Negative reactions to monitoring: Do they undermine the ability of monitoring to protect adolescents?

This study focused on adolescents' negative reactions to parental monitoring to determine whether parents should avoid excessive monitoring because adolescents find monitoring behaviors to be over-controlling and privacy invasive. Adolescents (n = 242, M age = 15.4 years; 51% female) reported monitoring, negative reactions, warmth, antisocial behavior, depressive symptoms, and disclosure.

Teaching Motivational Interviewing Skills to Psychiatry Trainees: Findings of a National Survey.

Objective: The authors report on the current status of motivational interviewing education and training director attitudes about providing it to psychiatry residents.

Methods: Training directors of general, child/adolescent and addiction psychiatry training programs were invited to participate in an anonymous online survey.

Results: Of the 333 training directors who were invited to participate, 66 of 168 (39.

Cranial electrotherapy stimulation reduces aggression in a violent retarded population: a preliminary report.

Nine aggressive, retarded patients refractory to conventional care at a maximum security hospital were given a 3-month course of cranial electrotherapy stimulation. Aggressive episodes declined 59% from baseline; seclusions were down 72%; restraints were down 58%; and use of prescribed-as-needed sedative medications decreased 53%. The most dramatic change was that of a disorganized, schizophrenic patient whose aggressive episodes declined from 62 to 9, seclusions from 53 to 8, restraints from 9 to 1 and PRNs from 25 to 1.

A comparative analysis of North American adolescent and adult mass murderers.

Thirty adult mass murderers and 34 adolescent mass murderers in North America are compared on both offender and offense variables to delineate similarities and differences. Findings indicate a plethora of psychiatric disturbances and odd/reclusive and acting-out personality traits. Predisposing factors include a fascination with weapons and war among many of the adolescents and the development of a "warrior mentality" in most of the adults.

Structured group therapy for posttraumatic stress disorder in incarcerated male juveniles.

This is the first study to evaluate the efficacy of a structured group therapy for posttraumatic stress disorder (PTSD) in incarcerated male juveniles. Ten groups of juveniles (n = 45) completed a 12-session intervention with pre- and postassessments composed of the Post Traumatic Stress Disorder Reaction Index (C. Frederick, 1985) and supplementary measures of anxiety, anger, and depression.

Changing a culture: a brief program analysis of a social learning program on a maximum-security forensic unit.

This report presents outcome data collected for a three-year period from a maximum-security forensic psychiatric program. Admission and discharge variables, restraint/seclusion, and client abuse/neglect data are presented from a one-year period that preceded the advent of the Behavior Management Treatment Program's (BMTP's) Social Learning Diagnostic Program to two years after implementing the Social Learning Diagnostic Program. Significant overall progress and improvement was observed in all variables analyzed after instituting a social learning program paradigm.

Use of the Rorschach in forensic settings for treatment planning and monitoring.

Forensic psychiatric patients exhibit complex clinical issues that are neither readily understood by staff nor necessarily responsive to traditional psychotherapy or treatment milieu approaches. Individualized treatment planning identifies treatment needs and matches them to treatment services, thereby increasing the opportunity for a positive therapeutic outcome. The nature of the Rorschach, particularly that it bypasses volitional resources, enables observation and quantification of personality processes, making the Rorschach uniquely suited for treatment planning in forensic settings.

Fiery tongues and mystical motivations: glossolalia in a forensic population is associated with mania and sexual/religious delusions.

Comparisons are made between a nonrandom sample of 18 glossolalists and 130 non-glossolalists admitted to a maximum-security forensic hospital. The glossolalic mentally disordered offender exhibited a predominance of diagnoses in the manic spectrum, and was typically psychotic. The delusions, hallucinations, and crimes were predominately of a religious and sexual nature.

A cross-cultural review of sudden mass assault by a single individual in the oriental and occidental cultures.

A nonrandom sample of North American cases of sudden mass assault by a single individual (SMASI, n = 30) is compared with a nonrandom sample of Laotian amok cases (n = 18) and other amok studies. Perpetrators in both studies show evidence of social isolation, loss, depression, anger, pathological narcissism, and paranoia, often to a psychotic degree. The term "innovative perpetrator" is reintroduced and expanded upon.

Does Alcoholics Anonymous work? The results from a meta-analysis of controlled experiments.

This article reviews the outcome (usually abstinence at 12 months) of 21 controlled studies of AA, with emphasis on methodological quality. Severe selection biases compromised all quasi-experiments. Randomized studies yielded worse results for AA than nonrandomized studies, but were biased by selection of coerced subjects.