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.     

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     

A reappraisal of Teresa of Avila's supposed hysteria

This essay offers a reassessment of Teresa's severe seizures which were such a characteristic feature of her mysticism. The diagnosis of hysteria is no longer viable, at the very least given its abandonment by clinicians. An alternative analysis is developed by phenomenologically comparing Teresa's seizures to parallel experiences of subjects in LSD-assisted psychotherapy. Using Stanislav Grof's categories, it is argued that Teresa's seizures are perinatal symptoms. As such, they represent the emergence and reintegration of extremely primitive psychological systems and might be described as the growing pains of transpersonal consciousness. They reflect not degenerative psychopathology but progressive movement toward higher states of consciousness.He has published articles in the fields of metaphor and the psychology of mysticism. An earlier version of this paper was presented at the national meeting of the American Academy of Religion in New York in 1982.     

Work plan availability and performance: An assessment of task strategy priming on subsequent task completion

The relation of task strategy planning to task performance was explored using a series of laboratory investigations. The first study examined the influence of providing a subject a work strategy and a specific work goal on his or her subsequent performance. A total of 72 subjects participated in a 2 (goal) × 2 (task strategy priming) × 3 (performance period) × 3 (task type) repeated measures, factorial design study. The results demonstrate that task strategy priming and goal setting increase the amount of an individual's planning and directs the type of plan developed. A second study was conducted (n = 90) to further explore the effect of task strategy priming on planning and performance. Taken together, the results of the studies demonstrate that (a) goal setting increases strategic planning, (b) priming influences the amount and type of planning engaged in by an individual, and (c) task performance varies as the result of the type of plan an individual develops. The results are discussed as a means of expanding the use of cognitive constructs in theories of work motivation.