January 10, 2012

Emboldened DSM-5 critics issue public challenge

In October, I reported on the Society for Humanistic Psychology's online petition urging the American Psychiatric Association to reconsider the mental illness expansions and biomedical emphasis proposed for its new diagnostic manual, due out in 2013.

Since then, the effort has taken off like wildfire. More than 10,000 people have signed the petition, and the fledgling Coalition for DSM-5 Reform has mushroomed to include 41 concerned mental health organizations in the United States, Britain and Denmark.

Now, the Coalition has posted an open letter calling upon the developers of the Diagnostic and Statistical Manual of Mental Disorders to submit controversial proposals in the DSM-5 to an independent group of scientists and scholars with no ties to either the DSM-5 Task Force or the American Psychiatric Association for an independent, external review.

"We respectfully ask that you not respond again with assurances about internal reviews and field trials because such assurances, at this point, are not sufficient," says the letter. "We believe an external, independent review is critical in terms of ensuring the proposed DSM-5 is safe and credible."

As the critics gain ground and the battle heats up, it will be very interesting to see how the beleaguered DSM-5 Task Force responds.

January 8, 2012

More developments on the sex offender front

Study finds problems with real-world reliability of Static-99

Evaluators differ almost half of the time in their scoring of the most widely used risk assessment instrument for sex offenders, the Static-99, according to a report in the current issue of Criminal Justice and Behavior. Even a one-point difference on the instrument can have substantial practical implications, both for individual sex offenders and for public policy. In by far the largest and most ecologically valid study of interrater agreement in Static-99 scoring, the research examined paired risk ratings for about 700 offenders in Texas and New Jersey. The findings call into question the typical practice of reporting only a single raw score, without providing confidence intervals that would take into account measurement error. The study, the latest in a line of similar research by Marcus Boccaccini, Daniel Murrie and colleagues, can be requested HERE.

California reining in SVP cowboys

Psychiatrist Allen Frances has more news coverage of a memorable state-sponsored training at which Sexually Violent Predator (SVP) evaluators were cautioned to be more prudent in their diagnostic practices. Ronald Mihordin, MD, JD, acting clinical director of the Department of Mental Health program, warned evaluators against cavalierly diagnosing men who have molested teenagers with “hebephilia” and rapists with “paraphilias not otherwise specified-nonconsent,” unofficial diagnoses not found in the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. California evaluators have come under fire in the past for billing upwards of $1 million per year conducting SVP evaluations of paroling prisoners. The PowerPoints of the 3-day training are now available online, at the DMH's website.

The neuroscience of sex offending

In preventive detention trials of sex offenders, forensic evaluators often testify about whether an offender lacks volitional control over his conduct. But how much do we really know about this? In the current issue of Aggression and Violent Behavior, forensic psychologist John Matthew Fabian explores the neuroscience literature on sex offending as it applies to civil commitment proceedings. The article can be viewed online, or requested from the author HERE.

Challenge to sex offender registry

Although the sex offender niche is by far the most partisan and contentious in forensic psychology, one thing that just about all informed professionals agree about is that sex offender registration laws do more harm than good. By permanently stigmatizing individuals, they hamper rehabilitation and reintegration; as Elizabeth Berenguer Megale of the Barry University School of Law explores in an essay in the Journal of Law and Social Deviance (full-text available HERE), they lead to a form of “social death.” Now, the California Coalition on Sexual Offending (CCOSO) and the Association for the Treatment of Sexual Abusers (ATSA) have filed a joint amicus brief in a challenge to California's "Jessica's Law," which bars registered sex offenders from living within 2,000 feet of any school or park. The amicus contends that the restriction is punishment without any rational purpose, in that it does not enhance public safely or deter future criminality. The challenge was brought by Steven Lloyd Mosley. After a jury found Mosley guilty of misdemeanor assault, a non-registerable offense, the sentencing judge ordered him to register anyway, ruling that the assault was sexually motivated. The 4th District Court of Appeal granted Mosley’s appeal, and the California Department of Corrections has appealed to the state's supreme court. We'll have to wait and see whether the high court will tackle the issue of registration laws directly, or will sidestep with a narrow, technical ruling.

January 5, 2012

Civil commitment petition against Butner, NC prisoner dismissed

 Federal judge discounts sex offender's confessions as fabricated

Sex offenses are upsetting, and their perpetrators creepy. Understandably, it's easy for jurors and even judges to brush aside legal technicalities and burdens of proof in the interest of keeping women and children safe.

But it is disturbing when forensic psychologists collude in this endeavor, disregarding the limits of science by overstating the accuracy of risk assessment instruments, inventing pretextual disorders to justify preventive detention, and even claiming omniscient truth-telling powers regarding ancient, unprosecuted allegations.

In an environment replete with such folie à plusieurs, it was refreshing to read the recent federal decision in the case of Markis Revland, a habitual criminal who faced civil detention after serving time for child pornography possession.

Senior U.S. District Judge Bernard A. Friedman systematically analyzed and rejected the evidence as failing to meet the government’s burden of proof. Not only did the government fail to show that Revland had a serious mental disorder that put him at high risk of molesting children if released, it even failed to prove that the convict had engaged in any hands-on child molestation in the past, the judge ruled.

Child abuse claims imaginary

In addition to his conviction for child pornography, Revland had two prior convictions for indecent exposure. But the most damning evidence against him was his own admissions, made during sex offender treatment at the federal prison in Butner, North Carolina, that he had committed 149 additional incidents of sexual abuse of children of various ages.

However, the keen-minded judge of the U.S. District Court for the Eastern District of North Carolina wasn’t buying those confessions:
The court finds that all of the 149 incidents reported by respondent … were the product of his imagination, not actual events.
He explained that Revland was desperate to enroll in Butner’s treatment program in order to escape the infamous federal prison in Leavenworth, Kansas, where he feared for his life after being beaten and raped at knifepoint by fellow prisoners. Once at Butner, he felt compelled to fabricate “a long list of sex offenses,” lest he be deemed uncooperative and returned to Leavenworth.

The offenses that he described in great detail were implausible, in that he was serving a prior, 10-year prison term for cocaine at around the same time that he claimed to be running around molesting children, the judge determined:
The reported incidents were not only too numerous to believe but also recounted – years afterwards – far too precisely, with respondent providing the age of the victim, the time of day … when each offense occurred, and the location where each incident allegedly occurred…. And yet the government offered no evidence to independently verify that any of these incidents occurred or that any of them – even one – ever resulted in investigation or prosecution.
As a group, Butner offenders – most of them incarcerated on child pornography charges -- have confessed to an unusually high number of undetected sex offenses, leading many observers to suspect that the widely publicized numbers are unreliable. Critics say treatment providers at the federal institution pressured prisoners to report as many offenses as possible, lest they be accused of not cooperating.

No bona fide sexual disorder

Likewise, Judge Friedman was unconvinced by the government's claim that Revland suffered from a mental disorder, pedophilia, that would justify civil commitment by making him likely to engage in future child molestation if released.

Friedman conceded that the convict met the criteria for antisocial personality disorder. But he found that such a diagnosis was irrelevant:
The essence of this disorder is that the patient “fail[s] to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest.” Dr. [Jeffrey] Singer testified that the vast majority of prison inmates have this disorder, as they are in prison for breaking the law and failing to conform to social norms. Dr. [Joseph] Plaud testified that there is no documented causal link, in this case or in general, between antisocial personality disorder and sexual dangerousness. The court credits these experts' opinions.
Finally, the judge rejected the claims of two government psychologists that two so-called actuarial instruments, the Static-99R and the MnSOST-R, showed Revland to be at high risk for recidivism.

Judge Friedman said the risk assessments by both Dr. Manuel Gutierrez, a Board of Prisons employee, and contract psychologist Jeffrey Davis were "particularly unreliable in the present case because they both assumed that [Revland] is a pedophile with numerous 'hands-on' victims, whereas the court has rejected both of these premises."

Increasingly, cutting-edge researchers are coming to the consensus that by and large, with a few exceptions at the extreme end of the continuum, sex offenders are not a distinct group worthy of the level of special attention they are getting these days. Rather, they are garden-variety criminals who violate social norms, take what they want, and eventually burn out as they enter middle age.  

The judge's bold language in cutting through the empty psychobabble about mental disorder and risk harkens back to the little boy in the Hans Christian Andersen tale, The Emperor's New Clothes, who was not afraid to declare out loud that the emperor was naked.

December 31, 2011

Happy New Year’s – and thanks for your support!

Thanks very much to those of you who responded to my request for help, generously donating money and books or signing up for a paid subscription. I really appreciate your kind assistance. For those of you who meant to chip in but didn’t get around to it yet (I know how busy we all get), click HERE to see a list of ways that you can still contribute. (Or, look in the right column of the blog's website.) Please join in today, to help keep this blog thriving in 2012 and beyond.

Happy New Year’s to all of you!

Updates of leading malingering and Miranda rights tests

As we ring in the new year, here are a couple of updates on tests some of you may be using in your forensic practices.
Miranda instruments revised

When it comes to assessing whether a criminal defendant had the capacity to waive his or her Miranda rights prior to giving a statement to police, there is only one game in town -- the Instruments for Assessing Understanding and Appreciation of Miranda Rights by eminent forensic psychologist Tom Grisso and colleagues. Now, that set of tests has been completely revised and given a new name: the Miranda Rights Comprehension Instruments (MRCI). One of the main problems with the old instruments was that their language was more complex than the actual language used by many police warnings, reducing their real-world validity. That problem has been rectified through simpler language in the new edition. Also, the test developers promise better psychometric properties and updated normative data. But it's kind of a tricky situation, because we are being instructed to use the new instruments when assessing juveniles, but to stick with the old ones for assessing adults until new adult norms are published some time in 2013. More on the new instruments is HERE.

Facelift for gold-standard malingering test

In contrast to Miranda rights, there is no shortage of instruments for assessing malingering. But for assessing malingered psychosis, one instrument is widely recognized as the "gold standard." That test is Richard Rogers and colleagues’ Structured Interview of Reported Symptoms (SIRS). It too was recently revised. The revision was in part due to the discovery that the original SIRS failed to adequately distinguish between some people diagnosed with dissociative identity disorder and people who were instructed to deliberately exaggerate symptoms. But critical reception for the revised tool, the SIRS-2, has been less than stellar. Over at the Open Access Journal of Forensic Psychology, forensic psychologist Greg DeClue warns that the SIRS-2 may be vulnerable to admissibility challenges in court. That is due to the publishers' refusal to be transparent by letting independent professionals such as DeClue analyze their data. DeClue challenges the test's developers to submit a comprehensive description of the SIRS-2 validation study for peer-reviewed publication, and to let independent professionals analyze the data without impediment. His interesting critique is HERE.

December 20, 2011

Join the blogger's circle of support

As the year draws to a close, I would like to publicly thank all my loyal readers and subscribers. It’s been gratifying to see subscriptions for this blog grow from a few dozen back in 2007 to today's many hundreds of forensic practitioners, lawyers, educators, criminologists, researchers, authors and policy advocates. It is great to see nearly all of the U.S. states and dozens of nations represented, from Saudi Arabia and Turkey to Scotland and Lithuania.

A snapshot of this morning's blog visitors from around the world
I am especially grateful to the many of you who have lent tangible support through monetary donations, books, and other forms of encouragement. Your generous support has been essential in defraying my costs. Letting me know that the time and energy I devote to blogging is useful in keeping you connected and abreast of developments in the field has also helped me stay motivated.

For those of you who have not yet chipped in, I’ve made it very easy. Here are three ways to join my expanding circle of support, and help keep this blog going:

1. Subscribe. A $3 monthly subscription helps defray my Internet fees and research costs. Just click on the "SUBSCRIBE" button in the upper right column of the blog. Paypal makes it quick and easy. 

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3. Gift. Finally, donating a book from my Amazon wish list is a great way to show your appreciation. The list is HERE; you can also browse through it on the blog page. There's a price range for everyone.

And thanks again to all of you who have given me so much support over the years.