Child murder committed by severely mentally III mothers: an examination of mothers found not guilty by reason of insanity. 2005 Honorable Mention/Richard Rosner Award for the best paper by a fellow in forensic psychiatry or forensic psychology

Forensic hospital records of 39 severely mentally ill mothers adjudicated Not Guilty by Reason of Insanity for filicide (child murder by parents) were analyzed to describe characteristics preceding this tragedy and to suggest prevention strategies. Almost three-quarters of the mothers (72%) had previous mental health treatment. Over two thirds (69%) of the mothers were experiencing auditory hallucinations, most frequently command hallucinations, and half (49%) were depressed at the time of the offense. Over one third (38%) of the filicides occurred during pregnancy or the postpartum period, and many had a history of postpartum psychosis. Almost three-quarters (72%) of the mothers had experienced considerable developmental stressors, such as death of their own mother or incest. Maternal motives for filicide were predominantly "altruistic" (meaning murder out of love) or "acutely psychotic" (occurring in the throes of psychosis, without rational motive). Psychiatrists should perform careful risk assessments for filicide in mothers with mental illnesses.     

Posttraumatic stress disorder in murderers

Three case histories of men who suffered posttraumatic stress disorders after committing homicides are presented. These men were relatively young and had chaotic childhoods and minimal criminal histories. Each had killed a woman with whom he had a significant but intensely turbulent emotional relationship. The killings all occurred during altered mental states that were unrelated to the use of drugs or alcohol. The clinical significance and some of the medicolegal implications of this phenomenon are discussed.     

Human immunodeficiency virus infection in cases presenting to the Philadelphia Medical Examiner's Office.

Serum samples were available from 492 of 1,058 cadavers seen at the Philadelphia Medical Examiner's Office between August 4 and December 15, 1989. These sera were tested for the presence of antibodies to human immunodeficiency virus (HIV) by enzyme-linked immunosorbent assay (ELISA) and Western blot. The overall prevalence of HIV in the autopsy population was 2.24%. The following populations showed increased prevalence as compared to the total sampled population: blacks (3.60%, p less than 0.01), males (2.51%, n.s.), and homicide victims (3.74%, n.s.). Seroprevalence data from this study are compared with those from earlier studies of other related populations, with regard to overall prevalence and risk factor analysis.     

Listening to voices: The use of phenomenology to differentiate malingered from genuine auditory verbal hallucinations

The experience of hearing a voice in the absence of an appropriate external stimulus, formally termed an auditory verbal hallucination (AVH), may be malingered for reasons such as personal financial gain, or, in criminal cases, to attempt a plea of not guilty by reason of insanity. An accurate knowledge of the phenomenology of AVHs is central to assessing the veracity of claims to such experiences. We begin by demonstrating that some contemporary criminal cases still employ inaccurate conceptions of the phenomenology of AVHs to assess defendants' claims. The phenomenology of genuine, malingered, and atypical AVHs is then examined. We argue that, due to the heterogeneity of AVHs, the use of typical properties of AVHs as a yardstick against which to evaluate the veracity of a defendant's claims is likely to be less effective than the accumulation of instances of defendants endorsing statements of atypical features of AVHs. We identify steps towards the development of a formal tool for this purpose, and examine other conceptual issues pertinent to criminal cases arising from the phenomenology of AVHs.     

The second path to capitalism: A model of international development

This article examines debates about the industrialisation of parts of the periphery (in particular East Asia) in the context of the impasse in development theory. It is argued that neo-classical theory, regulation theory and the theory of the new international division of labour, all fail to adequately explain the rise of the newly industrialising countries, and indeed all share a methodology which reads off events in the “periphery” from the actions of metropolitan countries. An alternative approach is suggested, which combines analysis of the “global” and the “local.” This analysis suggests that there are competitive disadvantages for late developers in the global political economy, and in putting forward this view a brief critique of flexible specialisation is made. Finally, it is argued that these competitive disadvantages are dealt with in different ways by different nations in the periphery. The main factors shaping this process will be indigenous classes and state structures.     

Sexual attraction to corpses: a psychiatric review of necrophilia

The authors review 122 cases (88 from the world literature and 34 unpublished cases) manifesting necrophilic acts or fantasies. They distinguish genuine necrophilia from pseudonecrophilia and classify true necrophilia into three types: necrophilic homicide, "regular" necrophilia, and necrophilic fantasy. Neither psychosis, mental retardation, nor sadism appears to be inherent in necrophilia. The most common motive for necrophilia is possession of an unresisting and unrejecting partner. Necrophiles often choose occupations that put them in contact with corpses. Some necrophiles who had occupational access to corpses committed homicide nevertheless. Psychodynamic themes, defense mechanisms, and treatment for this rare disorder are discussed.     

SURVIVING BENCH STRESS

The article presents a discussion of judicial stress, along with proposed solutions. The authors gathered information on the topic of judicial stress from judges via a survey and attendance at two Association of Family and Conciliation Courts (AFCC) conventions. Some of the daily stressors endorsed by judges included endless caseloads, severe time limitations, social isolation, lack of privacy, and the weight of deciding the fates of others. It is important for our judges to be provided with ways of relieving and preventing burnout and stress. Proposed bench stress solutions include incorporating the Psychologist Advocate Program into the judicial system and creating specific guidelines for judges to take sabbaticals, which will serve to enhance our judicial system and the entire community.     

Female adolescents of alcohol misusers 1: Sexual behaviors

Studies show that children of alcoholics constitute an at-risk population. This study attempted to understand the impact of parental alcohol misuse on sexual behaviors of female adolescents, based on a sample of 1134 teenagers from alcohol misusing parents in Minnesota. Index adolescents were more likely to report having sexual intercourse as well as greater frequency of intercourse, history of pregnancy and greater overall pregnancy risk based on current patterns of sexual behavior and contraceptive utilization. Bivariate analysis revealed that gender of the drinking parent was also associated with the above variables. However, in multivariate assessment of protective and risk factors for adolescent pregnancy in the at-risk sample, maternal vs. paternal vs. both parents drinking was no longer salient. Pregnancy avoidance was associated in the index group with two-parent family structure and higher maternal education, while pregnancy history was associated with a history of physical abuse and perception of high levels of vandalism in the school setting.The study reported in this article did not utilize clinically diagnostic indicators of alcoholism. Hence the authors have deliberately avoided using the word alcoholics when referring to parents of study participants. The terms alcohol misusers and alcohol abusers have been substituted and are used interchangeably.Received Ph.D. from University of Minnesota. Research interests include identifying resilience factors in populations that are considered at risk and the usefulness of these factors in planning social welfare programs.Received Ph.D. from University of Minnesota.Received Ph.D. from University of Minnesota. Research interests include children with chronic illness and disabilities, adolescent sexual decision making and international adolescent health care issues.Received Ph.D. from University of Minnesota. Research focuses on adolescent high-risk behaviors and resiliency, and interested in the translation of social research into social action, programs, and policy.     

Market Demand for Civic Affairs News

This paper uses time series methods to test the relationship between civic affairs content and audience share for the ABC, CBS, and NBC evening news in the mid-1990s. Because these programs competed in the same market, but varied the amount of their civic affairs coverage, they present an excellent opportunity to analyze this relationship. The study uses hand-coded news abstracts and O.J. Simpson murder trial coverage as separate measures of news content. The study finds that lower levels of civic affairs content and higher levels of O.J. news are associated with greater audience share.