The Short-Term Assessment of Risk and Treatability (START): a prospective validation study in a forensic psychiatric sample

A new assessment scheme--the Short-Term Assessment of Risk and Treatability (START)--presents a workable method for assessing risks to self and others encountered in mentally and personality disordered clients. This study aimed to demonstrate (a) prevalence and severity of risk behaviors measured by the START, (b) psychometric properties of START, (c) similarities and differences in START scores across different mental health professionals, and (d) concurrent validity of START with diverse negative outcomes. Treatment team members completed the 20-item, dynamically focused START for 137 forensic psychiatric inpatients. Prevalence and severity of START risk domains were measured for 51 patients detained in the hospital for 1 year. Results revealed high rates of generally low-level adverse events. With some exceptions, START scores were meaningfully associated with outcomes measured by a modified Overt Aggression Scale.     

Whither causal models in the neuroscience of ADHD?

In this paper we examine the current status of the science of ADHD from a theoretical point of view. While the field has reached the point at which a number of causal models have been proposed, it remains some distance away from demonstrating the viability of such models empirically. We identify a number of existing barriers and make proposals as to the best way for these to be overcome in future studies. These include the need to work across multiple levels of analysis in multidisciplinary teams; the need to recognize the existence of, and then model, causal heterogeneity; the need to integrate environmental and social processes into models of genetic and neurobiological influence; and the need to model developmental processes in a dynamic fashion. Such a model of science, although difficult to achieve, has the potential to provide the sort of framework for programmatic model-based research required if the power and sophistication of new neuroscience technologies are to be effectively exploited.     

'Do be my enemy for friendship's sake' (Blake)

The author explores our psychological need for enemies and the contribution this makes to overt conflicts in the external world. Enemies serve as an opposite from which we can differentiate ourselves, either as an individual or as a group; they help us to define our physical and psychological boundaries. Enemies provide a target and an outlet for our aggression and also for the projection of the shadow. They also provide the stimulus to individuation, through the heroic encounter with the enemy in the unfamiliar world outside the home, particularly in adolescence. The psychic integration of 'self' and 'enemy' is explored as the outcome of individuation.     

Determinants of diagnostic prototypicality judgments of the personality disorders

We evaluated the impact of three factors that have been suggested to be important determinants of the diagnostic process pertaining to personality disorders: (a) the number of features representative of a personality disorder category; (b) the extent to which those features are typical of the category, and (c) the dominance or proportion of category features to the total number of features. Thirty-two clinical psychologists evaluated 12 profiles of hypothetical patients in which these factors were varied factorially. The results revealed strong effects of typicality and dominance, but no effects for number. Implications for the assessment and classification of personality disorders are discussed.     

Nurses’ recognition and reporting of child abuse: A factorial survey

According to interaction ist theory, responses of professionals to potential deviance will vary by characteristics of the event, characteristics of the biography and training of the observer, and characteristics of the organization in which the process occurs. Hypotheses concerning recognition and reporting of child abuse were tested using a factorial survey design. A probability sample of nurses (N = 1,038) judged vignettes, in which case characteristic variables were systematically manipulated, and responded to a questionnaire on their background, professional work, and organization. Case characteristics involving type and level of seriousness of abuse, perpetrator status, and perpetrator psychology had the greatest effects on the average recognition and reporting scores, as shown in the analysis using ordinary least squares regression. Contrary to interaction ist predictions, only a small additional amount of the variance was accounted for when the nurses’ characteristics and organizational characteristics were added to the equation. Implications of the findings for further research and for social policy and practice concerning child abuse are discussed.     

On the Shoulders of Idiots: Re-thinking Science Communication as ‘Event’

Characterised by a shift from a diffusion to a deliberation model of science communication, the past decades have witnessed a proliferation of science communication formats. In order to better understand the complexity and novelty of these formats, we propose a ‘model of emergence’ that conceptualises science communication as an event in which the event itself, as well as the various actors that contribute to it, are emergent. To operationalise this model of emergence, we use Isabelle Stengers' figure of the idiot as an analytical tool which lets us interrogate our own implicit assumptions about science communication and the way they shape interactions in specific communication events. This makes it possible to be more sensitive to the ways in which we enable the emergence of particular identities and audience reactions, but also how we understand the role of science communicators themselves. A recent experiment with a science communication installation, ‘The Landscape of Expectations’, is used as an example that lets us trace how the ‘idiotic behaviours’ of visitors, which on one level make no sense, enable us to query presuppositions about the repertoire of behaviours available to the public and the assumed relations of power between experts and laypeople.     

Convergent Validity of the Defense Mechanisms Manual and the Defensive Functioning Scale

This report, describing a peculiar reaction of two psychiatric patients to the Rorschach test, tries to relate this phenomenon to some other Rorschach phenomena, already known and previously described.     

Cognitive Processing in Specifically Language-Impaired Children

Eighteen language-impaired children and 25 non-language-impaired children were evaluated to investigate the relationship between language ability and selected aspects of the five-component problem-solving process defined by Kagan and Kogan (1970). Non-impaired children performed better than language-impaired children on nearly all components of the problem-solving process. Language-impaired children had particular difficulties in the areas of coding and hypothesis generation. In fact, coding ability was inversely related to the number of errors made in hypothesis evaluation. Coding ability was also positively correlated with language ability. The exact causal relationship between coding ability, language ability, and error-making in hypothesis evaluation is unclear; however, improving coding skills through training may increase automaticity and lead to improved performance in the higher levels of the problem-solving process.     

Adaptation and the perception of facial age

We examined how the perceived age of adult faces is affected by adaptation to younger or older adult faces. Observers viewed images of a synthetic male face simulating ageing over a modelled range from 15 to 65 years. Age was varied by changing shape cues or textural cues. Age level was varied in a staircase to find the observer's subjective category boundary between “old” and “young”. These boundaries were strongly biased by adaptation to the young or old face, with significant aftereffects induced by either shape or textural cues. A further experiment demonstrated comparable aftereffects for photorealistic images of average older or younger adult faces, and found that aftereffects showed some selectivity for a change in gender but also strongly transferred across gender. This transfer shows that adaptation can adjust to the attribute of age somewhat independently of other facial attributes. These findings suggest that perceived age, like many other natural facial dimensions, is highly susceptible to adaptation, and that this adaptation can be carried by both the structural and textural changes that normally accompany facial ageing.