Disentangling the Disability Quagmire in Psychological Injury and Law

This paper aims to critically analyze the evolution of six models of conceptualization, determination, and prediction of occupational disability relevant in the medico-legal context of psychological injury. The six models are the (a) biomedical, (b) forensic, (c) psychosocial, (d) ecological, (e) economic, and (f) biopsychosocial. We will discuss the key commonalities and differences among the models, including disciplinary tradition, research paradigm, recognition of person–environment interaction, key tenets, and implications for practice and research in psychological injury. The paper will highlight and discuss psychosocial issues, often underemphasized in forensic psychological practice, including: (a) balanced assessment of primary, secondary, and tertiary gains and losses, (b) self-perception, (c) disability identity, (d) beliefs and expectations, (e) coping, (f) adaptation and positive growth, (g) social stigma and social reactions to disability, including disability harassment, and (h) recognition of system-based environmental influences and demands. We will provide a special focus on the current state of the science and practice of prediction of disability, of particular interest to researchers and clinicians involved in clinical and occupational prognostication in psychological injuries. Finally, we will draw conclusions and recommendations for future research and best practices in the psychological injury area using a cross-diagnostic, dynamic, functionally based, and integrated biopsychosocial and forensic model of disability.     

The Military Commissions Act's Inconsistency with the Geneva Conventions: An Overview

The Military Commissions Act codifies a wide range of provisionsthat are inconsistent with binding international humanitarianlaw standards. In spite of the Act's title, these inconsistenciesgo well beyond the rules and procedures governing the trailof terrorist suspects before military commissions. In additionto violating fundamental fair trial guarantees defined in internationalhumanitarian law, the Act misapplies the Geneva Conventionsby adopting a ‘one size fits all’ approach to thecharacterization of all counter-terrorist operations, providesfor an overly broad definition of unlawful combatant statusthat effectively deprives terror suspects of applicable lawof war protections, repudiates longstanding ‘elementaryconsiderations of humanity’ contained in common Article3 and entrenches a detention regime that does not comport withthe terms of the Geneva Conventions. These departures from internationalhumanitarian law are reinforced by provisions of the Act thatpurport to insulate US government personnel and their agentsfrom contrary interpretation and judicial scrutiny. The Actis thus best described as a series of breaches rather than developmentsof international humanitarian law, and as such, signals a starkdeparture from the US's historical commitment to the laws ofwar.     

Local Venues for Change: Legal Strategies for Healthy Environments

Mounting evidence documents the extraordinary toll on human health resulting from the consumption of unhealthy food products and physical inactivity. In response to America's growing obesity problem, local policymakers have been looking for legal strategies that can be adopted in their communities to encourage healthful behaviors. In order to provide practical tools to policymakers, this article examines four possible venues for local policy change to improve the health of a community: (1) the school environment (2) the built environment (3) community facilities and (4) the point of sale environment. Finally, the article examines the use of taxes or fees as a means of paying for nutrition policy work as well as potentially reducing the consumption of unhealthy products. This article illustrates that local laws and policies can be a valuable tool in changing a community's environment in order to improve nutritional options and increase opportunities for physical activity.     

A multilevel analysis of the effect of cocaine price on cocaine use among arrestees

Using data drawn from the Arrestee Drug Abuse Monitoring Program, from the Drug Enforcement Administration's System to Retrieve Information from Drug Evidence, and from the 1990 Census, this study examined whether an arrestee's probability of testing positive for cocaine use varied across aggregate levels of cocaine price. Results from a Hierarchical Generalized Linear Modeling analysis revealed that in cities where the price of cocaine was relatively high, arrestees had a lower probability of testing positive for cocaine use. Specifically, a 10 percent increase in the price of cocaine was associated with a 3 percent decrease in the odds that an arrestee would test positive for cocaine use. Findings also showed that individuals arrested for income-generating crimes did not have a higher probability of testing positive for cocaine when the price of cocaine was relatively high. Thus, it appeared that higher cocaine prices were not inducing users to amplify their criminal activity in order to finance a more costly drug addiction. Finally, results failed to furnish support for the hypothesis that individuals substituted opiates or marijuana when cocaine became more expensive.     

Age related changes in the human plastron: a roentgenographic and morphologic study

Characteristic changes that can be demonstrated on roentgenograms occur with increasing age in the plastron (chest plate) of humans. These alterations include progressive ossification in the costal cartilages (located characteristically in the sternal rib end, centrichondrally, and peristernally--often with sex and age distinctive patterns), maturation of the newly formed bone with trabeculation formation, loss of the smooth contour of the costo-manubrial junction, cupping of rib ends, osteoporotic changes, and arthritic changes in the sternal head of the clavicles. The sequence of development of these alterations has been examined by X-ray of 1965 cadavers of 15 years of age or over and correlated with the gross bone and cartilage morphology changes in many cases. This technique allows for age determination within 5 years of real age in 55% of cadavers and within 25% of real age in 95% of all cadavers. The greatest departures from real age are in the over-60-year groups. The same roentgenograms can allow for correct sex prediction in 99% of the population.     

Effectiveness of Risk-Needs-Responsivity-Based Family Violence Programs with Male Offenders

The following presents the outcome of an evaluation of family violence prevention programs for male offenders. The moderate and high intensity programs were designed and implemented to conform to the Risk-Needs-Responsivity (RNR) principles. Results showed that program participation significantly reduced attitudes that supported violence against women and improved pro-social skills related to non-abusive relationships; treatment effects were moderate to high. Parole officer feedback generally reported positive changes in behavior and attitude associated with treatment. A post-release follow-up indicated that program completion significantly reduced spousal violence and general violent recidivism. Program participation did not, however, have a significant impact on non-violent crime. Results indicate that domestic violence programs respecting the RNR principles may be effective in reducing partner violence.     

Improving the Implementation and Effectiveness of Out‐of‐School‐Time Tutoring

School districts are spending millions on tutoring outside regular school day hours for economically and academically disadvantaged students in need of extra academic assistance. Under No Child Left Behind (NCLB), parents of children in persistently low‐performing schools were allowed to choose their child's tutoring provider, and together with school districts, they were also primarily responsible for holding providers in the private market accountable for performance. We present results from a multisite, mixed‐method longitudinal study of the impact of out‐of‐school time (OST) tutoring on student reading and mathematics achievement that link provider attributes and policy and program administration variables to tutoring program effectiveness. We find that many students are not getting enough hours of high‐quality, differentiated instruction to produce significant gains in their learning, in part because of high hourly rates charged by providers for tutoring. We identify strategies and policy levers that school districts can use to improve OST tutoring policy design and launch improved programs as waivers from NCLB are granted.     

Adjusting for Confounding with Text Matching

We identify situations in which conditioning on text can address confounding in observational studies. We argue that a matching approach is particularly well-suited to this task, but existing matching methods are ill-equipped to handle high-dimensional text data. Our proposed solution is to estimate a low-dimensional summary of the text and condition on this summary via matching. We propose a method of text matching, topical inverse regression matching, that allows the analyst to match both on the topical content of confounding documents and the probability that each of these documents is treated. We validate our approach and illustrate the importance of conditioning on text to address confounding with two applications: the effect of perceptions of author gender on citation counts in the international relations literature and the effects of censorship on Chinese social media users.