J.M. Harte

Prison brain? Executive dysfunction in prisoners

A better understanding of the functioning of the brain, particularly executive functions, of the prison population could aid in reducing crime rates through the reduction of recidivism rates. Indeed, reoffending appears to be related to executive dysfunction and it is known that executive functions are crucial for self-regulation. In the current paper, studies to executive functions in regular adult prisoners compared to non-offender controls were reviewed. Seven studies were found. Specific executive functions were found to be impaired in the general prison population, i.e., attention and set-shifting, as well as in separate subgroups of violent (i.e., set-shifting and working memory) and non-violent offenders (i.e., inhibition, working memory and problem solving). We conclude that the limited number of studies is remarkable, considering the high impact of this population on society and elaborate on the implications of these specific impairments that were found. Further empirical research is suggested, measuring executive functioning within subjects over time for a group of detainees as well as a control group.

Modelling and describing human judgement processes : The multiattribute evaluation case

In this article we describe research methods that are used for the study of individual multiattribute evaluation processes. First we explain that a multiattribute evaluation problem involves the evaluation of a set of alternatives, described by their values on a number of alternatives. We discuss a number of evaluation strategies that may be applied to arrive at a conclusion about the attractiveness or suitability of the alternatives, and next introduce two main research paradigms in this area, structural modelling and process tracing. We argue that the techniques developed within these paradigms all have their advantages and disadvantages, and conclude that the most promising technique to detect the true nature of the evaluation strategy used by a judge seems to be the analysis of verbal protocols. At the same time we think it is wise not to rely on just one technique, but to use a multimethod approach to the study of multiattribute evaluation processes whenever that is possible.

Estimation of attribute weights in a multiattribute choice situation.

Abstract Multiattribute judgement processes have regularly been investigated by means of structural modelling techniques. With these techniques mathematical models are fitted on the data and attribute weights reflecting the relative importance of the attributes during the process can be derived. Since many observations are needed for fitting such models, subjects are mostly requested to judge a large number of alternatives. In this article it is demonstrated how in situations in which the subject has to select the most attractive alternative out of a set, the decision process can also be studied by fitting a mathematical model. The validity of the estimates of the attribute weights provided by this method are investigated in an empirical and a simulation study. It appears that this method gives valuable information about the process, but that the estimates of the weights are slightly biased.

The Factor Structure of the Brief Psychiatric Rating Scale (Expanded Version) in a Sample of Forensic Psychiatric Patients

Severe behavioral problems, aggression, unlawful behavior, and uncooperativeness make the forensic psychiatric population both hard to treat and study. To fine-tune treatment and evaluate results, valid measurement is vital. The Brief Psychiatric Rating Scale–Extended (BPRS-E) is a widely used scale for assessing psychiatric symptoms, with a stable factor structure over various patient groups. For the first time, its usefulness for forensic psychiatric patients was studied by means of an exploratory factor analysis on 302 patients in a penitentiary psychiatric center. A five-factor solution fitted the data best and showed large overlap with previous research done in both in- and outpatient populations with schizophrenia and mixed diagnoses. Around 45% of the patients did not fully comply. Items relying most on self-report caused the most non-adherence, possibly because of difficulty with verbalizing distress. These items loaded on the factors psychosis and affect. The BPRS-E is a suitable instrument for forensic use. Future research and clinical practice should focus on alignment with forensic patients to improve measurement, understanding, and eventually therapeutic interventions.

Violence against mental health care professionals: prevalence, nature and consequences

In this study, the prevalence, nature and consequences of violence against mental health care professionals are examined. Dutch mental health professionals working in clinical psychiatry were approached to fill in an online questionnaire on their personal experiences with physical violent incidents. It appeared that 67% of the 1534 respondents were victim of at least one physical violent incident in the past five years. In total, the 1534 respondents reported they had encountered 2648 physical violent incidents. In some cases, the consequences were very severe, not only for the victim but also for the employer. Some groups of professionals appear to have an increased risk of being victimized. The findings show that the violence that mental health professionals encounter is a substantial and severe problem that no longer should be disregarded.

Differences in executive functioning between violent and non-violent offenders

BACKGROUND A growing body of neuropsychological and neurobiological research shows a relationship between functioning of the prefrontal cortex and criminal and violent behaviour. The prefrontal cortex is crucial for executive functions such as inhibition, attention, working memory, set-shifting and planning. A deficit in these functions - a prefrontal deficit - may result in antisocial, impulsive or even aggressive behaviour. While several meta-analyses show large effect sizes for the relationship between a prefrontal deficit, executive dysfunction and criminality, there are few studies investigating differences in executive functions between violent and non-violent offenders. Considering the relevance of identifying risk factors for violent offending, the current study explores whether a distinction between violent and non-violent offenders can be made using an extensive neuropsychological test battery. METHOD Male remand prisoners (N = 130) in Penitentiary Institution Amsterdam Over-Amstel were administered an extensive neuropsychological test battery (Cambridge Automated Neuropsychological Test Battery; CANTAB) measuring response inhibition, planning, attention, set-shifting, working memory and impulsivity/reward sensitivity. RESULTS Violent offenders performed significantly worse on the stop-signal task (partial correlation r = 0.205, p = 0.024), a task measuring response inhibition. No further differences were found between violent and non-violent offenders. Explorative analyses revealed a significant relationship between recidivism and planning (partial correlation r = -0.209, p = 0.016). CONCLUSION Violent offenders show worse response inhibition compared to non-violent offenders, suggesting a more pronounced prefrontal deficit in violent offenders than in non-violent offenders.

Deaths at the borders database: evidence of deceased migrants’ bodies found along the southern external borders of the European Union

ABSTRACT Irregular migrants and asylum seekers have died and continue to die attempting to cross the external borders of the EU without authorisation, seeking to enter the territories of its Member States. Yet, remarkably little is known about these ‘border deaths’. In 2015, the Human Costs of Border Control project published the Deaths at the Borders Database for the Southern EU, an open-source ‘evidence base’ of individualised information about people who have died border deaths between 1990 and 2013, sourced from the death management systems of Spain, Gibraltar, Italy, Malta and Greece. It is the first database on border deaths in the EU to be based on official sources as opposed to the news media. The project involved searching 563 state-run death registry archives and deductively selecting the death certificates of persons who died border deaths. This paper describes, in detail, the making of the Deaths at the Borders Database: from the systematic, multi-sited, quantitative data collection and qualitative case studies, to the construction and final results of the Database itself.

Disturbed sleep as a risk factor for aggression in prisoners with a psychotic illness: a brief report

The objective of the present study is to examine whether a relationship exists between disturbed sleep and aggression in 19 male prisoners with a psychotic illness, incarcerated in the Penitentiary Psychiatric Centre in Amsterdam, the Netherlands. The sleep–wake rhythm was indirectly assessed by means of actigraphy. The results show that nocturnal restlessness was a significant predictor of aggression/agitation with a large effect size (R2 = .639, adjusted R2 = .536). It was concluded that future research should focus on nocturnal restlessness as a possible cause of aggression in this population.

Reduced Self-Control after 3 Months of Imprisonment; A Pilot Study

Background: Prison can be characterized as an impoverished environment encouraging a sedentary lifestyle with limited autonomy and social interaction, which may negatively affect self-control and executive function. Here, we aim to study the effects of imprisonment on self-control and executive functions, and we report the change in neuropsychological outcome after 3 months of imprisonment. Materials and Methods: Participants were 37 male inmates in a remand prison in Amsterdam, Netherlands, who completed six tests of a computerized neuropsychological test battery (the Cambridge Automated Neuropsychological Test Battery) in the first week of arrival. Participants were retested after 3 months of imprisonment. Change in performance was tested using the Wilcoxon Signed-Rank test. Results: After 3 months of imprisonment, risk taking significantly increased (measured as an increase in the proportion of available points used for betting) and attention significantly deteriorated (measured as increased variability in reaction times on a sustained attention task), with large to medium effect sizes. In contrast, planning significantly improved (measured with a task analog to the Tower of London) with a medium effect size. Discussion: Our study suggests that 3 months of imprisonment in an impoverished environment may lead to reduced self-control, measured as increased risk taking and reduced attentional performance. This is a significant and societally relevant finding, as released prisoners may be less capable of living a lawful life than they were prior to their imprisonment, and may be more prone to impulsive risk-taking behavior. In other words, the impoverished environment may contribute to an enhanced risk of reoffending.

Study Protocol: The influence of Running Therapy on executive functions and sleep of prisoners

Background: Executive dysfunction appears to be related to increased recidivism. Of note is that sleep disturbances, which are highly prevalent in prisons, may attenuate executive functions. Thus, improving executive functions, either directly or indirectly through the improvement of sleep, may reduce recidivism. It is hypothesised that physical exercise, in the form of Running Therapy, has a direct positive effect on executive functions as well as an indirect effect through the improvement of sleep. Methods/Design: Seventy two (N = 72) detainees in various penitentiary institutions in the Netherlands will be recruited in this study. A baseline measurement, including six neuropsychological tests of the Cambridge Neuropsychological Test Automated Battery (CANTAB), an assessment of sleep quality and duration using the Actiwatch (Actiwatch 2, Philips Respironics, Murrysville, PA, USA) and various other measurements will be administered before the start of the treatment. After 3 months of Running Therapy, participants will be assessed again with the same tests for neuropsychological and physical functioning. Primary outcomes are executive functioning and various sleep variables. Discussion: This study will be the first to investigate the possible influence of Running Therapy on the cognitive functioning, sleep and aggression in prisoners.