The role of competency to stand trial in mental health courts

Concerns have been raised in the literature about the competency to stand trial and competency to make treatment decisions of defendants referred to mental health courts. However, there is little information reported about the evaluation and prevalence of incompetence, characteristics of incompetent mental health court defendants, and disposition of mentally ill defendants too disturbed to be diverted from the criminal justice system through mental health courts. This study reports on the 85 potential mental health court defendants referred for trial competency evaluations during the first three years of operation of the Akron Ohio Mental Health Court. Of the 80 defendants who could be located for evaluation, 77.5% were found incompetent, and 53% of the incompetent defendants were not restored to competence even after an average of 49 days of treatment in a state psychiatric hospital. The implications of these findings in terms of the diversion potential of mental health courts for the severely mentally ill are discussed.     

Field reliability of comprehensive system scoring in an adolescent inpatient sample

The extent to which the Comprehensive System for the Rorschach is reliably scored has been a topic of some controversy. Although several studies have concluded it can be scored reliably in research settings, little is known about its reliability in field settings. This study evaluated the reliability of both response-level codes and protocol-level scores among 84 adolescent psychiatric inpatients in a clinical setting. Rorschachs were originally administered and scored for clinical purposes. Among response codes, 87% demonstrated acceptable reliability(> .60), and most coefficients exceeded .80. Results were similar for protocol-level scores, with only one score demonstrating less than adequate reliability. The findings are consistent with previous evidence, indicating reliable scoring is possible even in field settings.     

The role of similarity in deductive categorical inference

The category inclusion rule specifies that categories inherit the properties of their superordinates. For example, given thatall metals are pentavalent, it can be concluded thatall iron is pentavalent. Sloman (1998) showed that people do not fully endorse conclusions that follow from the category inclusion rule. He claims that people rely on the similarity between the premise and the conclusion categories (metals andiron), rather than applying the category inclusion rule. By allowing reasoners to rate their certainty for category relations (e.g.,iron is metal), as well as for conclusions, the present study shows that similarity has only an indirect effect on the certainty of conclusions: Reasoners are more certain that similar categories have a category inclusion relation, and this in turn affects the certainty of conclusions based on this relation.     

When does imagery practice enhance performance on a motor task?

Imagery practice of motor tasks has been recommended for a wide range of activities as from flight training to basketball. A key question, both from a practical and a theoretical standpoint, is when during the learning process does imagery practice confer the most benefit? However, the literature does not provide clear guidance, in part because of methodological limitations. A 3 x 2 (physical practice x pretest-posttest) split-plot design was employed to investigate the effects of imagery practice on the acquisition of a discrete target at three different stages of learning. Analysis indicated that imagery practice was most beneficial in the early stages of learning and showed an inverse relationship between experience and efficacy of imagery practice. Results are discussed in terms of current theories of imagery practice and suggestions are made regarding when such practice might be best applied during skill development.     

Is Narrative Identity Four‐Dimensionalist?

The claim that selves are narratively constituted has attained considerable currency in both analytic and continental philosophy. However, a set of increasingly standard objections to narrative identity are also emerging. In this paper, I focus on metaphysically realist versions of narrative identity theory, showing how they both build on and differ from their neo‐Lockean counterparts. But I also argue that narrative realism is implicitly committed to a four‐dimensionalist, temporal‐parts ontology of persons. That exposes narrative realism to the charge that the narratively constituted self, on the one hand, and the self that is the object of much of our everyday self‐reference and self‐experience, on the other, can't be the same thing. This conclusion may well force narrativists to abandon metaphysical realism about narrative selves—which, in turn, may leave the invocation of ‘narrativity’ as identity‐constituting somewhat under‐motivated.     

Hyperactivity in boys with attention deficit/hyperactivity disorder (ADHD): the association between deficient behavioral inhibition, attentional processes, and objectively measured activity

Contemporary models of ADHD hypothesize that hyperactivity reflects a byproduct of inhibition deficits. The current study investigated the relationship between children's motor activity and behavioral inhibition by experimentally manipulating demands placed on the limited-resource inhibition system. Twenty-two boys (ADHD = 11, TD = 11) between the ages of 8 and 12 years completed a conventional stop-signal task, two choice-task variants (no-tone, ignore-tone), and control tasks while their motor activity was measured objectively by actigraphs placed on their nondominant wrist and ankles. All children exhibited significantly higher activity rates under all three experimental tasks relative to control conditions, and children with ADHD moved significantly more than typically developing children across conditions. No differences in activity level were observed between the inhibition and noninhibition experimental tasks for either group, indicating that activity level was primarily associated with basic attentional rather than behavioral inhibition processes.     

Engaging African American men in empirically based marriage enrichment programs: lessons from two focus groups on the ProSAAM project

To better meet the needs of eligible African American men who were reluctant to enroll in a 5-year study called the Program for Strong African American Marriages (ProSAAM), we employed two focus groups to listen to the voices of a sample of the population being recruited and to explore their feedback about taking part in such a marriage enrichment program and how best to recruit other African American men. We explain our application of the focus group results to our recruitment of African American married couples for ProSAAM. The positive outcomes from the implementation of these results can provide potential ideas for those seeking innovative means to improve recruitment of African American men to programs that strengthen marital relationships.     

Dopaminergic modulation of incentive motivation in adolescence: age-related changes in signaling, individual differences, and implications for the development of self-regulation

Behavioral activation that is associated with incentive-reward motivation increases in adolescence relative to childhood and adulthood. This quadratic developmental pattern is generally supported by behavioral and experimental neuroscience findings. It is suggested that a focus on changes in dopamine neurotransmission is informative in understanding the mechanism for this adolescent increase in reward-related behavioral activation and subsequent decline into adulthood. Evidence is presented to indicate that incentive-reward motivation is modulated by mesoaccumbens dopamine, and that it increases in adolescence before declining into adulthood because of normative developmental changes at the molecular level. Potential mechanisms of variation in functional mesoaccumbens dopamine transmission are discussed with a focus on the interplay between tonic and phasic modes of dopamine transmission in modulating both general incentive-motivational biases and the efficacy of reward learning during exposure to novel reward experiences. Interactions between individual difference factors and these age-related trends are discussed.