Does Attentional Control Mediate the Association Between Adverse Early Experiences and Child Physical Abuse Risk?

The present study examined the extent to which attentional control mediates the relationship between adverse early life experiences (e.g., harsh discipline, low perceived support) and child physical abuse (CPA) risk in adulthood. Participants included 138 general population parents (30.4% fathers and 69.6% mothers) who completed self-report measures of early life experiences, attentional control, and CPA risk. Results revealed that attentional control partially mediated the association between adverse early environment and CPA risk scores, Sobel test = 2.65, SE = 0.86, p = .007. More specifically, individuals exposed to adverse early environments (characterized by harsh discipline and/or low perceived support) reported lower levels of attentional control, which in turn was associated with increased risk of hostile, aggressive, and abusive parenting.     

Having a Bad Month: General Versus Specific Effects of Stress on Crime

We examine whether particular types of stress are related to particular types of crime or whether all types of stress are related to all types of crime. Our estimates are based on analyses of within-individual change over a 36 month period among recently incarcerated offenders. We find that assault is most strongly related to family stress, suggesting that conflicts between family members lead to assault. Economic crimes (property crimes and selling illicit drugs) are most clearly related to financial stress, suggesting that these crimes often reflect attempts to resolve financial problems. On the other hand, crime is generally unrelated to stress from illness/injury, death, and work. The results support the idea that criminal behavior is a focused response to specific types of problems rather than a general response to stress. They are more consistent with explanations that focus on perceived rewards and costs (e.g., the rational-choice approach) than with explanations that portray negative affect as a generalized impetus toward violence or crime (e.g., frustration aggression approaches).     

Genetic and Environmental Overlap between Low Self-Control and Delinquency

Low self-control has emerged as a consistent and strong predictor of antisocial and delinquent behaviors. Using the twin subsample of the National Longitudinal Study of Adolescent Health (Add Health), genetic analyses were conducted to examine the genetic and environmental contributions to low self-control and offending as well as to their relationship with one another. The results revealed that low self-control and criminal behaviors are influenced by genetic and nonshared environmental factors with the effects of shared environmental factors being negligible. In addition, the co-variation between low self-control and criminal behaviors appears to be largely due to common genetic and nonshared environmental factors operating on both phenotypes. The implications of these findings on the current understanding of Gottfredson and Hirschi??s general theory of crime are discussed.     

Catching flies with vinegar: a critique of the Centers for Medicare and Medicaid self-disclosure program

This Article argues that the current approach of the Department of Health and Human Services and the Centers for Medicare and Medicaid Services (CMS) to enforcement of the Ethics in Patient Referrals Act (the "Stark Law") is unnecessarily punitive and discourages health-care providers from self-disclosing even very minor violations of the Stark Law. This Article suggests a number of specific changes to encourage provider self-disclosure and proposes that CMS create a demonstration project under the authority of the Patient Protection and Affordable Care Act to test the reforms. A demonstration project provides the perfect vehicle to prove that increased self-disclosure protocols for the Stark Law can decrease the government's costs of enforcement, improve program integrity, and encourage providers to deal responsibly with the inevitable minor lapses in compliance that arise in such an enormous government program as Medicare.     

Psychopathy, traumatic exposure, and lifetime posttraumatic stress

This study examined two theoretical models on the interaction between psychopathy, traumatic exposure, and lifetime posttraumatic stress in a sample of 81 male detainees. In Model 1, the interpersonal and affective features of psychopathy were assumed to protect against posttraumatic stress. In Model 2, the lifestyle and antisocial traits of psychopathy were assumed to lead to a lifestyle that increases the risk of traumatic exposure and subsequent posttraumatic stress. The authors found significant negative bivariate associations between Psychopathy Checklist-Revised (PCL-R) total, Interpersonal and Affective facet scores, and posttraumatic stress. Model 1 was confirmed, as they found the interaction between the Affective facet and traumatic exposure had a significant negative effect on posttraumatic stress. Model 2 was rejected. The authors' findings confirm that the interpersonal and affective features of psychopathy are associated with an emotional deficit and that the affective features of psychopathy are crucial for understanding the relationship between psychopathy and anxiety.     

Texas Christian University (TCU) Short Forms for Assessing Client Needs and Functioning in Addiction Treatment

The TCU Short Forms contain a revised and expanded set of assessments for planning and managing addiction treatment services. They are formatted as brief (1-page) forms to measure client needs and functioning, including drug use severity and history (TCUDS II), criminal thinking and cognitive orientation (CTSForm), motivation and readiness for treatment (MOTForm), psychological functioning (PSYForm), social relations and functioning (SOCForm), and therapeutic participation and engagement (ENGForm). These instruments facilitate optically-scanned data entry, computerized scoring, and rapid graphical feedback for clinical decisions. The present study (based on 5,022 inmates from eight residential prison treatment programs) examines evidence on scale reliabilities and measurement structures of these tools. Results confirmed their integrity and usefulness as indicators of individual and group-level therapeutic dynamics.     

Sobering Up on the Streets: Homeless Men in Alcoholics Anonymous

An exploratory, qualitative examination of homeless, recovering alcoholic men in a Twelve-Step program shows the ways these men adapt tools of sobriety to match their needs. Using semi-structured interviews, the experiences of these men were evaluated in order to find out how they stay sober without a formal place to live. Based on the narrative histories, three varieties of adaptations to the conventional Alcoholics Anonymous program are discussed: excessive twelfth-stepping, a mélange of religious principles, and unrealistic ideals. Implications for treatment and directions for future research are discussed.     

Obtaining Information from Children in the Justice System

Even young children can provide accurate accounts of experienced events if adults question them skillfully. However, most justice system personnel receive little training in evidence‐based methods to question children non‐suggestively and with developmental sensitivity. This paper summarizes key research findings about child forensic interviewing. It concludes with recommendations for judges and other justice system personnel who must engage in age‐appropriate consultation with children and outlines steps judges can take to establish evidence‐based interviewing practices by court personnel in their jurisdictions.