Treatment and psychopathy in forensic settings

People commonly question whether highly psychopathic offenders are treatable. Little scientific research has addressed this question despite key developments in the last 20 years in two relevant areas: reliable measurement of psychopathy, and effective treatments for reducing criminal and antisocial behavior in offenders. One obstacle to progress is confusion about defining psychopathy; a necessary preliminary step to advancing intervention. After outlining the principal definitional issues, we review past and recent research on psychopathy and treatment, concluding that a handful of newer, well-designed studies suggest grounds for optimism about psychopathy and treatability. Although psychopathy characteristics—along with other indices of criminal risk—signal responsivity challenges, well-conceived programs for higher risk offenders can reduce recidivism in highly psychopathic offenders and appear to do so by reducing dynamic risk factors. There are no clear indications yet of whether PCL-psychopathic offenders differ from other high-risk offenders in their ability to respond to such treatments. The questions of whether psychopathy itself responds to treatment, and if so, what forms such treatment might take have not yet been addressed. We conclude by suggesting that advances will come from the use of more divergent measures of psychopathy, and in particular, dynamic measures of psychopathy traits that will allow us to document whether change is occurring.     

Enhanced counselling for women undergoing BRCA1/2 testing: Impact on knowledge and psychological distress–results from a randomised clinical trial

This randomised controlled trial evaluated the impact of an enhanced counselling (EC) intervention on knowledge about the heritability of breast and ovarian cancer and distress, as a function of BRCA test result, among high-risk women. Before deciding about whether or not to undergo genetic testing, participants were randomly assigned to the EC intervention (N = 69), designed to promote cognitive and affective processing of cancer risk information (following the standard individualised counselling session), or to the control condition (N = 65), which involved standard individualised counselling followed by a general health information session to control for time and attention. Women in the EC group exhibited greater knowledge than women in the control group, 1 week after the intervention. Further, at the affective level, the intervention was found to be the most beneficial for women testing positive: specifically 1 week after test result disclosure, women in the intervention group who tested positive experienced lower levels of distress than women in the control group who tested positive. The findings suggest that the design of counselling aids should include a component that explicitly activates the individual's cognitive–affective processing system.     

A Note on Family Acceptance Involving Interracial Friendships and Romantic Relationships

Perceptions of family acceptance concerning interracial friendships and romantic relationships were investigated in a group of 142 undergraduates. The Assessment Scale of Interracial Relationships (ASIR) was constructed by the authors and administered to 68 men and 74 women recruited from introductory psychology courses. Results showed that both men and women held negative attitudes toward interracial relationships, although Black students held more favorable attitudes than did White students. These findings also showed that the women were less accepting of interracial friendships and romantic relationships than the men were. Both Black and White students indicated that family perception of these interracial relationships would be negative.     

The methodology of genuine modal realism

David Lewis’s genuine modal realism is a controversial thesis in modal metaphysics. Charles Chihara and Ross Cameron have each argued that Lewis’s defence of his thesis involves his committing serious methodological errors; in particular, that his replies to two well-known and important objections are question-begging. Scott Shalkowski has further argued that Lewis’s attempt to analyse modal talk in non-modal terms is viciously circular. This paper considers the methodology which Lewis uses to argue for his thesis, and the paper tries to show that it is guilty of no methodological errors.     

Teaching Phoneme Segmenting and Blending as Critical Early Literacy Skills: An Experimental Analysis of Minimal Textual Repertoires

The purpose of the current study was to examine blending and segmenting of phonemes as an instance of small, textual response classes that students learn to combine to produce whole word reading. Using an A/B/A/B design, a phoneme segmenting and blending condition that included differential reinforcement for response classes at the level of phonemes was compared to a control condition which was equated for differential reinforcement of reading words and opportunities to respond. The critical difference between conditions was the size of the responses that were brought under stimulus control (phonemes versus whole words). Findings clearly supported the superiority of the phoneme blending treatment condition over the control condition in producing generalized increases in word reading. The results are discussed in terms of the behavioral mechanisms that govern early literacy behaviors and the essential role that targeting measured increases in academic responses plays in furthering our understanding of how to improve the analysis and instruction of students who need to learn these important skills.