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).     

Genetic counselor as a member of an outreach education team

As part of a program to improve maternal and infant health in New Jersey, the Robert Wood Johnson Foundation has funded seven regional consortia throughout the State. One of the goals of the Northern New Jersey Regional Consortium is to provide a comprehensive educational program for ambulatory care staff. An outreach education team was established that includes a perinatal nurse educator, a neonatal nurse educator, a nutritional counselor and a genetic counselor. Many issues in genetics can be initially addressed by the ambulatory care provider. A good understanding and awareness of the impact of genetic issues in patient care is needed to enhance the ability to recognize patients needing special services. Early assessment of possible risk for developmental disabilities can lead to appropriate comprehensive care and improved pregnancy outcome. Regular in-service programs, addressing the way heredity contributes to developmental disorders, the latest techniques used in genetics and the available management programs, can be provided. The present study is an evaluation of the effectiveness of the program.     

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.     

A multivariable analysis of spatial abilities by sex

This article presents a series of studies investigating the influence of experimental factors and the personological variables of age and sex upon spatial abilities. It was hypothesized that the overall equivocal findings typical of spatial research may be partially due to the use of different factors across studies. The experimental variables of spatial factor, task demands, spatial information type, information-processing mode, and response mode were systematically manipulated across the eight studies. In each individual analysis of data collected in a specific study, no significant main effect sex differences were detected. However, when a meta-analytic review of the studies was conducted, both spatial information dimensionality and information dimensionality × spatial factor assessed proved to be influential on male and female spatial performances. Female performance was superior when the dimensionality of stimulus and response variables was invariant. Males had the advantage when dimensionality crossing was necessitated. The discrepancy between the sexes was particularly dramatic when the spatial orientation factor was tapped.     

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.     

Discrimination of circles and squares with and without knobs by goldfish

Different groups of goldfish were trained to discriminate between a circle and either a square, a diamond, a square with a knob added at the top or a diamond with a knob. All subjects readily mastered the discrimination, and there was no significant difference between the groups in the number of trials taken to criterion. In transfer tests it was found that: (i) while there was no transfer from square to diamond or vice versa, the presence of knobs on these shapes did mediate transfer from one to the other, provided the knob remained in the top part of the shapes; (ii) all groups learned much more about the tops of the shapes than about the bottom halves; (iii) animals discriminated the square from the circle largely by detecting the presence of a strong horizontal edge at the top of the figure; (iv) two features of the diamond were discriminated--the presence of oblique contours and the existence of a point in the upper half of the shape. The results are discussed in terms of a proposed model of shape recognition.