Der Fall Ludwig Tessnow (1872–1939)

The journeyman carpenter Ludwig Tessnow was sentenced to death for four murders by the Greifswald jury court in 1902. The death sentence was upheld during the retrial in 1906 but was later commuted to life imprisonment. According to the unanimous opinion of psychiatric experts Tessnow committed the crimes while in a state of mental incompetence caused by epileptic twilight states. The court, however, ignored this mitigating circumstance in its decision-making process. Seen from a historical perspective, the case is of forensic psychiatric interest because this criminal trial clearly shows the conflicts in competence which arose in the nineteenth century between judges and medical experts when mental competence had to be assessed. It also allows some insight into how mentally ill offenders were dealt with at the beginning of the twentieth century when the influence of public opinion was (and still is) a noteworthy element of prejudgement which was additionally consolidated by the established system of jury courts. The Tessnow case reveals by way of example the usual practice of official consignment of mentally disordered offenders to hospitals at the end of the nineteenth century until the Nazi era. New particulars of the Tessnow findings adequately verified that Tessnow had not been executed in the Greifswald prison as mistakenly believed. It could be proved that Ludwig Tessnow was admitted to the LandesheilanstaltStralsund (state mental hospital in Stralsund) where he became a victim of the Nazi euthanasia program.     

Seeing the unseen: ostracism interventionary behaviour and its impact on employees

This article outlines the development and validation of the ostracism interventionary behaviour (OIB) scale. Based on in-depth interviews with employees, leaders, and content experts in addition to 603 survey respondents from Canada and the United States, 3 dimensions emerged to describe the ways in which leaders confront workplace ostracism-related cues and a measure was created to assess them. These refer to the ability for leaders to foster an inclusive workgroup dynamic and enact effective third-party interpersonal interventions through displays of (1) social awareness, (2) proactivity, and (3) harmony-seeking behaviour. In addition to possessing convergent and discriminant validity, the OIB scale demonstrated criterion-related validity through its relation with perceived workplace ostracism and well-being. Furthermore, evidence supported the scale’s test–retest reliability and predictive validity over and above leader–member exchange. Overall, the measure was found to be both reliable and valid, with important implications for the effective management of instances of ostracism at work.     

Genetic Counseling in the Era of Genomics: What’s all the Fuss about?

As genomic sequencing becomes more widely available in clinical settings for diagnostic purposes, a number of genetic counseling issues are gaining precedence. The ability to manage these issues will be paramount as genetic and non-genetic healthcare professionals navigate the complexities of using genomic technologies to facilitate diagnosis and inform patient management. Counseling issues arising when counseling for diagnostic genomic sequencing were identified by four genetic counselors with 10 years of collective experience providing genetic counseling in this setting. These issues were discussed and refined at a meeting of genetic counselors working in clinical genomics settings in Melbourne, Australia. Emerging counseling issues, or variations of established counseling issues, were identified from the issues raised. Illustrative cases were selected where pre- and post-test genetic counseling was provided in clinical settings to individuals who received singleton or trio WES with targeted analysis. Counseling issues discussed in this paper include a reappraisal of how genetic counselors manage hope in the genomic era, informed consent for secondary use of genomic data, clinical reanalysis of genomic data, unexpected or unsolicited secondary findings, and trio sequencing. The authors seek to contribute to the evolving understanding of genetic counseling for diagnostic genomic sequencing through considering the applicability of existing genetic counseling competencies to managing emerging counseling issues and discussing genetic counseling practice implications.     

Development and Pilot Testing of a Decision Aid for Genomic Research Participants Notified of Clinically Actionable Research Findings for Cancer Risk

Germline genomic testing is increasingly used in research to identify genetic causes of disease, including cancer. However, there is evidence that individuals who are notified of clinically actionable research findings have difficulty making informed decisions regarding uptake of genetic counseling for these findings. This study aimed to produce and pilot test a decision aid to assist participants in genomic research studies who are notified of clinically actionable research findings to make informed choices regarding uptake of genetic counseling. Development was guided by published literature, the International Patient Decision Aid Standards, and the expertise of a steering committee of clinicians, researchers, and consumers. Decision aid acceptability was assessed by self-report questionnaire. All 19 participants stated that the decision aid was easy to read, clearly presented, increased their understanding of the implications of taking up research findings, and would be helpful in decision-making. While low to moderate levels of distress/worry were reported after reading the booklet, a majority of participants also reported feeling reassured. All participants would recommend the booklet to others considering uptake of clinically actionable research findings. Results indicate the decision aid is acceptable to the target audience, with potential as a useful decision support tool for genomic research participants.     

Ethics and Confidentiality for Psychologists in Academic Health Centers

Psychologists in academic health centers (AHC) face important ethical issues including confidentiality when working with a multidisciplinary team, sharing of information through the electronic health record, obtaining informed consent in a fast-paced healthcare environment, cultural competency in the medical setting, and issues related to supervision and training. The goal of this paper is to describe ethical issues for psychologists in AHCs in the context of case examples, and to consider ethical decision-making tools to enhance clinical care. Considerations for best practices in integrated care settings will be discussed, and the APA Ethical Standards will be referenced throughout.     

Detecting Clusters/Communities in Social Networks

Cohen's κ, a similarity measure for categorical data, has since been applied to problems in the data mining field such as cluster analysis and network link prediction. In this paper, a new application is examined: community detection in networks. A new algorithm is proposed that uses Cohen's κ as a similarity measure for each pair of nodes; subsequently, the κ values are then clustered to detect the communities. This paper defines and tests this method on a variety of simulated and real networks. The results are compared with those from eight other community detection algorithms. Results show this new algorithm is consistently among the top performers in classifying data points both on simulated and real networks. Additionally, this is one of the broadest comparative simulations for comparing community detection algorithms to date.