James R. P. Ogloff

Response inhibition and impulsivity in schizophrenia

Response inhibition in schizophrenia remains controversial, with behavioral correlates largely unknown. Inpatients with schizophrenia and controls completed a stop task and an impulsiveness questionnaire. Slower inhibitory processes were evident in schizophrenia, but there was no association with impulsivity. The nature of inhibition and impulsivity in schizophrenia is complex, and could reflect schizophrenia subgroups or disease states.

Cognitive inhibitory control and self-reported impulsivity among violent offenders with schizophrenia

There is evidence for reduced cognitive inhibitory control in schizophrenia, but associated behavioral consequences are unclear. In an investigation of the link between cognitive inhibition and impulsive behavior, violent offenders with schizophrenia (n = 18) and healthy adults completed spatial Stroop and negative priming tasks and the Barratt Impulsiveness Scale (a self-report impulsivity measure). Negative priming (but not Stroop) was impaired among violent offenders with schizophrenia, but there was no association between reduced inhibition and impulsivity. While these findings should be interpreted with caution, cognitive inhibition in schizophrenia may be unrelated to impulsive behaviors that are commonly linked to violent offending.

Appropriate treatment targets or products of a demanding environment? The relationship between aggression in a forensic psychiatric hospital with aggressive behaviour preceding admission and violent recidivism

Abstract Effective treatment of aggressive behaviour and accurate release decision making are necessary components of adequate clinical practice in forensic psychiatric units. Unfortunately, methods to identify treatment targets and ameliorate aggressive behaviour have developed at a slower pace than risk assessment technologies. Recent progress on the identification of offence paralleling or functionally equivalent behaviour offers a framework for individually tailored treatment and idiographic release decision making, although empirical scrutiny of this approach is inadequate. This paper describes an examination of the relationship between aggressive behaviour prior to admission with aggression during inpatient psychiatric treatment, and reconviction for violent offending following discharge. Results showed a relationship between pre- and post-admission aggression but no relationship between aggression during inpatient psychiatric treatment with either pre-admission aggressive behaviour or violent recidivism. These findings indicate the importance of state psychological variables, specifically those states affected by symptoms of psychiatric illness, as well as environmental activators and inhibitors of violence that operate within the hospital. These require inclusion in an adequate functional analysis of aggressive behaviour for forensic psychiatric patients.

Parental Bonding and Adult Attachment Styles in Different Types of Stalker

Abstract:  Attachment theory is one of the earliest and most vigorously promoted explanations of the psychological processes that underlie stalking behavior. Insecure attachment has been proposed as impairing the management of relationships, thus increasing the propensity to stalk. The current study explored the parental bonding and adult attachment styles of 122 stalkers referred to a specialist forensic clinic. Stalkers were grouped according to two common classification methods: relationship and motivation. Compared to general community samples, stalkers were more likely to remember their parents as emotionally neglectful and have insecure adult attachment styles, with the degree of divergence varying according to stalker type and mode of classification. In offering support for the theoretical proposition that stalking evolves from pathological attachment, these findings highlight the need to consider attachment in the assessment and management of stalkers. Also emphasized is the importance of taking classification methods into account when interpreting and evaluating stalking research.

Psychopathology in Police Custody: The Role of Importation, Deprivation and Interaction Models

People experiencing mental illness are over-represented among police cell detainees, however limited work has sought to investigate the occurrence of psychopathology in police custody. The present study sought to examine the predictive power of personal factors (e.g., history of psychiatric hospitalisation), situational factors (e.g., police cell conditions), and their interactive effects to explain the occurrence of psychopathology in police custody. A total of 150 detainees were recruited from two metropolitan police stations in Melbourne, Australia. Personal factors were significantly associated with psychiatric symptomatology, with situational factors and interaction terms yielding no association. Detainees with preexisting vulnerabilities and those unsatisfied with police cell conditions demonstrated the highest levels of psychopathology. While all detainees experience some difficulties in police cells, it is those with pre-existing vulnerabilities that suffer the most. This may be due to the exacerbation of vulnerabilities by police cell conditions. The implications of these findings for provision of health care services in police cells are discussed.

Stop task after-effects in schizophrenia: Behavioral control adjustments and repetition priming

Stop task after-effects are behavioral consequences of response inhibition (i.e., slowed response time), and may index both behavioral control adjustments and repetition priming. Patients with schizophrenia and healthy controls completed a stop task, and responses to the go signal were analyzed according to characteristics of the immediately preceding trial. Schizophrenia was associated with reduced slowing following unsuccessful response inhibition, however there was no evidence of impairments in repetition priming. These results support neurocognitive models of schizophrenia that suggest an absence or reduction of behavioral adjustments (perhaps reflecting impaired error detection), but are inconsistent with current retrieval-based repetition priming accounts.