Toward a therapeutic jurisprudence analysis of medication refusal in the court review model

A therapeutic jurisprudence analysis attempts to discern the role of legal proceedings, lawyers and judges in producing therapeutic or anti-therapeutic consequences. This paper will attempt to use the therapeutic jurisprudence framework to analyze the legal and administrative aspects of court review as it was reported during a one year epidemiologic study of drug refusal. Characteristics of the review process, the effect on patient refusal, and the attitudes of treating psychiatrists are presented. To broaden the clinical context of the administrative findings, selected clinical characteristics of refusing patients, their attitudes toward mental illness, reasons for refusing medication and satisfaction with court review will be described. The discussion attempts to show how the initial administrative study findings may be interpreted in the broader context of their relationship to the achievement of therapeutic outcomes.     

Quality care in residential placement for children and youth with developmental disabilities

There is a growing concern for quality care in residential placements outside of the natural family for children and youth with developmental disabilities. Ideally, children with developmental disabilities should remain with their natural parent or parents of parents with appropriate supports until the age when children typically leave home. In reality, parents of children and youth with development disabilities are not always able or willing to care for their children at home, and alternate residential placements must be found. This paper will discuss some of the issues surrounding the provision of quality care in out-of-home residential placements for children and youth with developmental disabilities.     

The Determinants of Mock Jurors' Verdicts in a Rape Case1

The determinants of verdicts in a rape case were examined. Pretrial attitudes (rape empathy, juror bias, belief in a just world, and authoritarianism) were measured to ascertain both the intercorrelations among the attitudes and their predictive value of verdicts. The eye contact (staring, avoiding, or random) of the alleged rape victim with the defendant was also examined. Results showed that rape empathy was predictive of verdict. The eye contact of the alleged victim with the defendant also affected verdicts of female mock jurors. Specifically, when eye contact was avoided, more guilty verdicts were rendered. Furthermore, interpretation of eye contact was found to be a function of mock jurors' reported rape empathy. Specifically, subjects who reported empathy with the victim tended to interpret the victim's behavior as consistent with being raped. Finally, differences were found between high and low empathizers for the rape victim in what aspects of the trial were important to mock jurors' decisions.     

Emerging images of severely battered women and the criminal justice system

The research literature of the 1970s and 1980s created a rather singular image of the battered woman. This image functioned as a standard to be met by battered women who attributed their own acts of violence or their failures to protect their children to the violence they endured. Three severely battered women, Hedda Nussbaum, Frances McMillian and Damian Pizarro illustrate the real diversity that exists. Each woman coped differently with her fear of her abuser's violence and domination. Nonetheless, the experiences of all three were unified by the intensity of their fear and by the fact that their acts (or failures to act) were so serious that they led to these women's involvement with the criminal justice system. The psychological consequences of extraordinary violence and the criminal justice system responses are discussed specifically, in relation to each case. The woman's social class and race are emphasized as important mediators of the criminal justice system response. In the final, general section, questions are addressed about society's role in idealizing the f d y and in silencing, ignoring, acknowledging, and/or solving the problems of severely battered women in desperately violent families.     

Psychometric Properties and Clinical Utility of the Scale for Suicide Ideation with Inpatient Children

The purpose of the current study was to examine the psychometric properties and clinical utility of the Scale for Suicide Ideation (SSI) for children. The SSI was administered to 100 children who were hospitalized. Data were not used from 13 subjects due to the presence of a psychotic disorder or IQ less than 70, leaving 87 participants. The SSI was examined regarding its internal consistency, concurrent validity, construct validity, and factor structure when used with children. Based on the findings, the SSI appears to have adequate psychometric properties and can be used by clinicians and researchers examining children in an inpatient setting. Recommendations for clinicians are included to help make the SSI more functional in use for children.     

Confirmatory factor analysis of The Aggression Questionnaire

A confirmatory factor analysis of the factor structure of The Aggression Questionnaire created by Buss and Perry (1992) [Journal of Personality and Social Psychology, 63, 452–459] was conducted to assess whether the scale's purported 4 factors emerged. The results generally supported the 4-factor model. However, the hostility factor may be improved if 2 items pertaining to suspicion are removed from the scale. These items had relatively low loadings on that factor and decreased the hostility scale's internal reliability.     

Me,us and them: Political identification and the third-person effect in the 1993 Australian federal election

Three days prior to the 1993 Australian federal election 54 Australian university students who identified with one of the two major political parties were surveyed regarding their perceptions of media campaign impact on self and others. Results provided evidence of a third-person effect (Davison, 1983) wherein respondents judged others us more influenced by the election campaign than themselves. Consistent with predictions derived from social identity theory and self-categorization theory (e.g. Turner, Hogg, Oakes, Reicher and Wetherell, 1987), political ingroup members were also judged as less injuenced by campaign content than political outgroup members. Respondents who identified strongly with their preferred party judged self and ingroup members as less influenced by campaign content than did other respondents, and showed more evidence of positive intergroup differentiation. At the same time, however, these respondents exaggerated self–ingroup differences, challenging the theoretical assumption that intergroup diferentiation is associated with ingroup assimilation. Judgements of media impact on self and other also depended on the direction of the campaign message. Respondents believed ‘voters in general’ were persuaded in line with the intent of campaign content, while outgroup members were seen to be persuaded by material favouring their own side but to be uninfluenced by counter-attitudinal content. Election propaganda, irrespective of direction, was seen to amplify existing party preferences in self and ingroup members. Hence the relative invulnerability of self to media impact was pronounced when respondents judged the impact of pro-outgroup messages. Results suggest that perceptions of self–other differences in media vulnerability are influenced by the subjectively salient social relationship between self and other, and are governed by motivational needs, such as self-esteem, social-identity, and differentiation from others (cf. Brewer, 1991; Hogs and Abrams, 1993).