Head banging as a form of self-harm among inpatients within forensic mental health and intellectual disability services

Introduction: ‘Head banging’ is a common form of self-harm, linked to numerous negative outcomes including significant brain damage. However, little research has investigated head banging behaviour and its correlates in clinical populations. Method: Head banging episodes were identified from the incident records (n = 5417) of two inpatient forensic services (one intellectual disability and one mental health), using relevant search terms. Rates were compared between individual patients, by gender, diagnosis and level of security. Incident accounts were analysed qualitatively using thematic analysis. Results: Head banging incidents occurred approximately every 3 days in each service, with 229 incidents recorded in 1 year. Individual patient rates varied widely, ranging from 1 to 38 incidents within 1 year. Women, and patients in higher levels of therapeutic security, were significantly more likely to engage in head banging. Qualitative incident reports indicated that head banging was associated with mental distress, anger and psychotic experiences. Discussion: Head banging occurs frequently in forensic services, and has documented associations with traumatic brain injury in affected individuals, thus negatively impacting progress through the care pathway and treatment outcomes. Further research should investigate short- and long-term management strategies and treatment approaches, in order to minimise harm.     

Batterers Stalking Patterns

This clinically based study asked 165 batterers attending a court-mandated assessment program to quantify a series of behaviors that occurred since being convicted of battering. The behaviors clustered into 2 factors: (1) an Ambivalent Contact Pattern whereby behaviors of batterers were associated with contacting their ex-partner, sending gifts and letters, and watching her without her knowing while harboring conflicting feelings of love, hate, and anger; and (2) a Predatory Contact Pattern whereby the behaviors of batterers were associated with hang up calls, entering her home without permission, threatening or physically causing harm to her while harboring a propensity for abusiveness. Clinicians should assess batterers for predatory thoughts about the estranged partner, and reason for the contact since separation. Presence of stalking behaviors and predatory fantasy is a window to determine repetitive and escalating domestic violence.     

An Aristotelian paradox: Wollstonecraft and the implications of marriage as friendship

ABSTRACT

This essay argues that Mary Wollstonecraft interprets marriage in A Vindication of the Rights of Woman as a relationship reminiscent of Aristotelian higher friendship. This position presents an Aristotelian paradox: Wollstonecraft shows how marriage – an institution Aristotle explicitly viewed as a husband ruling a wife – can be the basis of the Aristotelian fulfilment political society structurally provides to the best men. Overall, Wollstonecraft suggests that marriage should be recognized as a concrete contract of friendship between two individuals as opposed to a male-female complementarity that ends in the propagation of the species through childbirth. Her work enables us to challenge ideas of marriage – from Aristotle to Rousseau to the new natural law tradition – that overlook how the structure of marriage dominates possibilities for partnerships. By thus dignifying marriage, Wollstonecraft both critiques eighteenth century marriage practices and broadens the scope of gender expression today.

Abbreviation: VRW - A Vindication of the Rights of Woman     

The contribution of DNA to the disaster victim identification (DVI) effort

As part of the disaster victim identification (DVI) response to the 2009 Victorian bushfires disaster, a number of scientific disciplines contributed to the human identification process--forensic pathology, anthropology and odontology, as well as fingerprinting and DNA profiling. The DNA laboratory received 182 post-mortem (PM) samples from 120 DVI cases and 236 reference samples corresponding to 163 missing persons (and two non-DVI cases). DNA analysis yielded full DNA profiles for 102 DVI cases and 190 ante-mortem (AM) samples (relating to all 163 missing persons), respectively. Subsequent comparison of DNA profiles, through direct and kinship matching, resulted in the submission of 76 DNA reports to the DVI Reconciliation Centre which assisted in the identification of 67 deceased. This paper describes the contribution of DNA analysis towards the DVI response to the 2009 Victorian bushfires disaster.     

Self-Reported Intentions to Offend: All Talk and No Action?

To study criminal decision making, researchers commonly present hypothetical offending scenarios to participants and record their self-reported intentions to offend (SRIO). These SRIO scores are treated as an indicator of participants?? predisposition to commit the act described in the scenario. Drawing from the field of clinical measurement, the current study examines the diagnostic accuracy of SRIO scores by comparing participants?? intentions to acquire illegal music files from a designated distributor to their actual attempts to acquire such files. Approximately 7% of participants who read about a (bogus) music piracy opportunity reported strong??and at times definitive??intentions to seek out the illegal files. However, in actuality, no one in the study engaged in this behavior. Clinimetric indicators suggest that SRIO scores are better at predicting abstention from crime than actual criminal participation.     

The Analysis of Bounded Count Data in Criminology

Background

Criminological research utilizes several types of delinquency scales, including frequency counts and, increasingly, variety scores. The latter counts the number of distinct types of crimes an individual has committed. Often, variety scores are modeled via count regression techniques (e.g., Poisson, negative binomial), which are best suited to the analysis of unbounded count data. Variety scores, however, are inherently bounded.

Methods

We review common regression approaches for count data and then advocate for a different, more suitable approach for variety scores—binomial regression, and zero-inflated binomial regression, which allow one to consider variety scores as a series of binomial trials, thus accounting for bounding. We provide a demonstration with two simulations and data from the Fayetteville Youth Study.

Conclusions

Binomial regression generally performs better than traditional regression models when modeling variety scores. Importantly, the interpretation of binomial regression models is straightforward and related to the more familiar logistic regression. We recommend researchers use binomial regression models when faced with variety delinquency scores.

     

Traumatic brain injury in a forensic intellectual disability population

Traumatic brain injury (TBI) screening in forensic populations has been recommended, due to a high prevalence, links to specific offence profiles and poorer outcomes, such as higher rates of psychiatric disturbance, longer stays in prison, and reoffending. Research focusing on TBI among offenders with intellectual disability (ID) is lacking. This study therefore describes the implementation of TBI screening using the Brain Injury Screening Index (BISI©), TBI prevalence and correlates in a forensic ID service. TBI appeared under recorded in case notes, with considerably more patients self-reporting TBI. Reported causes of TBI differed somewhat to the general population, including childhood physical abuse, self-harming behaviour, and assault. Approximately one-third of injuries did not receive any treatment. Though further adaptations may be required on current screening measures for TBI in offenders with ID, screening can provide valuable information, contributing positively to individual patient therapeutic and risk formulations.