Applicability of two violence risk assessment tools in a psychiatric prison hospital population

The risk of violent behavior is known to be higher for patients who suffer from a severe mental disorder. However, specific prediction tools for clinical work in prison psychiatry are lacking. In this single-center study, two violence risk assessment tools (Forensic Psychiatry and Violence Tool, “FoVOx,” and Mental Illness and Violence Tool, “OxMIV”) were applied to a prison hospital population with a primary psychotic or bipolar disorder and subsequently compared. The required information on all items of both tools was obtained retrospectively for a total of 339 patients by evaluation of available patient files. We obtained the median and inter-quartile range for both FoVOx and OxMIV, and their rank correlation coefficient along with 95% confidence intervals (CIs)—for the full cohort, as well as for cohort subgroups. The two risk assessment tools were strongly positively correlated (Spearman correlation = 0.83; 95% CI = 0.80–0.86). Such a high correlation was independent of nationality, country of origin, type of detention, schizophrenia-spectrum disorder, previous violent crime and alcohol use disorder, where correlations were above 0.8. A lower correlation was seen with patients who were 30 years old or more, married, with affective disorder and with self-harm behavior, and also in patients without aggressive behavior and without drug use disorder. Both risk assessment tools are applicable as an adjunct to clinical decision making in prison psychiatry.     

Recalling more childhood events leads to judgments of poorer memory: Implications for the recovered/false memory debate

Dissociative disorders that are believed to develop from childhood sexual abuse are often considered to include amnesia for childhood events, particularly the events that involve the abuse itself. One unresolved issue is the extent to which memory recovery attempts can contribute to claims of having amnestic symptoms. Experiments with undergraduate subjects reveal that requiring more reports of childhood events will increase judgments of having poorer memory of one’s childhood. The results are consistent with the use of heuristics when one is reasoning under conditions of uncertainty, as experienced difficulty in remembering more experiences is attributed to the incompleteness of childhood memory. The findings challenge the validity of reports of childhood amnesia that follow memory recovery attempts.     

Die “Seinsweise” des literarischen Kunstwerks: Differenzen zwischen den Auffassungen Roman Ingardens, Edmund Husserls und Waldemar Conrads

Ohne Zusammenfassung Dem Essay liegen Untersuchungen zugrunde, die ich in meinem BuchDas Werk “rein für sich.” Zur Geschichte des Verh?ltnisses von Ph?nomenologie, ?sthetik und Literaturwissenschaft, Berlin, Akademie-Verlag, 1979, ausführlich vorgestellt habe.     

Metacognitive Experiences: Response to Commentaries

The stimulating commentaries by Huber (2004), Lee (2004), and Pham (2004) raised important questions. This response elaborates on some of their themes by addressing the assessment of naive theories, the role of expectations, the influence of metacognitive experiences on consumer choice, as well as parallels between different metacognitive experiences and moods. Receiving thoughtful and stimulating commentary from three of my favorite consumer researchers, whose work has influenced my own thinking, is a great privilege. In this response, I elaborate on some of the themes of their commentaries (Huber, 2004; Lee, 2004; Pham, 2004), although space constraints do not allow me to do full justice to their thoughts.     

Standardisierte Dokumentation als Methode der Qualit?tssicherung

Quality assurance is one of the recurrent topics in forensic psychiatry and the first methods used were systematic documentation and the development of structured assessment and documentation instruments. In German speaking countries the forensic psychiatric documentation system (FPDS) was derived essentially from the AMDP (working group for methods and documentation in psychiatry) system used in clinical psychiatry and consisted of a modular instrument with a basic module and additional ones for the assessment of violent offenders or of sex offenders for risk assessment etc. The development of comparable instruments became especially popular for risk assessment in different settings and for different offender populations. Even more important was that it initiated a platform for scientific exchange, producing a reliable data base, structured training in forensic psychiatry and evaluation of expert reports. Systematic documentation using instruments was often criticized for reducing information and overlooking the complexity of the problems encountered in forensic psychiatry. The critics, however, often do not seem to be aware of the real quality of forensic assessments and reports, of the variety or of the minimal information they often contain. Systematic documentation serves to find a common language among the experts and the courts to improve the assessment of reliability and validity of the information provided, to establish minimal requirements for the formulation of reports and to prove professionally correct handling of cases in litigation against an expert.