Trauma and Psychological Injury: Practice, Clinical, Legal, and Ethical Issues

Psychologists need continuing education in areas pertinent to their practice. The area of psychological injury and law presents issues and conundrums that need careful ongoing evaluation for appropriate clinical practice, adherence to ethical standards, and functioning in the legal context. In this article, we prepared a series of vignettes that illustrate these difficulties in the practice, clinical, legal, and ethical spheres related to the area of psychological injury and law. The vignettes, together with accompanying commentaries, are meant for use in workshops, and they aim to educate, stimulate, and provoke. Furthermore, the article has been written with the aim of interaction with readers, in that we seek commentaries from readers both for purposes of publication and use in workshops.     

Detecting buried metallic weapons in a controlled setting using a conductivity meter

Forensic personnel may face a daunting task when searching for buried weapons at crime scenes or potential disposal sites. In particular, it is common to search for a small firearm that was discarded or buried by a perpetrator. When performing forensic searches, it is recommended to first use non-invasive methods such as geophysical instruments to minimize damage to evidence and to the crime scene. Geophysical tools are used to pinpoint small areas of interest across a scene for invasive testing, rather than digging large areas throughout the site. Prior to this project, there was no published research that tested the utility of the conductivity meter to search for metallic weapons such as firearms and blunt and sharp edged weapons. A sample comprised of 32 metallic weapons including firearms, blunt and sharp edged weapons, and scrap metals was buried in a controlled setting to test the applicability of a conductivity meter for forensic searches. Weapons were tested at multiple depths and after data collection was performed for one depth, the weapons were reburied 5 cm deeper until they were no longer detected. Variables such as weapon size, burial depth, transect interval spacing (25 and 50 cm), and metallic composition were tested. All of the controlled variables influenced maximum depth of detection. For example, size was a factor as larger weapons were detected at deeper depths compared to smaller weapons. Metal composition affected maximum depth of detection as the conductivity meter detected items comprised of ferrous metals at deeper depths than non-ferrous metals. Searches for large buried items may incorporate a transect interval spacing of 50 cm but small weapons may be undetected between transects and therefore a transect interval spacing of 25 cm is recommended. Overall, the conductivity meter is a geophysical tool to consider when searching for larger-sized metallic weapons or to use in conjunction with an all-metal detector, particularly when searching for buried metallic evidence in obstructed areas.     

Controlled GPR grave research: comparison of reflection profiles between 500 and 250 MHz antennae

Since ground-penetrating radar (GPR) has become a popular search option for clandestine graves, controlled research is essential to determine the numerous variables that affect grave detection. The purpose of this study was to compare GPR reflection profiles of a controlled grave containing a large pig carcass and a blank control grave at 6 months interment in a Spodosol, which is a common soil type in Florida. Data collection was performed in perpendicular orientations over the graves using both 500 and 250 MHz antennae. Since reflection profiles are used to make initial in-field assessments during a forensic search, it is important for controlled research to evaluate this imagery option. Overall, it was possible to detect the grave containing a pig carcass at 6 months interment that was buried in a Spodosol using both the 500 and the 250 MHz antennae. While the 500 MHz antenna provided more detail within the grave containing a pig carcass, including detecting a soil disturbance and the pig carcass, the 250 MHz antenna also provided excellent imagery. Either antenna would provide optimal results for the type of soil that was sampled. Furthermore, it may be possible to locate actual forensic graves in this soil type when no response from the body is noted, as there may be a discernable response from the disturbed soil within the grave shaft and a noticeable disruption of the spodic horizon. Finally, survey orientation may also affect detection. Since data collection performed in two perpendicular directions detected the pig carcass and the grave floor of the control grave, data collection for an actual search involving a body interred for a long postmortem interval should be performed in both directions when time permits.     

Trauma-exposed young victims: possibilities and constraints for providing trauma support within the investigative interview

For police, the aim of an investigative interview is to obtain a detailed and reliable account from the interviewee while remaining objective and impartial. This study explores the challenges involved in interviewing traumatised young victims and providing trauma support within the legal framework. The study is based on 19 videotaped investigative interviews of highly traumatised young victims of the 2011 Utøya terror attack in Norway and research interviews with the 17 detectives who conducted the police interviews. We analysed the research interviews that comprise the main data using qualitative inductive methods. We used the videotaped investigative interviews as a framework for the research interviews. We identified various types of constraint and support that the detectives perceived and found that objectivity is critical to the interviewers’ understanding of their professional role, which results in phase-bound support. At the beginning and end of the interview, they perceive opportunities to be supportive that are in accordance with recommended trauma care. However, the interviewing detectives become more passive when the conversation is about the criminal offence and seem less confident about being supportive. This study provides relevant new insights into how police experience interviewing traumatised young victims.     

Competition law enforcement under informational asymmetry

China-EU Law Journal - Competition law enforcement, whether by public officials, private parties and consumers or the courts, has to resolve informational and resource asymmetries. Current EU...     

An Examination of the Transition of Fracture Characteristics in Long Bones from Fresh to Dry in Central Florida: Evaluating the Timing of Injury

It is important to conduct timing of injury research analyzing fracture characteristics at known postmortem intervals (PMI) because bone can retain fresh characteristics throughout the PMI. Defleshed pig (Sus scrofa) long bones were fractured weekly in two environments (full sun and shade) over 14 weeks in Central Florida and fracture characteristics were categorized (N = 136) for analysis. Results of analysis of variance (ANOVA) using time in weeks (PMI) as a dependent variable indicate significant relationships between PMI and Fracture Angle (p < 0.001), Fracture Surface (p < 0.001), and Fracture Outline (p < 0.001). Fracture characteristics associated with perimortem trauma (smooth Fracture Surfaces and curved or V‐shaped Fracture Outlines) were commonly observed. Analysis of fracture characteristics for each environment demonstrated similar patterns. Overall, the loss of only fresh fracture characteristics for each bone was noted earlier in the PMI for the Central Florida region than previously reported.     

Fatalities Due to Failure of Continuous Subcutaneous Insulin Infusion Devices: A Report of Six Cases

Diabetes mellitus type 1 and type 2 are diseases characterized by impaired regulation of blood glucose due to decreased insulin production and insulin resistance, respectively. Management of diabetes mellitus often requires injection of exogenous insulin. Continuous subcutaneous insulin infusion (CSII or insulin pump) is a diabetes treatment modality utilizing a device to aid in regulation of glycemic control. Malfunctions in device components can have rare fatal consequences. Described in this report are six fatalities due to one such malfunction, the failure of plastic cannulas of CSII devices to penetrate the skin and deliver insulin, resulting in fatal diabetic ketoacidosis (DKA). The cases derive from four different death investigation systems. For each case, scene and autopsy findings are presented, as well as selected toxicology and histology findings. These cases illustrate the importance of careful examination of CSII devices in death investigations and introduce a discussion on discrepant manner of death classifications.     

Cognitive Impact of Fatigue in Forensic Neuropsychology Context

Physical and mental fatigue are common factors affecting function and recovery in litigated injuries and illnesses. Despite the high prevalence of fatigue-related symptoms and anticipated impact on cognitive functioning, forensic neuropsychological assessments are often challenged by the following approaches to the evaluation of fatigue: (1) confusing physical and mental fatigue; (2) referencing fatigue as a factor in existence but disregarding its specific cognitive impact; (3) over-attribution of all identified problems to fatigue; and (4) neglecting the impact of fatigue on effort in testing. In the context of a wide range of idiosyncratic approaches applied by neuropsychologists with respect to the significance of fatigue factors and the role of the assessor in accounting for them, there is a risk of confusion. Yet, impairments caused by fatigue can be disabling and resistant to treatment, and even more so when the treatment is based on incorrect diagnostic, causality, and prognostic assumptions. The current review will focus on integrating the available empirical evidence from neuroscience and neuropsychology regarding our current understanding of the cognitive impact of fatigue. Our critical review will emphasize the implications of the accumulating new evidence for forensic assessment determinations regarding causality, diagnosis, and impact on function, as well as prognosis and treatment. To this end, electronic search engines including PubMed, PsycINFO, and Google Scholar (up to January 2018) have been screened and reviewed both for the neuroscience and neuropsychological literature related to mental fatigue.