Assessment of competency for execution? A guide for mental health professionals

Assessment of competency for execution presents two compelling ethical questions for mental health professionals: whether clinicians can ethically provide such assessment, and if so, how it should be done in order to maximize quality and minimize ethical conflict. In this article we address the issue of whether to participate and, if so, how. The question of whether to participate is discussed by summarizing the arguments for and against participation and offering guidelines for making a decision. The question of how to proceed is discussed in two contexts: preadjudication (before a formal decision about competency) and postadjudication (following a determination of "incompetent" and transfer of the offender to another facility for treatment and further assessment). Finally, recommendations are made regarding research that would improve the quality of execution competency assessments.     

Comparing females acquitted by reason of insanity,convicted, and civilly committed in Florida 1977–1984

Females who had been acquitted by reason of insanity (N=41), convicted of comparable offenses (N=41), and involuntarily hospitalized without criminal involvement (N=41) were matched for age and race. The psychiatric histories of the acquitted and civilly committed women were similar, and significantly more extensive than the convicted group. The acquitted women had been arrested significantly more often than the civilly committed women but less frequently than the convicted women. Total length of stay (hospitalization or imprisonment) reflected a similar pattern, with civilly commited women hospitalized for the shortest period, acauitted women an intermediate period, and convicted women the longest. Regression-based prediction of length of stay reflected a number of common predictors for the acquitted and convicted women, with offense type one of the most powerful for both groups.     

Personality underlying motivation for type A behavior in late adolescents

The personality profiles of Type A college males and females, carefully selected as especially vulnerable to stress, were compared with peer controls. The purpose of these comparisons was to determine whether some motivational goals of their excessive competitive striving might be identified by underlying personality traits distinguishing the Type As, whereas other goals might be eliminated. The results indicated that Type As of both sexes were more emotionally dependent and that their competitiveness could be an effort to elicit approval from others. At the same time, higher aggression in male and female Type As implied that the negative impact upon others of winning over them also was a goal of competition. No evidence for need achievement, mastery, or task proficiency as competitive motives was found. Implications of these findings and other significant results were discussed.Received Ph. D. in Psychology from University of Iowa. Current research interests are sources of stress in college students, sex role development, alcoholism, and criminality.