Are they different? A comparison of risk in Dangerous and Severe Personality Disordered and Personality Disordered hospitalized populations

Abstract

There has been considerable interest internationally in the assessment and treatment of individuals who have a severe personality disorder and who might pose a high risk of future recidivism. In the UK, the Dangerous and Severe Personality Disorder (DSPD) programme was initiated to deal with just this group. It is unclear, yet, whether those admitted to these services are different from those admitted to conventional personality disorder (PD) services. In the present study, 60 patients admitted to DSPD services, under DSPD criteria, were compared with 44 patients admitted to personality disordered (non-DSPD) services within the same high secure psychiatric hospital, on risk measures, including (1) an index of predicted future violence, (2) previous offending behaviour and (3) ‘pre-treatment’ levels of institutional risk-related behaviour. Results indicated that DSPD patients do pose a greater clinical and management risk, have a higher number of ‘pre-treatment’ risk-related behaviour, and have a greater number of convictions and imprisonments after age 18, relative to PD patients. The implications and limitations of these results are discussed.     

MTN: A South African mobile telecommunications group in Africa and Asia

ABSTRACT

The MTN Group, based in South Africa, is a multinational enterprise from an emerging economy (EE-MNE), operating mobile telecommunications networks in Asia and Africa. It was built up by negotiating licences and by acquiring operators, notably Investcom, a Lebanese-owned firm with operations in Asia, Africa and Cyprus. Such opportunities arose from the liberalisation of national markets and the financialisation of the sector. MTN now has licences from some very unattractive governments, to which it pays taxes, provides wire-tapping, collects metadata and censors content. Its business partners have included political parties, cronies of political leaders and individuals on a United Nations asset freeze list. It denies allegations it displaced a rival in Iran by corrupt means. It successfully became a major international operator, but acquisitions have stopped, forcing it to rely on organic growth and new technologies.     

A Strange Drift to the Right: The Civic Historiography of Michael Sandel

Michael Sandel's Democracy's Discontent strives to contribute to the project of "democratic theory," which aims to bring people together across ideological differences. Sandel wants to revitalize citizenship by uniting religious conservatives and those committed to a more just political economy through an appeal to the American tradition of civic republicanism. However, his project is fundamentally incoherent. First, Sandel's narrative conflates the republican and religious aspects of the American founding, ignoring the fact that civic republican political theory actually developed in direct opposition to the ideal of a Christian polity. Second, his version of civic republicanism deviates from the historic tradition in a way that renders it much more conservative than it actually was and might still be. Third, his reading of American history consistently highlights conservative themes. Consequently, Sandel ultimately undercuts the progressive aspects of his own vision, detracting from rather than contributing to the transideological aspirations of "democratic theory."     

Simultaneous analysis of six amphetamines and analogues in hair, blood and urine by LC-ESI-MS/MS. Application to the determination of MDMA after low ecstasy intake

A rapid and sensitive method using LC-MS/MS triple stage quadrupole for the determination of traces of amphetamine (AP), methamphetamine (MA), 3,4-methylenedioxyamphetamine (MDA), 3,4-methylenedioxymethamphetamine (MDMA, "ecstasy"), 3,4-methylenedioxyethamphetamine (MDEA), and N-methyl-1-(3,4-methylenedioxyphenyl)-2-butanamine (MBDB) in hair, blood and urine has been developed and validated. Chromatography was carried out on an Uptisphere ODB C(18) 5 microm, 2.1 mm x 150 mm column (Interchim, France) with a gradient of acetonitrile and formate 2 mM pH 3.0 buffer. Urine and blood were extracted with Toxitube A (Varian, France). Segmented scalp hair was treated by incubation 15 min at 80 degrees C in NaOH 1M before liquid-liquid extraction with hexane/ethyl acetate (2/1, v/v). The limits of quantification (LOQ) in blood and urine were at 0.1 ng/mL for all analytes. In hair, LOQ was <5 pg/mg for MA, MDMA, MDEA and MBDB, at 14.7 pg/mg for AP and 15.7 pg/mg for MDA. Calibration curves were linear in the range 0.1-50 ng/mL in blood and urine; in the range 5-500 pg/mg for MA, MDMA, MDEA and MBDB, and 20-500 pg/mg for AP and MDA. Inter-day precisions were <13% for all analytes in all matrices. Accuracy was <20% in blood and urine at 1 and 50 ng/mL and <10% in hair at 20 and 250 pg/mg. This method was applied to the determination of MDMA in a forensic case of single administration of ecstasy to a 16-year-old female without her knowledge during a party. She suffered from hyperactivity, sweating and agitation. A first sample of urine was collected a few hours after (T+12h) and tested positive to amphetamines by immunoassay by a clinical laboratory. Blood and urine were sampled for forensic purposes at day 8 (D+8) and scalp hair at day 60 (D+60). No MDMA was detected in blood, but urine and hair were tested positive, respectively at 0.42 ng/mL and at 22 pg/mg in hair only in the segment corresponding to the period of the offence, while no MDA was detectable. This method allows the detection of MDMA up to 8 days in urine after single intake.     

Evaluation of preliminary isotopic analysis (13C and 15N) of explosives A likelihood ratio approach to assess the links between semtex samples

Currently, the use of isotopic ratio as corroborative evidence in criminal trials is explored. Beyond the analytical challenges that have been reported elsewhere, the crucial issue of the interpretation of analytical results in a fair and balanced way remains poorly documented. The aim of this paper is to propose a likelihood ratio approach for the evaluation of stable isotope data acquired from semtex samples. It will also lead to recommendations in relation to the acquisition of normalised international data.     

Cancer stories: Extracts

These extracted stories provide a taste of Claire's writing during her illness. There are plans to publish the collected writings edited by Barbara Einhorn and Christine Zmroczek.     

Personality features of an adolescent female offending population

The incidence of adolescent offending has been shown to be different for young males and females. However, there is a lack of literature concerning adolescent female offenders, and despite research suggesting that personality factors may be linked with antisocial and criminal behaviour in adolescents and young adults; there have been a lack of studies investigating intra-sex personality differences in young female populations. The Millon Adolescent Clinical Inventory, a 160-item self-report personality measure, was administered to 26 non-offending and 28 offending adolescent females. It was found that the offending group was significantly less submissive, less conforming, more forceful, more oppositional and more likely to exhibit borderline personality traits than the control group. The offending group also had higher reported incidences of childhood abuse and family conflict, and were more prone to substance abuse, impulsive actions and suicide ideation. These initial findings suggest that personality differences may well exist between offending and non-offending adolescent females.     

Gradgrinding the Social Sciences: The Politics of Metrics of Political Science

This article employs an interpretive approach, and in the light of contributions to this symposium by Butler and McAllister, and McLean et al ., holds that metrics of research 'quality' are socially constructed and hence are as 'subjective' as peer review. Thus it rejects the use of stand-alone metrics as an 'objective' basis to inform funding allocations. Rather, the optimum method of 'quality' assessment is a panel-based exercise with expert judgement informed by a range of discipline-sensitive metrics and peer review of publications. The article maintains that the politics of metrics of political science conceals interests about the foundations of social scientific knowledge, and so the dispute over metrics and peer review is a metaphor for the conflicting epistemological preferences of UK political scientists. It is also argued that metrics-led assessment subjects political science to 'Gradgrinding' on two fronts: that political science departments amount to less than the sum of their parts, and the audit culture strips the discipline of its humanism.