Implementing violence and incident reporting measures on a forensic mental health unit

The assessment of risk and prediction of violence in mental health units can play a large role in creating a safer environment for both the staff and the patients. Nurses in forensic units are in a unique position in regards to assessment of violence as they spend a great deal of time with the patients. Nurses on a forensic mental health unit scored the Brøset Violence Checklist (BVC) twice daily for 12 weeks for all patients either resident on or admitted to the unit (N?=?46). The Staff Observation Aggression Scale-Revised (SOAS-R) was used to report any adverse incidents (N?=?51). Data were examined at the both the item and scale level. Main results showed the area under the curve values of the BVC score, slide rule, and the sum of BVC and slide rule score in turn demonstrated strong predictive accuracy for inpatient aggression (0.68–0.73). Through logistic regression analyses the BVC uniquely predicted inpatient aggression but adding the slide rule did not improve prediction. Predictive accuracy was found across three diagnostic groups – dementia, psychosis and substance use disorders. These results provide further support on the predictive accuracy of the BVC for short-term violence in forensic mental health settings.     

MMPI profiles of males accused of severe crimes: a cluster analysis

Abstract

In studies attempting to classify criminal offenders by cluster analysis of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) data, the number of clusters found varied between 10 (the Megargee System) and two (one cluster indicating no psychopathology and one exhibiting serious psychopathology). The latter results raise doubts about the suitability of the MMPI-2 for classification in forensic settings. The present study aimed at deriving an empirical classification system using cluster analysis of 247 MMPI-2 profiles of pretrial criminal defendants in a forensic psychiatric observation clinic. Results indicated only a ‘non-disturbed’ and a ‘disturbed’ profile, differing on general elevation of MMPI-2 profiles but displaying no qualitatively distinct profiles. The clusters differed on age at admission and first conviction, indicating a late onset of criminal activity for disturbed offenders. Also, the clusters differed significantly on Axis I diagnosis and borderline significantly on Axis II diagnosis. The absence of distinct personality profiles between the clusters suggests restricted usefulness of the MMPI-2 in a forensic context of diverse and severe psychopathology and serious crimes. Either the investigated population is in fact extremely homogeneous, truly comprising only two kinds of offenders, or the types of offenders in these populations are not effectively distinguished by the MMPI-2.     

On relativism

Abstract

This article reviews two recent books, The Poverty of Relativism by Boudon and Relativism by Baghramian. Both works provide accounts of relativist writings and take up anti-relativist positions, Boudon in particular claiming that relativism is now a prime danger to modern culture. This review article suggests that the term relativism remains ill defined and the animus against relativism in these works is driven by a barely disguised hostility to what is seen as the moral weakness of postmodernism. This response to postmodernism's celebration of diversity seems to want to take social theory back to notions of absolute cultural progression.     

'Concentric Circles' at the Periphery of the European Union

After World War II when the governments of several European states attempted to form supranational groupings, colonial obligations posed problems that persist to this day. The article traces immediate postwar history, outlining the present relationship between the EC institutions and what remain of member-state Empires, before proceeding to two case studies. The first concerns the ramifications of 'Euroland' in present or past dependencies after European Monetary Union. The second considers the role of European dependencies in military alliances and analyses how one of the founding Treaties was used in the mid-1990s after the discovery that it applied extra-territorially. The conclusion is that the external border of multi-speed Europe is even more variable than it might otherwise be because of the attachments some member states retain to colonial remnants.     

Equity and Conscience

This article argues that the peculiarly ‘common law tradition’separation of common law and equity had at its origins a principledbasis in the concept of ‘conscience’. But ‘conscience’here did not mean primarily either the modern lay idea, or the‘conscience’ of Christopher St German's exposition.Rather, it referred to the judge's, and the defendant's, privateknowledge of facts which could not be proved at common law becauseof medieval common law conceptions of documentary evidence andof trial by jury. The concept of a jurisdiction peculiarly concernedwith this issue allowed the ‘English bill’ procedureto be held back to a limited subject area rather than—asin Scotland and the Netherlands—overwhelming the old legalsystem. By the later 17th century, however, the concept of consciencehad lost its specific content, leaving behind the problem, stillwith us, of justifying the separation of ‘equity’.     

The Doha Development Agenda: Reflections on the Road Ahead

From 9 to 14 November 2001, Qatar hosted the Fourth Ministerial Conference of the World Trade Organization (WTO) and a new trade round, the successor to the Uruguay round, was successfully launched in Doha. This was by no means a foregone conclusion and was a major feat. The outcome of the Doha Ministerial Conference was in doubt until the very end. Failure at Doha to resolve the issues left over from the inconclusive Seattle Ministerial Conference of 1999 would have seriously weakened the WTO and threatened the future of the multilateral trading system. In this article, WTO Director-General Mike Moore, describes the steps taken in a more transparent and inclusive preparatory process for the Doha meeting and the key achievements of the new round--the Doha Development Agenda. He concludes that as a ''member-driven'' organization, all WTO members share joint responsibility for a successful and inclusive multilateral trading system and describes the current preparations being made for the conclusion of the new round by the three-year time-frame, as agreed by ministers.