Choosing to limit choice: Self-binding directives in Dutch mental health care

In certain cases of chronic mental illness (for example bipolar disorder) a self-binding directive or Ulysses contract may be a helpful intervention to prevent harm to the person him- or herself and/or others. By choosing such an arrangement, the patient can indicate when and how mental health professionals may intervene against his or her will and provide indicated care which may lead to an improvement of the patient's mental condition. In the Netherlands, since 2008 the Compulsory Admissions Act has been amended and now includes a paragraph on self-binding. Starting from the Dutch debate and statutory regulation of self-binding in mental health care, a number of issues with broader relevance are discussed, particularly as these pertain to the legal regulation and juridification of self-binding. It is argued that too many detailed rules are a threat to increasing patient empowerment.     

"We are also normal humans, you know?" Views and attitudes of juvenile delinquents on antisocial behavior, neurobiology and prevention

This paper presents and discusses the views and attitudes of juvenile delinquents regarding the implications of genomics and neurobiology research findings for the prevention and treatment of antisocial behavior. Scientific developments in these disciplines are considered to be of increasing importance for understanding the causes and the course of antisocial behavior and related mental disorders. High expectations exist with regard to the development of more effective prevention and intervention. Whether this is a desirable development does not only depend on science, but also on the ethical and social implications of potential applications of current and future research findings. As this pilot study points out, juvenile delinquents themselves have rather mixed views on the goals and means of early identification, prevention and treatment. Some welcome the potential support and help that could arise from biologically informed preventive and therapeutic measures. Others, however, reject the very goals of prevention and treatment and express worries concerning the risk of labeling and stigmatization and the possibility of false positives. Furthermore, interventions could aim at equalizing people and taking away socially disapproved capacities they themselves value. Moreover, most juvenile delinquents are hardly convinced that their crime could have been caused by some features of their brain or that a mental disorder has played a role. Instead, they provide social explanations such as living in a deprived neighborhood or having antisocial friends. We suggest that the hopes and expectations as well as the concerns and worries of juvenile delinquents are relevant not only for genomics and neurobiology of antisocial behavior, but also for prevention and intervention measures informed by social scientific and psychological research. The range of patterns of thought of juvenile delinquents is of great heuristic value and may lead to subsequent research that could further enhance our understanding of these patterns.     

Regulating for compassion?

In 2009, the Health and Disability Commissioner considered whether a right to be treated with compassion should be added to New Zealand's Code of Health and Disability Services Consumers' Rights. Before making his recommendation, the Commissioner explored the nature of compassion, its place as a virtue in medicine, and the implications of the proposed law change.     

Validation of a DNA IQ™-based extraction method for TECAN robotic liquid handling workstations for processing casework

A semi-automated DNA extraction process for casework samples based on the Promega DNA IQ™ system was optimized and validated on TECAN Genesis 150/8 and Freedom EVO robotic liquid handling stations configured with fixed tips and a TECAN TE-Shake™ unit. The use of an orbital shaker during the extraction process promoted efficiency with respect to DNA capture, magnetic bead/DNA complex washes and DNA elution. Validation studies determined the reliability and limitations of this shaker-based process. Reproducibility with regards to DNA yields for the tested robotic workstations proved to be excellent and not significantly different than that offered by the manual phenol/chloroform extraction. DNA extraction of animal:human blood mixtures contaminated with soil demonstrated that a human profile was detectable even in the presence of abundant animal blood. For exhibits containing small amounts of biological material, concordance studies confirmed that DNA yields for this shaker-based extraction process are equivalent or greater to those observed with phenol/chloroform extraction as well as our original validated automated magnetic bead percolation-based extraction process. Our data further supports the increasing use of robotics for the processing of casework samples.     

Assessing the trends,scale and nature of economic cybercrimes: overview and Issues

Trends in police-recorded and (where they exist) household survey-measured cybercrimes for economic gain are reviewed in a range of developed countries – Australia, Canada, Germany, Hong Kong, the Netherlands, Sweden, the UK and the US - and their implications for criminal policy are considered. The datasets indicate a substantial rise in online fraud – though one that is lower than the rise in online shopping and other ‘routine activity’ indicators - but it is not obvious whether this is just displacement for the fall in household and automobile property crime, nor how much overlap there is between the offenders and past ‘offline’ offenders. Nor do the data indicate whether the frauds result from insiders or outsiders, or are collusive. The direct and indirect costs of cyberfrauds are examined, and it is concluded that there is no satisfactory basis for the larger estimates of cost, but it is undeniable that those costs are large enough to merit concern. There remains a problem of what metrics are appropriate for judging the threat and harm from cybercrimes, and their impact on national and human security. There is not a sharp division between these larger national security issues and cyber attacks on banks, businesses, and the spear phishing of individuals with important knowledge of system vulnerabilities in the public or the private sector. Rather there is a punctuated continuum in the interplay between private, corporate governmental and wider social risks.     

Pecunia non olet: Cleansing the money-launderers from the Temple

This article analyses the development of police-bank relationships, principally in the UK but also elsewhere, within the context of the control of money laundering. It argues that we have moved from a situation of national control over bank secrecy to an emerging New International Order in which most, though not all, countries are pressurised into taking greater measures to reduce bank secrecy where crime is suspected. In Europe, particularly, banks are being turned into an arm of the state by being required to keep detailed records and to inform police where they suspect — or even where they ought to suspect — that moneys banked are the proceeds of crime. The article concludes with discussion of the limitations on this process generated by political economy factors.     

The identification of stolen paintings using comparison of various marks

Several oil paintings, suspected of being stolen, were found in the possession of an art dealer in Tel-Aviv, Israel. The authors were asked to determine if these paintings were the stolen ones, based on photographs, stretchers, and frames submitted by the alleged owners in France. A physical match was found between two of the questioned paintings and two stretchers. Another painting was identified as being previously affixed to the original frame by several nails. The fourth painting was identified as being the one photographed by the alleged owner. This identification was done by comparing micro-topography marks revealed by the illumination conditions of that photograph and of the questioned painting.     

Psychological assessment of forensic psychiatric outpatients

The 1960s decrease in long-term residential mental health care resulted in former psychiatric patients being admitted to correctional and forensic psychiatric facilities. Although psychologists face challenges in managing and treating this displaced population, assessment data plays a pivotal role in the determination of appropriate aftercare for the mentally ill parolee. This article discusses the assessment protocol utilized by the Forensic Conditional Release Program (CONREP) in California, summarizes data from these patients, and uses case excerpts to illustrate the potential value of assessment with a forensic psychiatric (outpatient) population. Special emphasis is given to the use of the MMPI-2 and Rorschach.     

The effects of the Yom Kippur War on values of Israeli female students

The Rokeach Terminal Value Scale and an attitude questionnaire were administered to two similar groups of female Israeli students before and after the Yom Kippur War. The second group also responded to a questionnaire about the effects of the war on the importance attributed to each of the values. The results were as follow: (a) Subjects stated that after the war 14 out of the 18 values in the Rokeach list increased in importance. (b) The war brought about a significant increase in the relative importance (rank) of 4 values (Pleasure, National Security, Happiness, and Mature Love), and a significant decrease in Equality. (c) No attitude change was found in respect to issues related to the war itself. (d) Values accounted for a smaller percent of the variance in attitudes after the war than they did before it. In view of these findings it is suggested that a distinction be made between relative and absolute importance within a value system.Received his Ph.D. from the Hebrew University of Jerusalem. Fields of interest include cognitive processes, psychology of mathematics education, and evaluation.Recieved his Ph.D. from the Committee on Human Development, the University of Chicago. Fields of interest include motivation and moral development.