Prosecuting assaultive psychiatric patients.

For many reasons, inpatient psychiatric units are increasingly faced with treatment and management of violent individuals. This fosters a need to consider potential institutional responses to patient violence. This paper focuses on one response--prosecution of these persons. The existing literature on this topic is reviewed. In addition, the case history of a difficult but successful prosecution of an assaultive patient is presented. This case highlighted the development of guidelines, which are outlined herein, for determining the appropriateness of seeking legal action against patients. The paper concludes with an assessment of the benefits and risks associated with patient prosecution.     

Applying a Two-Step Strategy to the Analysis of Cross-National Public Opinion Data

W. Phillips Shively Department of Political Science, University of Minnesota, 1414 Social Sciences Bldg. 267 19th Ave. South, Minneapolis, MN 55455 email: kjlong{at}umich.edu (corresponding author) email: shively{at}polisci.umn.edu. In recent years, large sets of national surveys with sharedcontent have increasingly been used for cross-national opinionresearch. But scholars have not yet settled on the most flexibleand efficient models for utilizing such data. We present a two-stepstrategy for such analysis that takes advantage of the factthat in such datasets each "cluster" (i.e., country sample)is large enough to sustain separate analysis of its internalvariances and covariances. We illustrate the method by examininga puzzle of comparative electoral behavior—why does turnoutdecline rather than increase with the number of parties competingin an election (Blais and Dobryzynska 1998, for example)? Thisdiscussion demonstrates the ease with which a two-step strategyincorporates confounding variables operating at different levelsof analysis. Technical appendices demonstrate that the two-stepstrategy does not lose efficiency of estimation as comparedwith a pooling strategy.     

The application of signal detection theory to decision-making in forensic science

Signal Detection Theory (SDT) has come to be used in a wide variety of fields where noise and imperfect signals present challenges to the task of separating hits and correct rejections from misses and false alarms. The application of SDT helps illuminate and improve the quality of decision-making in those fields in a number of ways. The present article is designed to make SDT more accessible to forensic scientists by: (a) explaining what SDT is and how it works, (b) explicating the potential usefulness of SDT to forensic science, (c) illustrating SDT analysis using forensic science data, and (d) suggesting ways to gain the benefits of SDT analyses in the course of carrying out existing programs of quality assessment and other research on forensic science examinations.     

feminism,policy and women's safety during Australia's ‘war on terror’

The main argument in this article is that the Australian government in power from 1996 to November 2007 failed women's domestic security by denying the central policy role of women's organizations in the struggle against domestic violence and by successfully expunging public debate on gender issues in Australian governance, while participating in the ‘war on terror’ to guard national security. In bringing together a discussion about the war on terror and the importance of feminism for women's security, key issues about feminism, race and gender are considered. This article also explores the prevalence of violence against women and the social implications of the lack of leadership in public debate about the gendered nature of violence against women. Under the Australian government led by Prime Minister John Howard that gained power in 1996 and was defeated in 2007, women's organizations lost financial support and women's policy infrastructure was decimated. Violence against women, however, continued to increase, reaffirming women's place in Australian society as insecure and dangerous. After more than 30 years of struggle to maintain domestic violence and sexual assault as serious social policy problems, provide services, support and advocacy for women who are victims of violence and assault, women's organizations are coming to terms with a society where there is a blindness to the role of gender in violence against women.     

Cocaine and homicide in Memphis and Shelby county: an epidemic of violence

In Memphis and the surrounding county, there were a record number of homicides (179) in 1986. During the same year, there was a marked increase in medical examiner cases where tests were positive for cocaine or its metabolites. Review of medical examiner and toxicology records from 1980 to 1986 found 87 cocaine related deaths; 46 of these were homicides. In 1986 alone, there were 53 cocaine related deaths, all manners, and 31 cocaine related homicides. In this year, 17.3% of the homicides were positive for cocaine or metabolite. The cocaine related homicides were similar to other homicides in terms of age, race, sex, blood ethanol concentration, and cause of death being due most often to firearms. In homicide cases in which an abuse drug was detected, cocaine accounted for the entire increase in 1986. Police records indicated that cocaine directly contributed to the homicide in 39% of the cases in which the drug was found. In other cases, we speculate that cocaine altered behavior may have contributed to the victim's being murdered either during the drug "high" or during the posteuphoric depression or withdrawal phase.     

The relocation of released mental hospital patients into residential communities

The mental health patient release programs have been proceeding more rapidly than informed judgment could possibly warrant. Public sector mental health care, whether centralized in state hospitals or deconcentrated within residential communities, falls considerably below the standards and practices of private sector care. The accelerated release of former patients has strained the potential for therapeutic community placement. The massive reassignment of patients has been prompted by the goals of: providing for the civic and therapeutic rights of patients; providing knowledgeable and effective treatment; implementing cost savings; and integrating in-patients within a more aware and accepting inclusive society. The structural elements of the assignment process can be examined within the context of a reassignment model in order to identify the informational and program needs for a reasonable release and aftercare process. The present reliance upon salvage of the poorly conceived release programs through ghettoization of ex-patients can only be justified as a mechanism for forcing a wide range of communities to accept long overdue responsibility for their disabled members.Professor of Geography and Urban Planning, Princeton University. Grateful acknowledgement is made to the NIMH (METRO Division) for research support to the Regional Science Research Institute (Philadelphia, Pa.), to the Center for Advanced Study in the Behavioral Sciences for fellowship support during the period this study was undertaken, and to Maurice Rappaport (Agnews State Hospital, Calif.), Harold Baker (Aftercare Services Division, Calif. Dept. of Health), Anthony Mumphrey, Daniel Garr (San Jose State University) and Montye Rivera (Home Care News, San Jose, Calif.) for their assistance in the conduct of this research.