April 20, 2011

Australian man spends decade in prison without trial

Mental competency laws are designed to protect people who are accused of crimes from being subjected to legal prosecution if they cannot understand the proceedings or rationally assist in their defense. But some offenders are spending more time behind bars after a finding of unfitness to stand trial than if they had been tried and convicted.

In Western Australia, the case of one such man is making headlines. Marlon Noble has spent 10 years behind bars after being accused of sexually assaulting two girls. He is mentally impaired from a childhood bout of meningitis.

"If he has been tried and found guilty he would never ever been sentenced to the length of time," said longtime supporter Ida Curtois, a retired social worker.

He is one of 29 people in West Australian jails who have never been found innocent or guilty.


If he has been tried and found guilty he would never ever been sentenced to the length of time.
-- Ida Curtois            

But in an unusual twist, the two alleged victims are now coming forward to clear his name. Since Noble never had a court hearing on the allegations, the case against him was never tested.

If Noble is released, his supporters say they will continue lobbying until all accused people being held indefinitely due to mental disabilities are given other options.

Incompetent defendants also detained indefinitely in U.S.


Most forensic psychologists in the United States can tell you about Theon Jackson. A "mentally defective deaf mute with a mental level of a pre-school child," Jackson could neither read nor write and was not proficient in sign language. Evaluators called his prognosis for attaining competency to stand trial "dim." Taking the case up to the U.S. Supreme Court, his attorneys argued that he was effectively getting a life sentence for two street robberies that netted a grand total of nine dollars.

In a landmark ruling in 1972, the high court agreed, ruling that an accused person who is found incompetent to stand trial cannot be held longer than "the reasonable period of time necessary to determine whether there is a substantial probability that he will attain that capacity in the foreseeable future."

If it is determined that the individual will not become competent, "then the State must either institute the customary civil commitment proceeding that would be required to commit indefinitely any other citizen, or release the defendant."

In the current era of the sexually violent predator, however, incompetency statutes have made it easier to civilly commit accused individuals whose cases were never proven in criminal court.

In New York State, for example, which has just begun implementation of a new civil detention scheme for sex offenders, the government argued that since civil commitment is a civil proceeding, they should not have to prove their cases beyond a reasonable doubt as they would have to in a criminal trial. Instead, they argued that the standard of proof should be the lower "clear and convincing evidence" standard (sometimes equated to a level of certitude of about 75% as opposed to 95-99% for the beyond a reasonable doubt standard).

Late last month, U.S. District Judge Deborah A. Batts upheld a challenge to that position, declaring that despite the ostensibly "civil" nature of preventive detention, its consequences are too onerous to allow for a lowered standard of proof:

Here, the risk of an erroneous deprivation is high…. Those committed as "sex offenders" under Article 10 are housed in a secure psychiatric facility and segregated from those who are not "sex offenders." After release from confinement, those labeled "sex offenders" are subjected a regimen of "strict and intensive supervision and treatment," which may include but need not be limited to, electronic monitoring or global positioning satellite tracking for an appropriate period of time, polygraph monitoring, specification of residence or type of residence, [and] prohibition of contact with identified past orpotential victims. Given the attendant stigma and significant liberty infringements that result from application of the label "sex offender" under Article 10, the consequences of an erroneous application of that label are severe.
The legal challenge was brought by the state's Mental Hygiene Legal Service, which provides legal service to psychiatric patients, including at least 22 pretrial defendants who -- like Mr. Noble in Western Australia -- have been found incompetent to stand trial on sex charges.

April 15, 2011

"Cruel and unusual": Sex offender seeks refuge in Canada

The autobiographical romance "Summer Of '42" depicts a coming-of-age relationship between 15-year-old Hermie and an older married woman. By the time "Dorothy" vanishes from his Nantucket vacation community, Hermie has matured from boy to man.


How much has changed in the 40 years since that movie was made. Today, rather than disappearing for parts unknown, Dorothy would be shackled and riding the bus to the nearest women's penitentiary.


But is it fair to sentence a woman to 30 years in prison for a consensual relationship with a willing teenage boy?

That is the question confronting Canadian authorities in the case of a Florida woman who is seeking refugee status in Saskatchewan. Denise Harvey fled the United States with her husband after she was sentenced to a 30-year prison term for a consensual relationship with her son's 16-year-old friend.

Denise Harvey (photo credit TC Palm)

In Canada, the age of consent is 16 so her conduct would not have been criminal. Saskatchewan authorities have not extradited Harvey because Canada does not extradite people unless the conduct is a crime in both countries. In appealing to the Canadian government for refugee status, Harvey claims her sentence amounts to cruel and unusual punishment, forbidden by the Eighth Amendment to the U.S. Constitution.

More than 10 percent of the residents of her home community of Vero Beach, Florida agree that her sentence was too extreme. They signed a petition demanding that Florida's governor pardon her.

"She didn’t get any justice down here," said petition sponsor George Sigler, a flight trainer. "She's a nice, soft-spoken woman who I believe made a mistake but that doesn't mean she should go to jail for 30 years. No one in their right mind believes a 16-year-old wasn't a willing participant."

Harvey rejected an 11-year plea bargain offer and went to trial. The teen testified that the two flirted and had a long kiss in a car before engaging in brief sexual interludes at his home and elsewhere. Harvey did not testify, but her attorney told jurors the boy stalked her after she rejected his advances. The jury heard a 20-minute recording surreptitiously recorded by police with the boy's cooperation, in which the two discussed what to do if their sexual encounters were disclosed.

After Harvey's conviction on five counts, prosecutors urged the lengthy sentence because she continued to deny wrongdoing. She fled after losing her appeal to the Florida Supreme Court.

With the case now making international headlines, the question becomes whether this is the most sensible face for a world leader to portray to the rest of the world.

The Toronto Star and the Treasure Coast Palm have additional news coverage. 

April 14, 2011

Feed that hungry judge!

Photo credit: vistavision (Creative Commons)
Attorneys: If you want your client released from jail, make sure the judge just had a bite to eat.

That is the take-home message from a new study of experienced judges in Israel. Judges were much more likely to grant parole right after they had a lunch or snack break:
The team studied more than 1,000 parole decisions made by eight experienced judges in Israel over 50 days in a ten-month period. After a snack or lunch break, 65 percent of cases were granted parole. The rate of favorable rulings then fell gradually, sometimes [to] as low as zero, within each decision session and would return to 65 percent after a break.

Jonathan Levav, a professor at Columbia Business School who co-authored the study, said the more rulings a judge makes, the greater the tendency to “rule in favor of the status quo,” but a snack break can interrupt that tendency.

The current study left unsettled the issue of whether it was the food itself or the rest period that came with it that improved the judges' dispositions toward the hopeful convicts. Previous research has shown that both glucose and mental breaks can restore mental functioning.

The study adds to a growing body of evidence on psychological bias in judicial decision-making.

  • The study, "Extraneous factors in judicial decisions" by Shai Danziger, Jonathan Levav and Liora Avnaim-Pesso, was just published online by the Proceedings of the National Academy of Sciences. A press release with additional information on the study and its authors is HERE.

April 8, 2011

"Jurors Gone Wild": Blogging, texting, tweeting in court

On his blog, "Juror No. 7" portrayed the defense lawyer as "whacked out" and having a "Columbo detective-style of acting stupid." He complained about the court's long breaks and likened court staff to "Caltrans freeway workers" who always seem to be "picnicking alongside the freeway." … After complaining about the length of the 19-day trial, he told his readers that he had volunteered to be foreman to "expedite matters." During deliberations, he used his cell phone camera to photograph the murder weapon -- a 15-inch saw-toothed knife -- and posted the image on his blog.

Although an appellate court upheld the defendant's conviction, finding Juror No. 7’s conduct harmless, appellate attorney Linda C. Rush disagreed:
"The problem with his blog was, the responses he got were affirming his cynical attitude toward the judge and the process. He created an audience, and during deliberation he was playing to an audience that other jurors didn't even know was there."

Juror antics like this are no longer unusual, according to an article in the current issue of California Lawyer magazine. Judges and attorneys are finding themselves struggling with "how to protect a defendant's Sixth Amendment right to a fair trial when jurors are awash in social media, potentially contaminating the integrity of the proceedings," writes Pamela MacLean:
Leslie Ellis, a jury consultant with TrialGraphix in Washington, D.C., says she advises her clients to monitor jurors' Facebook, MySpace, or Twitter accounts and blogs during a trial to make sure none are discussing the case outside court sessions. "That's how a lot of jurors have been caught," she says.

Another possible alternative, raised in a case that may soon be taken up by the California Supreme Court, involves making all private social media communications posted by a juror during trial available to defense counsel.
But how much monitoring is too much? At what point will jurors begin to feel like criminal suspects and balk at serving altogether? And is all this much ado about nothing?

The full California Lawyer article is online HERE.

Related post: Blogging jurors (Nov. 26, 2008)

April 7, 2011

U.S. high court restricts federal death penalty appeals

In a 5-4 decision, the U.S. Supreme Court ruled this week that federal habeas appeals cannot consider new evidence, but must limit themselves to information already presented at the state court level. The majority opinion, written by Judge Clarence Thomas, will severely restrict federal petitions in capital cases.

The case involved Scott Pinholster of California, convicted and sentenced to death in 1984 for the robbery-murder of a local drug dealer. The only witness to testify for the defense during the penalty deliberations was Pinholster's mother, who testified that he was "a perfect gentleman at home."

Pinholster pursued his federal habeas claim after losing two appeals to the California Supreme Court, in which he argued that his court-appointed lawyer (later disbarred) had failed to present mitigating evidence during the penalty phase of his trial. Pinholster suffered severe abuse and at least two head injuries as a child; he was institutionalized for much of his adult life and there were some indications of a psychiatric disorder.

The crux of Justice Thomas's message is, "Who cares?" If errors are made during a death penalty trial, they are harmless. That is, they don't change the bottom line. Jurors would have voted for death even if they heard additional mitigating evidence, given the weight of the aggravating evidence against these bad hombres.

That's a fiction, of course. A skillful trial attorney who presents a compelling narrative of a defendant's life can often win a life-without-parole verdict (or negotiate a plea deal), even when faced with an egregious crime. Judy Clarke, Jared Loughner's attorney, is one such lawyer. Contrast her with some of the deadbeat lawyers who dine at the public trough, billing the government to represent capital clients while doing virtually no investigation and presenting little in the way of mitigating evidence at the penalty phase of the trial.

In a lengthy dissent, Justice Sonia Sotomayor (joined in part by Justices Elena Kagan and Ruth Bader Ginsburg) lamented that federal judges must now "turn a blind eye" to such miscarriages of justice, even when they result in "harsh" outcomes. "Some habeas petitioners are unable to develop the factual basis of their claims in state court through no fault of their own," she noted.

Commenting at the Law and Biosciences Digest blog, Stanford Law School visiting professor Nita Farahany portrays the case as a virtual death knell for federal claims of ineffective assistance in capital cases:
After [this] major decision … all bets are off on the likely success of claims for ineffective assistance of counsel for failure to introduce mitigating brain evidence at trial. The case may have such broad implications that the double-edged rhetoric about brain damage evidence in the majority opinion is of minor interest by comparison…. A popular claim for ineffective assistance of counsel is failure to introduce particular mitigating evidence at trial. If [federal review] is limited to the record before the state court, then the days of new evidentiary hearings on federal habeas review for ineffective assistance of counsel cases is numbered or over.

The case is the latest stemming from the Antiterrorism and Effective Death Penalty Act of 1996, §2254, which restricts the power of federal courts to grant habeas relief to state prisoners.

April 6, 2011

Oregon training on forensic work with immigrants

           "But they don’t speak
English!": The assessment of
immigrants in forensic and administrative contexts

April 18 at Portland State University, Oregon

We’ve always been a land of immigrants, but now more than ever issues of language and acculturation are at the forefront of many forensic evaluations. Never fear, our colleagues at the Northwest Forensic Institute in Portland, Oregon have set up a training to help you maneuver in these challenging contexts.

Tedd Judd, the presenter, is a Certified Hispanic Mental Health Specialist and Past President of the Hispanic Neuropsychological Society who has taught neuropsychology in 21 countries on 5 continents.

The all-day training workshop will address practicalities, skills, ethics, and resources for such evaluations in order to provide equitable services. The objective is to teach skills so participants are able to choose and refer cases appropriately and increase the range of cases they can deal with confidently and ethically. The workshop will include case presentations.

The early-bird registration fee of $175 is good until Monday, April 11; after that, the fee is $190. What a deal for six hours of Continuing Education credits.

More information is available HERE.

Also in Oregon: May 21 training on forensic diagnosis

For those of you planning to be up in the Pacific Northwest the following month, I am going to be giving an all-day training up in Oregon. My workshop, “Psychiatric Diagnoses in Court: Current Controversies and Future Directions,” will be May 21 at picturesque Wallowa Lake in eastern Oregon.

More information is available HERE (or visit my website).

April 2, 2011

Good news on young criminals

Desistance the rule, with or without incarceration 

The most thorough study to date, just released by The U.S. Department of Justice, brings lots of good news about criminal desistance among serious adolescent offenders.

The most important finding is that even adolescents who have committed serious offenses are not necessarily on track for adult criminal careers. Only a small proportion of the offenders studied continued to offend at a high level throughout the followup period.

The other critical finding was that incarceration is for the most part unnecessary and ineffective:
Longer stays in juvenile facilities did not reduce reoffending; institutional placement even raised offending levels in those with the lowest level of offending.

Instead, the study found, interventions that combined community-based supervision and substance abuse treatment helped youthful offenders stay in school, get jobs, and avoid further offending.

"Pathways to Desistance" is a multidisciplinary project that intensively followed 1,354 serious juvenile offenders ages 14 to 18 (184 girls and 1,170 boys) in metropolitan Arizona and Pennsylvania for 7 years after their convictions. Data included multiple interviews with the young offenders and their families, and analyses of official records. Edward Mulvey, Ph.D., director of the Law and Psychiatry Program at the University of Pittburgh Medical School, authored the study, which was just released by the Office of Juvenile Justice and Delinquency Prevention.

The findings should be welcome news not only for young miscreants and their loved ones, but also for taxpayers, as it supports the current move toward less expensive community interventions as an alternative to costly juvenile prisons.

March 29, 2011

Steffan's Alerts #3: Women, children, fire-setting and the public

Click on a title to read the article abstract; click on a highlighted author's name to request the full article.

JAAPL: Plethora of mental health and law offerings

As always, the new issue of the Journal of the American Academy of Psychiatry and Law is a goldmine for those interested in law and mental health matters. All articles may be accessed for free online. Topics include use of the DSM in litigation and legislative settings, rational understanding and competency to stand trial, treatment of sexual offenders, hebephilia and the DSM-5, competency of pregnant women with psychosis, diversion of women into substance abuse treatment, and analyses of several recent legal rulings, to name a few.


In a new issue of the British Journal of Criminology, Sytske Besemer and colleagues examine whether children whose parents have been incarcerated are later involved in the criminal justice system at disproportionate rates compared to children whose parents have been convicted but never imprisoned in the Netherlands and England. After controlling for a number of possible intervening variables in their longitudinal study, the authors provide data showing that children in the latter--but not the former--country are adversely affected by their parents' incarceration.


Although mental health professionals have long held that deliberate fire setting by children is prognostic of future conduct problems, Ian Lambie and Isabel Randell review how science in this area has progressed -- or not progressed -- in a new issue of Clinical Psychology Review. They call for future research to address the relationship between youth firesetting and future antisocial behavior as well as to update best practices in assessing and intervening with children who set fires.


Data from a national survey of 3,001 women in 2006 indicated that the rate of reporting rape has not significantly changed since the 1990s. In a new issue of Journal of Interpersonal Violence, lead author Kate Wolitzky-Taylor explores barriers and predictors of reporting sexual assaults to law enforcement.


In a forthcoming issue of Psychology, Public Policy, and Law, Shabnam Javdani, Naomi Sadeh, and Edelyn Verona advance theory on the legal and social policy factors involved in the increasing arrest rates of girls and women.



Does the public really support tougher sentencing of offenders? Preliminary data suggests this is not the case in Australia when members of the public are provided details about the personal lives of offenders. In a new issue of Criminology and Criminal Justice, Austin Lovegrove sampled several hundred participants through their review and discussion of judges' sentences on six offenders in four actual cases.


Steffan's alerts are brought to you by Jarrod Steffan, Ph.D., a forensic and clinical psychologist based in Wichita, Kansas. For more information about Dr. Steffan, please visit his website.

March 25, 2011

Psychopathy: A Rorschach test for psychologists?

  • Compassion
  • Empathy
  • Impulsivity
  • Excitement-seeking
What do these personality traits have in common?

If you are high on any or all of them, you may be less likely to rate other people as psychopathic on the Psychopathy Checklist (PCL-R).

The PCL-R is the most widely used measure of psychopathy in the world. But in real-world forensic settings, scores vary widely depending upon which side retained the evaluator. This finding is called the "partisan allegiance" effect.

In a new twist, these same researchers that brought you partisan allegiance have found that an evaluator's personality may impact her judgments of psychopathy. Evaluators low on compassion and thrill-seeking as measured by a widely used personality test, the NEO Personality Inventory-Revised, are more likely than others to rate criminals as psychopathic.

That’s ironic, because according to the theory of psychopathy, it's supposed to be the psychopath -- not the psychologist -- who has a deficit in empathy.

The exploratory study, forthcoming in the journal Assessment, was based on a small sample of 22 individuals who were given nine hours of training by a clinical psychologist with substantial research and forensic practice experience with the PCL-R. "The daylong session was an attempt to replicate typical PCL-R training procedures," the study authors explain.

The researchers emphasize that their findings are preliminary and need to be replicated and extended. But if they hold up, they have intriguing implications not only for the psychopathy measure but also for other psychological tests with elements of subjectivity in scoring or interpretation.

The study did not examine the accuracy of the low versus high scorers. But if low-scoring evaluators are more empathetic, this implies that they may be more accurate in interpersonal assessment contexts.  

Subterranean class conflict?

Future research might examine class background, race and philosophical  beliefs to see if these influence scoring of the Psychopathy Checklist. In my informal observations, professionals who look for psychopaths under every rock tend to lack understanding of, or empathy for, those on the bottom.

Here's how that looks in practice:

The upper middle-class professional walks into the evaluation room, oblivious to the blinders and unconscious biases she brings to the table. Her subject, in contrast, is far from oblivious. With his more acute empathetic skills, the lower-class or minority individual accurately reads the professional's bias against him, which she transmits through nonverbal and other deniable cues. He also realizes that she holds all the power, and that her judgments will affect his future in very tangible ways.

He reacts with defensiveness, suspicion, or muted hostility -- especially if she is working for "the other side." But not recognizing his reaction as part of an interactional dance that she herself set in motion, the evaluator interprets his stance as evidence of intrinsic personality defect. She may see him as glib, superficially charming, conning, or manipulative -- all facets of Factor 1 (the personality dimension) on the Psychopathy Checklist.

In this interaction, all of the power belongs to the person who gets to do the labeling. Scoring and labeling the offender becomes a circular process through which the evaluator -- especially when primed by adversarial allegiance -- can  project her own class- or race-based prejudices, distancing herself from the evil other, while at the same time denying complicity. An obfuscating tautology is proffered as a simple explanation for complex and multi-determined antisocial acts.

There is more to the construct of psychopathy, of course. I focus here on its potential subjectivity because this is a facet that proponents rarely acknowledge, especially in public. Forensic experts owe a duty to explain the subjectivity of the PCL-R when it is introduced in court, where the label "psychopath" can be the kiss of death. When labeled as psychopaths:
  • Juveniles are more likely to face harsh punishment in adult court.
  • Sex offenders are more likely to be preventively detained.
  • Capital murder defendants are more likely to receive the death penalty.
So, the next time a promising young student proposes to study psychopathy or "the criminal mind," you might give her a gentle nudge in a more fruitful direction: Rather than treading this tired old path, she might contribute more to the field by studying the psyches of professionals who assign such diagnostic labels in the first place. 

March 23, 2011

Blogger seeking megabytes


Please bear with this brief solicitation: I use a free online data storage service called Dropbox. It lets me quickly and easily access files from my various work stations (such as blog posts in progress), and also share selected files and folders with colleagues, attorneys and students. Unfortunately, a gargantuan case I am involved in is using up all of my free space. Thus, this request: If you plan to start using Dropbox, please consider signing up via the link below. For each person who installs Dropbox using this link, your faithful blogger will get additional free storage. (You have to actually install the software on your computer, not just sign up for an account, in order for me to get the bonus megabytes.)


Thank you in advance; I appreciate your help!

March 22, 2011

Loughner update: Skirmishing over competency

Arguments over who, where, how and what of evaluation   

In federal court this week, the government and defense skirmished over the mechanics of evaluating the competency to stand trial of Jared Loughner, the suspect in January's high-profile shooting rampage in Arizona. This skirmish is likely to be the first of many involving Loughner's psychiatric state, a central issue in the case.


Who should conduct the evaluation?
  • Government: Bureau of Prisons staff should conduct the evaluation.
  • Defense: Outside mental health experts are more likely to be impartial. 
  • Court ruling: Bureau of Prisons will evaluate the defendant.

Where should the evaluation take place?
  • Government: Loughner should be evaluated at the federal Bureau of Prisons facility in Springfield, Missouri, a medical referral center with specialized forensic resources. In a memo, the chief of psychiatry for the Bureau of Prisons, Dr. Donald Lewis, said Springfield was the best facility for a competency evaluation, because it "has medical staff available for neurology and other organic testing, and has far more forensic staff and full-time psychiatrists available to provide round-the-clock assistance," according to an AP news brief.
  • Defense: Loughner should not be moved from his current federal prison housing in Tucson. He is "seriously ill," and moving him to Missouri could worsen his state and restrict his lawyers’ access, thereby impeding their efforts to gain his trust. The defense has also expressed concern that this move will facilitate prison officials' collecting and releasing private information to prosecutors.
  • Court ruling: Loughner will be sent to the federal prison in Springfield. 

How should the evaluation be conducted?

U.S. District Judge Larry Burns ordered that the evaluation will be videotaped and that the videos will be provided to both prosecutors and defense attorneys. It was not clear from news reports whether one side requested the videotaping, or whether the judge introduced this idea on his own.

What should the evaluation address?

One tricky area in assessing the competency of a defendant who may later plead insanity is that an incompetent defendant may make incriminating or otherwise unwise statements about the crime itself. In a competency assessment, evaluators have a duty not to probe into the defendant's mental state at the time of the offense, leaving that inquiry until the defendant is certified as competent and enters a plea of insanity. If a defendant blurts out information about the motivations for the offense, these should not be included in a written report on competency.

Loughner's attorneys expressed concern that with prison staff at the helm, a competency inquiry might expand into a review of Loughner's sanity. The federal court judge ruled that the scope of the exam must be limited to whether the defendant is competent to stand trial, not whether he was sane at the time of the shooting. However, the videotaping of the evaluation may make this difficult to achieve in practice, increasing the risk that information pertaining to Loughner's state of mind at the time of the crime will be prematurely revealed to prosecutors.

Related post:

March 18, 2011

Group rape: Spotlight on shadowy terrain

Seminar series, online forum kick off international initiative

Scene from Casualties of War, based on a true story
about U.S. soldiers in Vietnam
Sexual violence is a hot topic, with myriad books, articles, and even entire journals devoted to its study. But despite their frequency, there is very little study of rapes committed by multiple offenders. Group rapists are often lumped together with other types of offenders, including solo rapists and pedophiles. This is unfortunate, because multi-offender rape is a different beast, often less about sex than about male peer group dynamics. I think of it as a form of cultural theater, in which the victim becomes a dramatic prop through which men publicly demonstrate their heterosexual masculinity to each other.


Two British researchers aim to change the current climate of neglect. Jessica Woodhams of the University of Birmingham and Miranda Horvath or Middlesex University have an ambitious goal of developing an international network and research agenda focused on understanding and preventing multiple-perpetrator rape.

They have secured funding from the British Psychological Society for a seminar series at Middlesex University in London this fall. Gearing up, they have just launched a month-long public forum at the international Sexual Violence Research Institute’s site.

To kick off the discussion, they tossed out the following intriguing questions:
  1. Are all perpetrators of multiple perpetrator rape equally responsible for their actions?
  2. Is multiple perpetrator rape only a significant problem in certain populations/social groups?
  3. How can we best tackle multiple perpetrator rape in terms of prevention, interventions with perpetrators, supporting victims, and improving investigation and prosecution?

I'm sure many of you who have done treatment, evaluation, and/or research with violent offenders have some thoughts on these questions. If so, join the online discussion. You do have to register (giving yourself a screen name and a password), but that is quick and easy (and free). Check it out HERE.

Of related interest:

Dr. L'Heureux Dumi Lewis, a professor of sociology and Black studies at the City College of New York, talks about race and community reactions to the high-profile multiple-perpetrator rape in Cleveland, Texas at his blog, Uptown Notes.

Additional resources are listed on my web page on multiple-perpetrator rape, HERE

March 16, 2011

Economy, abuse scandals drive sea change in US juvie lockups

As USA Today’s Martha Moore reports:

 States sending juvenile delinquents back where they came from

 
Photo credit: Richard Ross
California, seeking to close a $26 billion deficit, and New York, with a $10 billion budget gap, are moving to close state youth prisons for good and instead let local governments lock up young offenders.


State youth lockups are easy targets for cost-cutters and reformers: They cost a lot and, according to data showing high rates of repeat offenders, accomplish little….


New York has been under pressure to improve its juvenile justice system since a 2009 federal investigation -- sparked by the death of a 15-year-old boy -- found that state youth prisons used excessive force. States including Illinois, Ohio and Pennsylvania have reduced the number of kids sent to state lockups by offering financial incentives to counties to keep youthful offenders in local programs. Ohio, for instance, has reduced the number of juveniles in state lockups from almost 1,800 in 2007 to 736 this year.


Photo credit: Richard Ross
But New York City and California would go a step further by virtually eliminating the state's role.


California once had the largest number of young people in lockups: from 10,000 in 2005 to 1,200 now. It has cut that number dramatically after a 2007 law required the release of non-violent offenders.


Gov. Jerry Brown's budget called for the state to close its four juvenile prisons, currently housing about 1,200 youths, by 2014 and send money to the state's 58 counties to run their own lockups. After protests from counties, a revised proposal announced last week would keep some state youth prisons open and allow counties without secure lockups for youths to pay to send kids to the state juvenile prison. Counties that want to run their own youth lockups could use state money to do that instead.


In New York, where 700 youths are in state lockups, Gov. Andrew Cuomo wants to close juvenile prisons despite local opposition over lost jobs. Meanwhile, New York City, which accounts for more than half the youths in state custody at a cost of $270,000 per youth per year, wants to opt out of the state system entirely.


A system run by the city — with funding from the state — would be cheaper and more effective if only because it would be nearby, says John Feinblatt, criminal justice coordinator for Mayor Michael Bloomberg. "Some of these kids have tough relationship with the families, but what you don't want to do is break those relationships any further than they are broken, he says. "What you want to do with a 14-, 15-year-old is build on what connections already exist."


Photo credit: Richard Ross
The city's plan is modeled on Detroit, which began handling almost all its juvenile cases in 2000 and where the number of youth sent to state facilities dropped from more than 730 in 1998 to 18 in 2009.


The proposals have roused opposition from people who don't want to see jobs lost when state youth prisons close. And juvenile justice advocates are divided on whether it's a good idea to get rid of the state programs altogether.


"I've seen too many kids die because the state wasn't appropriately regulating what was going on at the local level,'' says Barry Krisberg, a Berkeley law professor and juvenile justice expert.


Counties in California say they cannot handle more kids, especially the violent offenders still in state youth prisons. "You're asking them to take back kids that they've rejected. It's like asking the school principal to take back the kids that they've expelled," says Dan Macallair, executive director of the Center on Juvenile and Criminal Justice in San Francisco, an advocacy group.


Advocates fear that losing the state youth prisons mean that county prosecutors will increasingly charge juveniles in adult court. The number of juveniles tried as adults has already increased in California. Even though state youth prisons are bad, advocates say, prisons are worse….


Photo credit: Richard Ross
Some advocates say the California state youth agency has been so bad for so long that it should be scrapped for good. "Right now we're dooming them all to certain hell." says Jakadi Imani, executive director of the Ella Baker Center for Human Rights in Oakland. Eliminating the state system means "we open up the possibility that kids will actually get help." …


County programs have their own problems. Los Angeles' youth detention system has already been investigated by the Justice Department.


Alameda County, where Oakland is located, will build a youth lockup to accommodate kids that would have gone to state youth prisons, says David Muhammad, the county's head of probation. "A huge concern is, you close (the state agency) completely, fund the counties to supervise this population but only fund it for five years. What happens after that?"


The full story is HERE.

Photos are from Richard Ross's marvelous exhibit, Juvenile-in-Justice (HERE).

March 13, 2011

SVP morass: Will psychologists "just say no"?

 Dr. Franklin,
          My understanding is that psychiatrists and the American Medical Association made a conscious, ethical decision to not get involved in the SVP [Sexually Violent Predator] morass. I am not sure why psychologists dove in. Smelling blood in the water, cash in bank accounts or trying to show up the "real doctors" has led to our participation in one of the largest, most expensive frauds put over on society, with the field of psychology becoming the laughingstock of real researchers. We are now participating in a system that systematically violates the Constitutional rights of individuals and uses the shoddiest of data to rationalize our position. Has there been any thought to a movement by psychologists or the APA to "just say no"?
-- Eugene Braaksma, Licensed Psychologist



What a timely question. Privately, many mainstream forensic psychologists agree with your assessment, and some have even gone public with their concerns. Most recently, two psychologists in the San Francisco Bay Area have gone so far as to echo your call for a professional boycott. But for several reasons, I think the major impetus for change will come not from within, but from larger systemic forces outside psychology.

Photo © Karen Franklin 2011
Calling for a boycott are forensic psychologists Paul Good and Jules Burstein. Writing in the American Journal of Forensic Psychology, they liken preemptive detention laws to a "modern-day witchhunt":
Psychologists testifying for the state in SVP civil commitment trials are using contrived mental disorders and the scientific veneer of actuarial formulae…. [The ‘predator’ paradigm] gives the public a false sense of security by concentrating vast sums of money on incarcerating a small group of sexually violent offenders, in place of a more useful public health approach to the problem of sexual violence. The consequences of this misguided effort include emphasizing incarceration over treatment, draining scarce resources from a multi-pronged approach to preventing sex crimes, demonizing sex offenders, and promoting the "slippery slope" of preventive detention…. Psychologists should put the public interest ahead of their guild interest and expose this mistake in social policy. One dramatic step would be to resign from state SVP panels.
"Full Employment for Psychologists Act"*

But, as this semi-facetious title by Charles Patrick Ewing suggests, two decades into these laws the sheer number of embedded psychologists makes a boycott impractical. These psychologists will not boycott a system that is making them "boatloads" of money, as one testified – up to a cool $1.5 million a year. As Ewing lays bare in Justice Perverted, the opportunity has proved irresistible for psychologists, many with little scientific sophistication or prior expertise in forensic psychology or sex offending:
In the short run the payoff, especially for some individual practitioners, has been great, but in the long run, the damage done to their professions and the people who would be served by them may prove to be much greater…. It is difficult to picture … psychologists who now earn their living developing checklists that purport to predict sex offender recidivism, doing evaluations and testifying in sex offender civil commitment trials, and/or training others who do so, encouraging state legislatures to put them out of work.

Photo © Karen Franklin 2011
Most of these psychologists are well intended. They believe they are doing righteous work to protect the public from dangerous predators. If they thought otherwise, cognitive dissonance would force them to quit the lucrative panels, as a minority of their colleagues have done. Their structural position of embeddedness creates blinders. When one is walking among the trees, one cannot see the forest. And there is an element of group-think. Surrounded by like-minded professionals, they mistake these colleagues' concordance for a consensus in the broader profession.

More alarmingly, as psychiatrists Michael First and Allen Frances point out in the current issue of the Journal of the American Academy of Psychiatry and Law, these practitioners are being systematically mistrained as to proper diagnostic and risk assessment practices. Just last week, I heard about a government evaluator (annual earnings from SVP evaluations: $500,000) who testified in support of civilly detaining a rapist based upon a previously unknown mental disorder called "paraphilia not otherwise specified – attracted to power and control."

You can't make this stuff up. 

Even if psychology had the unified will to step into this minefield, I doubt that our field has the political clout to impact the industry in any significant way. Embedded psychologists are mere functionaries, interchangeable cogs in a machine, scoring checklists and regurgitating memorized formulas. Unless and until legislatures and courts recognize that these laws are not doing much (if anything) to reduce sexual violence or keep the public safe, the growing chorus of critical scholars in the fields of psychology, criminology and law will remain as tiny voices crying out in the wilderness.

Will the courts step up?

In a critical overview just published online in Psychiatry, Psychology and Law, a leading forensic scholar in Australia says the courts shoulder some of the responsibility for failing in their role as gatekeepers. If the courts were more rigorous, fatally flawed approaches to risk assessment would not predominate in sex offender cases, argues Ian Coyle of Bond University in Queensland.

At a minimum, Coyle suggests, the playing field should be leveled. In Australia, as elsewhere around the world, the government has vastly superior resources for expert witnesses than does the defense:
The theoretical equality of all before the law is thus subverted in practice by inequality of means.

Another barrier to justice is the complexity of the statistics and measurement theory invoked in these cases. Lacking advanced scientific training, it is hard for the average judge or attorney to make sense of the competing claims and accurately determine which are valid and which are not.

Making matters worse, even when individual judges educate themselves so that they can detect and reject pseudoscience, for example by rejecting the fictional diagnosis of "hebephilia" as a basis for civil commitment, higher courts often overturn their decisions. The disappointing truth is, judges are mere functionaries, too.

The coming crash

Photo © Karen Franklin 2011
In the end, I predict the system will ultimately crumble not due to principled opposition but by virtue of its own excesses. In the United States, as many states teeter on the edge of bankruptcy, it is hard to justify spending $1 billion per year or more to civilly detain a tiny handful of sex offenders at the expense of public schools, higher education, and even prisons.

It is a tricky business, because legislators and judges do not want to incur public wrath by appearing "soft" on sex offenders. Still, as citizens feel the effects of massive cutbacks in public services, I expect they will become less tolerant of government waste across the board.

The backlash is already starting. For example, last week in Minnesota a legislative auditor released a report slamming the sex offender civil commitment program as costly and ineffective:
Hundreds of sex offenders confined in state treatment facilities receive inadequate therapy from under-qualified staff at excessive cost, according to [the] report…. At the same time, many other offenders present such low risk to the public that they could safely be released to community group homes, saving taxpayers millions of dollars. And in what they describe as a public safety paradox, auditors found that some sex offenders are held indefinitely, even though they pose less risk than dangerous felons in state prisons who are being released back to the streets. Auditors called on state officials to replace this "all or nothing'' system and develop a plan for low-cost alternatives, while spending more on treatment of the most dangerous offenders.
California is following suit, with an audit of its SVP program due out in June. Psychologists may be especially interested in one particular task of the audit, to examine "the qualifications of staff or contractors who conduct the evaluations and determine if they are consistent with professional standards and laws and regulations."

Bottom line, the bough will come crashing down when the massive costs finally become too much for governments to bear, and when citizens figure out that SVP laws -- while symbolically appealing -- are a wasteful and ineffective approach to reducing sexual violence.

How will our misguided colleagues pay their mortgages and fund their children's college educations then? Hopefully they're putting some of those millions in the bank for a rainy day.

*from Justice Perverted 

March 11, 2011

New column: Ethics and captive populations

A recent photo in the Los Angeles Times pictured a psychologist administering therapy to a group of men locked in cages the size of phone booths. An expert advised that the cages should be called "therapeutic modules," lest the prisoners "feel like animals and respond accordingly." The arrangement is the prison's response to a judicial mandate to provide treatment to mentally ill prisoners. But as the photo illustrates, much prison therapy is far removed from traditional treatments that psychologists are trained to provide.

So begins my "Ethics Corner" column in the current issue of California Psychologist magazine, which evolved out of a blog post a few months ago, "Prison therapy: It's all in the name." The full column is HERE. I have also created a stand-alone web page of selected resources on correctional ethics (HERE).

Wearing body armor and sitting just out of urination range, psychologist Daniel Tennenbaum tries to engage Vacaville prisoners to sing along with "Sitting on the Dock of the Bay." Photo credit Los Angeles Times.
A plug for the CPA: For those of you in California, I hope you will think about joining the California Psychological Association if you are not already a member. The CPA gives psychologists a voice, has local associations that facilitate networking (and socializing), and provides a number of member benefits, including the Ethics Committee's free hotline.

March 10, 2011

Psychiatrists ramp up opposition to forensic misuse of DSM

"Pedohebephilia" would make bad situation worse, they warn  

As you will recall, at a recent debate members of the American Academy of Psychiatry and the Law (AAPL) were virtually unanimous in giving the thumbs-down to three controversial sexual disorders being proposed for the fifth edition of psychiatry’s diagnostic manual.

Piggy-backing on that sentiment, the Academy's official journal has just published two additional calls for caution. 

DSM's forensic influence cannot be ignored

Ralph Slovenko, an eminent professor of law and psychiatry at Wayne State University Law School, leads off with an editorial that counters a key claim of the proponents of diagnostic expansion. The oft-repeated claim is that the legal implications of a diagnosis are irrelevant, and should not be considered.

Rebutting this head-in-the-sand mentality, Slovenko gives a comprehensive overview of the DSM's impact in myriad areas of the law, from parental termination to disability determinations. As evidence of the DSM's vast influence, he cites language written into the statutes in 16 states mandating its use for various purposes.

As his overview makes clear, courts and legislatures across the United States have ignored the fine print in the introduction to the Diagnostic and Statistical Manual, stating that use of the manual for forensic purposes risks misunderstanding and misuse.

A case in point: Use of a made-up category, "Paraphilia Not Otherwise – Hebephilia," as justification for preventive detention of men who have served prisont time for sexual relations with adolescent.

No basis for fictional "hebephilia" disorder

Next, two psychiatrists who were influential in developing the current edition of the DSM launch a full-on assault on the use of the bogus diagnosis "hebephilia" in sexual predator civil commitment proceedings.

Michael First, editor and co-chair of the DSM-IV-TR, and Allen Frances, chair of the DSM-IV Task Force, clarify the intention of diagnosing paraphilias, or sexual deviances, and why diagnosing offenders against adolescents with "hebephilia" (a diagnosis that does not exist in any formal diagnostic system) is a flagrant abuse of psychiatric nomenclature. This is not the first time these authors have tried to set the record straight, but their current analysis is especially detailed and unequivocal.
The alleged diagnosis paraphilia not otherwise specified, hebephilia, arose, not out of psychiatry, but rather to meet a perceived need in the correctional system. This solution represents a misuse of the diagnostic system and of psychiatry. That a large number of forensic mental health workers have been mistrained to regard paraphilia NOS as a valid diagnostic category in SVP proceedings should not be construed as proper representation of the views of the entire mental health field. Similarly, the very preliminary studies conducted by a few research groups should not be construed to indicate that hebephilia has any solid scientific support. Hebephilia is not an accepted mental disorder that can be reliably diagnosed and should not be treated as such in SVP proceedings.
First and Frances issue a strong call against adding the pretextual diagnosis of "pedohebephilia" to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders:
Among several radical proposals made by the DSM-5 Sexual Disorders Workgroup is the backdoor introduction of the hebephilia diagnosis into the DSM-5 by expanding the existing well-accepted pedophilia category to include sexual arousal to pubescent individuals and renaming the broadened construct pedohebephilic disorder. There is no apparent need or compelling rationale to include hebephilia in DSM-5 beyond the research interests of a few scientists and the questionable use of hebephilia in SVP proceedings.
Despite opposition from forensic psychiatry, no doubt the wheels will grind on. After all, as legal scholar Charles Patrick Ewing describes in Justice Perverted, preventive detention has taken on a life of its own, becoming a lucrative and self-perpetuating industry. More on psychology's role in that very soon….

Related resources:

On my website, I have created a page of resources on the hebephilia controversy. But if you really want to immerse yourself in these diagnostic controversies, the place to visit is the "DSM-5 Paraphilias Controversy." On one page, blogger Andrew Hinderliter has amassed an impressive array of literature on the disputed paraphilias, including not only hebephilia, hypersexuality, and sexual sadism but also related hot-button topics such as transvestic fetishism.

My comprehensive historical review of hebephilia is now available online. Or, for a shorter version, there's always my oldie but goodie blog post, from Halloween of 2007: "Invasion of the hebephile hunters: Or, the story of how an archaic word got a new lease on life."

March 9, 2011

Justice Perverted: Critical primer on sex offender policy

At a time when many U.S. states are teetering on the verge of bankruptcy and essential public services are being slashed and burned, does it make sense to spend billions and billions of dollars on largely symbolic laws that do little or nothing to prevent or deter sex offending?

Not according to Charles Patrick Ewing, a forensic psychologist and law professor at the University at Buffalo Law School.

I plan to say more about this book's implications for forensic psychologists in an upcoming post. For now, suffice it to say that I highly recommend this timely book to my readers; my review at Amazon is HERE.

March 8, 2011

Juvenile justice: Online resource

I stumbled across this fantastic resource for anyone interested in issues and trends in juvenile justice. The authors include Laurence Steinberg, Elizabeth Cauffman, Thomas Grisso, and other distinguished leaders in the field. Each article presents solid evidence on an aspect of juvenile justice, much of it in contradiction to what policymakers and the general public believe:

For example, contrary to widespread belief, as Elizabeth Cauffman notes, the causes of crime among male and female offenders are far more similar than different; as Peter Greenwood points out, there is no truth to the notion that, when it comes to delinquency prevention, "nothing works"; and, as explained by Alex Piquero, the causes of disproportionate minority contact are far more complicated than is often claimed both by those who insist that disparities in contact with the system are entirely due to racial bias on the part of the system and by others who contend that the disparities simply reflect racial differences in criminal involvement.

Making these resources available for free to the public is The Future of Children, a joint project of the Woodrow Wilson School of Public and International Affairs at Princeton University and the Brookings Institution. The mission of The Future of Children is to translate the best social science research about children and youth into information that is useful to policymakers, professionals, and members of the general public.

Click on the below links to go to the full articles, which are available in html and pdf versions for viewing, downloading, or printing.