Opinion formation in evaluating the adjudicative competence and restorability of criminal defendants: a review of 8,000 evaluations

Evaluations of competence to stand trial (CST) are the most common type of criminal forensic evaluation conducted, and courts tend to defer to clinician opinions regarding a defendant's competence. Thus, it is important to study the ways in which clinicians arrive at opinions regarding adjudicative competence and the data they consider in forming their opinions. We reviewed 8,416 evaluations conducted by forensic evaluators in Virginia over a 12 year period, and examined (a) the clinical, demographic, and criminal characteristics of a defendant as related to opinions regarding competence, predicted restorability, and impairment on "prongs" of the Dusky standard, (b) process and outcome differences in evaluations conducted by psychiatrists versus psychologists and inpatient versus outpatient evaluators, and (c) the consistency of incompetence base rates over a 10 year period. Overall, clinicians opined that 19% of defendants were incompetent and considered 23% of these unlikely to be restored to competence. Not surprisingly, psychotic and organic/intellectual disorders were most strongly associated with findings of incompetence. However, there were some notable differences between evaluations by psychologists versus psychiatrists and between evaluations conducted in inpatient versus outpatient settings.     

Dopaminergic modulation of the persistence of one-trial hippocampus-dependent memory

The persistence of new memory traces in the hippocampus, encoded following appropriate activation of glutamatergic receptors and the induction of synaptic plasticity, can be influenced by heterosynaptic activation of neuromodulatory brain systems. We therefore investigated the effects of a hippocampus-specific blockade of dopamine D1/D5 receptors on the persistence of spatial memory encoded in one trial using a delayed matching-to-place (DMP) task in a watermaze in which rats learn a new escape location each day. A within-subjects design was used such that both short (20 min) and long (6 h) retention intervals, and both drug (SCH23390, a D1/D5 receptor antagonist) and vehicle (aCSF) infusions were tested on different days in the same animals. Bilateral intrahippocampal infusion of SCH23390 (5 microg in 1 microL per side) prior to trial 1 (encoding) caused a differential impairment as a function of memory delay-with no effect during trial 2 (memory retrieval) after a 20-min interval, but a block of memory at 6 h. Further experiments revealed that infusion of SCH23390 immediately after trial 1 had no effect on retention 6 h later, and the poor memory seen at long retention intervals when the drug was present at encoding was not due to a state-dependent failure of retrieval. These results suggest that activation of D1/D5 receptors during memory encoding is necessary for the formation of a persistent memory trace in the hippocampus. The complementary effects of D1/D5 receptor blockade on the persistence of LTP and the duration of memory are consistent with the idea that changes in synaptic strength underlie memory.     

Differentiation of self and psychosocial development

This study investigated the relationship between Bowens (1978) concept of differentiation of self and Eriksons (1950/1963) psychosocial stages of development. Three hundred and fourteen university undergraduates completed the Measure of Psychosocial Development (MPD; Hawley, 1988) and the Differentiation of Self Inventory (DSI; Skowron & Friedlander, 1998). Multiple regression analyses indicated that differentiation level is significantly predictive of psychosocial development. Clinical implications of the findings are discussed.     

Neuroimaging the serial position curve. A test of single-store versus dual-store models

Neuroimaging data could help clarify the long-standing dispute between dual-store and single-store models of the serial position curve. Dual-store models assume that retrieval from late positions is dependent on short-term memory (STM), whereas retrieval from early positions is dependent on long-term memory (LTM). Single-store models, however, assume that retrieval processes for early and late items are similar, but that early items are more difficult to discriminate than late items. The present study used functional magnetic resonance imaging to examine this question. Ten young adults were scanned while they recognized items from early or late serial positions. Recognition of early items uniquely activated brain areas traditionally associated with LTM, namely, regions within the hippocampal memory system. None of these areas was activated for retrieval of late items. These results indicate differential use of LTM retrieval processes, and therefore support dual-store models over single-store models.     

Conversations with young people in rural and remote places: transforming the emerging self (ANZAP 16th Annual Conference "Trauma and the Transformational Conversation")

This paper describes the laying of a foundation for transformation of the inner world and the emergence of "self" in young people using the Conversational Model. The author works with young people in a technical college in a remote part of Victoria Australia. Some of the clients have experienced extreme trauma as children and live in an ongoing state of traumatic stress. The young clients are deep thinkers and intelligent, yet trapped by dysfunctional family settings. Their situations are compounded by the remote and rural location of their community. The conversational process promotes the gradual transformation of their inner world and the emergence of a healthier "self."     

Child well-being in an era of welfare reform: the sensitivity of transitions in development to policy change

This study examined the age-specific pattern of effects of welfare policies on child achievement. Drawing from 7 random-assignment welfare and antipoverty evaluations that provided more than 30,000 observations of children's achievement, this study found that times of developmental transition are the only periods sensitive to the changes in families brought about by these policies. More specifically, small positive effects of welfare and antipoverty policies were found for children making the transition into middle childhood, and small negative effects of these same policies were found for children making the transition out of middle childhood and into early adolescence. Effects were robust across various program groupings and could not be attributed to family characteristics that differ for children of different ages. This research informs the understanding of how changes in employment and income for low-income parents affect development across childhood.     

Auditory backward masking deficits in children with reading disabilities

Studies evaluating temporal auditory processing among individuals with reading and other language deficits have yielded inconsistent findings due to methodological problems () and sample differences. In the current study, seven auditory masking thresholds were measured in fifty-two 7- to 10-year-old children (26 diagnosed with reading disability [RD], 26 without reading disability). Hierarchic multiple regression analyses indicated that RD status predicted performance only in the backward-bandpass noise (p<.05) and backward notched-noise conditions (p<.05), suggesting both temporal and spectral auditory processing deficits. These results suggest that any auditory deficit associated with RD may be more complex than previously hypothesized.     

Individualist and collectivist values: hypotheses suggested by Alexis de Tocqueville

The work of Alexis de Tocqueville, the 19th-century social theorist who coined the term individualism, supplied a conceptual foundation for hypothesizing that individualism and collectivism, as value systems, should be directly correlated. In previous research (D. K.-S. Chan, 1994), individualist and collectivist values were negatively correlated in a sample of men, and in a combined sample of men and women (P. J. Watson, J. Sherbak, & R. J. Morris, 1998) these values were positively correlated. In the present study, a positive relationship was in fact observed in both men and women. Linkages with other measures of self and social functioning uncovered a few small associations of individualist values with maladjustment. Collectivist values predicted adjustment. These data confirm that individualist and collectivist values are compatible, just as Tocqueville had suggested, and that gender differences do not explain the conflicting results previously reported in this literature.     

Factors modulating the effect of divided attention during retrieval of words

In this study, we examined variables modulating interference effects on episodic memory under divided attention conditions during retrieval for a list of unrelated words. In Experiment 1, we found that distracting tasks that required animacy or syllable decisions to visually presented words, without a memory load, produced large interference on free recall performance. In Experiment 2, a distracting task requiring phonemic decisions about nonsense words produced a far larger interference effect than one that required semantic decisions about pictures. In Experiment 3, we replicated the effect of the nonsense-word distracting task on memory and showed that an equally resource-demanding picture-based task produced significant interference with memory retrieval, although the effect was smaller in magnitude. Taken together, the results suggest that free recall is disrupted by competition for phonological or word-form representations during retrieval and, to a lesser extent, by competition for semantic representations.     

Linking sight and sound: fMRI evidence of primary auditory cortex activation during visual word recognition

We describe two studies that used repetition priming paradigms to investigate brain activity during the reading of single words. Functional magnetic resonance images were collected during a visual lexical decision task in which nonword stimuli were manipulated with regard to phonological properties and compared to genuine English words. We observed a region in left-hemisphere primary auditory cortex linked to a repetition priming effect. The priming effect activity was observed only for stimuli that sound like known words; moreover, this region was sensitive to strategic task differences. Thus, a brain region involved in the most basic aspects of auditory processing appears to be engaged in reading even when there is no environmental oral or auditory component.