Fixing forensic patients: Psychiatric recommendations for treatment in pretrial settings

This article is concerned with psychiatric recommendations for treatment at the Metropolitan Toronto Forensic Service (METFORS), a clinical assessment agency providing both 1-day and 30-day evaluations of criminal defendants in Toronto, Canada. Analysis of both psychiatric reports and quantitative research instruments demonstrated the saliency of treatment as a central forensic issue at METFORS. Among a sample of 592 defendants, 134 were considered in need of outpatient care. Persons recommended for hospitalization were most likely to exhibit histories of mental health rather than criminal justice contacts; to be arrested for nonviolent offenses; to manifest psychotic behavior while at METFORS; to be found unfit for bail, incompetent to stand trial, in need of further assessment and dangerous to self; and to experience higher rates of hospitalization, but lower levels of criminalization during the two years following their initial forensic assessment. Psychiatric reports at METFORS tended to merge recommendations for treatment and assessment; to suggest prison or probation as means for securing clinical treatment; and to provide little written support for judgments about the need for intervention. Along with competency and dangerousness, treatment is a key issue in forensic practice, and warrants further attention in the psycholegal literature.     

Treatment recommendations for mentally disordered offenders: More than roulette?

Clinical judgments on the treatability and prognosis of mentally disordered offeenders (MDO) may strongly influence legal dispositions and the availability of treatment resources. This study examined 1,238 discharge summaries for MDOs referred for court assessments. Psychiatrists evidenced marked variability in how often they recommended treatment and how frequently they judged patients to have a poor prognosis. Two logit analyses suggested that diagnosis and consultation by other clinicians were associated with (a) treatment recommendations (i.e., Axis I diagnosis and social work consultations) and (b) prognosis (i.e., Axis II diagnosis and psychology consultations).     

Negative afterimages and the McCollough effect

Four experiments were conducted to test earlier claims about the relationship between the negative afterimage and the McCollough effect. The first claim (Hansel & Mahmud, 1978) is that long-lasting afterimages occur when induced by the same alternating-stimulus procedure as that used to induce the McCollough effect. The second claim (Murch & Hirsch, 1972) is that afterimages can themselves induce McCollough effects if they are induced and paired sequentially with grating patterns. In testing these claims, a reliable computer-controlled color-cancellation technique developed earlier was used to measure the apparent color of both afterimages and McCollough effects objectively. No support was found for the first claim following alternative presentation of two homogeneously colored regions for total periods of 5 min (Experiment 1) and 20 min (Experiment 2). The second claim was fully supported: After an induction period of 7.3 min, a McCollough effect occurred for a red-vertical pairing but not for a green-horizontal pairing (Experiment 3); but after an induction period of 20 min, McCollough effects occurred strongly for both pairings (Experiment 4). The theoretical implications of these outcomes are considered in the context of recent theories of color and pattern processing in the visual system.     

Depressive characteristics of physically abused children

Physically abused and nonabused children were compared on child-completed measures of depression, hopelessness, self-esteem, and locus of control. Results indicated that, in comparison with nonabused controls, abused children evidenced more depressive symptoms, heightened externality, lower self-esteem, and greater hopelessness about the future. Group differences in depressive symptomatology were not accounted for on the basis of differences in age, sex, race, gender, IQ, or socioeconomic status. Results replicate the results of Kazdin, Moser, Colbus, and Bell (1985) derived from a sample of physically abused psychiatric inpatients and extend the generality of these findings to abused children of nonpatient status. Implications of the findings for clinical interventions, theoretical models of child depression, and future research are discussed.The authors wish to thank Alvin Hadley and the staff of Franklin County Children Services.Appreciation is also extended to Dr. Charles Wenar.     

Surface form and the spacing effect

Deficient processing theories of the spacing effect attribute poor recall of massed-repeated items to a failure to process one or both of the presentations fully. An implication of this approach is that anything that increases the probability that a repetition will receive full processing, or conversely, anything that decreases the probability that the item will be recognized as a repetition, should improve memorability of the item. The present set of experiments tested this prediction by manipulating the surface structure of repeated sentences. On the basis of previous research, it was assumed that memory for surface structure of sentences decays rapidly, and hence can contribute to initial identification of repetitions only at short spacings. Because this manipulation should hinder recognition of repetitions as repetitions, it was expected to induce full processing of massed repetitions, and thus facilitate recall of these items. This prediction was supported. When sentences were repeated verbatim (Experiment 1) or by the same speaker (Experiment 2), the typical spacing effect was obtained. However, when the surface structure or speaker changed at time of repetition, massed repetitions were recalled nearly as well (Experiment 1) or as well (Experiment 2) as their spaced counterparts.     

Fixed-interval limited-hold avoidance with and without signalled reinforcement

Rats trained to lever press on a fixed-interval limited-hold avoidance schedule maintained a pattern of responding similar to that maintained by fixed-interval limited-hold schedules of positive reinforcement. But this positively accelerated pattern of behavior was maintained only when the occurrence of reinforcement was signalled by the presentation of a brief flash of light. This result suggests that the discriminative function of the reinforcer in avoidance is less pronounced than the discriminative function of the reinforcer in escape or positive reinforcement. It also suggests that the distinction between positive reinforcement and avoidance is not superfluous. Although the schedule of reinforcement is an important variable in determining the pattern of behavior, other variables, such as the nature (i.e., stimulus presentation, termination, or omission) of the reinforcer, are also potent determinants of behavior.     

The relationship between cognitive,motor-kinesthetic,and oculomotor adaptation

The literature concerning adaptation to prism indicates that several adaptive mechanisms may be important. The particular mechanism or mechanisms involved depends (at least in part) upon the type of adaptive exposure. In the present study. three adaptive mechanisms (cognitive. oculomotor, and motor-kinesthetic) were investigated. Ss were asked to point in the dark at an illuminated target. The target was seen displaced from its veridical position due to a wedge prism placed before S’s right eye. The left eye was occluded. Ss then viewed their visual target pointing errors through the displacing prism without seeing any part of their bodies. One group of Ss was instructed to ignore these prism-induced errors and to continue pointing at the target’s visual position. A second group of Ss was instructed to compensate fully for their errors and to at tempt to eliminate them on all future trials. For the latter group errors were completely eliminated, while for Ss instructed to ignore their errors, relatively small improvement in visual target settings occurred. This improvement was called cognitive adaptation, since it depended on the S’s conscious control. In addition. for both conditions. evidence was found that allowing Ss to view their prism-induced pointing errors resulted in some form of motor-kinesthetic adaptation. This adaptation was hypothesized to represent a change in the judged position of the pointing hand relative to its felt position. It was concluded that this motor-kinesthetic adaptation was dependent, in part, upon cognitive information concerning the effects of the prism and that it serves to reduce conflict between cognitive and visual cues, i.e., between what S believes and what he sees.