A newspaper surveillance study of homicide-suicide in the United States

The objective of this study was to identify the number and subtypes of homicide-suicides in the United States by age group and state over a 3-year period from 1997 through 1999. A total of 673 homicide-suicides, including 674 perpetrators and 779 victims, were identified from Internet searches of 191 national newspapers, and they were classified according to a modified Hanzlick-Koponen typology. One quarter of the homicide-suicides were perpetrated by persons 55 years or older, and 77% were spousal/consortial, higher than the 57% observed in the younger age group; 11% of the older homicide-suicides were familial, compared with 16% in the younger age group. Whereas only 3% of older homicide-suicides were infanticide/pedicide, 16% of the younger homicide-suicides involved parents killing their children. Forty-five states, including the District of Columbia, reported a homicide-suicide during the 3-year period, and they occurred most frequently in Florida (163), California (98), Texas (36), and New York (35). Newspaper surveillance is useful to identify where homicide-suicides are occurring most frequently, but they are underestimates of the true prevalence. However, the number of incidents detected is large enough that the cases detected may be a fairly representative sample.     

Male adolescent birth control behavior: The importance of developmental factors and sex differences

A survey of sex and birth control behavior of 51 male adolescents aged 15–17 was conducted utilizing a structured interview protocol. The purpose of the study was to describe male adolescent birth control behavior incorporating developmental issues, and to interpret the findings in light of what is known about female birth control behavior. Based on research with teenage females, three social influences were examined for their possible impact on male birth control behavior. A new operational definition ofmale effective birth control usage involving the effectiveness of the method and the consistency of its usage was developed. Findings similar to those obtained from research on females suggest that adolescent sexual partners may be the only direct social influence on adolescents' birth control usage. Results indicating differences from research with females suggest that in general: male birth control behavior is primarily self-oriented, males are more likely to be effective contraceptors with casual partners than with girl friends, males are more likely to communicate about sex and birth control with similar age peers than with family members and/or other adults, and that teen males view sex and birth control decisions as female decisions.He also conducts private psychotherapy, specializing in marital and family therapy. His doctorate from the University of Pennsylvania is from a unique joint program in marital/family therapy and sex education. His interests include sex roles and their impact on intimate relationships, adolescent development, and male sexuality. This article is based on his doctoral dissertation.faculty member in the Human Sexuality Program. Dr. Rose served as supervisor on Dr. Cohen's doctoral dissertation.     

The regulation of cognitive enhancement devices: refining Maslen et?al.'s model

Our (2014) model for the regulation of cognitive enhancement devices (CEDs) received a great deal of interest from those involved in European device regulation and from academic commentators. Further, since the publication of our recommendations, the number of manufacturers of brain stimulation devices for non-medical purposes has increased, underscoring the need for a regulatory response. In this paper, we clarify aspects of our original proposal and address additional regulatory issues beyond our original focus on the sale of devices. We begin with theoretical points pertaining to the definition of a CED and the distinction between treatment and enhancement. We then respond to practical challenges raised by the prospect of implementing our regulatory framework. Next, we address some wider societal considerations relating to users and other stakeholders. Finally, we revisit the broader regulatory context within which the various discussions are situated.     

The Words of Violence: Autobiographical Narratives of Abused Women

Personal narratives tell the stories of people’s lives as well as provide insight into the meaning of those experiences. These narratives both reflect and are influenced by the relationships within which an individual is embedded. In this study, autobiographical narratives for two groups of women were compared: women who had experienced habitual gender-based domestic violence in their couple relationships and women who had not. The language of narratives was analyzed by LIWC (Language Inquiry and Word Count procedure). Results showed that the language and structure of narratives by women with a history of domestic violence indicated greater stress and trauma, more incoherent space-time organization, and poorer relationship quality. Women who experienced violence wrote longer narratives that contained proportionately more negative emotion words and more references to cognitions and physical/body issues, and indicated more disorganized structure by means of incoherent use of verbal tense, more impoverished use of connectives, and greater use of negative sentence syntax and discrepancy words. They also included proportionately more pronoun references to ‘I’,‘You’,’ and ‘He’, indicating self vs. partner conflictual relationships. However, women who had experienced relationship violence for longer decreased their references to the emotions of fear and anxiety, suggesting adaptation to violence over time.     

Qualitative Exploration of the Influence of Domestic Violence on Motherhood in the Perinatal Period

The perinatal period may include domestic violence (DV). In this study, the perinatal period extends from the start of pregnancy to the end of the child’s second year of life. DV places the safety of both mother and child at risk and undermines the mother–child attachment bond. In this article, we look at the challenges for motherhood in a context of domestic violence during the perinatal period (DVPP). In semi-directed interviews, 17 mothers shared their stories of DVPP. Interview questions focused on the trajectory of DVPP, perceptions and occupation of motherhood within two years of childbirth and the associated challenges. Data were analyzed using thematic analysis and discussed in a feminist conceptual framework and a parental theoretical model. DVPP negatively influences the experience and practice of motherhood, in addition to increasing parental responsibility to protect the child. Three main themes were noted: 1) A parental experience impoverished by the context of DVPP, caused by an increase in tasks, a weakened bond with the child and a loss of self-confidence; 2) Parenting responsibility in a context of DVPP is expressed as greater vigilance and the need to protect the child from violence; and 3) Parenting practices: the children as targets and victims of violence, resulting in additional child needs that mothers must meet. The results underscore the need for early detection of DVPP and a trauma-informed approach in health services. Specialized support services should be provided to help mothers cope with violence.

     

Compulsory treatment with clozapine: a retrospective long-term cohort study

BACKGROUND: Clozapine is the gold standard in treatment of treatment-resistant psychotic patients. We know little about the effects of compulsory treatment in patients unwilling to accept the necessary treatment. AIMS: To assess the effectiveness, tolerability and safety of compulsory treatment with clozapine (CTC). METHOD: A cohort of 17 consecutive patients given compulsory treatment with clozapine were rated retrospectively by their treating psychiatrists on the basis of their case notes. RESULTS: CGI-S decreased significantly over time until last observation after a mean of more than 15 months. No patient deteriorated as measured by CGI-I. At last observation as many as ten of the 11 patients still on clozapine were classified as much to very much improved. The degree of custodial restriction at last observation showed improvement in 11 patients and no change in six. No serious adverse events were observed. CONCLUSION: A trial of compulsory treatment with clozapine showed this treatment to be feasible, effective, safe and well tolerated.     

A Development of Modest Proportions: The Application of the Principle of Proportionality in the Targeted Killings Case

The comment critically discusses the application of the principleof proportionality by the Israeli Supreme Court in the TargetedKillings case. While the judgment confirms the customary statusof the principle and its applicability to all Israel DefenseForces (IDF) military operations during armed conflicts, itssubstantive contents remain, as might have been expected, unclear.In particular, the application of the ‘least-injuriousalternative’ subtest with regard to all civilians takinga direct part in hostilities is unsubstantiated and perhapstoo sweeping. However, the reference by the Court to ex anteand ex post review mechanisms to monitor the application ofthe proportionality principle constitutes a positive contributionto its development under international humanitarian law, whichmight also have some implications for criminal prosecutionsof soldiers and commanders involved in unlawful targeted killingoperations.