Fixing forensic patients: Psychiatric recommendations for treatment in pretrial settings

This article is concerned with psychiatric recommendations for treatment at the Metropolitan Toronto Forensic Service (METFORS), a clinical assessment agency providing both 1-day and 30-day evaluations of criminal defendants in Toronto, Canada. Analysis of both psychiatric reports and quantitative research instruments demonstrated the saliency of treatment as a central forensic issue at METFORS. Among a sample of 592 defendants, 134 were considered in need of outpatient care. Persons recommended for hospitalization were most likely to exhibit histories of mental health rather than criminal justice contacts; to be arrested for nonviolent offenses; to manifest psychotic behavior while at METFORS; to be found unfit for bail, incompetent to stand trial, in need of further assessment and dangerous to self; and to experience higher rates of hospitalization, but lower levels of criminalization during the two years following their initial forensic assessment. Psychiatric reports at METFORS tended to merge recommendations for treatment and assessment; to suggest prison or probation as means for securing clinical treatment; and to provide little written support for judgments about the need for intervention. Along with competency and dangerousness, treatment is a key issue in forensic practice, and warrants further attention in the psycholegal literature.     

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).     

Procedural Justice and Culture

The past fifteen years have seen the development of a considerable research literature on the social psychology of procedural justice (see Lind & Tyler, 1988, for a review). Procedural justice research reveals some serious shortcomings in the exchange theories that have traditionally dominated Western analyses of the social psychology of groups, and in so doing, the procedural justice literature has important ramifications for cross-cultural psychology. Results from a number of studies conducted in the United States and Western Europe show that individualistic, self-interest based models of human behaviour are insufficient to explain procedural justice phenomena. Instead, procedural justice effects frequently reveal strong group-oriented concerns and motivations even in cultural contexts generally thought to be characterized by individualistic orientations. The research literature also shows that if a group's procedures are judged to be fair, people are more likely to show group-oriented behaviour and to hold more favourable attitudes toward the group and its leaders. These findings have led to the development of a theory of justice judgments—the Lind and Tyler group-value theory—which is based on group norms and relations rather than on social exchange theory. We describe a general model of social behaviour that integrates group- and individually-oriented behaviour, and we discuss the implications of the model for social and cross-cultural psychology.     

No counterregulation after breaking the external restraint of children.

At the present, it is unknown how restraint and binge eating/counterregulation are exactly related. Earlier studies on this relationship suffer from two main shortcomings: the studies are all correlational in nature or could not rule out the contribution of confounding variables such as weight loss. The present study investigated whether a break of restraint is a sufficient condition for the occurrence of counterregulation by studying a restrained sample which is not liable to dieting practices and weight loss. The externally imposed restraint on children with regard to eating sweets was broken. However, after breaking their external restraint the children did not counterregulate. It is discussed whether restraint of food intake is really as important for binge eating as it is claimed to be or whether it is merely a consequence or an epiphenomenon of binge eating.     

The role of inhibition in a spreading-activation model of language production. II. The simulational perspective

This is the second part of a project aimed at establishing the role of lateral inhibition in spreading-activation models of language production. While the first part (Berg &; Schade, 1992) reviewed the psycholinguistic evidence for inhibition and established that indeed inhibition takes place, this paper addresses the issue from the implementational perspective. A series of computer simulations are reported in which spreading-activation models with or without inhibition are directly contrasted. The performance of the competing models is evaluated against two sets of criteria. On the more technical side, the “heat death” and the selection problems have to be solved. That is, the target must have a high and the nontarget units a low level of activation. Additionally, there are certain empirical effects from the production literature which may serve as test cases for deciding between the rival models. The results of the simulations indicate that only the inhibition-based model proves capable of meeting all challenges. All inhibitionless variants fail in one or more respects. It is further shown that the need for the inhibitory component increases with the size of the processing network and that one well-known production model can do without lateral inhibition only at the expense of introducing a concept which resembles inhibition in its effect but cannot replace it.     

Journal Reviews

Astor , J. (London). ‘A conversation with Dr Michael Fordham.’Journal of Child Psychotherapy Astor , J. (London). ‘Adolescent states of mind found in patients of different ages seen in analysis.’Journal of Child Psychotherapy Blomeyer , R. (Berlin) ‘Der Umgang des Analytikers mit der Analyse’ (The interrelationship between the analyst and the analysis). Analytische Psychologie Blomeyer , Rudolf (Berlin). ‘Analytische Psychologie und Ich-Psychologie’. (Analytical Psychology and Ego-Psychology). Analytical Psychology Rudolf Blomeyer . ‘Anmerkungen zur Typologie’ (Comment on typology). Analytische Psychologie Corbett , L. Kugler , P. ‘The self in Jung and Kohut’ in Progress in self Psychology Dehing , J. ‘Jung aus der Sicht der anderen: anlässlich einiger Kritiken von Seiten der Freudianer.’ (Jung as others see him: some Freudian criticisms.) Analytische Psychologie Erlenmeyer , A. ‘Das kannabalische Phantasma—eine Annäherung’ (Cannibalistic fantasy—an appraisal). Analytische Psychologie Giera -Krapp , Margitta (Berlin). ‘Constellation of the good/bad mother archetype in the treatment of early disturbances.’Analytische Psychologie Lyard , D. (Paris). ‘Le corps et la “redonne” archetypique de l'adolescence.’ (The body and archetypal rebirth in adolescence) in Cahiers jungiens de psychanalyse Noschis , K. (Geneva). ‘La maison du jour et de la nuit’ (The house by day and by night). Le Journal des Psychologues “Le langage de notre intérieur” (The language of our interior). Les Cahiers Médicosociaux Erenest L. Rossi . ‘Mind Body Therapy: methods of ideodynamic healing in hypnosis.’ Norton Professional Books. New York. Samuels , A. (London). ‘Pluralism and the post-Jungians: A reply to Peter Bishop.’ Spring. Samuels , Andrew . (London). ‘A relation called father—Part I: The father in depth psychology.’British Journal of Psychotherapy Steinberg , Warren . (New York). ‘The Fear of Success’. Quadrant Thibaudier , Vivane (Paris). ‘La notion de Grande Mère dans l'optique Jungienne’Cahiers Jungiens de Psychanalyse     

THE USE OF BEHAVIORAL ASSESSMENT TO PRESCRIBE AND EVALUATE TREATMENTS FOR SEVERELY HANDICAPPED CHILDREN

Behavioral assessment procedures were used to prescribe and evaluate treatments of maladaptive behavior for 2 children with severe multiple handicaps. In Experiment 1, the results of an assessment of reinforcer preference were used in conjunction with a functional analysis of the conditions maintaining self-injurious behavior to prescribe a treatment for a child with severe disabilities. The treatment procedure involved the use of a pressure-sensitive microswitch to activate reinforcing stimuli during two solitary conditions, during which self-injurious behavior had occurred at high rates. The results were evaluated with a multiple baseline across settings design and indicated that self-injury decreased with concomitant increases in microswitch activation. Results were maintained at 6 weeks, 8 weeks, and 6 months. In Experiment 2, the results of behavioral assessments of reinforcer preference and self-injurious behavior were combined to develop a treatment for a second severely handicapped child, who exhibited high rates of self-injury in demand situations. This treatment was evaluated with a multiple baseline across tasks design and resulted in the elimination of self-injury for up to 15 months.