Class #5: Forensic Psychology

This week's speaker, Paul Appelbaum, discussed the relationship between the criminal justice system and psychiatry, specifically, forensic psychiatry. He began with an overview of the roles psychiatrists play in the criminal justice system.

1. They can offer assessments of plaintiff’s injuries, or the state of mind of a defendant during an alleged felonious act.
   
2. Psychiatrists can be involved in treatment options for convicted criminals during their incarceration.
   
3. They can be involved in competency hearings, for both defendants and expert witnesses.

Besides state-of-mind (intent) assessments and penalty phase determinations in a criminal trial, psychiatrists can also be part of a civil litigation. For example, during a child custody case, if visitation rights are contested, a psychiatrist might become involved in determining the nature of a parent-child relationship. Tortuous interference is another cause of action, which requires proving the degree of harm and/or causation. Workplace discrimination is a common example, when a plaintiff alleges that s/he is suffering from depression due to inappropriate conduct s/he experienced on the job. In malpractice claims, assessing the standard of care offered a patient during therapy treatments, when the patient subsequently commits a homicide or suicide also requires assessment by outside expert psychiatrists. Dr. Mandell referenced the book “Autopsy of a suicidal mind,”as an example of this kind of assessment. Finally, accidental harm can cause a post-traumatic stress disorder, which can also be an action for damages in a court.

As for competency hearings, the most obvious role for a psychiatrist concerns “power of attorney” actions. For example, if a patient’s leg is gangrenous, and must removed to save the patient’s life, and the patient refuses to have the operation, then a psychiatrist may be asked to assess the patient’s capacity to consent to the operation.

All of these descriptions illustrate how psychological considerations can impact the legal system. Conversely, there are occasions where the criminal justice system affects a psychiatrist’s actions. For example, when a psychiatrist is involved with situations including involuntary commitment, confidentiality, liability issues, and treating sex offenders, there are legal consideration s/he must consider when treating a patient.

We then moved to student questions, which I hope where helpful to all of you.

The Toolbox Question

Finally, I asked Dr. Appelbaum’s to answer our “toolbox” question, that is, what kinds of science classes should an undergrad enroll in order to successfully develop a career in science. He stated that undergrad students should make an effort to acquire hands-on experience in a clinical setting. Students can volunteer, or find ways to enter a courthouse or prison environment (in a non-felonious way ;-) . It is only after the iron bar doors slam shut that a student can truly know if working in a prison environment is a career worth pursuing.

So here's what our guest speakers have offered as advice to you, as you move through your undergrad experiences:

• Dr. Duan said being familiar with methodologies like statistics are good skills to have in your portfolio.
• Dr. Brooks stated that undergrad science student learn about a variety of ways to get information, based upon whether the inquiry focuses on individual or sociological phenomenon. Instead of just getting good at one particular scientific technique, like titration, students should become familiar with many different methodologies, so that when they are designing their own studies, they’ll know the best ways to get better data, and how to best interpret that data.
• And again, Dr. Appelbaum underscored the importance of obtaining experiences outside the classroom to learn about the environments that a scientist must work in, so to figure out if you are in fact comfortable in those environments.

What I would like each of you to do for this class is think about all of this advice you have received, listed above, as well as any personal memories you might have of the guest speakers, and answer the following question on your wiki page:

Given all of the discussions we have had with our guest speakers to date, how might these discussions inform your matriculation at college in the near future?

In other words, are there certain classes you are now interested in taking, activities you will look for on or off campus, or new research programs you will investigate as a result of your contact with these guest speakers?

Please write a 2-3 paragraph response to the question.

Class #4: Public Health Programs

So to recap this past Monday's class, we met with Tushar J. Makadia, who worked at the Pandit Dindayal Upadhiyay Medical College, B J Medical College, and the Karnavati School of Dentistry before coming to this country. We discussed his experiences at

• Girnar Parikrama at Junagadhh
  
• National School Health Program
• Pulse Polio Immunization Program

Specifically, we talked about the obstacles to furthering public health policies in religious communities, or, more accurately, poorly educated communities who resist activities such as immunization. We also talked about the differences in family structure in American and Indian households.

For this class, please go to your wiki page, and write down your impressions about the "Women in Prison" movie we saw at the beginning of class, about incarcerated mothers jailed in South Carolina. Please describe anything that surprised you, made an impression on you, etc. We are expecting a 2-3 paragraph response.

As for our next class, we are extremely honored to have Paul Appelbaum join us next Monday morning. He was a past President of the American Psychiatric Association, and a nationally renowned expert in forensic psychiatry. We invited him because of your interest in that science career. I would list some of his publications, but the list is voluminous, so I'll leave it to you to find articles you are interested in discussing. Please come prepared to discuss the nuances of forensic psychiatry.

Class #3: Language Development

A lot of action coming up! It's hard to believe yet another week is coming to a close. Here's what's up for our 10AM morning class tomorrow:

We are privileged to have Patricia Brooks join our group to discuss language formation. Here are a few of her publications:

• Phonological priming in children's picture naming
• Pervasiveness of shallow processing (scroll down 2/3 of page to article and click on .pdf link)
  
• Diminutives provide multiple benefits for language acquisition

Even if you don't think you will be pursuing a career in this field, we all know people who live in a family with an autistic child, or children with other speech impairments. My sister has a two year old son, and I am always curious to try to figure out how he is processing the language he hears around him. So think about these kinds of language issues for tomorrow's class, and please try to have some questions ready for her.

As for last week's class, I have uploaded three questions about sampling techniques to each of your wiki pages. You don't have to knock yourself out on answering the questions, just reflect upon what you heard in last week's class, and think about how you might apply sampling techniques in the career you are considering pursuing. A paragraph for each answer will be sufficient. Remember, you are expected to write a report at the end of your internship, and the answers you upload to your wiki page now will make it much easier to produce your report at the end of the summer.

Further, there hasn't been any movement on the Trinity Cemetery wiki page. Again, you know more about those tombstones than pretty much everyone else on Earth! I know there will be people who will want to know about your findings, and if you don't publish them, no one will ever know. If each of you could please write a few sentences about the procedure, or calculations, or reflections, the page will be done in no time. Feel free to edit other students' text if you feel it is inaccurate or missing an important detail. Okay?

Finally, next Monday (August 10) at 10 AM, we will be meeting with Dr. Tushar J. Makadia. We will discuss what that class will consist of tomorrow.

see ya!