Use of Psychiatric Medications in Juvenile Detention Facilities and the Impact of State Placement Policy

The use of psychotropic medications is a significant factor in the overall effort to respond to detained youth with mental illness, yet there are very few studies of psychotropic medication use in juvenile detention settings. It is important to understand the factors that influence the use of mental health services and psychoactive medications in these settings since youth with emotional problems are overrepresented in them. This paper addresses the proportion of youth in these settings who receive mental health services and psychoactive medications. In addition, the impact of a major statewide policy change—the shift of juvenile placement responsibility from the state to local government—on these proportions was examined using 8 years of publicly available data from county probation departments. Multivariate regression analyses of 1,760 observations of quarterly reports from 55 counties showed that the use of both mental health services and psychoactive medications in detention facilities increased concurrently with the policy change. While these proportions had already been gradually increasing in these facilities, it appears that after the policy change they increased even more. This contradicts the aim of most juvenile justice planners—to divert non-violent youth offenders with emotional problems away from incarceration settings and towards community based treatment alternatives. If adequately available, these support services could provide diversion alternatives to prevent inappropriate detentions, and to provide post-detention treatment to prevent lapses in continuity of care and, ultimately, to prevent reoffending.     

Changes in behavior and behavioral intentions among middle-age women: results from an osteoporosis prevention program

The purpose of this study was to evaluate changes in behaviors and behavioral intentions that occurred among 342 middle-age women (M age 49.5 yr.) after participating in an Osteoporosis Prevention Program. The valid and reliable Osteoporosis Preventing Behaviors Survey (developed by Doheny and Sedlak) and a survey developed for this work were measures. Significant changes in behaviors were reported, especially increases in weight-bearing physical activity, dairy product intake, and decreases in consumption of caffeine-containing beverages. Many subjects reported intentions to increase physical activity and calcium intake. An Osteoporosis Prevention Program may help promote osteoporosis prevention behaviors, but intents must be followed up to check actual change.     

First-trial adaptation to prism exposure

Terminal target-pointing error on the 1st trial of exposure to optical displacement is usually less than that expected from the optical displacement magnitude. Such 1st trial adaptation was confirmed in 2 experiments (N = 48 students in each) comparing pointing toward optically displaced targets and toward equivalent physically displaced targets (no optical displacement), with visual feedback delayed until movement completion. First-trial performance could not be explained by ordinary target undershoot, online correction, or reverse optic flow information about true target position and was unrelated to realignment aftereffects. Such adaptation might be an artifact of the asymmetry of the structured visual field produced by optical displacement, which induces a felt head rotation opposite to the direction of the displacement, thereby reducing the effective optical displacement.     

Grandiose Narcissism Predicts Willingness to Behave Badly,Without Proportional Tolerance for Others’ Bad Behavior

Narcissists characteristically behave badly; our study investigated how they respond to experiencing others’ bad behavior. After completing the Narcissistic Personality Inventory, a measure of grandiose narcissism, participants reported their willingness to engage in different inconsiderate or unethical common behaviors. Then they reported how bothered they would feel in response to experiencing each of the same bad behaviors—perpetrated by someone else. Participants overall reported feeling bothered by others’ bad behavior, but narcissism was unrelated to intolerance judgments. Narcissists are often highly reactive when their inflated self-views are challenged, but our study suggests that narcissists are not uniquely bothered by everyday minor offenses. However, when viewed from a different angle, narcissists’ level of intolerance could be interpreted as unjustly high, because they reported more willingness to engage in behavior that could bother others, yet did not show proportional tolerance for others’ bothersome behavior.     

A Puzzle Concerning Gratitude and Accountability

P.F. Strawson’s account of moral responsibility in “Freedom and Resentment” has been widely influential. In both that paper and in the contemporary literature, much attention has been paid to Strawson’s account of blame in terms of reactive attitudes like resentment and indignation. The Strawsonian view of praise in terms of gratitude has received comparatively little attention. Some, however, have noticed something puzzling about gratitude and accountability. We typically understand accountability in terms of moral demands and expectations. Yet gratitude does not express or enforce moral demands or expectations. So, how is it a way to hold an agent accountable? In a more general manner, we might ask if there is even sense to be made of the idea that agents can be accountable—i.e., “on the hook”—in a positive way. In this paper, I clarify the relationship between gratitude and moral accountability. I suggest that accountability is a matter of engaging with others in a way that is basically concerned with their feelings and attitudes rather than solely a matter of moral demands. Expressions of gratitude are a paradigmatic form of this concerned engagement. I conclude by defending my view from the objection that it leads to an overly generous conception of holding accountable and suggest in reply that moral responsibility skeptics may not help themselves to as many moral emotions as they might have thought.