Residential mental health assessment within Dutch criminal cases: a discussion

In Dutch criminal cases in which doubts arise about the defendant's mental health, a forensic assessment will be requested. This is provided either by the multidisciplinary staff of residential clinics who conduct forensic evaluations for the court, or by mental health professionals contracted on a part-time basis by district courts. This article discusses the procedures applied in such cases as well as the relevant legal provisions. It focuses particularly on the clinical observation, evaluation, and reporting that is carried out over a number of weeks in the residential setting of the Pieter Baan Centrum. Specific attention is paid to procedures applied in this clinic. It is suggested that Dutch procedures for the use of mental health expertise can best be characterized by three aspects: multidisciplinary observation and reporting, the use of a sliding scale for indicating degree of responsibility, and, finally, the involvement and payment of experts by the state as such, rather than by the prosecution and/or the defense. Copyright © 2001 John Wiley & Sons, Ltd.     

Aristotle on Rawls: A critique of quantitative justice

Conclusion Is the 20th Century as obviously preferable to all other times as Rawls would have us assume? Is 20th Century Stockholm preferable to 12th Century Florence in each and every way? In 12th Century Florence men lived without liberty or equality. Yet Florentines were reasonably happy, accepted their place in life, and communicated directly with others. It was a society with sharply marked class distinctions. In such a society the lowly can gain more self-respect through identity, excellence, and capacity within their station than in an egalitarian society. The lowly can perceive the importance of their labour, be secure that their place is assured by powerful protectors, see models of virtue to admire, and derive a sense of contributing to a meangingful social drama. They may also learn something of the difference between the noble and the ignoble. Are these not qualities Aristotle would appreciate? Medieval man was certainly not free but 'sneither was he alone and isolated ... Man was rooted in a structuralized whole, and thus life had a meaning which left no place, and no need, for doubt. In a brief reference to feudalism Rawls himself seems to realise this state of affairs (74). In contrast, Stockholm is a competitive society where loneliness, anxiety, and identity crises have been endlessly documented by social scientists, all occurring despite the high material standard of living. Yet Stockholm would seem to be the model for Rawls and obviously not Florence. One wonders if this social scientific knowledge of Stockholm will be part of the knowledge available to persons in the original position. Justice is not quantitative but qualitative, so Aristotle might say in a brief discussion. In a just society a person's possessions and consumptions are not on the minds of the other people with whom they meet and treat. When Odysseus came home he was delighted to climb into a peasant's cart to ride the last mile home. Contrast this king with King Arthur riding with another peasant on another road, choking with the anxiety that he may not be acting kingly by being in the cart. In Ithaca both king and commoner were sure of each other and, more importantly of themselves.An earlier version was presented at a Conference of the Australasian Political Studies Association.

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Anorexia nervosa and brain tumor in a 14-year-old girl

A 14-year-old girl with anorexia nervosa (AN) was found to have an intracranial neoplasm. Atypical psychological symptoms prompted further evaluation, including electroencephalogram and neuroimaging, which revealed a sellar and suprasellar mass. This patient had an eating disorder and a brain tumor, which appear to be two unrelated conditions. However, it remains unclear how each affected the other. The diagnosis of AN, like all other psychiatric disorders, requires that possible medical etiologies and coexisting medical problems be excluded. AN and other eating disorders are particularly difficult to diagnose in children and adolescents because they often do not present in the manner typical of adults. Perceptual and cognitive disturbances associated with AN are difficult to evaluate because children and adolescents normally change over time as they progress through different stages of development. Therefore, it is particularly important to evaluate for the presence of medical conditions when a diagnosis of an eating disorder is made in a child or adolescent.     

Joint action: bodies and minds moving together

The ability to coordinate our actions with those of others is crucial for our success as individuals and as a species. Progress in understanding the cognitive and neural processes involved in joint action has been slow and sparse, because cognitive neuroscientists have predominantly studied individual minds and brains in isolation. However, in recent years, major advances have been made by investigating perception and action in social context. In this article we outline how studies on joint attention, action observation, task sharing, action coordination and agency contribute to the understanding of the cognitive and neural processes supporting joint action. Several mechanisms are proposed that allow individuals to share representations, to predict actions, and to integrate predicted effects of own and others' actions.     

The Negative Physical Self Scale: Initial development and validation in samples of Chinese adolescents and young adults

This research presents four studies on the initial development and validation of the 48-item Negative Physical Self Scale (NPS), a multidimensional measure of body image concerns for use with Chinese samples. In Study 1 (N = 1095), exploratory factor analyses identified five dimensions underlying the NPS (General Appearance, Facial Appearance, Shortness, Fatness, Thinness). In Study 2 (N = 1057), confirmatory factor analyses replicated this factor structure. In Studies 3 and 4, the validity of all NPS dimensions except Thinness Concern was supported via their patterns of relation with both objective physical characteristics/behaviors and other self-report measures of body image and general self worth. Because Chinese adolescents and young adults expressed relatively more concerns about General Appearance, Shortness, and Facial Appearance than about Fatness, the NPS may have greater utility for assessing body image disturbances in China than existing measures that focus exclusively on general body satisfaction and body size/weight.     

Comorbidity in youth with specific phobias: Impact of comorbidity on treatment outcome and the impact of treatment on comorbid disorders

The purpose of the present study was twofold. In an analysis of data from an existing randomized control trial of brief cognitive behavioral treatment on specific phobias (One-Session Treatment, OST; Ollendick et al., 2009), we examined 1) the effect of comorbid specific phobias and other anxiety disorders on treatment outcomes, and 2) the effect of treatment of the specific phobia on these co-occurring disorders. These relations were explored in 100 youth presenting with animal, natural environment, situational, and “other” types of phobia. Youth were reliably diagnosed with the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent versions (Silverman & Albano, 1996). Clinician severity ratings at post-treatment and 6-month follow-up were examined as were parent and child treatment outcome satisfaction measures. Results indicated that the presence of comorbid phobias or anxiety disorders did not affect treatment outcomes; moreover, treatment of the targeted specific phobias led to significant reductions in the clinical severity of other co-occurring specific phobias and related anxiety disorders. These findings speak to the generalization of the effects of this time-limited treatment approach. Implications for treatment of principal and comorbid disorders are discussed, and possible mechanisms for these effects are commented upon.