Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Criminal Justice System. Show all posts
Showing posts with label Criminal Justice System. Show all posts

Monday, May 25, 2015

A shocking number of mentally ill Americans end up in prison instead of treatment

By Ana Swanson
The Washington Post
Originally published April 30, 2015

Here is an excerpt:

For various reasons, these community treatment plans proved inadequate, leaving many of the mentally ill homeless or in jail. According to the Department of Justice, about 15 percent of state prisoners and 24 percent of jail inmates report symptoms meet the criteria for a psychotic disorder.

In its survey of individual states, the Treatment Advocacy Center found that in 44 of the 50 states and the District of Columbia, the largest prison or jail held more people with serious mental illness than the largest state psychiatric hospital (see map below). The only exceptions were Kansas, New Jersey, North Dakota, South Dakota, Washington and Wyoming. "Indeed, the Polk County Jail in Iowa, the Cook County Jail in Illinois, and the Shelby County Jail in Tennessee each have more seriously mentally ill inmates than all the remaining state psychiatric hospitals in that state combined," the report says.

The entire article is here.

Sunday, May 24, 2015

The Stubborn System of Moral Responsibility

Bruce N. Waller, The Stubborn System of Moral Responsibility, MIT Press, 2015, 294pp.
ISBN 9780262028165.

Reviewed by Seth Shabo, University of Delaware

This book is a spirited and engaging broadside against ordinary belief in moral responsibility. Specifically, Bruce Waller challenges the entrenched belief that people bear the kind of moral responsibility for their conduct that would justify punishing them on the grounds that they deserve it. What needs explaining, in Waller's view, is why so many philosophers continue to defend this orthodoxy in the face of such powerful counterevidence. His proposed explanation encompasses a range of psychological and social factors that powerfully reinforce this belief. These include the animal impulse to strike back when harmed, an impulse that often inhibits deeper reflection into the causes of the offender's conduct; the desire to justify expressions of this strike-back impulse; the broader belief in a just universe in which wrongdoers have retribution coming to them; a heuristic tendency to substitute simpler problems for hard ones (in this case, the question of how we can correctly attribute bad qualities to people with the intractable problem of how people can truly deserve punishment); and the ascendancy of an individualistic, neoliberal political culture that downplays the role of societal conditions in shaping how people turn out.

The entire book review is here.

Wednesday, March 25, 2015

Once and Future Sins

By Stefan Klein and Stephen Cave
Aeon Magazine
Originally published March 24, 2015

Here is an excerpt:

But before we start basking in the glow of spreading goodness, we must realise that these changing values have a price. For many of us, such changes would mean sharing or giving up privileges that we have long enjoyed, or admitting that our comfortable lifestyles are based on industries of exploitation, or otherwise recognising that we have in a hundred ways been wrong. This is not a message we rush to hear: there is a reason why prophets of new moralities – think of Socrates or Jesus – often end up dead at the hands of their own people.

We hope that debating the question of what we might be condemned for in 100 years is a way of easing that transition. To help get this debate going, below are four suggestions as to what we think we might be castigated for by our great-grandchildren. They are, we believe, natural extensions of the progress we have witnessed so far. Just as the suffragettes 100 years ago were campaigning for the revolution in women’s rights that we now enjoy, so there are people who are already pushing for these moral revolutions today (which is not to say that we two authors are already living up to them).

The entire article is here.

Tuesday, March 10, 2015

Identifying mentally ill 'frequent fliers' first step to reducing police contact

Press Release
Oregon State University
Originally published February 11, 2015

Identifying the population of people with mental illness who have frequent contact with police could help law enforcement officials and community agencies allocate limited resources to those with the highest needs, new research from Oregon State University indicates.

These individuals, often referred to as “frequent fliers” because of their repeated interaction with law enforcement, can consume a large amount of police time and resources, according to researchers in the School of Public Policy in OSU’s College of Liberal Arts.

Identifying and understanding the population can aid policymakers as they work to reduce the frequent and time-consuming interactions, sociologists Scott Akins and Brett Burkhardt said.

“This contact is rarely criminal in nature at the outset,” said Burkhardt, an assistant professor of sociology. “It’s usually a peace officer custody arrest, which is a type of arrest that occurs because a person is believed to be a danger to themselves or others due to a suspected mental illness. But there’s a limited amount of resources, so if we identify people with the highest needs, we can focus resources on those folks.”

Once a local region has identified its population of frequent fliers, community agencies and policy-makers can use the information to change or implement policies to assist those with the highest needs, the researchers said.

“It’s a strategic way to create a more cost-effective and humane way to assist the mentally ill,” said Akins, an associate professor of sociology.

The entire press release is here.

Tuesday, March 3, 2015

Mental Illness, Mass Shootings, and the Politics of American Firearms

By Jonathan M. Metzl, MD, PhD, and Kenneth T. MacLeish, PhD
American Journal of Public Health: February 2015, Vol. 105, No. 2, pp. 240-249.
doi: 10.2105/AJPH.2014.302242

Abstract

Four assumptions frequently arise in the aftermath of mass shootings in the United States: (1) that mental illness causes gun violence, (2) that psychiatric diagnosis can predict gun crime, (3) that shootings represent the deranged acts of mentally ill loners, and (4) that gun control “won’t prevent” another Newtown (Connecticut school mass shooting). Each of these statements is certainly true in particular instances. Yet, as we show, notions of mental illness that emerge in relation to mass shootings frequently reflect larger cultural stereotypes and anxieties about matters such as race/ethnicity, social class, and politics. These issues become obscured when mass shootings come to stand in for all gun crime, and when “mentally ill” ceases to be a medical designation and becomes a sign of violent threat.


The entire article is here.

Tuesday, February 10, 2015

People can be convinced they committed a crime that never happened

Association for Psychological Science
Press Release on January 15, 2015

Evidence from some wrongful-conviction cases suggests that suspects can be questioned in ways that lead them to falsely believe in and confess to committing crimes they didn't actually commit. New research provides lab-based evidence for this phenomenon, showing that innocent adult participants can be convinced, over the course of a few hours, that they had perpetrated crimes as serious as assault with a weapon in their teenage years.

The research, published in Psychological Science, a journal of the Association for Psychological Science, indicates that the participants came to internalize the stories they were told, providing rich and detailed descriptions of events that never actually took place.

"Our findings show that false memories of committing crime with police contact can be surprisingly easy to generate, and can have all the same kinds of complex details as real memories," says psychological scientist and lead researcher Julia Shaw of the University of Bedfordshire in the UK.

The entire article is here.

Monday, February 2, 2015

Board Votes to End Solitary Confinement for Rikers Inmates Under 21 By 2016

By Jillian Jorgensen
The New York Observer
Originally published January 13, 2014

The Board of Correction today approved a plan for an enhanced supervision unit touted by Mayor Bill de Blasio and Department of Correction Commissioner Joseph Ponte—but also voted to end solitary confinement for all inmates on Rikers Island under 21 by 2016, a sweeping change that will set the department apart from jail systems nationwide.

The board voted unanimously today to create the new Enhanced Supervision Housing Unit touted by Mr. Ponte and Mr. de Blasio at a visit to Rikers Island last month, as well as a previously discussed plan to limit the use of punitive segregation—in which inmates who commit an infraction are locked up for 23-hours a day—to no more than 30 days per offense.

The entire article is here.

Saturday, January 3, 2015

Is the Justice System Overly Punitive?

By Oriel Feldman Hall and Peter Sokol-Hessner
Scientific American
Originally posted December 9, 2014

Here is an excerpt:

This finding sheds a new light on how people choose to rebalance the scales of justice. When we ourselves have been slighted, we appear to tend to our own needs rather than pursue punishment, but this changes when we make decisions on behalf of someone else: for bystanders or jurors, an eye-for-an-eye may be preferable. Our notion of justice seems to depend on where we stand. This leaves us with a challenge: there may be a gap between what we as victims want, and what third parties decide for us, calling into question our blind reliance on the putative impartiality of juries and judges.

The entire article is here.

Editorial note: When I read this part of the article, my thoughts went to the difference between the patient experiencing an injustice versus the therapist hearing about an injustice.  The "gap" between what the patient wants and what the psychologist believes is correct may be a bias that leads to problematic behaviors, such as intrusive advocacy.

Tuesday, December 30, 2014

The Dark Side of Free Will

Published on Dec 9, 2014

This talk was given at a local TEDx event, produced independently of the TED Conferences. What would happen if we all believed free will didn't exist? As a free will skeptic, Dr. Gregg Caruso contends our society would be better off believing there is no such thing as free will.

Friday, November 14, 2014

Compensation and punishment: ‘Justice’ depends on whether or not we’re a victim

New York University
Press Release
Originally released on October 28, 2014

We’re more likely to punish wrongdoing as a third party to a non-violent offense than when we’re victimized by it, according to a new study by New York University psychology researchers. The findings, which appear in the journal Nature Communications, may offer insights into how juries differ from plaintiffs in seeking to restore justice.

Their study, conducted in the laboratory of NYU Professor Elizabeth Phelps, also shows that victims, rather than seeking to punish an offender, instead seek to restore what they’ve lost.

“In our legal system, individuals are presented with the option to punish the transgressor or not, but such a narrow choice set may fail to capture alternative preferences for restoring justice,” observes Oriel FeldmanHall, the study’s lead author and a post-doctoral fellow in NYU’s Department of Psychology. “In this study we show that victims actually prefer other forms of justice restoration, such as compensation to the victim, rather than punishment of the transgressor.”

Sunday, November 9, 2014

Why it matters whether you believe in free will

By Rebecca Roache
Practical Ethics Blog
Originally published May 23, 2013

Scientific discoveries about how our behaviour is causally influenced often prompt the question of whether we have free will (for a general discussion, see here). This month, for example, the psychologist and criminologist Adrian Raine has been promoting his new book, The Anatomy of Violence, in which he argues that there are neuroscientific explanations of the behaviour of violent criminals. He argues that these explanations might be taken into account during sentencing, since they show that such criminals cannot control their violent behaviour to the same extent that (relatively) non-violent people can, and therefore that these criminals have reduced moral responsibility for their crimes. Our criminal justice system, along with our conceptions of praise and blame, and moral responsibility more generally, all presuppose that we have free will. If science can reveal it to be an illusion, some of the most fundamental features of our society are undermined.

The entire article is here.

Thursday, September 18, 2014

Free Will and Punishment

Azim F. Shariff, Joshua D. Greene,  and others
Psychological Science 2014 25: 1563 
originally published online 10 June 2014
DOI: 10.1177/0956797614534693

Abstract

If free-will beliefs support attributions of moral responsibility, then reducing these beliefs should make people less retributive in their attitudes about punishment. Four studies tested this prediction using both measured and manipulated free-will beliefs. Study 1 found that people with weaker free-will beliefs endorsed less retributive, but not consequentialist, attitudes regarding punishment of criminals. Subsequent studies showed that learning about the neural bases of human behavior, through either lab-based manipulations or attendance at an undergraduate neuroscience course, reduced people’s support for retributive punishment (Studies 2–4). These results illustrate that exposure to debates about free will and to scientific research on the neural basis of behavior may have consequences for attributions of moral responsibility.

(cut)

As part of the discussion section:

Retributivism plays an important role in the justice system. Historically, much of the motivation for legal punishment has been an institutionalized attempt to sate the public’s retributive desires (Smith, 1759). Legal historian Stephen (1883) famously wrote that “the sentence of the law is to the moral sentiment of the public what a seal is to hot wax” (p. 423). In recent years, justice researchers and advocates have argued for a switch from retributive to restorative justice—a consequentialist approach aimed at repairing the moral imbalances caused by transgressions (Braithwaite, 2002). The current findings suggest that changing attitudes about free will and responsibility may be important to this evolution of legal thinking.

The entire article is here, complete with paywall.

Tuesday, September 16, 2014

The status of NeuroLaw: A plea for current modesty and future cautious optimism

By Stephen J. Morse
Journal of Psychiatry and Law
39/Winter 2011

Abstract

Legislators, jurists, and advocates often turn to science to solve complicated normative problems addressed by the law.  This article addresses what motivates these parties, surveys the psychology of law and its concepts of the person and responsibility, and describes the general relation of neuroscience to law in terms of the issue of “translation.”  Numerous distractions have clouded our understanding of the relationship between scientific, causal accounts of behavior and responsibility. The notion of “NeuroLaw” is examined here in detail, with the conclusion that a cautious optimism regarding the contributions of neuroscience to the law is warranted.

The entire article is here.

Tuesday, August 26, 2014

Ethics and the Brains of Psychopaths

The Significance of Psychopaths for Ethical and Legal Reasoning

William Hirstein and Katrina Sifferd
Elmhurst College

Abstract

The emerging neuroscience of psychopathy will have several important implications for our attempts to construct an ethical society. In this article we begin by describing the list of criteria by which psychopaths are diagnosed. We then review four competing neuropsychological theories of psychopathic cognition.  The first of these models, Newman‘s attentional model, locates the problem in a special type of attentional narrowing that psychopaths have shown in experiments. The second and third, Blair‘s amygdala model and Kiehl‘s paralimbic model represent the psychopath‘s problem as primarily emotional , including reduced tendency to experience fear in normally fearful situations, and a failure to attach the proper significance to the emotions of others. The fourth model locates the problem at a higher level: a failure of  psychopaths to notice and correct for their attentional or emotional problems using ―executive processes.  In normal humans, decisions are accomplished via these executive processes, which are responsible for planning actions, or inhibiting unwise actions, as well as allowing emotions to influence cognition in the proper way. We review the current state of knowledge of the executive capacities of psychopaths. We then evaluate psychopaths in light of the three major  philosophical theories of ethics, utilitarianism, deontological theory, and virtue ethics. Finally,we turn to the difficulty psychopath offenders pose to criminal law, because of the way psychopathy interacts with the various justifications and functions of punishment. We concludewith a brief consideration of the effects of psychopaths on contemporary social structures.

The entire article is here.

Thursday, May 29, 2014

Enforcing Morality through Criminal Law (Part One)

By John Danaher
Philosophical Disquisitions
Originally posted May 10, 2014

What kinds of conduct ought to be criminalised? According to a position known as legal moralism, the criminal law ought only to prohibit immoral/wrongful conduct. That is to say: a necessary condition for the criminalisation of any conduct is that the conduct be immoral.

Legal moralism does not state a sufficient condition for criminalisation. It just limits the possible scope of criminal law to the set of immoral conduct. Follow up questions must be asked of the moralist. Which members of that set are most apt for criminalisation? What kinds of factors speak against the criminalisation of immoral conduct? Only when those questions are will we be able to tell whether a particular type of conduct ought to be criminalised.

The entire blog post is here.

Saturday, May 17, 2014

U.S. Should Significantly Reduce Rate of Incarceration

Unprecedented Rise in Prison Population ‘Not Serving the Country Well,’ Says New Report

Press Release from the National Academy of Sciences
Released April 30, 2014

Given the minimal impact of long prison sentences on crime prevention and the negative social consequences and burdensome financial costs of U.S. incarceration rates, which have more than quadrupled in the last four decades, the nation should revise current criminal justice policies to significantly reduce imprisonment rates, says a new report from the National Research Council.

A comprehensive review of data led the committee that wrote the report to conclude that the costs of the current rate of incarceration outweigh the benefits.  The committee recommended that federal and state policymakers re-examine policies requiring mandatory and long sentences, as well as take steps to improve prison conditions and to reduce unnecessary harm to the families and communities of those incarcerated.  In addition, it recommended a reconsideration of drug crime policy, given the apparently low effectiveness of a heightened enforcement strategy that resulted in a tenfold increase in the incarceration rate for drug offenses from 1980 to 2010 — twice the rate for other crimes.

“We are concerned that the United States is past the point where the number of people in prison can be justified by social benefits,” said committee chair Jeremy Travis, president of John Jay College of Criminal Justice in New York City.  “We need to embark on a national conversation to rethink the role of prison in society.  A criminal justice system that makes less use of incarceration can better achieve its aims than a harsher, more punitive system. There are common-sense, practical steps we can take to move in this direction.”

The rest of the press release is here.

Friday, May 16, 2014

How Chicago is using psychotherapy to fight crime — and winning

By Dylan Matthews
Vox
Originally published May 1, 2014

The basics

The program in question is called Becoming a Man (BAM), and was developed by the nonprofits Youth Guidance and World Sport Chicago for use in Chicago schools. BAM consists of weekly hour-long sessions with groups of no more than 15 high school boys (the average instructor-student ratio is 1 to 8). It's not therapy in the strictest of senses, but the overall approach is borrowed from cognitive-behavioral therapy (CBT), which has overtaken more Freudian approaches in recent decades among practitioners and has a large research base demonstrating its effectiveness:




CBT is all about teaching meta-cognition: thinking about thinking. In a pure therapy setting, that means teaching patients to identify thought patterns that contribute to depression, anxiety, and so forth, so that they can work to replace them with healthier patterns. For example, a common negative thought pattern is catastrophizing, or exaggerating the importance of a short-term negative event in a way that causes undue distress and overreaction; if you've ever gotten a small piece of negative feedback from your boss and within a few minutes started worrying that you're about to get fired, that's catastrophizing in action.

The entire article is here.

Thursday, March 6, 2014

Alleged military sex assault victims seek to block use of counseling records

By Annys Shin
The Washington Post
Originally published February 14, 2014

Here is an excerpt:

Over the past several months, lawyers for the alleged victim in the Naval Academy case have been trying to block a judge from reviewing years of counseling records. Their latest appeal is still pending, but Col. Daniel Daugherty, the judge in the trial of defendant Joshua Tate, has already reviewed some of them, and agreed to release portions to the defense.

Advocates for sexual assault victims say the practice of going after mental health records undercuts the military’s efforts to get more victims to come forward and thwarts their treatment.

“The victim needs to be assured of confidentiality to effectively be treated and to be effectively diagnosed,” said Nikki Charles, who directs therapy and case management for the Network for Victim Recovery of DC.  “If you chip away at that…their chances of recovery diminish.”

The entire article is here.

Friday, February 7, 2014

Punishment and Blame within Criminal Justice

By Hanna Pickard
Flickers of Freedom
Originally posted January 21, 2014

Here is an excerpt:

As well as working clinically with patients, I’m also currently developing a training for prison officers, to teach them how to distinguish responsibility from blame in theory and in practice, as part of an initiative to increase awareness and skills working with personality disorder (PD) and promote a more rehabilitative environment within prisons. On a purely personal note, going into prisons has been hard. Over time I’ve become much less scared, but I still can’t bear being locked in, dependent on the officers and their keys to get out. Every time I go, I can’t quite believe we’ve ended up doing this to people, no matter what they’ve done. So I certainly think there’s reason to re-think radically the entire system, on multiple grounds. However the training I’m developing and the theoretical work that underpins it aims to be pragmatic rather than revolutionary – and that’s what I’m going to blog about today. No utopian ideals!

We currently spend millions and millions imprisoning offenders. Meanwhile there’s some real and plenty of anecdotal evidence that one of the best ways to increase re-offending is to put people in jail – arguably, you really couldn’t design a better environment to entrench criminality if you tried. Yet 66% of male offenders and 50% of female offenders have PD – they have many of the same mental health problems and psycho-socio-economic backgrounds as patients in the community who we know we can help in Therapeutic Communities and other forms of treatment program.

The entire blog post is here.

Sunday, February 2, 2014

The Distinction Between Antisociality And Mental Illness

By Abigail Marsh
Edge.org
Originally published January 15, 2014

Here is an excerpt:

Cognitive biases include widespread tendencies to view actions that cause harm to others as fundamentally more intentional and blameworthy than identical actions that happen not to result in harm to others, as has been shown by Joshua Knobe and others in investigations of the "side-effect effect", and to view agents who cause harm as fundamentally more capable of intentional and goal-directed behavior than those who incur harm, as has been shown by Kurt Gray and others in investigations of distinction between moral agents and moral patients. These biases dictate that an individual who is predisposed to behavior that harms others as a result of genetic and environmental risk factors will be inherently viewed as more responsible for his or her behaviors than another individual predisposed to behavior that harms himself as a result of similar genetic and environmental risk factors. The tendency to view those who harm others as responsible for their actions, and thus blameworthy, may reflect seemingly evolved tendencies to reinforce social norms by blaming and punishing wrongdoers for their misbehavior.

The entire blog post is here.