Brett O. Gardner

The Role of and Challenges for Psychologists in Physician Assisted Suicide

Physician assisted suicide (PAS) poses complex legal and ethical dilemmas for practicing psychologists. Since the passage of the Oregon Death with Dignity Act in 1997, Montana and Washington have passed similar legislation. Despite the law requiring competence evaluations by medical and psychological professionals, existing psycholegal literature inadequately addresses the role of psychologists in the PAS process. This article reviews legal statutes and analyzes ethical dilemmas psychologists may face if involved. We consider competence both generally and in the context of PAS. Suggestions are made for psychologists completing competence assessments and future directions to improve competence assessments for PAS are provided.

Does the Convergent Validity of the PAI Antisocial Features Scale Depend on Offender Response Style

ABSTRACT Researchers have recently questioned the utility of the response style indicators included on many self-report measures of personality and psychopathology. We examined whether the size of convergent validity coefficients for Personality Assessment Inventory (PAI) Antisocial Features (ANT) scores depends on PAI validity scale scores. Using PAI and Psychopathy Checklist–Revised (PCL–R) scores from 477 offenders evaluated for civil commitment as sexually violent predators, we found that PAI Positive Impression (PIM), Negative Impression (NIM), Malingering Index (MAL), Defensiveness Index (DEF), and Infrequency (INF) scores moderated the association between ANT and PCL–R scores. The association between ANT and PCL–R scores decreased as offenders overstated psychopathology (i.e., higher NIM or MAL scores) or exhibited increasing disengagement (i.e., higher INF scores). However, the association between ANT and PCL–R scores increased as offenders engaged in defensive reporting (i.e., higher PIM or DEF scores). The interaction effects were most common for ANT–E (Egocentricity), and to a lesser extent ANT–A (Antisocial Behaviors). PAI discriminant function validity indexes did not exhibit moderating effects on ANT and PCL–R scores. There was no evidence of validity scale suppression effects. These findings provide support for the potential role of some PAI response style measures for ANT scale interpretation in forensic settings.

Can preferences in information processing aid in understanding suicide risk among emerging adults

ABSTRACT The present study evaluated emerging adult (n = 192 college students) preferences in information processing (PIP), defined by the need for affect (NFA) and need for cognition (NFC), as they may be associated with suicide risk. The following were direct indicators of elevated suicide risk: presence of lifetime exposure to suicide (i.e., lifetime yes/no), elevated depressive symptoms, and greater NFA avoidance. Two different interactions resulted in elevated suicide risk: high depressive symptoms and high NFA avoidance, and high NFC and high NFA. Present results concerning PIP hold the potential to inform suicide risk assessment and prevention efforts among young adults.

A Validation Study of the Need for Affect Questionnaire-Short Form in Legal Contexts.

ABSTRACT We evaluated the psychometric properties of scores on the Need for Affect–Short Form (NAQ–S) in 3 samples: undergraduate students (Sample I), jury-eligible community members (Sample II), and forensic clinicians (Sample III). Concerning factor structure, the NAQ–S 2-factor structure displayed good fit to the data in Sample I, with mostly acceptable levels of internal consistency for both approach and avoidance scores. Construct validity patterns were observed such that approach scores were most strongly correlated with female gender and trait agreeableness scores, whereas avoidance scores were most strongly correlated to trait agreeableness scores. Criterion validity associations emerged in that approach scores displayed main effects on mock juror judgments in hate crimes, and forensic clinician judgments of violence risk estimation. Finally, avoidance scores displayed moderating effects on recommended sentencing length by hate crime victim type. Implications are discussed for emotion in legal decision making and future research.