Malingering and Pain: is this a Major Problem in the Medicolegal Setting?

The term malingering has a negative connotation, in that it is considered to intentionally project exaggerated physical and/or psychosocial symptoms for the purpose of gaining some external rewards/secondary gain. The present article will review a number of misconceptions about malingering, as well as the inherent problem in objectively measuring this construct. It will be suggested that a more comprehensive biopsychosocial approach should be used to evaluate potential barriers to recovery, as well as suboptimal performance that may delay, or prevent, recovery over an expected time period for musculoskeletal pain disorders. Such an approach will eliminate the common misuse and misdiagnosis of the construct of malingering.     

Disproportionate minority contact in the juvenile justice system: An investigation of ethnic disparity in program referral at disposition

Historically, minority youth have experienced harsher punishments and more negative outcomes than White youth even when risk assessment is used. The current study investigated the role of ethnicity in an understudied dispositional decision–program referral–and the outcomes associated with said referral using a sample of juvenile offenders (N = 2,678). The study used the Youth Level of Service/Case Management Inventory (YLS/CMI) to determine (1) if ethnicity predicted program referral when accounting for risk assessment and (2) if program referral predicted recidivism. Results indicated that ethnicity predicted program referral, and program referral predicted recidivism. Future directions for Disproportionate Minority Contact (DMC) research and implications for court officials are discussed.     

Visualization and LC/MS analysis of colorless pepper sprays

Pepper sprays are used in a variety of circumstances, including criminal activity, self-defense, and law enforcement. As such, the presence or absence of pepper sprays on evidentiary materials is often important when determining the facts of an incident. When no visible stains are present on evidentiary materials, ascertaining the presence or absence of pepper spray can be a challenge to the forensic analyst. A method, based on a chemical derivatization of capsaicinoids using a diazonium salt, has been developed for the visualization of colorless, ultraviolet (UV) activated fluorescent dye-free pepper sprays on textiles. Identification of both the capsaicinoids and their derivatives is confirmed via extraction of the derivatized capsaicinoids followed by liquid chromatography/mass spectrometry (LC/MS) analysis. LC/MS analysis is conducted using a YMC Basic column and elution of the compounds using a gradient of 10 mM ammonium formate, pH 4.2 and methanol at 0.35 mL/min. Full-scan MS data are collected for the full 6.5 min LC analysis. Although this method is qualitative in nature, visual detection of as little as 50 microL of a 0.2% pepper spray (equivalent to approximately 0.1 mg) on a variety of garments is possible, and more than adequate signal-to-noise is obtained for reconstructed ion chromatograms on LC/MS analysis at these levels.     

The woman in the moon: Women's studies and the academy

This paper argues that Women's Studies has received a ‘bad feminist press’, and out of my experience as a ‘student’ on a part-time MA in Women's Studies at the University of Kent I want to encourage a more positive reappraisal of the relationship between feminism and the academy. It is therefore neither an apologia nor a eulogy; instead it seeks to show something of the complexity and tension involved in feminist intellectual work in an elitist environment; at the same time it is a firm statement of the value of being there, making the revolution, bringing the ‘woman in the moon’ down to earth as well as endorsing her visionary and inspiring example.     

Off-Label Prescribing by Psychiatrists: What is the Practitioner's Liability?

In psychiatry, the molecules available and the dosages recommended when a drug receives marketing authorization are not always adequate to treat patients with major behavioral disturbances. Off-label prescribing is frequent in this context, with regard to the indications and the dosages given as well as to the drug combinations used. However, if complications or death occur, the practitioner's liability may be engaged. The authors report three deaths attributed to off-label prescribing in psychiatry and which led to charges against the physicians. They review the precautions to be taken when prescribing in such conditions (no other possible treatment, existence of sound scientific evidence, consent obtained from the patient, or their legal representatives except in cases of force majeure) and the physician's liability if adverse events occur that could be attributed to off-label prescribing.