Recent field studies have questioned the interrater reliability (IRR) and predictive validity regarding (violent) recidivism of the Psychopathy Checklist-Revised (PCL-R). Using a forensic psychiatric sample, the current study investigated discrepancies in scoring between hospital and prison settings, as well as differences in predictive validity across these two settings. PCL-R information was collected from prison and hospital files, resulting in 224 PCL-R total scores and 74 double scores. When examining repeated measurements, large individual differences were found together with an intraclass correlation coefficient (ICC) of .42 for the total score. Discrepant results were found for Factor 2, with repeated scores within the same setting having an ICC of .28 versus an ICC of .57 for repeated scores between settings. However, areas under the curve (AUCs) from receiver operating characteristic (ROC) analyses for total, factor and facet scores did not differ between settings. For the whole sample, Factor 2 scores marginally predicted violent and general recidivism after 2 years (AUC = .62 and .63), whereas Factor 1 did not predict (violent) recidivism. Consistent with recent studies from other countries, these results suggest inadequate field reliability and validity in prison and hospital settings in Flanders (Belgium). (PsycINFO Database Record
This study showed that stability or interchangeability of scores is lacking, especially in individuals with intellectual disability. Caution in interpreting IQ scores is therefore recommended, and the use of the unitary concept of IQ should be discouraged.
The relation between dimensions of personality and personality pathology and offence type and severity in juvenile delinquents Nederlof, E.; van der Ham, A.; Dingemans, P.M.A.J.; Oei, T.I. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. In a representative sample of 142 incarcerated Dutch male juveniles, normal personality dimensions were assessed with the Big Five Inventory and pathological personality dimensions with the Dimensional Assessment of Personality Pathology -Basic Questionnaire for Adolescents. Participants' criminal charges were derived from TULPYouth, an official Dutch judicial registration system. Charges were categorized (against morality/against life/violent/violent with property/ property) and were assigned a signal value representing their severity. Personality dimensions appear not to be related to offence type or severity. Other factors are suggested to be of greater importance, like the trajectory of criminal development and a possible neuro-maturational gap, causing sensitivity to juvenile delinquency at a certain age. Recommendations for further research are presented.
Attachment and psychopathy in forensic patientsvan den Berg, A.; Oei, T.I. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Attachment and psychopathy in forensic patientsThe ( AbstractEffective treatment of patients with severe psychopathy is very difficult to achieve. This conclusion may be drawn from an extensive examination into the usage of the term 'psychopathy' in scientific research literature, in theoretical development from various psychological schools of thought, in the practice of therapy and in assessment. The central issue for the authors of the present article is the inability of severely psychopathic patients to commit to the patient-therapist relationship. Attachment Theory and Mentalization-Based Treatment are used here to define the cause and nature of this inability, which is incurred in very early childhood. The two above-mentioned models can aid in the development of more dynamic definitions of psychopathy, better suited to dynamic therapy formats.The ways in which psychopathy is defined partly account for a number of problems encountered in the practice of therapy. The authors assume that the treatment of psychopathy should be interactional and should match patients' individual levels of psychological development and mentalization; highly psychopathic patients often perceive others as objects ie as part of the context, not as subjects ie autonomous personalities.The authors propose to conduct further research in order to verify the validity of their hypothesis. They also put forward a number of suggestions for therapy formats with a view to establishing effective working relationships with psychopathic patients.
A theoretical framework for goal-directed care within the prison system Bulten, E.; Vissers, A.; Oei, T.I. Published in: Mental Health Review Journal Publication date: 2008 Link to publication Citation for published version (APA):Bulten, E., Vissers, A., & Oei, T. I. (2008). A theoretical framework for goal-directed care within the prison system. Mental Health Review Journal, 13(3), 40-50. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. are of importance in defining the availability, the aims and the quality of care and treatment. This group of stakeholders consists of prisoners, the providers of care, the prison system, the government and society. As a consequence, the goals involved in care are divergent. There is no sound theoretical framework comprised of welldefined concepts and that also accounts for the complexity of care in prison.Although prevention and the transfer of inmates to more specialized facilities are necessary, the focus in this article is on describing the processes involved in seeking and providing care within the prison system. We discuss a broad theory and its conceptual framework, in which we differentiate between prisoners with emotional suffering versus those without, the need for care from an objective point of view as opposed to a subjective one, need for care related to mental health problems versus need for care related to limiting recidivism, and the process of care seeking under the influence of approach in contrast to avoidance factors. The equivalency principle should have a substantial impact on the processes involved in this type of mental health care.In the Netherlands, there is great interest in the issue of mental health care during detention. Politicians, the government and professionals all contribute to this increasing interest. The quality of care is also an issue, especially in regard to the standards of equivalence, which impose similar services in both correctional and non correctional settings. In addition, there is a partly contradicting tendency toward being tougher on crime, tougher in sentencing and being more strict during detention.
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