Psychopathy, treatment change, and recidivism in high-risk, high-need sexual offenders

The present study investigated 154 consecutive admissions to the Regional Treatment Center (Ontario) Sex Offender Treatment Program with reference to psychopathy and outcome. Ratings of treatment behavior, as well as clinical judgments as to whether risk was reduced, were coded based on treatment reports. With reference to Psychopathy Checklist-revised (PCL-R) scores, survival analyses indicated that high scorers recidivated at significantly higher rates than low scorers. However, offenders who received high PCL-R scores and lower scores on measures of treatment behavior recidivated at the same rate as low scorers on the PCL-R. Furthermore, among high PCL-R offenders, those rated as lower risk at post treatment in fact reoffended at a lower rate than those whose risk was rated as unchanged, although this difference failed to reach significance. Findings are discussed in light of the clinical and research literature.     

Advance directives in action in a regional palliative care service: "road testing" the provisions of the Medical Treatment Act 1988 (VIC)

In order to explore the usefulness and acceptability of the provisions of the Medical Treatment Act 1988 (Vic) for palliative care patients in a rural region in Victoria, Australia, between July and December 2004 patients were given information explaining the Act and the opportunity to discuss it with the research officer. Grounded theory methodology was used to evaluate client responses. Findings suggested that palliative care patients are willing to engage in advance care planning but they have to be well enough and need skilled, practical, face-to-face assistance to complete the required legal forms. Written materials alone are not adequate, but provide the opportunity for medical staff to have conversations about death and dying. Doctors and nurses should understand the provisions of the Act to assist patients and families. It is recommended that advance care planning, appropriate to the jurisdiction, be an integral part of the palliative care assessment process.     

Public Preferences for Parliamentary Representation in the UK: An Overlooked Link?

Representation, both as a normative concept and a political process, has generated a rich literature across several national contexts. To develop our understanding of representational systems, scholars tend to assess the degree of policy congruence between parliamentarians and constituents as well as the role orientations adopted by elected parliamentarians and legislators. This paper contends that in order to have a complete understanding of representational systems, we must consider not only the representational roles adopted by parliamentarians, but also the publics' preferences regarding parliamentary representation. Specifically, I posit that individuals have attitudes about the type and degree of relationship that they believe should exist between elected parliamentarians, parties and constituents. Using data from a 2003 survey of the British public, I test the related hypotheses that individuals have meaningful and predictable preferences for the representational relationship they share with their members of parliament (MPs) and that these representational preferences in turn influence how individuals evaluate MPs. Finding support for both hypotheses, I argue that developing an understanding of normative public preferences for political representation is an important and overlooked component in advancing models of public support of both elected officials and governing institutions.     

Issue news and electoral volatility

Abstract. This article shows that issue coverage in the media partly explains both the political landslide at the 1994 elections in the Netherlands and the political continuity in the 1994 elections in Germany. Theories of issue voting guided the research. Issue ownership theory maintains that voters will remember which party has the best record of solving problems in emphasized issue areas. Proximity models and directional models suggest that voters' own issue positions will be compared to the perceived issue positions of parties. A longitudinal content analysis of ten newspapers and five television news programmes was performed to ascertain selective issue emphasis and the issue positions attributed to parties. Election outcomes and weekly opinion polls were used to measure the volatility of the vote.     

Adolescent Attachment Questionnaire: A Brief Assessment of Attachment in Adolescence

The Adolescent Attachment Questionnaire (AAQ), a brief questionnaire to assess attachment characteristics in adolescents, was developed and validated in a large normative sample (n = 691) and a sample of 133 adolescents in psychiatric treatment. The AAQ is a self-report questionnaire consisting of 3 scales of 3 statements each, with Likert-type responses from strongly disagree to strongly agree. The Availability scale assesses the adolescent's confidence in the availability and responsiveness of the attachment figure. TheGoal-Corrected Partnershipscale assesses the extent to which the adolescent considers and is empathetic to the needs and feelings of the attachment figure. The Angry Distress scale taps the amount of anger in the adolescent–parent relationship. All scales demonstrate satisfactory internal reliability and agreement between scores for adolescents (n = 91) from the normative sample who completed the AAQ twice. Adolescents in the clinical sample also completed the Adult Attachment Interview (AAI); the AAQ demonstrated high convergent validity with the AAI.     

Labour's Transformation: Searching for the Point of Origin

Existing analyses of the Labour Party's recent transformation tend to begin in the period after the 1987 election defeat, and less commonly after the 1985 conference. Because of this, analysts have ignored additional causes and aspects of transformation occurring in the early 1980s in the areas of policy reform, campaign strategy and `ethos'. Once these extra factors are taken into account we can acknowledge that Labour's transformation is more complex than previously recognised. Consequently, what often appears as an origin of change is more accurately a point of transition in an unending process of development and flux.     

Schizophrenia as a cause of death

Schizophrenia is a chronic disorder that is associated with increased mortality. Although traumatic deaths account for most of this increase, there is also an increased rate of natural deaths in this population. Altered autonomic physiology in this group might contribute to death. To determine if there are schizophrenics in whom, after a complete autopsy, no recognizable cause of death other than schizophrenia is established, the records of the Office of Chief Medical Examiner of the City of New York were reviewed for deaths associated with schizophrenia and a natural manner of death. Six such decedents were identified, and their histories and autopsy results are described. We believe that schizophrenia per se is a potentially lethal disorder. Autonomic irregularities and their interactions with psychotropic drugs deserve further attention.     

Meckel's diverticulum and intestinal obstruction--report of a fatal case

Meckel's diverticulum is an uncommon cause of intestinal obstruction in adult life. Rarely Meckel's diverticulum is complicated by a mesodiverticular band, which is believed to be a remnant of a vitelline artery. When this abnormality occurs it is associated with high mortality. We present a case of a 48-year-old man with increasing abdominal pain and vomiting for 3 days. Meckel's diverticulum was not taken into diagnostic consideration, and the man died. Autopsy revealed a Meckel's diverticulum with a mesodiverticular band and intestinal obstruction. Histological examination of cross sections of the mesodiverticular band showed the presence of an artery. Because of the high mortality of this rare anatomic anomaly in adults, we find the case of interest.