La responsabilité pénale du psychiatre du fait de son patient

If the criminal liability remains personal, recent case law has tended to broaden the hypotheses for the doctor's criminal liability in the case of unintentional offenses. The question particularly concerns the psychiatrist, because of acts committed by his patient, on the basis of articles 221-6 or 222-19 of the French penal code. However, judicial assessment of the fault and its causal link with the damage does not impose on the psychiatrist an obligation of result, insofar as only serious professional misconduct, manifestly not in accordance with the rules of medical art, are sanctioned.     

Consciousness as a logically consistent and prognostic model of reality

The work demonstrates that brain might reflect the external world causal relationships in the form of a logically consistent and prognostic model of reality, which shows up as consciousness. The paper analyses and solves the problem of statistical ambiguity and provides a formal model of causal relationships as probabilistic maximally specific rules. We suppose that brain makes all possible inferences from causal relationships. We prove that the suggested formal model has a property of an unambiguous inference: from consistent premises we infer a consistent conclusion. It enables a set of all inferences to form a consistent model of the perceived world. Causal relationships may create fixed points of cyclic inter-predictable properties. We consider the “natural” classification introduced by John St. Mill and demonstrate that a variety of fixed points of the objects’ attributes forms a “natural” classification of the external world. Then we consider notions of “natural” categories and causal models of categories, introduced by Eleanor Rosch and Bob Rehder and demonstrate that fixed points of causal relationships between objects attributes, which we perceive, formalize these notions. If the “natural” classification describes the objects of the external world, and “natural” concepts the perception of these objects, then the theory of integrated information, introduced by G. Tononi, describes the information processes of the brain for “natural” concepts formation that reflects the “natural” classification. We argue that integrated information provides high accuracy of the objects identification. A computer-based experiment is provided that illustrates fixed points formation for coded digits.     

Classification of Antisocial Behaviors Along Severity and Frequency Parameters

Antisocial behaviors were systematically classified along a hierarchy of seriousness or severity that also accounted for frequency of occurrence and heterogeneity of behaviors. Items from the CD and ODD schedules of the NIMH DISC-IV and from the Elliot Delinquency Scales were listed at specified frequencies. Nine mental health clinicians rated the level of seriousness of each alternative on a scale from 0 (trivial) to 5 (very serious). Reliability of the ratings was assessed. Over two thirds of the items showed excellent agreement among the raters, 8% showed poor agreement and 21% showed fair to moderate agreement. The overall reliability of a single rater’s score was 0.56 and the reliability of the average was 0.84. The classification meets high psychometric standards for reliability and has face validity. The final output provides a classification along a spectrum that takes into account severity, frequency of occurrence during the previous year, and presence of multiple behaviors. It is useful for classification purposes and for longitudinal tracking of antisocial behavior.     

Placebo and criminal law

This article considers issues concerning cases where the use of placebo is lawful or is not lawful under aspects of German criminal law. It will differentiate between cases of individual therapy and cases of supervised experiments within the scope of medical tests. Thereby, it reveals that a medication of placebo with regard to an individual patient seems to be lawful if there is no alternative possibility of a better treatment using a chemically effective medicine and if the limits of presumed consent are complied with. On the other hand, in the context of the supervised experiment, the assignment of a patient to a group treated with placebo is only lawful if the patient has been fully informed about the possibilities of a treatment and if the patient has given consent to it. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003. The author’s interests include International Criminal Law, Comparative Criminal Law and Philosophy of Law.     

Comorbidity between and within childhood externalizing and internalizing disorders: reflections and directions

The term and concept of lcomorbidity has been mired in controversy, although there is little question that the existence of covariation among psychiatric diagnoses poses significant challenges to current models of psychiatric classification and diagnosis. The papers in this Special Section underscore a number of important issues relevant to the comorbidity between and within childhood externalizing and internalizing disorders, and illustrate both methodological and substantive reasons for such comorbidity. Weiss, Susser, and Catron's distinction among common, broad-band specific, and narrow-band specific features provides a helpful framework for understanding the comorbidity of childhood externalizing and internalizing disorders (B, Weiss, K. Susser, & T. Catron, 1998). Hierarchical models of psychopathology help to dissolve the distinction between splitters and lumpers and point to variables that may elucidate the etiology of externalizing and internalizing disorders.     

Artificial neural networks for analyzing inter-limb coordination: the golf chip shot

Motor control research relies on theories, such as coordination dynamics, adapted from physical sciences to explain the emergence of coordinated movement in biological systems. Historically, many studies of coordination have involved inter-limb coordination of relatively few degrees of freedom. This study looked at the high-dimensional inter-limb coordination used to perform the golf chip shot toward six different target distances. This study also introduces a visualization of high-dimensional coordination relevant within the coordination dynamics theoretical framework. A specific type of Artificial Neural Network (ANN), the Self-Organizing Map (SOM), was used for the analysis. In this study, the trajectory of consecutive best-matching nodes on the output map was used as a collective variable and subsequently fed into a second SOM which was used to create visualization of coordination stability. The SOM trajectories showed changes in coordination between movement patterns used for short chip shots and movement patterns used for long chip shots. The attractor diagrams showed non-linear phase transitions for three out of four players. The methods used in this study may offer a solution for researchers from a coordination dynamics perspective who intend to use data obtained from discrete high-dimensional movements.     

Diagnosing fatigue in gait patterns by support vector machines and self-organizing maps

The aim of the study was to train and test support vector machines (SVM) and self-organizing maps (SOM) to correctly classify gait patterns before, during and after complete leg exhaustion by isokinetic leg exercises. Ground reaction forces were derived for 18 gait cycles on 9 adult participants. Immediately before the trials 7–12, participants were required to completely exhaust their calves with the aid of additional weights (44.4 ± 8.8 kg). Data were analyzed using: (a) the time courses directly and (b) only the deviations from each individual’s calculated average gait pattern. On an inter-individual level the person recognition of the gait patterns was 100% realizable. Fatigue recognition was also highly probable at 98.1%. Additionally, applied SOMs allowed an alternative visualization of the development of fatigue in the gait patterns over the progressive fatiguing exercise regimen.     

Transition patterns of driving style from a traditional driving environment to a connected vehicle environment: A case of an extra-long tunnel road

To provide a better understanding of individual driver’s driving style classification in a traditional and a CV environment, spatiotemporal characteristics of vehicle trajectories on a road tunnel were extracted through a driving simulator-based experiment. Speed, acceleration, and rate of acceleration changes are selected as clustering indexes. The dynamic time warping and k-means clustering were adopted to classify participants into different risk level groups. To assess the driver behavior benefits in a CV environment, an indicator BI (behavior indicator, BI) was defined based on the standard deviation of speed, the standard deviation of acceleration, and the standard deviation of the rate of acceleration change. Then, the index BI of each driver was calculated. Furthermore, this paper explored driving style classification, not in terms of traditional driving environment, but rather the transition patterns from a traditional driving environment to a CV environment. The results revealed that inside a long tunnel, 80 % of drivers benefited from a CV environment. Moreover, drivers might need training before using a CV system, especially female drivers who have low driving mileage. In addition, the results showed that the driving style of 69 % of the drivers’ transferred from a high risk-level to a low risk-level when driving in a CV environment. The study results can be expected to improve driving training education programs and also to provide a valuable reference for developing individual in-vehicle human-machine interface projects and other proactive safety countermeasures.     

计算机化分类测验终止规则的类别、特点及应用

计算机化分类测验(Computerized Classification Testing, CCT)能够高效地对被试进行分类, 已广泛应用于合格性测验及临床心理学中。作为CCT的重要组成部分, 终止规则决定测验何时停止以及将被试最终划分到何种类别, 因此直接影响测验效率及分类准确率。已有的三大类终止规则(似然比规则、贝叶斯决策理论规则及置信区间规则)的核心思想分别为构造假设检验、设计损失函数和比较置信区间相对位置。同时, 在不同测验情境下, CCT的终止规则发展出不同的具体形式。未来研究可以继续开发贝叶斯规则、考虑多维多类别情境以及结合作答时间和机器学习算法。针对测验实际需求, 三类终止规则在合格性测验上均有应用潜力, 而临床问卷则倾向应用贝叶斯规则。     

Imminent Danger? Probabilistic Classification Learning of Threat-Related Information in Obsessive-Compulsive Disorder

A tendency to overestimate threat has been shown in individuals with OCD. We tested the hypothesis that this bias in judgment is related to difficulties in learning probabilistic associations between events. Thirty participants with OCD and 30 matched healthy controls completed a learning experiment involving 2 variants of a probabilistic classification learning task. In the neutral weather-prediction task, rainy and sunny weather had to be predicted. In the emotional task danger of an epidemic from virus infection had to be predicted (epidemic-prediction task). Participants with OCD were as able as controls to improve their prediction of neutral events across learning trials but scored significantly below healthy controls on the epidemic-prediction task. Lower performance on the emotional task variant was significantly related to a heightened tendency to overestimate threat. Biased information processing in OCD might thus hamper corrective experiences regarding the probability of threatening events.