The right to refuse treatment under Rogers v. Commissioner: preliminary empirical findings and comparisons

Preliminary findings on the effects of the Massachusetts ruling in Rogers v. Commissioner, an important right to refuse treatment case, are compared with models in other jurisdictions. In sum, few cases are reviewed; in almost all reviewed, the court overrides the patients' refusal. The case raises troubling implications about due process and quality of care.     

Effects of Perceived Control on the Relationship Between Perceived Parental Rearing Behaviors and Symptoms of Anxiety and Depression in Nonclinical Preadolescents

This study examined mediational and moderational effects of perceived control on the relationship between perceived parental rearing behaviors and symptoms of anxiety and depression in a nonclinical sample of youths aged 11–14 years. Correlational analyses demonstrated that higher levels of negative parental rearing practices were associated with higher levels of anxiety and depression, which at the same time were related to lower levels of perceived control. Furthermore, no evidence was found for the presence of mediational effects of perceived control on the link between perceived parental rearing behaviors and symptoms of anxiety and depression. Finally, there was a moderational effect of perceived control on the link between anxious rearing and anxiety symptoms. While the presence of low perceived control and high anxious rearing yielded relatively high anxiety levels, it was especially the combination of high perceived control and low anxious rearing that clearly yielded the lowest anxiety levels.     

Escala de Abuso Economico: Validating the Scale of Economic Abuse-12 (SEA-12) in Spanish

Journal of Family Violence - Language is a key consideration in the development of culturally-responsive interventions for survivors of intimate partner violence (IPV), and this includes not only...     

Reciprocal effects of self-concept and academic achievement in sixth and seventh grade

We aimed to (a) assess causal influences of three levels of self-concept on each other, (b) examine the relationship between each level of self-concept and academic achievement, and (c) compare the effect of self-concept on achievement with the effect of achievement on self-concept. In a two-year longitudinal study of 322 sixth and seventh grade students, influences over time between three levels of self-concept were weak. Zero-order correlations between self-concept and grades were positive and substantial, as in past studies. When using structural equation models, we found much weaker paths between self-concept and grades. Influences from self-concept to grades were very weak, but grades had a modest influence on subsequent discipline-specific self-concept. We conclude that past correlational studies have overstated the influence of self-concept on grades and of grades on self-concept.Financial support was supplied by the Life Cycle Institute, Catholic University.Received Ph.D. from Harvard University. Research interests include self-concept, religious development, and moral development.Received Ed.D. from Michigan State University. Research interests include self-concept and reading instruction.Received B.A. from The Catholic University of America. Research interests include political socialization and social movements.     

The Validity of Mental Patients' Accounts of Coercion-Related Behaviors in the Hospital Admission Process

Although the recent development of a measure for perceived coercion has led to great progress in research on coercion in psychiatric settings, there still exists no consensus on how to measure the existence of real coercive events or pressures. This article reports the development of a system for integrating chart review data and data from interviews with multiple participants in the decision for an individual to be admitted to a psychiatric hospital. The method generates a most plausible factual account (MPFA). We then compare this account with that of patients, admitting clinicians and other collateral informants in 171 cases. Patient accounts most closely approximate the MPFA on all but one of nine dimensions related to coercion. This may be due to wider knowledge of the events surrounding the admission.     

Client abilities to assist counsel and make decisions in criminal cases

Three studies of attorney-client decision making were conducted in a public defender office. In studies 1 and 2 a structured interview was used to debrief attorneys regarding clients' participation in their cases. Study 1 examined a sample of 200 felony and misdemeanor cases selected prospectively and resolved by any means (92.5% by plea); study 2 examined 200 felony and misdemeanor cases resolved by trial. Study 3 involved debriefing both attroneys and clients regarding perceptions of client participation in 35 recently closed felony cases. Attorneys doubted the competence of 8%–15% of clients charged with felonies and 3%–8% of clients charged with misdemeanors. In cases involving clients of doubted competence, attorneys often responded by means other than referral to mental health professionals for competence evaluations. As compared with clients whose competence was presumed, attorneys tended to view clients whose competence was doubted as less helpful and as less actively involved in their cases, but as actively involved in making key decisions. Defendants' perceptions appeared to be roughly consistent with attorneys' perceptions, allaying concerns that attorneys' reports may be distorted in order to conform to expected norms.     

Mental health performance measurement in corrections

Correctional facilities have become, by default, one of the largest providers of mental health care for patients with serious mental illness. In its 2002 Report to Congress, the National Commission on Correctional Health Care has reported that most facilities do not provide quality mental health care, nor do they conform to nationally accepted guidelines for mental health screening and treatment. This article describes the product of a consensus panel of correctional health care experts, charged to develop performance measures, based on nationally accepted standards, for selected elements of psychiatric treatment behind bars, aimed to improve the quality of care. Performance measures were developed for medication adherence, suicide prevention, mental health treatment planning, and sleep medication usage.     

Occupations and attitudes of former student activists 10 years later

Respondents in a 1969 survey (N=400)of undergraduate men at the University of Michigan were resurveyed as alumni in 1979 (N=215).Of the 400 surveyed in 1969, 50 were active in political organizations (organization activists) and 57 had been in demonstrations. These were rank- and-file student activists in the 1960s, not leaders. The demonstration activists were the more extreme in attitudes in both 1969 and 1979. In 1979 the demonstration activists were still more interested in political affairs than the nonactivists, more suspicious of free enterprise ideology, more opposed to current fears of communism, and more alienated from the military. Former organization activists were disproportionately employed in the human services areas of government, disproportionately absent from the business sector. In 1979 the former activists were no longer critical of the universities or of American society as a producer of poverty. They had shifted their main involvement from national to community affairs. While still distinctive in some attitudes, they were generally less radical than earlier.Financial support was provided by the Spencer Foundation.Received Ph.D. from Harvard University. Research interests include sociology of religion and youth.Received M.A. from Catholic University. Research interests include social movements and sociology of the arts.