Bad or Mad? Personality disorders and legal responsibility-the German situation

Criminal offenders have a high rate of personality disorders (PDS), especially Antisocial Personality Disorders and psychopathy, but criminal acts are not necessarily the result of PD. Findings from psychiatric research suggest that the development of PD is influenced by genetic factors, that can result in deviant traits in temper, emotionality and cognitive style. There is general agreement that those peculiarities and vulnerabilities find their expression and structure only under a complex interplay of stimulating or impairing environmental influences. Do these genetic factors-or other factors-diminish a person's criminal responsibility? There is no difficulty in diagnosing PDs, but the challenging questions arise in forensic assessments of defendants for criminal responsibility who have a PD. This article discusses the German legal situation and special problems created by the term of "diminished" criminal responsibility. In contrast to the Anglo-American legal situation, the German criminal law obliges the court to order an indeterminate forensic - psychiatric confinement, in addition to punishment, if the offender had acted under diminished criminal responsibility and is now still considered to be dangerous. The convicted offender remains under the control of the criminal court during psychiatric hospitalization. The change from handling the personality disordered offender as a criminal to handling him as someone with a mental disorder creates a social option for extended state interventions, including indeterminate hospitalization.     

Looking back and looking ahead: adult age differences in consistency of diachronous ratings of subjective well-being

The goal of this study is to investigate the consistency of diachronous ratings of subjective well-being (SWB). A heterogeneous sample (25-74-year-olds; N = 3,596) provided ratings of their present SWB, reconstructed their SWB of 10 years ago, and anticipated their SWB 10 years from now. Developmental tasks and self-evaluative principles were used to predict age differences in diachronous consistency. As predicted, in young adulthood, past SWB was rated lower and future SWB higher than present SWB. In contrast, in later adulthood, the past was rated higher and the future lower than present SWB. Analyses of rank-order consistency demonstrated that in later adulthood both future and past SWB were more strongly related to present SWB than in young adulthood. Results show how models of self-evaluation play out at different points in the life span.     

TPL—KATS-card sort: A tool for assessing structural knowledge

The study of how individuals organize knowledge has been a popular endeavor for several decades. As a result, techniques have been developed to assess how individuals represent and organize knowledge internally. Although several conceptual knowledge elicitation methods have been developed and used to assess the organization of knowledge, their use is often labor intensive and time consuming. Presented here is a software tool that was developed to reduce the problems associated with manually administering the conceptual knowledge elicitation technique, or card sorting. The TPL—KATS-card sort software not only simplifies the administration of the task, but also adds features to the card-sorting task such as media insertion, time stamping, and instructorless administration. In the present article, an introduction to the card-sorting technique is provided, the new software tool is described, and the advantages of the software are detailed.     

Now you see it,now you don't--the confusing case of confusion as an emotion: commentary on Rozin and Cohen (2003)

P. Rozin and A. B. Cohen (2003) contend that confusion is an emotion because it is valenced, it has a distinct facial expression, and it has a distinct internal state. On the basis of these criteria, they call for further study of this unstudied stateand challenge emotion researchers to consider "confusion" to be an emotion. The author agrees with Rozin and Cohen (2003) that confusion is an affective state, is valenced, has an (internal) object, may be expressed facially, and that laypersons may, under certain circumstances, consider it an emotion. However, its expression is likely to be an expressive component of emotions for which goal obstruction is central. Further, confusion may also not be as commonly considered an emotion by laypersons, as Rozin and Cohen contend. Finally, confusion is not unstudied, only most of the time it is not emotion researchers who do the researching.     

Cognitive and emotional dysfunction after central pontine myelinolysis

The case of a 67-year-old right-handed Chinese man with Central Pontine Myelinolysis [CPM] is described to illustrate the resulting cognitive and emotional disturbances. A comparison of the data in this report with that in published studies suggests that ethnicity does not seem to have much effect on the symptoms of CPM. Possible underlying neural-pathological mechanisms are discussed. This case further substantiates the speculation that the brainstem plays a role in higher cognitive processes and emotional regulation.     

Detection of repeated trigrams: evidence of all-or-none learning

Two experiments investigated trigram detection in a continuous recognition task. In Experiment 1 consonant trigrams were presented visually, one at a time, with occasional repetition of a trigram after an interval of 0, 2, 4, 8, or 16 other trigrams. Subjects were told to respond with a button press every time they saw a repeated trigram. If a subject responded to a repeated trigram, it was not repeated again. However, if a subject did not respond to a repeated trigram, it was repeated again at the same interval for up to 3 repetitions. For all intervals greater than 0, the probability of noticing a repeated trigram did not increase with the number of repetitions. In Experiment 2 meaningless shape trigrams were presented, and occasionally a trigram was repeated after an interval of 0, 1, or 2 trigrams. For both intervals greater than 0, the probability of noticing a repeated trigram did not increase with the number of repetitions. The results demonstrate that a repeated input does not necessarily leave a permanent trace in memory.     

Comorbidity Between Depression and Anxiety in Adolescents: Bridge Symptoms and Relevance of Risk and Protective Factors

Depression and anxiety are highly prevalent and comorbid in adolescents, and this co-occurrence leads to worse prognosis and additional difficulties. The relationship between depression and anxiety must be delineated to, in turn, reduce and prevent the comorbidity, however our knowledge is still limited. We used network analysis to investigate bridge symptoms; symptoms that connect individual depression and anxiety symptoms and thus can help explain the comorbidity. We also examined the role of relevant risk and protective factors in explaining these symptom-level associations between these disorders. We analyzed data from the Avon Longitudinal Study of Children and Parents (n?=?3670). Depression and anxiety symptoms, peer victimization, bullying, peer relational problems, prosocial behavior, and parental monitoring were assessed at a single time point around age 13 years. Stressful life events (SLEs) were assessed at age 11 years. We identified the most prominent bridge symptoms among depression (“feeling unhappy”, “feeling lonely”) and anxiety symptoms (“worrying about past”, “worrying about future”). Peer relational difficulties and SLEs were strongly associated with several depression and anxiety symptoms, such that these two risk factors created a link between individual depression and anxiety symptoms. Prosocial behavior had several negative associations with symptoms of both disorders, suggesting it can be an important protective factor.

     

Investigating the effects of a virtual reality-based stress management programme on inpatients with mental disorders: A pilot randomised controlled trial

This study aimed to examine the effects and feasibility of a virtual screen-based stress management programme (V-DESSERTS) on inpatients with mental disorders. A single-blinded, pilot randomised controlled trial was conducted in a tertiary hospital in Singapore. Convenience sampling was used and participants were randomised into either the intervention group or the waitlisted control group (WL). The intervention group received individual-based, twice-daily sessions of the programme. Each session comprised education and virtual screen-based relaxation practice. Data were collected through self-reported questionnaires and physiological measures. The intervention group showed a significant increase in perceived relaxation and knowledge in comparison with the WL group. However, inconclusive results were observed on subjective and objective stress. The findings in this study indicated that the V-DESSERTS programme is feasible to be implemented for patients with schizophrenia, depression and bipolar disorders.     

Psychological distress and resilience as risk and protective factors of psychoactive substance use among Chinese nonengaged youth

Nonengaged youth (NEY) are those who have neither been working nor studying for a prolonged period of time. They are at risk of psychoactive substance use, but relevant studies are scarce. Based on a population‐based telephone survey and referrals, we anonymously interviewed 479 Hong Kong Chinese NEY aged 15–24 years. Of them, 14.8–23.7% reported moderate to severe depression, anxiety, and stress. Moreover, one fourth of the participants (24.8%; n = 119) had used psychoactive substances. Adjusted analyses showed that these three psychological distress variables were positively associated with, while resilience was negatively associated with, both ever‐use of psychoactive substances and intention to use such substances in the next 12 months. Loneliness was associated only with intention to use psychoactive substances. The mediating role of psychological distress was shown: Anxiety significantly mediated the association between resilience and ever‐use of psychoactive substances, whereas depression mediated that between resilience and behavioural intention. Resilience was not a significant moderator on the relationship between psychological distress and ever‐use of psychoactive substance use or behavioural intention to use those substances. The findings suggest that anti‐drug interventions should outreach NEY and should include mental health support as well as building up resilience, as NEY are prone to psychological distress that increases risk of substance use.