Assessing reliability, validity, and clinical utility of the BEST-Index in measuring living skills among forensic inpatients

The assessment of behavioral change as a result of inpatient treatment in forensic psychiatry is an important precondition for violence risk prediction in forensic psychiatry. In relation to a multitude of diagnostically based risk assessment instruments, there is a shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments that are behaviorally based and therefore appropriate for use within varied psychiatric contexts. There is also a need for instruments which will offer assessors the opportunity to examine possible relationships between criteria of social risk and criteria of more general aspects of social functioning. Tapping the issues pointed out above, the authors present an overview of a normatively based social profiling instrument (the BEST-Index), and discuss evidence for its validity, reliability, and aspects of clinical utility.     

Massive systemic fat embolism detected by postmortem imaging and biopsy*

Postmortem computed tomography (pmCT) and pmCT angiography (pmCTA) provide a minimally invasive method to determine the cause of death. Postmortem image-guided biopsy allows for precise sampling of histological specimens. This case study describes the findings of lethal systemic fat embolism (FE) on whole-body unenhanced pmCT, pmCTA, and image-guided biopsy, with autopsy and histopathologic correlation. Unenhanced pmCT revealed a distinct fat level on top of sedimented layers of corpuscular blood particles and serum in the arterial system and pulmonary trunk. Subsequent pmCTA showed reproducible results, and image-guided biopsy confirmed fatal FE. pm CT/pmCTA combined with image-guided biopsy established the cause of death as right heart failure as a result of systemic fatal FE prior to autopsy. All imaging findings were consistent with traditional autopsy and histological specimens. This unique case demonstrates new imaging findings in massive, fatal FE and highlights that postmortem imaging, supplemented by image-guided biopsy, may detect the cause of death prior to traditional autopsy.     

An Examination of the Influence of Strength of Evidence Variables in the Prosecution’s Decision to Dismiss Driving While Intoxicated Cases

The majority of research examining prosecutorial discretion has focused on legal factors such as the seriousness of the offense or the extra-legal characteristics of the accused including race/ethnicity and gender. The amount of variance explained by court researchers, however, remains quite low. The present study extends previous research examining the primary determinants of prosecutor??s decision to dismiss or fully prosecute focusing on driving while intoxicated cases. We focus on the predictive contribution of the strength of evidence relative to legal and extra-legal variables. The data consist of 2,358 driving while intoxicated cases filed in Harris County, Texas during the first 8?months of 1999. The findings strongly support the inclusion of strength of evidence variables in court research and further suggest their past omission may have attributed significance to spurious relationships.     

The Dissemination of Criminological and Criminal Justice Knowledge and Practice: A Profile of People's Republic of China Scholars Who Earn Doctorates in the United States

Policies and practices in countries do not exist in a vacuum. There are many sources of ideas for change. One of the most important is exposure to foreign ideas through international scholarly exchange. This article briefly reviews the history and causes that have contributed to this process with scholars from the People??s Republic of China who have chosen to obtain doctorates in the United States and study Criminology and/or Criminal Justice. In particular, over the past two decades, close to two dozen scholars have come to the United States to earn masters and PhD degrees in the fields of Criminology/Criminal Justice or related fields. This article uses a survey methodology to understand this complex process.     

An ounce of prevention...

A major theme in the apparent transformation of the criminal justice system in recent years is the commitment to shifting away from reactive responses to crime in favor of proactive prevention practices. This paper raises the question of whether the rhetoric of prevention has been translated into real substantive changes. The author argues that the activity which has occurred in response to the rhetoric of prevention is more significant as an ideology of practice and control than as a ‘solution’ to the problem of crime. For the moment, it is unlikely that an ounce of prevention will produce more than a few grams of cure.