Cognitive-Behavioral Therapy for Offender Hopelessness: Lessons from Treatment of Forensic Inpatients

Patients remanded to forensic hospitals often experience a marked situational depression once initial psychotic symptoms subside and the reality of their legal situation becomes evident. Individual psychotherapy is not often used with this population due to a generally high level of impairment. It is suggested, that with modifications, the cognitive-behavioral therapy manual by Michael Thase (in: VanHasselt, Hersen (eds) Sourcebook of psychological treatment manuals for adult disorders, 1996) designed to treat depression in psychiatric inpatients can be used to treat situational depression in forensic inpatients. Modifications include the use of increased behavioral techniques, the addition of a group component, and lengthening of time limits for each treatment phase. Case examples from a first attempt to implement the new treatment program are presented.     

Disclosure of Tests and Raw Test Data to the Courts: A Need for Reform

Psychologists' current practices with respect to the disclosure of tests and raw test data to courts are damaging their reputations as scientists, undermining their credibility as honest professionals acting in good faith, and contrary to the best interests of consumers. The profession is conducting itself in a contradictory fashion that deserves reform. There is need for an interdisciplinary panel drawn from the American Psychological Association and American Bar Association to develop reasonable procedures for disclosure of tests and test data in legal proceedings. These procedures should be developed with input from experienced psychological expert witnesses, attorneys, and judges from a variety of state and federal jurisdictions, diverse geographical areas, and different types of legal proceedings. This expert panel should also address the issue of attorney coaching of clients in preparation for assessment by psychologists.     

A systematic review of psychopathy in women within secure settings

The construct of psychopathy has been comparatively understudied in women, and to date there has been no attempt to systematically review the literature related to psychopathy in women. This review assimilates the existing evidence in relation to the prevalence and factor structure of psychopathy in women within secure settings. An extensive systematic search was performed using 11 electronic databases and four search engines; citation, author and reference list searching was also performed. After removing duplicates and appraising the study’s eligibility by title, 261 publications were appraised against minimum quality and eligibility threshold criteria, resulting in 28 remaining publications with data on 2545 participants. Quality appraisal was conducted by two raters, with excellent inter-rater reliability (kappas = .7−.9). A narrative synthesis was then performed. PCL-R based prevalence rates ranged from 1.05% to 31% (with a cut-off criterion of 30), with variations in multiple factors, such as geographical location and type of sample setting. The factor model with the most support from the reviewed studies was Cooke & Michie’s (2001) 3-Factor model. The apparent gender differences in the prevalence rates, factor structure and item expression of psychopathy, presents implications for the assessment and general conceptualisation of the construct in women within secure settings.