Search

Psychological tests to detect malingered or feigned symptoms of mental illness are critical in the assessment of forensic patients. The Miller Forensic Assessment of Symptoms Test (M-FAST) is a val...

While military veterans have a lower overall rate of incarceration for criminal offenses than civilians, they have a higher rate of incarceration for violent sexual offenses. Despite military veteran overrepresentation among individuals adjudicated for violent sexual offenses, little is known about their risk factors for sexual offending. This study compared military veterans and civilians who had been involuntarily hospitalized and discharged pursuant to California’s Sexually Violent Predator Act. Pedophilic disorder appeared nearly twice as often among veterans than civilians (62.7% vs. 38.7%), whereas antisocial personality disorder was twice as common among civilians compared to veterans (48.1% vs. 23.9%). Consistent with the result for pedophilic disorder, veterans were more likely to target male victims age 13 and below, while civilians tended to target female victims over the age of 13. The results suggest different risk profiles for veterans compared to civilians who have been convicted of sexually violent offenses.

We examined the recidivism rates and the predictive validity of the Static-99R in 335 men who were detained or civilly committed and released from California State Hospitals pursuant to the Sexually Violent Predator (SVP) Act, and followed up for approximately 21 years from date of hospital admission. In all, 8.7% were arrested or convicted for a new sexual offense during the total follow-up ( N = 335) and 7.8% over a fixed 5-year follow-up ( n = 205). The Static-99R demonstrated small in magnitude discrimination for sexual, violent, and general recidivism (area under the curve [AUC]/C = .56 to .63). Calibration analyses, conducted through expected/observed (E/O) index, demonstrated that the Static-99R overpredicted sexual recidivism, irrespective of whether the Routine or High Risk/Need norms were used. Observed recidivism rates were lower than predicted by Static-99R scores and may be the result of the sample’s older age at release, lengthy hospitalization, or other factors.

Sexual offenders are at greater risk of nonsexual than sexual violence. Yet, only a handful of studies have examined the validity of risk assessments in predicting general, nonsexual violence in this population. This study examined the predictive validity of assessments completed using the Historical-Clinical-Risk Managment-20 Version 2 (HCR-20; Webster, Douglas, Eaves, & Hart, 1997), Short-Term Assessment of Risk and Treatability (START; Webster, Martin, Brink, Nicholls, & Desmarais, 2009), and Static-99R (Hanson & Thornton, 1999) in predicting institutional (nonsexual) aggression among 152 sexual offenders in a large secure forensic state hospital. Aggression data were gathered from institutional records over 90-day and 180-day follow-up periods. Results support the predictive validity of HCR-20 and START, and to a lesser extent, Static-99R assessments in predicting institutional aggression among patients detained or civilly committed pursuant to the sexually violent predator (SVP) law. In general, HCR-20 and START assessments demonstrated greater predictive validity-specifically, the HCR-20 Clinical subscale scores and START Vulnerability total scores-than Static-99R assessments across types of aggression and follow-up periods. (PsycINFO Database Record

Sexually Violent Predator statutes allow the involuntary treatment of individuals who are found to pose a threat to public safety. Most sex offender treatment programs rely on cognitive interventions to reduce the risk of recidivism. The purpose of this study was to examine (a) whether individuals with paraphilia diagnoses have cognitive deficits compared with the general population; (b) whether individuals diagnosed with pedophilia differed on cognitive performance when compared with individuals diagnosed with paraphilia not otherwise specified (NOS), nonconsent; and (c) whether individuals with paraphilia plus antisocial personality disorder (ASPD) differed in cognitive performance when compared with individuals with a paraphilia diagnosis only. The sample consisted of 170 males ( M age = 50.21; SD = 10.22) diagnosed with pedophilia or paraphilia NOS, nonconsent, who were detained or civilly committed to a forensic psychiatric hospital. Assessments included Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Wechsler Abbreviated Scale of Intelligence (WASI), and Wide Range Achievement Test 4 (WRAT4). Individuals diagnosed with pedophilia and paraphilia NOS, nonconsent, obtained lower scores than matched controls based on the RBANS Immediate Memory, Visuospatial/Constructional, Delayed Memory indices and Total Score. In comparison with individuals with paraphilia NOS, nonconsent, those with pedophilia diagnosis had lower scores on the RBANS Delayed Memory. Individuals diagnosed with a paraphilia disorder combined with ASPD demonstrated trends toward lower IQ scores than those with a paraphilia diagnosis only. Treatment programs can improve their chance of success by assessment of cognitive processes, and offer therapy in a style that is consistent with the cognitive abilities of their clients.

Nationwide justice surveys have repeatedly found that military veterans are incarcerated at a proportionately higher rate for sexual offenses than other offenses when compared to civilians. The reasons for such over-representation remain unclear. This chapter will review the limited existing literature on military veterans who are sexual offenders and focus on three areas: (1) Does the military culture increase the risk of sexual offending? (2) Are risk factors for sexual offending in military veterans similar or dissimilar to civilians? (3) What community re-entry challenges are unique to military veterans with sexual offenses? The few studies reviewed suggest that military veterans who are sex offenders are older, better educated, and with limited criminal histories when compared to their civilian counterparts. Veterans who are repeat sex offenders may disproportionately target minors; and in one study of high-risk sex offenders were found to have a twofold higher rate of pedophilic disorder (targeting minor male victims) than their civilian counterparts. Housing remains a re-entry challenge for military veterans with sex offenders and remains one of top three unmet needs of veterans who are registered sexual offenders.

Sexually violent predator (SVP) laws allow the postprison civil commitment of sex offenders to a secure psychiatric hospital because of mental abnormality and posing a serious risk to public safety. Research on predictors of future institutional violence in this population is lacking because adequately sized samples are difficult to obtain. In the current study, we examined psychological predictors of future institutional violence in a sample of 171 psychiatrically hospitalized males detained or civilly committed under an SVP laws. Using the Minnesota Multiphasic-Personality Inventory-2-Restructured Form (Ben-Porath & Tellegen, 2008/2011), we found that scales assessing thought dysfunction, emotional dysregulation, and externalizing behaviors were associated with future physical violence at the hospital. Relative risk ratio analyses indicated that SVPs producing elevations on these scales were at 1.5-2.5 times greater risk of future physical violence than those without elevations. Overall, the results suggest the Minnesota Multiphasic-Personality Inventory-2-Restructured Form is associated with future institutional violence among SVPs. Implications and limitations of these findings are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Here we provide comprehensive guidelines for the assessment and treatment of violence and aggression of various etiologies, including psychotic aggression and impulsive aggression due to schizophrenia, mood disorders, ADHD, or trauma, and predatory aggression due to psychopathy and other personality disorders. These guidelines have been developed from a collection of prescribing recommendations, clinical trial results, and years of clinical experience in treating patients who are persistently violent or aggressive in the California Department of State Hospital System. Many of the recommendations provided in these guidelines employ off-label prescribing practices; thus, sound clinical judgment based on individual patient needs and according to institution formularies must be considered when applying these guidelines in clinical practice.

Prior research suggests that abrupt initiation of abstinence from cigarette smoking reduces neural cognitive efficiency. When cognitive efficiency is high, processing speed and accuracy are maximized with minimal allocation of cognitive resources. The study presented here tested the effects of resumption of smoking on cognitive response conflict after overnight abstinence from smoking, hypothesizing that smoking would enhance cognitive efficiency. Twenty paid research volunteers who were chronic cigarette smokers abstained from smoking overnight (>12 h) before undergoing fMRI while performing a color-word Stroop task during two separate test sessions: one that did not include smoking before testing and another one that did. Statistical analyses were performed by modeling the Stroop effect (incongruent >congruent) BOLD response within a collection of a priori regions of interest that have consistently been associated with cognitive control. Behavioral assessment alone did not reveal any significant differences in the Stroop effect between the two sessions. BOLD activations, however, indicated that in the right anterior cingulate cortex (ACC), smokers had significantly less task-related activity following smoking (p

Divergent theoretical perspectives predict that the valence of affective cues impacts the breadth and flexibility of cognition, but extant data have not clarified whether such effects transpire extemporaneously or only later via processes of evaluation or selection from among thoughts already generated. The present investigation found more prominent electro-cortical event-related-potential (P3) responses among participants focused on identifying a positively valenced social target (an individual with a happy facial expression) than a negatively valenced social target (an individual with a disgusted facial expression). Indeed, even obvious non-targets (scrambled faces) evoked more-prominent P3 responses among participants in the happy-target than the disgusted-target condition, thereby implicating an effect of the valence of affective cues on the extent of cognitive processing as it unfolds.

Women are more likely than men to relapse after initiating abstinence from cigarette smoking. The reasons for this phenomenon are unclear but may relate to negative mood, cigarette craving, or other symptoms of nicotine withdrawal. We addressed this issue in a study of 26 female and 38 male smokers. The Profile of Mood States, Shiffman-Jarvik Withdrawal Scale, and Urge to Smoke Scale were administered twice in each of two test sessions on different days. One session began within 1 hr after smoking ad libitum and the other followed overnight abstinence (>13 hr). On each test day, the two assessment blocks were separated by a 5-10-min break, during which each participant smoked one cigarette. In the first test block, both men and women reported higher scores after >13 hr abstinence than after

Acute abstinence from cigarette smoking by nicotine-dependent smokers has been linked with cognitive deficits, but the role of nicotine dependence per se in these effects is not known. We therefore tested the relationships of nicotine dependence and smoking history with performance in perceptual-motor, timed tests of attention. Nicotine-dependent smokers (n = 37) and nonsmokers (n = 48), 18-55 years old, took both the d2 Test of Attention and the Digit Symbol Test on each of 2 test days. For smokers, testing on one day began after ad libitum smoking (45 min since last cigarette); and on the other day, it began after overnight abstinence (13 hr since last cigarette). On each test day, there were two test blocks with an intervening break, when only the smokers each smoked one cigarette. There were no significant effects of abstinence or of smoking one cigarette on the performance of smokers; however, across conditions, the smokers' performance on both tests correlated negatively with severity of nicotine dependence but not lifetime cigarette consumption or cigarette craving. Smokers with high nicotine dependence performed more slowly on both tests than less dependent smokers or nonsmokers. The findings suggest that severity of nicotine dependence and slowness in perceptual-motor tasks of attention share an underlying basis.

Performing infrequently enacted responses requires overcoming a competing tendency to perform prepotent, frequently enacted responses. Similarly, responding to symbolically incompatible cues requires overcoming a competing tendency to perform prepotent, cue-compatible responses. To examine neural correlates of these aspects of human self-regulation, event-related brain potentials were acquired in two separate modified oddball experiments in which participants responded to all stimuli. Stimuli varied in frequency and in compatibility with the participants' intended actions. Irrespective of stimulus-response-compatibility, low-frequency responses were associated with P3 event-related potentials (ERPs) of maximal amplitude at posterior electrode sites. In contrast, irrespective of stimulus-response frequency, stimulus-incompatible responses were associated with enhanced P3 mean amplitude at frontal electrode sites. This prefrontal positivity was not affected by whether participants' actions were predetermined (always responding in single direction) or rule determined. Taken together, the findings indicate that response-compatibility effects are distributed in brain regions that overlap and extend beyond response frequency neural networks.

Event-related potentials were used to investigate neural processes relating perceptual similarity to action control. To assess whether perceptual overlap among targets and nontargets would modulate the N2/P3 complex, the present study used multiple nontarget categories varying in their targetlike characteristics. Participants made one (relatively rare) response to a low-probability stimulus (target), and they made a different (relatively common) response to all other stimuli (nontargets). The critical nontarget categories had equivalent probability (.10) but varied in their targetlike characteristics. Supporting the N2 component as sensitive to the strength of conflicting action imperatives, perceptual overlap among targets and nontargets elicited a prominent N2. In contrast, amplitude of the P3 component appeared most sensitive to the extent of cognitive processing needed for categorization.

A fundamental question for evaluation research is whether cues can impact evaluative responses directly or only in combination with contextual information. Focusing on the experience of processing fluency, the current work tested whether manipulating this cue’s motivational context would moderate its evaluative impact. Because fluently processed stimuli can be assumed to communicate safety, owing to implicit signals of either familiarity (through processes monitoring perception–memory coordination), we reasoned that motivation to avoid negative events should heighten preferences for fluently processed stimuli. Following a motivation manipulation, prevention-focused, but not promotion-focused, participants preferred stimuli that they were able to process quickly (Experiment 2) and that were preceded by concordant primes (Experiment 1). These findings suggest that the value of fluent processing reflects its relation to contextual features, such as one’s current motivational state.

This study compares DSM-IV symptoms in children (ages 6 to 12 years) with pervasive developmental disorder (PDD), clinic controls, and community-based samples. Parents/teachers completed the Child Symptom Inventory–4 for four samples: PDD ( N= 284/284) and non-PDD psychiatric clinic referrals ( N= 189/181) and pupils in regular ( N= 385/404) and special ( N= 61/60) education classes. The PDD group received higher symptom severity ratings than the regular education group, but was similar to the non-PDD clinic sample. Screening prevalence rates were highest for ADHD, ODD, and generalized anxiety disorder. PDD subtypes exhibited differentially higher rates of psychiatric symptoms. The magnitude of rater and gender differences in symptom severity ratings was modest. Clinic-referred children with PDD exhibit a pattern of psychiatric symptoms highly similar to nonPDD clinic referrals. Although much additional research is needed on comorbidity, these symptoms have important treatment implications.

This report examines the ERP correlates of processing nontarget stimuli that are conceptually, but not perceptually, similar to a target. In two studies, the P300 component was examined in healthy adults during a multistimulus oddball paradigm. The stimuli were pictures of five objects and their five corresponding names. Participants were required to keep a mental count of number of target presentations. In Experiment 1, the target was the word ‘‘globe.’’ Both the word target and the nontarget picture of the globe elicited large P300s, though the P300 to the picture was smaller in amplitude. No other stimulus elicited a prominent P300. In Experiment 2, the target was the picture of the globe, and the word was considered to be the related nontarget. Again, the target elicited a large P300. However, in this case the related nontarget stimulus failed to elicit a P300. The relevance of the data to theories of word/picture processing is discussed.

Background: This study examines differences between the three subtypes of attention-deficit/hyperactivity disorder (ADHD), inattentive (I), hyperactive-impulsive (H), and combined (C), in a heterogeneous sample of 248 boys (ages 6 to 10 years) with emotional and behavioral problems who were recruited for participation in a diagnostic study. Method: The boys and their mothers participated in an extensive evaluation that involved multiple assessments of cognitive, behavioral, academic, and family functioning. ADHD subtypes were defined on the basis of teacher alone, mother alone, and mother/teacher ratings of DSM-IV symptoms. Results: Results indicated ADHD symptom groups showed a differential pattern of impairment socially (H,C>I) and cognitively (I,C>H). The C and H groups were the most and least impaired overall, respectively, and all subtypes were differentiated from the nonADHD clinical control or NONE (N) group in a manner consistent with the primary findings. External validation of group differences was limited, and there were marked inconsistencies in the pattern of findings depending on how groups were defined. For the most part, although the mother/teacher grouping strategy (compared with either alone) captured a greater diversity of differences between subtypes, it also obscured some. Conclusions: Observed findings are consistent with the notion that mothers and teachers interpret symptom statements in terms of behaviors that are most relevant for their daily concerns.

Objective: This study describes and compares the severity of DSM-IV symptoms in preschool children with diagnosed pervasive developmental disorder (PDD), clinic controls, and two community-based samples. Method: Parents (/and teachers) completed the early child inventory-4 (ECI-4), a DSM-IV-referenced rating scale for four samples: PDD (n = 172/160) and nonPDD psychiatric clinic referrals (n = 135/101) and youngsters in regular (n = 507/407) and special (n = 64/140) early childhood programs. Children ranged in age from 3 to 5 years old. Results: With the exception of conduct problems, the PDD group generally received higher symptom severity ratings than the regular early childhood group, but the pattern of differences compared with the other two groups often varied by type of symptom and informant. Teachers rated the PDD and nonPDD clinic groups as having equally severe ADHD and oppositional defiant disorder symptoms. Teachers rated the PDD group as having more severe anxiety and depression symptoms than parents. The Asperger group was rated by both informants as more oppositional than the autism and PDDNOS subgroups. Teachers rated males in the regular early childhood sample as having more severe ADHD and aggressive symptoms than females, but this was not the case for the PDD sample. Conclusion: Preschoolers with PDD exhibit more severe DSM-IV psychiatric symptoms than children in regular and special early childhood programs, and to some extent nonPDD psychiatric referrals. The concept of comorbidity warrants further exploration, as does informant-specific syndromes as validators of diagnostic constructs.

There is considerable interest in Armenia toward advancing research and applying evidence-based practice in the treatment of schizophrenia. An area of research that has made little progress is the standardization of reliable and valid tests to measure cognitive functions. The aim of the present study was twofold. The first goal was to adapt the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) into Armenian. The second purpose was to examine the clinical validity of the Armenian-language RBANS in patients diagnosed with schizophrenia and healthy comparison controls. Seventy-seven patients with DSM IV TR diagnosis of schizophrenia or schizoaffective disorder, and 77 healthy individuals participated in the study. The cognitive performance of patients was compared with that of healthy controls and U.S. normative data. The Armenian-language RBANS demonstrated acceptable psychometric properties in terms of test validity and reliability. Relative to healthy controls, patients with schizophrenia exhibited impaired performance in all RBANS Index and Subtest tasks. Patients and comparison controls performed below the U.S. data with the greatest differences found in language and attention tasks. The present findings support that the Armenian-language RBANS is a good test for measuring cognitive functions in patients with schizophrenia and the general population. The performance differences between Armenian and U.S. samples highlight the limitation in using English-standardized normative data for cross-cultural studies. The results merit further investigation to disentangle cultural variations from cognitive disturbances.

This study assessed metabolic functioning of regional brain areas to address whether there is a neurometabolic profile reflecting the underlying neuropathology in individuals with autism spectrum disorders, and if varied profiles correlate with the clinical subtypes. Thirteen children (7-16 years) with autism spectrum disorders and 8 typically developing children were compared on 1H-magnetic resonance spectroscopy data collected from hippocampus-amygdala and cerebellar regions. The autism spectrum disorder group had significantly lower N-acetyl-aspartate/creatine ratios bilaterally in the hippocampus-amygdala but not cerebellum, whereas myo-inositol/creatine was significantly increased in all measured regions. Choline/creatine was also significantly elevated in the left hippocampus-amygdala and cerebellar regions of children with autism spectrum disorder. Comparisons within the autism spectrum disorder group when clinically subdivided by history of speech delay revealed significant metabolic ratio differences. Magnetic resonance spectroscopy can provide important information regarding abnormal brain metabolism and clinical classification in autism spectrum disorders.

The occurrence of primacy versus recency effects in free recall is suggested to reflect either two distinct memory systems, or the operation of a single system that is modulated by allocation of attention and less vulnerable to interference. Behavioral and event-related brain potential (ERPs) measures were used to investigate the encoding substrates of the serial position curve and subsequent recall in young adults. Participants were instructed to remember lists of words consisting of 12 common nouns each presented once every 1.5 sec, with a recall signal following the last word to indicate that all remembered items should be written on paper. This procedure was repeated for 20 different word lists. Both performance and late ERP amplitudes reflected classic recall serial position effects. Greater recall and larger late positive component amplitudes were obtained for the primacy and recency items, with less recall and smaller amplitudes for the middle words. The late positive component was larger for recalled compared to unrecalled primacy items, but it did not differ between memory performance outcomes for the recency items. The close relationship between the enhanced amplitude and primacy retrieval supports the view that this positive component reflects one of a process series related to attentional gradient and encoding of events for storage in memory. Recency effects appear to index operations determined by the anticipation of the last stimulus presentation, which occurred for both recalled and unrecalled memory items. Theoretical implications are discussed.

Using event-related potentials to investigate compatibility between past and present cue–response interactions, an experiment combined elements of selective-attention and Go/NoGo tasks. In the selective-attention part of each trial, participants responded to one of two visible numerical digits. Immediately afterward, in the Go/NoGo part of each trial, one of the same two digits appeared, with participants required to press the corresponding key on Go trials and to withhold responding on NoGo trials. Higher-amplitude anterior P3 responses on NoGo than on Go trials emerged when participants withheld responding to a recently selected cue but were greatly diminished when participants withheld responding to a recently ignored cue. The findings suggest that episodic traces of past Go/NoGo responses guide future action decisions, such that increased response control is needed to overcome bias to respond to recently acted-on NoGo cues. Descriptors: Go/NoGo, P3, Episodic retrieval, Categorization, Event-related potentials, Action control, Cognitive control

Event-related potentials (ERPs) were recorded in healthy adult participants during the performance of a modified version of the Wisconsin Card Sorting Test that was designed to isolate the effects of extradimensional (ED) and intradimensional (ID) set-shifts. ERP averages were created for ED- and ID-Shift trials, as well as for the 5th trial in each block (Maintain-Rule). Differences in sensory and longer latency ERP components were found between the ED- and ID conditions, and between the two shift conditions and the Maintain-Rule trials. Consistent with the previous literature, these data indicated that ED- and ID-Shifts require different levels of neural resources. A secondary goal of this experiment was to use the excellent temporal resolution of ERPs to examine the neural correlates of various other aspects of the performance of a set-shift task, including differences between correct shifts and the commission of errors, and the differences between the reception of correct and error feedback. Comparisons were made between ERP averages to correct ED-Shift trials and ED-Error trials, and to feedback following a correct ED-Shift compared to feedback following an error. As expected, ERP differences were found between correct trials and error trials, and between the ERP correlates of receiving different types of feedback. Overall, these data further indicate the utility of using ERP methodology to study various aspects of complex neuropsychological paradigms.