Abstracts of the XXXIIIrd International Congress on Law and Mental Health Résumés du XXXIIIe Congrès International de droit et de santé mentale David N. Weisstub Editor Université de Montréal, Institut Philippe-Pinel The editorial assistance of Marisa Corona is gratefully acknowledged. Under the auspices of/ Sous l’égide de International Academy of Law and Mental Health Académie Internationale de droit et de santé mentale International Scientific Committee David N. Weisstub Chair Université de Montréal/Institut Philippe-Pinel Henrik Anckarsäter Norbert Konrad Co-Chair Co-Chair University of Gothenburg Free University of Berlin (Charité) Aurea Alcalde Virginia Aldige Hiday Vincenzo Mastronardi Julio Arboleda-Florez Yega Muthu Jocelyn Aubut Thomas Nilsson Monica Broome Anthony O’Brien Harold J. Bursztajn George B. Palermo Amy T. Campbell Michael L. Perlin Kathy L. Cerminara Werner E. Platz Richard Dembo Susanna Radovic Ann Marie Dewhurst Steven Segal John Douard Enrique Sepúlveda Eric Y. Drogin David L. Shapiro Fransisca Fariña Neil C. Skinner Alan R. Felthous Jagannathan Srinivasaraghavan Thomas G. Gutheil José G.V. Taborda Trevor Hadley Francisco Torres-González Lynne Hanson David B. Wexler Jacqueline B. Helfgott George Woods Dutch National Scientific Committee Hjalmar van Marle Chair Erasmus University Rotterdam Stefan Bogaerts Karel Oei Nils Duits Machiel Polak Kris Goethals Ivo van Outheusden Gerben Meynen National Organization Machiel Polak Forensic Psychiatric Center de Kijvelanden, Poortugaal TABLE OF CONTENTS ENGLISH LANGUAGE SESSIONS ............................................................................................. 8 1. A 21ST CENTURY EDUCATION FOR THE MEDICO-‐PSYCHO-‐LEGAL PRACTITIONER: PRINCIPLES, RESEARCH METHODS, AND PRACTICE ......................................................................................................................................... 8 2. ACCOUNTABILITY, RESPONSIBILITY, AND CRIMINAL INTENT .......................................................................... 10 3. ADDICTION ....................................................................................................................................... 13 4. ADDRESSING DIFFERENCE: RECOGNISING AND ACCEPTING ........................................................................... 15 5. APPLIED RESEARCH IN LAW ENFORCEMENT, MENTAL HEALTH, AND CRIME PREVENTION ................................... 17 6. APPROACHES TO COMMUNICATION DILEMMAS IN THE WORKPLACE .............................................................. 20 7. ASSESSMENT AND TREATMENT OF PSYCHOPATHY IN CLINICAL PRACTICE ......................................................... 22 8. ASSESSMENT, INTERVENTION, AND PROGRAM EVALUATION IN A PREVENTION PROGRAM FOR INTIMATE PARTNER VIOLENCE ............................................................................................................................................. 24 9. ASYLUM DENIABILITY AND RETRAUMATIZATION ........................................................................................ 26 10. BARUCH SPINOZA: LIFE, PSYCHOLOGY, AND LAW .................................................................................... 28 11. BEHAVIOURAL APPROACHES WITHIN THE CRIMINAL JUSTICE SYSTEM: FROM POLICY TO PRACTICE ...................... 30 12. BEST PRACTICES IN USE OF FORCE ........................................................................................................ 32 13. BIO-‐PSYCHO-‐SOCIAL RESEARCH IN FORENSIC CHILD AND ADOLESCENT PSYCHIATRY ........................................ 34 14. BRINGING LAWYERS AND HEALTHCARE PROFESSIONALS TOGETHER IN TEACHING, DECISION-‐MAKING, AND STANDARD OF CARE ................................................................................................................................ 36 15. BUILDING A BIO-‐PSYCHO-‐SOCIAL RESPONSE TO INTIMATE PARTNER VIOLENCE .............................................. 38 16. BULLYING ........................................................................................................................................ 41 17. CAPACITY, INCAPACITY, AND IMPAIRED DECISION-‐MAKING: SUPPORT AND PROTECTION IN THE SCOTTISH CONTEXT .......................................................................................................................................................... 43 18. CHALLENGES UNDER GUARDIANSHIP AND MENTAL HEALTH LAW IN NEW SOUTH WALES ................................. 46 19. CHILD ABUSE I ................................................................................................................................. 48 20. CHILD ABUSE II ................................................................................................................................ 50 21. CHILD ABUSE III ............................................................................................................................... 53 22. CHILDREN’S RIGHTS ........................................................................................................................... 54 23. CLINICAL AND AMBULANT EMERGENCY PSYCHIATRY IN AMSTERDAM ........................................................... 56 24. THE CLINICAL, FORENSIC, AND ETHICAL PITFALLS OF THE DSM-‐5 ................................................................ 58 25. COGNITIVE AND NEUROBIOLOGICAL FACTORS IN COMMUNICATION ............................................................. 60 26. COMMUNITY-‐BASED COMPULSORY TREATMENT: EMERGING FINDINGS FROM THE UNITED KINGDOM AND INTERNATIONAL PERSPECTIVES .................................................................................................................. 63 27. COMMUNITY TREATMENT ORDERS (CTOS) ............................................................................................ 65 28. COMPONENTS OF MENTAL HEALTH COURTS INFLUENCING CLINICAL, CRIMINAL JUSTICE, AND RECOVERY OUTCOMES .......................................................................................................................................................... 67 29. CONFLICT AND COMPROMISE: RESEARCH AND PRACTICE IN IMMIGRATION ASSESSMENTS IN AUSTRALIA ............. 69 30. CONSIDERATIONS ON SETTING THE FIRST CANADIAN EXAMINATION ON FORENSIC PSYCHIATRY ......................... 71 31. CORRECTIONAL MENTAL HEALTH IN THE UNITED STATES ........................................................................... 73 32. CREATING A TRAUMA-‐SENSITIVE FAMILY COURT ..................................................................................... 75 33. THE CRISIS INTERVENTION TEAM (CIT) MODEL OF POLICE RESPONSE TO PERSONS WITH MENTAL ILLNESS: OUTCOMES, BARRIERS, AND FUTURE DIRECTIONS FOR RESEARCH ..................................................................... 78 34. A CRITICAL EXPLORATION OF PRESSING ETHICAL, CLINICAL, AND SPIRITUAL ISSUES IN ACUTE PSYCHIATRY THROUGH TO COMMUNITY CARE ............................................................................................................................. 80 35. CULTURAL BIAS: FROM THE CLASSROOM TO THE COURTROOM ................................................................... 82 36. CULTURAL DIVERSITY AND MENTAL HEALTH ........................................................................................... 84 2 37. CURRENT CHALLENGES IN SOUTH AMERICAN FORENSIC PSYCHIATRY ............................................................ 87 38. THE DEATH PENALTY ......................................................................................................................... 89 39. DECISIONALLY IMPAIRED OLDER PERSONS: CHALLENGES AND OPPORTUNITIES FOR INTERPROFESSIONAL COLLABORATION .................................................................................................................................... 91 40. DEVELOPMENTS OF PRISON MENTAL HEALTH CARE IN THE NETHERLANDS .................................................... 93 41. DIMENSIONS OF RISK ASSESSMENT ....................................................................................................... 95 42. DIMENSIONS OF TRAUMA ................................................................................................................... 98 43. DIMINISHED CAPACITY AND INCAPACITY IN THE CRIMINAL AND CIVIL LAW CONTEXTS .................................... 100 44. DIVERSION FROM THE CRIMINAL JUSTICE SYSTEM: INITIATIVES IN THE UNITED KINGDOM AND AUSTRALIA ......... 103 45. EATING DISORDERS ......................................................................................................................... 106 46. THE EFFECTIVENESS OF CORRECTIONAL INTERVENTIONS WITH SPECIAL POPULATIONS .................................... 108 47. THE ELDERLY: CARE AND SOCIAL POLICY .............................................................................................. 110 48. ETHICAL IMPLICATIONS OF AN ECONOMIC FRAMEWORK FOR MENTAL HEALTH CARE IN THE NETHERLANDS ........ 111 49. ETHICAL DIMENSIONS IN PSYCHIATRY .................................................................................................. 113 50. THE EXPERT WITNESS AS DEFENDANT ................................................................................................. 115 51. FETAL ALCOHOL SPECTRUM DISORDER (FASD) AND THE LAW: THE NEED FOR A TARGETED THERAPEUTIC RESPONSE ........................................................................................................................................................ 118 52. FETAL ALCOHOL SPECTRUM DISORDERS (FASD) AND CRIMINAL JUSTICE .................................................... 120 53. FETAL ALCOHOL SPECTRUM DISORDER (FASD) IN MODERN SOCIETY: A DISABILITY WITH A DIFFERENCE ........... 122 54. FORENSIC ADOLESCENT PSYCHIATRY: CRIMINAL RESPONSIBILITY AND TREATMENT PROCEDURES ..................... 124 55. FORENSIC PSYCHIATRY I ................................................................................................................... 127 56. FORENSIC PSYCHIATRY IN HOLLAND AND BELGIUM: ETHICS AND PRACTICE .................................................. 129 57. FORENSIC PSYCHIATRY IN PAKISTAN ................................................................................................... 132 58. FORENSICS IN PRACTICE ................................................................................................................... 134 59. THE FUTURE DIRECTION OF FORENSIC AND CRIMINAL JUSTICE MENTAL HEALTH SERVICES .............................. 137 60. THE FUTURE OF FORENSIC PSYCHIATRY ................................................................................................ 138 61. THE FUTURE OF FORENSIC PSYCHIATRY IN THE NETHERLANDS ................................................................... 140 62. GENDER VIOLENCE ISSUES ................................................................................................................ 142 63. HEALING IN HUMAN TRAUMA: OBSTACLES, SUCCESSES, AND NEW TOOLS TO CREATE CIVIL SOCIETY ................ 145 64. HISTORICIZING MENTAL HEALTH LAW AND POLICY IN JAPAN .................................................................... 147 65. HISTORY ....................................................................................................................................... 149 66. HOMELESSNESS .............................................................................................................................. 151 67. HUMAN RIGHTS AND THE MENTAL HEALTH OF WOMEN IN THE CONTEXT OF RELIGIOUS FREEDOM .................. 154 68. HUMAN TRAFFICKING ...................................................................................................................... 156 69. HYBRID CORRECTIONAL CENTRE – MENTAL HEALTH CENTRE: THE SECURE TREATMENT CENTRE MODEL ............ 158 70. INCIDENCE AND CONSEQUENCE: FEMALE STAFF, FEMALE INMATES, AND ABUSE IN PRISONS ........................... 160 71. INDIRECT MEASURES IN THE EVALUATION OF THE CLINICAL TREATMENT PROCESS ......................................... 162 72. INNOVATIONS IN MENTAL HEALTH CARE ............................................................................................. 164 73. INNOVATION IN MENTAL HEALTH SHARED DECISION-‐MAKING ................................................................. 166 74. INTELLECTUAL DISABILITIES ............................................................................................................... 169 75. THE INTERFACE OF OLDER ADULTS WITH THE CIVIL AND FORENSIC MENTAL HEALTH SERVICES IN THE UNITED KINGDOM ........................................................................................................................................... 171 76. INTERPERSONAL CARE IN PSYCHIATRY ................................................................................................. 173 77. INTIMATE PARTNER VIOLENCE ........................................................................................................... 175 78. INVOLUNTARY HOSPITALIZATION I ...................................................................................................... 178 79. INVOLUNTARY HOSPITALIZATION II ..................................................................................................... 180 80. INVOLUNTARY HOSPITALIZATION III .................................................................................................... 184 81. ISSUES ARISING FROM THE DETENTION OF CHILDREN WITH MENTAL DISORDERS IN SCOTLAND ........................ 186 3 82. ISSUES IN COMMUNITY RE-‐INTEGRATION ............................................................................................. 188 83. LAW AND EMOTIONS ....................................................................................................................... 191 84. LAW ENFORCEMENT, CORRECTIONAL MENTAL HEALTH PROFESSIONALS, AND THE POLICE .............................. 193 85. LAW’S PASSIONS I: IS THE IMPARTIALITY OF THE LAW THREATENED BY RECOGNITION OF ITS EMOTIONAL POWER? ........................................................................................................................................................ 195 86. LAW’S PASSIONS II: THE EMOTIONS AND THE RULES OF EVIDENCE ............................................................ 199 87. THE LAW AND VULNERABLE POPULATIONS ........................................................................................... 201 88. LEGAL FRAMEWORKS, RIGHTS, AND CARE FOR PEOPLE WHO LACK DECISION-‐MAKING CAPACITY .................... 203 89. LEGISLATION AND THE EFFECTIVENESS OF MENTAL HEALTH LAW ............................................................... 206 90. LONGITUDINAL FOLLOW-‐UP STUDIES IN FORENSIC PSYCHIATRY ................................................................ 209 91. MANAGEMENT OF MENTALLY ILL OFFENDERS IN THE COMMUNITY: MENTAL HEALTH COURTS AND BEYOND ..... 212 92. MEDICAL ERRORS AND SAFE PATIENT MANAGEMENT ............................................................................. 215 93. MEDICAL PROFESSION PRACTICES WHICH PRECEDED AND ACCOMPANIED THE SHOAH, 1939-‐1945 ................. 217 94. MEDICO-‐LEGAL IMPLICATIONS OF SOCIAL MEDIA .................................................................................. 218 95. MENTAL DISORDERS IN GERMAN ADOLESCENTS AT HIGH RISK FOR OFFENDING ........................................... 220 96. MENTAL HEALTH AND LAND: INDIGENOUS PEOPLES AND HUMAN RIGHTS .................................................. 223 97. MENTAL HEALTH AND LAW IN KOREA ................................................................................................. 225 98. MENTAL HEALTH POLICY AND GOVERNANCE ........................................................................................ 228 99. MENTAL HEALTH FROM PRISONS TO RE-‐ENTRY ..................................................................................... 230 100. MENTAL HEALTH, RIGHTS, AND THE LAW ........................................................................................... 233 101. MENTAL ILLNESS, OFFENDING, AND LEGAL DECISION-‐MAKING ............................................................... 235 102. MIGRATION, ASYLUM, AND FAMILIES ............................................................................................... 237 103. MULTIDISCIPLINARY TOOLS AND FORENSIC PSYCHIATRIC PATIENTS .......................................................... 240 104. THE NEED FOR SUSTAINABILITY AND CONTINUITY IN FORENSIC PSYCHIATRY .............................................. 242 105. NEUROSCIENTIFIC IMPLICATIONS FOR THE TREATMENT OF PSYCHOPATHY ................................................. 245 106. PSYCHIATRIC ASSESSMENTS AND ANTI-‐SOCIAL OFFENDING .................................................................... 247 107. NEW PERSPECTIVES IN THE ASSESSMENT AND TREATMENT OF SEX OFFENDERS .......................................... 250 108. NFIB V. SEBELIUS: LEGAL AND PHILOSOPHICAL IMPLICATIONS OF THE AFFORDABLE CARE ACT DECISION ......... 253 109. OFFENDERS, OFFENDER BEHAVIOUR, AND COLLATERAL CONSEQUENCES ................................................... 255 110. OFFENDERS AND INMATES .............................................................................................................. 256 111. OUTCOMES AND TREATMENTS FOR SEXUAL OFFENDERS ........................................................................ 258 112. PERSONALITY AND AGGRESSION ...................................................................................................... 260 113. PERSPECTIVES ON ASSESSING RISK FOR SEX OFFENDER RECIDIVISM: THE DEBATE CONTINUES ....................... 263 114. PINEL: A FILM ABOUT SUFFERING .................................................................................................... 265 115. POST TRAUMATIC STRESS DISORDER (PTSD) ...................................................................................... 266 116. POST TRAUMATIC STRESS DISORDER (PTSD) AND THE LAW: CIVIL AND CRIMINAL ASPECTS FROM A NORTH AMERICAN PERSPECTIVE ........................................................................................................................ 268 117. PRE-‐TRIAL FORENSIC MENTAL HEALTH EVALUATIONS IN THE NETHERLANDS .............................................. 270 118. PREVENTION OF ANTISOCIAL BEHAVIOUR IN CHILDREN AND ADOLESCENTS: ETHICAL, SOCIAL, AND PHILOSOPHICAL ASPECTS ............................................................................................................................................. 273 119. PREVENTION OF SUICIDE ................................................................................................................ 275 120. PRISON MENTAL HEALTH AND FORENSIC CARE IN A CHANGING SOCIETY ................................................... 277 121. PRISON PSYCHIATRY I .................................................................................................................... 279 122. PRISON PSYCHIATRY II ................................................................................................................... 282 123. PROBLEM-‐SOLVING COURTS ........................................................................................................... 284 124. THE PROGNOSIS OF PSYCHIATRIC DISEASES ........................................................................................ 286 125. PSYCHIATRIC AND PSYCHOLOGICAL AUTOPSY: THE ALPHEN SPREE SHOOTER ............................................. 288 126. PSYCHOPATHOLOGY BEHIND RAZOR WIRE: MENTAL ILLNESS IN JUVENILE JUSTICE ...................................... 290 4 127. PSYCHOPATHY: MEASURES, PROGNOSES, AND NEW CONCEPTS .............................................................. 292 128. QUALITY OF LIFE IN FORENSIC MENTAL HEALTH MEDIUM SECURE UNITS .................................................. 293 129. RESTORATIVE JUSTICE AND ELDER ABUSE ........................................................................................... 297 130. RIGHTS, RISK OF HARM, AND DECISION-‐MAKING CAPACITY: INTERNATIONAL RESPONSES TO INVOLUNTARY PSYCHIATRIC TREATMENT IN LIGHT OF THE CRPD ....................................................................................... 299 131. RISK FACTORS FOR JUVENILE AND ADULT OFFENDERS: THE ROLE OF PSYCHOPATHY, ATTACHMENT, AND HISTORY OF VIOLENCE ....................................................................................................................................... 301 132. RISK AND PROTECTIVE FACTORS INFLUENCING CRIMINALITY FOR OFFENDERS WITH MENTAL DISORDERS: IMPLICATIONS FOR INTERVENTIONS .......................................................................................................... 304 133. SANE ENOUGH (FOR WHAT)? MENTAL CAPACITY IN CRIMINAL RESPONSIBILITY AND COMPETENCY ................ 306 134. SELF AND OTHER: CONCEPTUAL AND EMPIRICAL ASPECTS OF IDENTITY AND DIFFERENCE .............................. 308 135. SEX FIENDS, PERVERTS, PEDOPHILES, AND MONSTROUS CRIMES: HOW SHALL WE UNDERSTAND POLICY IN THE LIGHT OF DISGUST AND MORAL FAILURE? ................................................................................................. 310 136. SEX OFFENDERS AND PUBLIC POLICY: BRIDGING RESEARCH, POLICY, AND PRACTICE .................................... 312 137. SEXUAL ASSAULT AND VIOLENCE ...................................................................................................... 314 138. SHIFTS IN THE PROVISION OF MENTAL HEALTH CARE AND MANAGEMENT INTERNATIONALLY ........................ 316 139. THE SOCIAL CONSTRUCTION OF RISK IN MENTAL HEALTH AND JUSTICE SYSTEMS ........................................ 317 140. SPECIALIZED INTERVENTIONS FOR PERSONS WITH SERIOUS MENTAL ILLNESSES IN THE CRIMINAL JUSTICE SYSTEM: MOVING THE FIELD FORWARD ................................................................................................................ 320 141. SUBSTANCE ABUSE IN JUVENILE AND ADULT CRIMINAL JUSTICE: RESEARCH AND PUBLIC POLICY .................... 322 142. SUICIDE AND ASSISTED SUICIDE ........................................................................................................ 325 143. A SWEDISH PRISON STUDY OF YOUNG ADULT VIOLENT OFFENDERS ........................................................ 327 144. SYMPTOM VALIDITY ASSESSMENT IN PATIENTS WITH MENTAL DISORDERS ................................................ 330 145. TALES OF UNMET NEEDS: MENTAL HEALTH IN JUVENILE JUSTICE ............................................................. 332 146. TERRORISM ................................................................................................................................. 335 147. THEORY AND RESEARCH IN CRIMINAL PSYCHOLOGY I ............................................................................ 337 148. THEORY AND RESEARCH IN CRIMINAL PSYCHOLOGY II ........................................................................... 340 149. TORTURE, TRAUMA, AND ABUSE ...................................................................................................... 341 150. TOWARDS BETTER EVIDENCE-‐BASED FORENSIC PRACTICES: THE EXPERIENCE OF INSTITUT PHILIPPE-‐PINEL DE MONTRÉAL ......................................................................................................................................... 344 151. TRANSFERS BETWEEN PENITENTIARY AND FORENSIC INSTITUTIONS .......................................................... 347 152. TREATMENT OF MENTALLY DISORDERED PRISONERS ............................................................................ 348 153. TREATMENT PROGRAMS: PRISONERS AND PAROLEES ........................................................................... 350 154. TRENDS IN COMMUNITY CARE ......................................................................................................... 353 155. TWO-‐STAGE SENTENCING ............................................................................................................... 355 156. UNDERSTANDING AND IMPROVING THE USE OF COMMUNITY TREATMENT ORDERS (CTOS) ......................... 358 157. THE UNITED NATIONS CONVENTION ON THE RIGHTS OF PERSONS WITH DISABILITIES (CRPD): WHAT DOES IT MEAN FOR MENTAL HEALTH LAW AND PRACTICE? ...................................................................................... 361 158. USING MENTAL HEALTH LEGISLATION AND COERCIVE INTERVENTIONS: DILEMMAS FOR PROFESSIONALS AND SERVICE USERS .................................................................................................................................... 363 159. VICTIMIZATION AND WOMEN OFFENDERS ......................................................................................... 365 160. VISUAL EVIDENCE: PERCEPTION, PSYCHOLOGY, COURTROOM PRACTICE, AND POLICY .................................. 368 161. WITNESSES AND EXPERT EVIDENCE ................................................................................................... 369 162. WOMEN WITH THE EXPERIENCE OF TRAUMA: MEASURING IMPACT AND PROVIDING SUPPORT ...................... 372 163. WOMEN AND FAMILIES IN ADVERSE LIFE SITUATIONS ........................................................................... 374 164. WOMEN’S HEALTH ....................................................................................................................... 376 165. YOUTH, RECKLESSNESS, AND THE JUVENILE JUSTICE SYSTEM ................................................................... 379 5 THERAPEUTIC JURISPRUDENCE SESSIONS ..................................................................... 381 166. CHANGING THE LEGAL PROFESSION AND THE LAW SCHOOL EXPERIENCE ................................................... 381 167. CHILD FRIENDLY PROCEDURES ......................................................................................................... 383 168. A DISABILITY RIGHTS TRIBUNAL FOR ASIA AND THE PACIFIC (DRTAP): INTERNATIONAL HUMAN RIGHTS AND THERAPEUTIC JURISPRUDENCE IMPLICATIONS ............................................................................................. 386 169. EXPANDING THE BOUNDARIES OF THERAPEUTIC JURISPRUDENCE ............................................................. 388 170. INTERNATIONAL HUMAN RIGHTS AND MENTAL HEALTH COURTS ............................................................ 391 171. INTERNATIONAL HUMAN RIGHTS AND THERAPEUTIC JURISPRUDENCE ...................................................... 393 172. JUSTICIA TERAPÉUTICA I ................................................................................................................. 395 173. JUSTICIA TERAPÉUTICA II ................................................................................................................ 398 174. JUSTICIA TERAPÉUTICA III ............................................................................................................... 401 175. JUSTICIA TERAPÉUTICA IV ............................................................................................................... 404 176. LEARNING ABOUT HUMAN BEHAVIOUR AND DISPUTE RESOLUTION ......................................................... 406 177. LESSONS IN JUDICIAL INNOVATIONS .................................................................................................. 408 178. LESSONS OF THERAPEUTIC JURISPRUDENCE FOR COURTS BEYOND PROBLEM-‐SOLVING COURTS ..................... 411 179. MANIFESTACIONES DE JUSTICIA TERAPÉUTICA EN EL PROCESO PENAL ESPAÑOL ........................................... 413 180. RECONSIDERING “INJURY:” APPLYING THERAPEUTIC JURISPRUDENCE PRINCIPLES TO LITIGANTS IN NON-‐CRIMINAL COURTS ............................................................................................................................................. 416 181. THERAPEUTIC JURISPRUDENCE AND CRIMINAL COURT PROCEEDINGS ....................................................... 419 182. THERAPEUTIC JURISPRUDENCE AND HIGHER EDUCATION ....................................................................... 421 183. THERAPEUTIC JURISPRUDENCE AND THE JUDICIAL PROCESS IN CASES INVOLVING CHILDREN .......................... 423 184. THERAPEUTIC JURISPRUDENCE AND MENTAL HEALTH LAW .................................................................... 426 185. THERAPEUTIC JURISPRUDENCE AND MULTISENSORY LAW ...................................................................... 428 186. THERAPEUTIC OR ANTI-‐THERAPEUTIC? HEALTH CARE POLICY CHOICES IN THE UNITED STATES ....................... 431 187. THERAPEUTIC JURISPRUDENCE, PARENTING, AND THE BEST INTERESTS OF THE CHILD IN FAMILY LAW .............. 434 188. THERAPEUTIC JURISPRUDENCE, RESTORATIVE JUSTICE, AND RIGHTS: EXPLORING LINKAGES .......................... 436 189. UNDERSTANDING AND TESTING THE THEORETICAL UNDERPINNINGS OF THERAPEUTIC JURISPRUDENCE ............ 438 190. USING THERAPEUTIC JURISPRUDENCE TO IMPROVE THE CRIMINAL JUSTICE SYSTEM I ................................... 441 191. USING THERAPEUTIC JURISPRUDENCE TO IMPROVE THE CRIMINAL JUSTICE SYSTEM II .................................. 443 192. THE WELL-‐BEING OF LAWYERS ........................................................................................................ 446 FRENCH LANGUAGE SESSIONS .......................................................................................... 447 193. ATTEINTES À L’INTÉGRITÉ PHYSIQUE ET PSYCHIQUE: INSÉCURITÉ ET VULNÉRABILITÉ ...................................... 447 194. LA GESTION DE LA PERCEPTION DU RISQUE DE VIOLENCE EN PSYCHIATRIE: DES ALTERNATIVES À L’ATTEINTE AUX DROITS DES PERSONNES ......................................................................................................................... 449 195. LES PROBLÈMES DE SANTÉ MENTALE EN MILIEU CARCÉRAL ...................................................................... 452 196. VIOLENCE FAMILIALE ..................................................................................................................... 455 ITALIAN LANGUAGE SESSIONS .......................................................................................... 457 197. CRIMINALITÀ IN INTERNET E CRIMINALITÀ ECONOMICA E REATI STRADALI .................................................. 457 198. CRIMINOLOGIA CLINICA E PREVENZIONE ............................................................................................. 459 199. CRIMINOLOGIA IERI E OGGI ............................................................................................................. 463 200. DEVIANZA, DISTURBI COMPORTAMENTALI E TRATTAMENTO PENITENZARIO ................................................ 467 201. NUOVE EMERGENZE CRIMINOLOGICHE: PROFILI, CONFINI E POSSIBILI RIMEDI .............................................. 472 202. PROFILING CRIMINOLOGICO: DALLA SCENA DEL CRIMINE AI PROFILI SOCIO-‐PSICOLOGICI ................................ 474 203. SCENEGGIATURA E MODALITÀ DI SCRITTURA DELL’ARGOMENTO CRIMINOLOGICO ........................................ 477 6 SPANISH LANGUAGE SESSIONS ......................................................................................... 480 204. BIOÉTICA Y TOMA DE DECISIONES EN LA PRÁCTICA MÉDICA ASISTENCIAL .................................................... 480 205. DELITOS VIOLENTOS: DATOS EPIDEMIOLÓGICOS, ABORDAJE Y RECURSOS TERAPÉUTICOS ............................... 483 206. LA ENFERMEDAD MENTAL Y SUS CUIDADOS EN LAS PRISIONES ................................................................. 486 207. LA HOSPITALIZACIÓN INVOLUNTARIA Y OTRAS MEDIDAS DE COERCIÓN Y LA DISCAPACIDAD ............................ 488 208. INNOVACIONES LEGISLATIVAS EN CHILE .............................................................................................. 490 209. OTROS TEMAS NO ENCUADRADOS I ................................................................................................... 493 210. OTROS TEMAS NO ENCUADRADOS II .................................................................................................. 496 211. PSICOLOGÍA Y PSIQUIATRÍA FORENSE: EVALUACIÓN E INSTRUMENTOS ....................................................... 498 7 ABSTRACTS English Language Sessions 1. A 21st Century Education for the Medico-Psycho-Legal Practitioner: Principles, Research Methods, and Practice Changing Attitudes among Trainees: Whose Job is It? Brad Booth, University of Ottawa ([email protected]) With the exponential growth of individuals with mental illness coming in contact with the law, psychiatric care for these individuals is at times difficult to find. Many psychiatrists do not have experience with the legal system and therefore may avoid treating this group of patients. To clarify the attitudes of psychiatric trainees, a survey of senior Canadian residents at the national psychiatry review course was conducted. Among the 145 respondents, only 24% had been taught on correctional psychiatry and only 29% had any experience. Nearly 56% had been taught on sexual offenders but only 27% reported having had experience with this population. Nearly 1/3 reported they preferred not to deal with forensic issues and 43% preferred not to work with people with sexual offences. The data did show that teaching and experience with this population appears to be a powerful tool in changing attitudes. Being aware of these barriers may assist in developing strategies to increase psychiatric service availability. Forensic Nursing Education: International Collaborations and Multidisciplinary Pedagogy Arlene Kent-Wilkinson, University of Saskatchewan ([email protected]) By the end of the twentieth century, forensic nursing educational programs began to appear in the curricula of colleges and universities. The forensic focus has been a popular career choice and area of study for many of the health science disciplines. By the mid-1990s, some of the earliest forensic nursing courses were established. Considering that the first web-based course was not launched until 1995 in California (Bates & Poole, 2003), forensic nursing education made its online appearance on the global scene relatively quickly. Forensic nursing educators, supported by progressive administrators, used the technology to offer the first online forensic course in January of 1997 at Mount Royal University in Calgary, Alberta, Canada (Kent- Wilkinson et al., 2000). Today, courses exist at educational levels that range from certificate to doctoral programs. This presentation will focus on the power of using advanced technology and the value of international collaborations in the pedagogy of multidisciplinary forensic courses. 8 This session will also highlight findings of Dr. Kent-Wilkinson’s research that explored many aspects of forensic nursing education: definitions of forensic nursing, how forensic nursing roles are different from other disciplines, the unique knowledge of this specialty, and social factors influencing course development. Sexual Boundary Violations in the Forensic Mental Health Milieu Cindy Peternelj-Taylor, University of Saskatchewan ([email protected]) The ability to create and maintain treatment boundaries with forensic clients has been described as one of the most important competencies required by clinicians practicing in forensic mental health settings. When mental health professionals fail to establish or maintain therapeutic boundaries, they are at risk of “crossing the line” and becoming over involved with their clients. In practice, over involvement frequently leads to sexual boundary violations. This presentation gives voice to sexual boundary violations as discussed by nurses who participated in a phenomenological study exploring nurse engagement with forensic clients. Illustrated as a “real eye opener,” sexual boundary violations with forensic clients have grave clinical, ethical and legal implications. While the responsibility for establishing and maintaining professional boundaries rests with the mental health professional, some would argue that many forensic clients are skilled at manipulation and exploiting situations for their personal gain, thus contributing to a blurring of the lines of responsibility when sexual boundary violations do occur. It is hoped that participants will move toward a more complex understanding of sexual boundary violations that occur in forensic mental health, which may allow them to better enact their relationships with forensic clients. Heightened awareness and understanding of the nature of sexual boundary violations within forensic mental health settings will, regardless of one’s professional discipline, contribute to effective risk management, thereby indicating the need for further research. Strategies need to be developed within forensic mental practice that deal with issues surrounding sexual boundary violations before, during, and after they arise. Law and Psychiatry Seminar: Meeting the Challenge of Medico-Legal st Education in the 21 Century Glen Luther, University of Saskatchewan ([email protected]) The relationship between lawyers and doctors, especially psychiatrists with whom they work closely, has been described as tenuous and riddled with miscommunication. The Law Society of Canada has introduced sweeping changes to enhance teaching in the colleges of law. Beginning in 1976, the University of Saskatchewan has brought together senior law students and psychiatric residents in a seminar course. This course first ran from approximately 1976 to 1986 with different instructors from those presently involved. The course was not offered for eighteen years and then was reintroduced in 2004. From 2004, the course has run yearly for 12-15 weeks 9
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