The experimental psychologist in court

This special issue comprises articles by psychologists, legal scholars, and ethicists on the ethics of expert testimony by experimental psychologists. In it the major ethical questions facing the prospective expert witness are clarified, and alternative positions on these issues are defined and debated. Fundamentals of moral reasoning are discussed, and the realities of interaction with a judicial system that subjects the psychologist to a variety of pressures and limitations are made apparent. The aim is not to offer final answers to complex ethical questions, but rather to provide a framework within which the questions can be considered by the individual psychologist.The conference on ethics of expert testimony by experimental psychologists was supported by National Science Foundation grant No. ISP-8209940. We thank Rachelle Hollander of the Ethics and Values in Science and Technology Program, Joe Young of the Memory and Cognitive Processes Program, and Eric Juengst of the National Endowment for the Humanities for their help in bringing about the conference.     

Examining Factors Co-Existing with Interpersonal Violence in Lesbian Relationships

Interpersonal violence within lesbian relationships is a significant yet understudied problem. Women attending a gay pride festival in Atlanta, GA, were asked to complete a survey concerning same-sex interpersonal violence. Women who reported being in a current or previous same-sex partner relationship were included in the analyses (N = 226). Factors that occurred in the context of interpersonal violence were investigated: substance use, HIV/STI risk behaviors, barriers to reporting abuse, and attitudes inhibiting seeking of social support. In addition, the survey assessed relationship-related power dynamics. Results of multivariate analyses support the hypotheses that power imbalance and inequality when making sex-related decisions within women’s same-sex relationships are associated with interpersonal violence. Further findings suggested that a combination of factors must be considered when dealing with and reducing the risk for violence in same-sex relationships.     

Factors Associated with Domestic Violence and Sexual Assault Victimization

This study explored factors associated with a lifetime history of domestic violence and sexual assault in a sample of welfare recipients in Illinois. Results indicate that childhood exposure to domestic violence is a risk factor for both sexual assault and domestic violence victimization, but that childhood physical abuse is only a risk factor for domestic violence. Increased education and employment skills and having more children were also risk factors for domestic violence victimization. Domestic violence was significantly associated with depression, while sexual assault was associated with low social support and a greater perceived need for mental health services. Frequent alcohol and drug use were not associated with either type of victimization. Research implications are discussed.     

Why Not Invade North Korea? Threats, Language Games, and U.S. Foreign Policy

International relations theory has difficulty explaining how similar policies produce different outcomes. Iraq and North Korea have been identified as members of the "axis of evil" with weapons of mass destruction programs that threaten the United States. Yet in late 2002, the United States prepared to attack Iraq whereas it chose to negotiate with North Korea, even after North Korea admitted to a secret nuclear program in direct violation of its 1994 agreement with the United States. Moreover, a direct comparison with Iraq shows North Korea to possess the greater material capability to threaten the United States. I argue that a language-based constructivist approach can explain these differences in U.S. foreign policy where other theoretical approaches cannot. By examining the U.S. entanglement in intersected language games—the implementation of the 1994 Agreed Framework with North Korea and the enforcement of United Nations Resolutions in Iraq—it becomes possible to show how the United States could construct North Korea's nuclear program as a manageable threat that could be dealt with diplomatically.     

Medication noncompliance in schizophrenia: codification and update

Risk of relapse and recidivism makes the failure to take antipsychotic medication as prescribed a significant issue in forensic psychiatry. This question may arise in such contexts as the setting of bail, plea bargaining, the insanity defense, and sentencing. We have reviewed the literature on medication noncompliance in schizophrenia and present here the results, organized by topics relevant for the work of forensic mental health experts. Reported rates of noncompliance vary widely, reflecting major differences in the populations studied and the methods used as well as the complexities involved in defining noncompliant behavior. A noncompliance rate of 50 percent has been attributed globally to chronic patients, both medical and psychiatric. The tendency of significant factors to interact precludes a simple typology of noncompliance. However, environmental security and supportiveness correlate positively with adherence; whereas anxiety, paranoia, grandiosity, depression, and side effects correlate negatively. Clinicians' assessments of whether medication is being taken have proven to be unreliable. Although monitoring by chemical measurement, particularly a radioreceptor assay for urine samples, can be useful, depot injection ensures that prescribed medication is being taken. Less invasive means of promoting compliance are described; psychodynamic and ethical issues to be considered in the monitoring and promotion of compliance over extended time periods are presented. We also probe the link between medication noncompliance and behavioral relapse. The time between default and relapse is most often measured in weeks. Whether due to medication withdrawal or not, the relapse pattern of each individual tends to repeat, allowing its recognition before recidivism occurs. Restarting medication at this stage, especially with a dosage increase, is usually effective. In sum, the forensic mental health expert can now readily use a large and diverse literature to assist with a variety of significant issues.