Decision making in a schizophrenic population

Over the past decade, competence to make decisions has become a prominent topic in forensic psychology. We employed a gambling paradigm to measure ability to weigh risks, benefits, and probabilities in an internally consistent manner. Decision-making behavior of chronic, involuntarily committed schizophrenic inpatients was compared to outpatient schizophrenics and first-degree relatives of the patients. We found significant differences between inpatients and non-mentally-ill relatives, and between inpatient and outpatient schizophrenics. When WAIS-R Vocabulary subtest score was statistically controlled,no significant differences between any of the groups remained. Vocabulary x group interactions revealed that Vocabulary subtest predicted decision-making behavior for outpatients and controls, but not inpatients. Severity of psychiatric symptoms and number of prior hospitalizations predicted decision-making behavior for inpatient schizophrenics. Results suggest that competence assessments that rely primarily on verbal abilities may be inadequate to assess competence in acutely ill psychiatric patients.     

Civil Cases and Society: Process and Order in the Civil Justice System

It is not an exaggeration to say that we live in an era preoccupied with the problems and challenges of obtaining justice in civil cases. Concerns expressed about the civil justice system range from warnings that civil court dockets are clogged by disputants too litigious for their own good to complaints that the legal system is used too rarely in civil cases.
The authors approach their analysis with a sense that this subject area is in need of more and better theory. It is an unfortunate fact that discussions of civil justice—and suggestions for reform—have been marked by contradiction and confusion and have been engrossed with small matters that tend to obscure from view the system as a whole.
The first part of this essay focuses on what the civil justice system is and does. It presents a five-stage model of civil case processing and examines relationships between this model and the criminal justice system. The second part of the essay considers this model in a broader context. Here the authors examine two paradigms of civil case processing and their implications for the implementation of legal norms and the pursuit of justice in society.     

Between welfare medicine and mainstream entitlement: Medicaid at the political crossroads

As the new century begins, the Medicaid program is arguably at a political crossroads. Over the 1980s and 1990s, policy makers enacted major expansions in Medicaid coverage, offering significant new health benefits to poor women and children and other constituencies. In elite rhetoric and political framing, Medicaid was increasingly cast as a broad-based social welfare entitlement of value to all Americans, including middle-class citizens. Some health care advocates began viewing Medicaid expansions as a potential path to achieving universal coverage in the United States. Yet Medicaid remains a means-tested program that has been repeatedly threatened with policy retrenchment. In this essay, we scrutinize Medicaid's current status and future possibilities from a historical-institutional perspective by tracing its complex evolution since its enactment in the Social Security Amendments of 1965. Our core claim is that decisions made at the time of Medicaid's original adoption have fundamentally set the matrix for struggles over the program's unfolding development. We demonstrate that key ambiguities embedded in the 1965 act created largely unintended opportunities for policy entrepreneurs to broaden Medicaid's scale and scope as well as foreseeable vulnerabilities that must be overcome if Medicaid is to realize its full potential.     

A 14- to 24-year longitudinal study of a comprehensive sexual health model treatment program for adolescent sex offenders: predictors of successful completion and subsequent criminal recidivism

The study determines the effectiveness of a sexuality-positive adolescent sexual offender treatment program and examines subsequent criminal recidivism in the three outcome groups (completed, withdrawn, referred). The sample consists of 122 adolescent males and their families (491 individuals). Of the demographic variables, only living situation was significant, such that patients living with parents were more likely to graduate. None of the behavioral variables were found to be significant. Of the treatment variables, length of time in the program and participation in the Family Journey Seminar were included in the final model. When they were included in the model, no other treatment variable were significantly related to probability of graduation. There were no arrests or convictions for sex-related crimes in the population of participants that successfully completed the program. This group was also less likely than the other groups to be arrested (p = 0.014) or convicted (p = 0.004) across all crime categories.     

Participation and Rules- The Functions of Zoning

Data from a case study of piecemeal zoning change suggest that the decisions of citizen zoning boards of appeal are neither lawless nor ineffective. The bulk of requests that come before them are for minor dimension or use variances and are typically allowed unless there is local opposition. The proportion of changes granted varies with the degree of clash between a proposed use or structure and the preexisting local land use-the "character of the community" (particularly in single-family residential areas). Expressions of opinion (positive or negative) by current neighbors and other community members are given heavy weight in zoning decisions.
Despite criticism of zoning boards as defective and illegitimate legal institutions and calls for their abolition, they have remained popular and extremely resistant to change. This is because zoning boards have evolved beyond their explicit rule enforcement functions to also play important dispute-settling and community maintenance functions in the contemporary urban setting. These functions of zoning can only be understood in terms of a participatory model of legal process where legal rules serve to identify situations and trigger sociopolitical processes as much as they serve as substantive norms to be enforced .     

The Role of Depressed Mood and Anger in the Relationship Between Family Conflict and Delinquent Behavior

Drawing on R. Agnew's (Foundation for a general strain theory of crime and delinquency. Criminology 30: 47–87, 1992) general strain theory, this paper examines whether depressed mood and anger mediate the effects of family conflict on delinquency. We examine data on 7758 students, 14–16 years old, attending the compulsory 9th and 10th grades of the Icelandic secondary school system. We use structural equation modeling to show that exposure to arguments and fights at home are positively related to both depressed mood and anger among adolescents. Anger is positively associated with delinquent behavior whereas depressed mood has no effect on delinquency.