Special journal issue on adjudicative competencies

• Should adolescent immaturity be a basis for incompetency?
• Must sex offenders be competent at civil commitment trials?
• When is it ethical to evaluate a condemned person's competency to be executed?
• Is it ethical to assist in making someone sane enough for the state to kill?
• How should clinicians manage empathy in competency evaluations?
• Is neuroimaging a help or a hindrance?
• What are current best practices for detecting feigning?

These are among the cutting-edge ethical, legal, clinical and practical issues addressed in a special issue of Behavioral Science and the Law on adjudicative competencies.

As the above list of questions implies, the landscape for competency determinations is evolving. More people than ever are behind bars. Especially in the wake of drastic budget cuts, many are languishing with serious and inadequately treated mental disorders. For these "wretched souls," notes internationally acclaimed forensic psychiatrist Alan R. Felthous in his introduction to the special issue, the system is often unconscionably unresponsive.

Here, in one place, is a summary of many of today's controversies in this bread-and-butter practice niche. Check it out HERE.

Police psychologist settles confession suit for $1 million

A psychologist who helped police obtain a false confession from 14-year-old Michael Crowe has settled out of court for $1 million. A judge had called the aggressive interrogations of Crowe and two friends "psychologically abusive."

Dr. Lawrence "Deadlift" Blum, a police psychologist, helped police in Escondido, California formulate the "tactical plan" that they used to get Michael to confess to the murder of his 12-year-old sister, according to the Crowe family's lawsuit.

Blum admitted in a pretrial deposition that he told a police detective that 15-year-old Aaron Houser, Michael's friend, was a "Charlie Manson wannabe."

Only through serendipity were the boys' charges dismissed more than a year after their arrests, when DNA evidence proved that a mentally ill transient had committed the murder. That man, Richard Tuite, was ultimately convicted of manslaughter.

Images from the videotape of Michael Crowe's interrogation.

The family's lawsuit against the police is still pending in federal court.

Crowe's confession became the subject of an award-winning Court TV documentary that I show to my graduate students. (Unfortunately, The System: The Interrogation of Michael Crowe is no longer commercially available, as far as I can determine.)

The San Diego Union-Tribune coverage of the settlement is HERE. My prior coverage of the case is HERE. The Tru Crime Library (formerly Court TV) has more background on the case HERE.

No reliable method to determine pedophilia, study finds

http://www.psychologytoday.com/blog/witness/201011/no-reliable-method-determine-pedophilia-study-finds

Good news for sex deviants seeking jobs with TSA

Lest you think that TSA hiring agents can protect airline passengers from sexual groping by weeding out the deviant from the "normal," they cannot. There's no accurate way to know. My full report on a new study about diagnosing pedophilia, and how it relates to the viral TSA controversy, is online at Psychology Today.

The study is: "Pedophilia: An evaluation of diagnostic and risk prediction methods," by Robin J. Wilson, Jeffrey Abracen, Jan Looman, Janice Picheca, and Meaghan Ferguson, in Sexual Abuse: A Journal of Research & Treatment

And don't miss Jonathan Mann's new video, "I don't like the TSA"

Bipolar disorder by proxy proposed for DSM-5

New diagnosis to address "critical clinical need"

Although some scholars warn of dangers posed by the proposed expansions of psychiatric disorders, others say there remains a critical shortage of accurate diagnoses for those who need them. At a forensic psychiatry conference last month, for example, proponents said three new sexual disorders are needed to address an urgent clinical reality.

Incorporation of such broad-brush conditions as "psychosis risk syndrome," "temper dysregulation disorder," and "hebephilia" into the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), due out in 2013, will help address the diagnostic shortfall, the clinical realists say. But more should be done.

To help meet the needs of those few who remain undiagnosed, California psychologist Michael Donner has proposed an umbrella disorder. To qualify for the newly minted Bipolar by Proxy (BPP), patients must meet at least one of the following criteria during the preceding two-year period:

1. A pervasive sense of well being
2. Repetitive episodes of sadness or pleasure while engaging in pleasant or unpleasant activities, typically lasting for the duration of the activity
3. A minimum of one episode of feeling extremely excited or irritated
4. Two or more episodes of crying, or three or more episodes of an urge to cry
5. Engaging in laughing behavior when confronted with something humorous
6. A general willingness to comply with a prescription medication regimen despite having no overt symptoms
7. One or more major medical health insurance reimbursement plans

As a rule-out, the disorder must not occur in the presence of any other previously undiagnosed mental illness. Nor can it be due to the direct physiological effects of exogenous substances (e.g., drugs of abuse or medications).

There may be no need to market a new drug for this condition. The prescription depressant Despondex (see below video) has been on the market for more than a year and targets annoying exuberance, a core symptom of Bipolar by Proxy that often alerts clinicians to conduct a more thorough diagnostic workup.

Although the reliability of the proposed diagnosis has not yet been established through clinical replication studies published in peer-reviewed journals, this should not be a barrier as field trials are being planned in time to make it into the manual just under the wire. The sites for the field trials will be strategically selected to maximize positive findings. Similarly, high inter-rater reliability will be assured through careful selection, training, and certification of raters by the Bipolar By Proxy Promulgation Association. The journal whose editorial board is dominated by that Association is expected to publish the positive findings. The larger question of validity is not thought to be a problem, as many other current and proposed diagnoses lack real-world validity.

Related post:

Despondex: Is psych mania overreaching? (June 22, 2009)

Photo credit: Eva Blue, Creative Commons License, Peaceful Heart Doctor, San Francisco Chinatown

Historical review of false confessions

If you are looking for more information on false confessions but don't want to read an entire book, last month's New York magazine has a nice historical overview. Contributing editor Robert Kolker goes into depth about the science of interrogation tactics and false-confession psychology, and also proposes some solutions. The fascinating piece, anchored around a 1988 murder case in a hamlet in upstate New York, would make a good reading assignment for students.

Don’t miss Frontline's "The Confessions" airing Tuesday

The Norfolk Four sailors are out of prison, but they remain convicted sex offenders with all of the stigma and draconian restrictions that status entails. Now comes what some are calling the best program ever on the subject of why people falsely confess:

Why would four innocent men confess to a brutal crime they didn’t commit? FRONTLINE producer Ofra Bikel (Innocence Lost, An Ordinary Crime) investigates the conviction of four Navy sailors for the rape and murder of a Norfolk, Va., woman in 1997. In interviews with the sailors, Bikel learns of some of the high-pressure police interrogation techniques -- including the threat of the death penalty, sleep deprivation, and intimidation -- that led each of the “Norfolk Four” to confess, despite a lack of evidence linking them to the crime. All four sailors are now out of prison -- one served his sentence and the other three were granted conditional pardons last summer -- but the men were not exonerated as felons or sex offenders. The case raises disturbing questions about the actions of the police and prosecutors, who relied on the sailors’ often contradictory confessions for their convictions, and disregarded DNA evidence that pointed to a lone assailant who would later confess to the crime himself while serving prison time for another rape.

Airing this Tuesday night on PBS, The Confessions is incredibly timely. Two weeks ago, a federal jury convicted the lead homicide detective of extortion for taking bribes from criminals in exchange for favorable treatment in a series of unrelated cases.

But meanwhile, the four sailors from whom he extracted confessions continue to live "in a hellish limbo," writes Virginia journalist Margaret Edds, author of "An Expendable Man: The Near-Execution of Earl Washington Jr."

• In Michigan, Danial Williams wears an electronic ankle bracelet 24 hours a day. He cannot even work in the yard without permission.

• In Texas, Eric Wilson was denied admission to a school for electricians and cannot adopt his wife’s son because of his criminal record.

• In North Carolina, Derek Tice washes windows for a living, his dream of becoming a nurse forever barred.

• In Maryland, Joseph Dick fears taking his parents’ dogs for a walk because a school backs up to their property.

Having blogged about this case since 2007, I am excited to see this show finally airing. Hopefully, it will create enough public pressure to force Virginia's governor to at long last exonerate the four.

So, as a colleague said, "Tape it, burn it, TIVO it, watch it, have your family members watch it, have their friends watch it, have your students watch it, your teenage children watch it, tweet it, Facebook it, blog it."

Bottom line: Don't miss it.

Further resources:

PBS' website on The Confessions is HERE.

My reviews of The Wrong Guys by Tom Wells and Richard Leo are HERE (Amazon) and HERE (California Lawyer magazine).

Prior blog posts on the case:

• Another fascinating disputed confession case (Sept. 24, 2007)

• The Wrong Guys: New book explodes myth that innocent do not confess (Dec. 8, 2008)

Hat tip: Luis