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.     

Direct observation of quality of care in residential settings

Direct-observation procedures were used to objectively and efficiently assess several classes of service provided for individuals residing at two state facilities for the developmentally disabled. Time samples were taken of the condition of the clients' physical environment and of the clients themselves. The ongoing behavior of both clients and staff also was recorded. Each residence was observed at least three times during both regular work hours and evening/weekend hours. Results showed that both facilities scored high in the categories regarding the physical condition of the living areas, as well as the categories concerning the condition of the clients. Greater variability was seen in the data on client and staff behavior. More generally, the results indicate that time-sampling procedures can be used efficiently to collect data on multiple aspects of service delivery for large numbers of individuals.     

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.     

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).     

A possible genetic basis of accuracy in personality perception

An analysis was conducted to assess whether individuals are more accurate in perceiving those personality characteristics of other' that have a larger genetic component. Adult monozygotic (MZ) twins (63 pairs) and same-sex dizygotic (DZ) twins (35 pairs) completed the Personality Research Form-E (PRF) and the Sibling Evaluation of Personality Characteristics (SEPC) which consists of 20 sets of adjectives corresponding to the 20 trait scales of the PRF. Subjects also evaluated their co-twin with the SEPC. Self-other agreement correlations were then correlated with the heritability estimates of the PRF traits calculated on the same twin sample. The results suggest that accuracy in perceiving the co-twin's personality does increase with the heritability component of the personality dimension.     

The Influence of Outcome Expectancy and Self-Efficacy on the Behavioral Intentions of Novice Exercisers

The present study was based upon self-efficacy (SE) theory (Bandura, 1986). Its purpose was to examine whether incentives, defined as the product of outcome expectancy and outcome value, would help to predict the behavioral intentions of novice exercisers when coupled with SE expectations for a specific form of exercise. Fifty- three volunteers who were novices at weight training for exercise, participated in a 2-day learn-to-weight-train clinic offered at a university. They completed pre- and postclinic measures of SE for weight training, expectancy-value ratings of outcomes primary and secondary to 1 month's weight-training participation, and a strength- of-intention measure of multiple actions consequent to clinic participation. Results indicated that primary physical health outcomes expected of postclinic participation independently predicted the variability in pre- and postclinic future intentions beyond the variance predicted by SE. Further, incentives and SE clearly discriminated between individuals extreme in the strength of their intentions at pre- and postclinic. Discussion concerns the inclusion of measures of incentive in studies using self-efficacy theory in order to examine individuals who begin exercise and then move through various decision stages about exercise adoption and maintenance. Rather than merely assuming the influence of incentives necessary and sufficient to encourage a cognitive or behavioral impact of efficacy, arguments are made for actively examining incentive as manifested through outcome expectations.