Medical liability and health care reform

We examine the impact of the Affordable Care Act (ACA) on medical liability and the controversy over whether federal medical reform including a damages cap could make a useful contribution to health care reform. By providing guaranteed access to health care insurance at community rates, the ACA could reduce the problem of under-compensation resulting from damages caps. However, it may also exacerbate the problem of under-claiming in the malpractice system, thereby reducing incentives to invest in loss prevention activities. Shifting losses from liability insurers to health insurers could further undermine the already weak deterrent effect of the medical liability system. Republicans in Congress and physician groups both pushed for the adoption of a federal damages cap as part of health care reform. Physician support for damages caps could be explained by concerns about the insurance cycle and the consequent instability of the market. Our own study presented here suggests that there is greater insurance market stability in states with caps on non-economic damages. Republicans in Congress argued that the enactment of damages caps would reduce aggregate health care costs. The Congressional Budget Office included savings from reduced health care utilization in its estimates of cost savings that would result from the enactment of a federal damages cap. But notwithstanding recent opinions offered by the CBO, it is not clear that caps will significantly reduce health care costs or that any savings will be passed on to consumers. The ACA included funding for state level demonstration projects for promising reforms such as offer and disclosure and health courts, but at this time the benefits of these reforms are also uncertain. There is a need for further studies on these issues.     

MMPI-2 and MMPI-2-Restructured Form Validity Scales: Complementary Approaches to Evaluate Response Validity

Responsible forensic assessment is dependent on an appreciation for how validity scales differ from one another and function across different evaluation contexts. The primary goal of this review is to evaluate whether there is sufficient empirical support to provide expert testimony using MMPI-2 or MMPI-2-RF validity scales. Towards this goal, we briefly describe the development of MMPI-2 and MMPI-2-RF validity scales and review empirical studies that support interpretative strategies. We describe and illustrate with case examples how the respective sets of MMPI-2 and MMPI-2-RF validity scales utilize complementary strategies to detect over- and under-reporting of psychological, cognitive, and physical symptoms. Additionally, the review describes standards for expert psychological testimony and illustrates how MMPI-2 and MMPI-2-RF validity scales are particularly well suited to assess symptom validity and psychological status in secondary-gain settings.     

Observing Environmental Destruction Stimulates Neural Activation in Networks Associated with Empathic Responses

The negative impacts of environmental disruption disproportionately affect marginalized and underprivileged communities; thus, the degree to which society is complicit in allowing unchecked environmental destruction to occur has important social justice applications. Although decades of research have sought to understand factors which determine acceptance of environmental destruction, most of this research has been based on self-report surveys. In the present work, we used neuroimaging techniques to examine the neural correlates of environmental concern. To do this, we compared responses to observing suffering dogs with responses to observing suffering ecosystems. Our results extend previous findings which had shown largely overlapping neural response patterns to observing animal and human suffering. Critically, we found activation in regions previously identified as active in empathy processes in response to viewing harm to ecosystems (i.e., without any animals present in the images). We also found relative differences in response patterns between the two types of stimuli: witnessing harm to environments (vs. dog suffering) led to reduced activation in some regions, but similar activation in others. We discuss these findings in terms of their potential implications for behavioral interventions and possibilities for continued neuroimaging research examining neural responses to environmental ecosystems and other nonhuman entities.     

Female owners versus female managers: Who is better at introducing innovations?

The Journal of Technology Transfer - This paper uses firm-level survey for more than 100 countries to examine whether firms’ female managers or female owners were better at bringing...     

Diamonds,gold and crime displacement: Hatton Garden,and the evolution of organised crime in the UK

The 2015 Hatton Garden Heist was described as the ‘largest burglary in English legal history’. However, the global attention that this spectacular crime attracted to ‘The Garden’ tended to concentrate upon the value of the stolen goods and the vintage of the burglars. What has been ignored is how the burglary shone a spotlight into Hatton Garden itself, as an area with a unique ‘upperworld’ commercial profile and skills cluster that we identify as an incubator and facilitator for organised crime. The Garden is the UK’s foremost jewellery production and retail centre and this paper seeks to explore how Hatton Garden’s businesses integrated with a fluid criminal population to transition, through hosting lucrative (and bureaucratically complex) VAT gold frauds from 1980 to the early 1990s, to become a major base for sophisticated acquisitive criminal activities. Based on extensive interviews over a thirty year period, evidence from a personal research archive and public records, this paper details a cultural community with a unique criminal profile due to the particularities of its geographical location, ethnic composition, trading culture, skills base and international connections. The processes and structures that facilitate criminal markets are largely under-researched (Antonopoulos et al. 2015: 11), and this paper considers how elements of Hatton Garden’s ‘upperworld’ businesses integrated with project criminals, displaced by policing strategies, to effect this transition.     

Social psychological risk factors,delinquency and age of onset

Based on data from the 2014 Communities that Care Youth Survey (CCYS), the authors examine the association between risk factors of tenth graders and age of onset (never, 14 or older, 13 or younger) of three antisocial behaviors/delinquency (got arrested; carried a handgun to school; and attacked someone with the intent of seriously hurting them). Risk factors are under four domains: family, community, school, and peer. The age of onset and risk literature are discussed. The purpose of this research is to examine what risk factors are associated with age of onset. Individual risk factors under the peer domain had the strongest association with all three antisocial behaviors.