researchers as reflecting extreme grief following loss. This view would anticipate a higher frequency of attempted suicide among bereaved MZ than DZ twins (regardless of cause of death), given their generally increased social closeness. Alternatively, support for a genetic influence on suicidal behavior has been provided by findings of greater concordance among monozygotic (MZ) than dizygotic (DZ) twins, and among biological than adoptive relatives. This approach predicts that the occurrence of suicidal attempts among bereaved MZ and DZ twins whose co-twins deaths were non-suicides should not differ and should be low in frequency, given an absence of predisposing genetic factors. Attempted suicide was compared in 166 MZ and 79 DZ twins whose co-twins' deaths were non-suicides. Suicidal attempts (during the first two months following the loss) were recalled by 3 MZ twins (1.8%) and by 3 DZ twins (3.7%), a difference that was not significant. The present study, together with previous twin and adoption studies, supports the view that concordance for suicide among family members reflects a common genetic predisposition to suicidal behavior.     

Aesthetic preference and DSM-IIIR personality disorders

This report tested whether those individuals with a cluster B DSM-IIIR personality disorder (narcissistic, borderline, antisocial or histrionic) had higher scores for aesthetic preference for visually complex drawings using the Barron-Welch Art Scale. In a sample of 141 patients and controls, the 56 subjects who met the criteria for one of the cluster B personality disorder diagnoses displayed higher Barron-Welch Art Scale Scores. A multiple regression analysis showed that narcissistic and borderline personality disorder contributed positively, while dependent personality disorder, negatively to preference for complexity. The findings support the notion that aesthetic choices and values reflected through the dimension of openness to experience may contribute to the behavioral manifestations of the personality disorders.