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G W Barnard

Publications and source records attributed to G W Barnard.

At least 19 recordsLinked to original sources
PubMed1994

An analogue study of the factors influencing competency decisions.

Forensic psychiatrists who were members of the American Academy of Psychiatry and the Law analyzed case histories to make a competency or incompetency decision. The case histories were created to alter background information, diagnostic information, information about the defendants' understanding of the adversarial process, courtroom behavior, and the nature of the crime. The information that had the most influence on the decisions of the forensic psychiatrists included the cognitive status of the defendant, psychotic features, courtroom behavior, and understanding of the adversarial process. Relationship with the lawyer, alcohol/drug use history, psychiatric history, and criminal history had less influence. The forensic psychiatrists tended to "error" toward a decision for competency unless compelling evidence was presented to the contrary.

Adult↗
PubMed1994

Predicting treatment outcome for incompetent defendants.

This study examined the prediction of outcome in a sample of defendants hospitalized for treatment of incompetency. Defendants' demographic characteristics and scores on 18 scales of the Computer-Assisted Determination of Competency to Proceed instrument (CADCOMP) were used to predict competency restoration and length of stay (LOS). During the period of study, almost 90 percent of the defendants were restored to competency after a mean stay of over 280 days. Demographic characteristics were unrelated to outcome. Several CADCOMP scales, including two scales measuring psycholegal ability and one measuring psychopathology, were correlated with both outcome criteria. Discriminant analysis using the CADCOMP scales accurately classified 76.7 percent of the defendants into short and long stay groups. Although promising, the findings are nevertheless consistent with prior research in suggesting that examiners should exercise caution in providing feedback to the courts concerning competency restoration and the period of time needed for treatment.

Adolescent↗
PubMed1994

Patient-therapist sexual involvement: a review of clinical and research data.

Core concepts and selected research addressing the issue of patient-therapist sexual involvement (PTSI) are examined. Topics covered include the prevalence of PTSI, its suspected causes, the seduction process employed by offending therapists, the factors involved in patient's vulnerability, the mechanisms by which patients are damaged by PTSI, the types of harm caused to patients, the treatment of patients after PTSI, and the prevention of PTSI. The need to expand empirical research in all aspects of PTSI from the patient as well as from the therapists' perspective is strongly emphasized.

Humans↗
PubMed1993

An anthropometric study of pedophiles and rapists.

Anthropometric measurements were obtained on pedophiles (n = 23) and rapists (n = 13) who were in a forensic treatment facility. Hand grip strength was measured with a Jamar hand dynamometer. Ten separate body measurements were taken including height and weight. As an indicator of body fat, triceps skinfold thickness was obtained with calipers on the non-dominant arm. The findings provided mild support for the hypothesis that the rapists in the sample would be stronger, more muscular, and have less body fat than the pedophiles.

Adult↗
PubMed1993

The validity of the M test in a residential forensic facility.

The validity of the M Test as a screening measure for malingering was assessed in a residential forensic treatment center. Clinically, malingering was recognized by the treatment staff as a significant problem among incompetent to proceed (ITP) defendants in this setting. A total of 79 ITP defendants completed the M Test under standard instructions. To assess the predictive validity of the M Test, its sensitivity and specificity were determined using three separate measures of malingering status. Using the original scoring procedure, the results provided estimates of sensitivity of 11, 31, and 29 percent and estimates of specificity of 67, 70, and 69 percent, respectively, for the three malingering status measures. A revised scoring procedure improved the sensitivity estimates to the statistically significant level of 86 percent for the malingering status measure that was defined as feigned or grossly exaggerated psychotic symptoms. The pattern of correlations between the M Test scales and a variety of other clinical measures suggested that, in this forensic treatment setting, the subject's pattern of responses to the M Test was primarily determined by the severity of cognitive impairment of that subject.

Adult↗
PubMed1992

Itemmetric and scale analysis of a new computer-assisted competency assessment instrument (CADCOMP).

Male defendants (n = 99) who had been court ordered to a forensic treatment facility as incompetent to stand trial were tested using the Computer-Assisted Determination of Competency to Proceed (CADCOMP) instrument soon after admission (median days = 15). Shortly thereafter, competency was assessed by a forensic psychiatrist and by a majority decision of three mental health professionals who viewed a videotape of the forensic psychiatrist's interview. From the CADCOMP item pool, 18 scales were constructed on conceptual grounds. Internal consistency analyses revealed that most scales had reasonable item homogeneity and scale reliability. In addition, item and scale analyses, with few exceptions, followed predicted patterns of intercorrelation and association with competency as determined by both criteria. Scales and items measuring serious psychopathology, psycholegal ability, and criminal history demonstrated the strongest associations with competency. These findings suggest that additional research on CADCOMP is warranted. The instrument shows promise for use in forensic research and assessment.

Adult↗
PubMed1991

Competency to stand trial: description and initial evaluation of a new computer-assisted assessment tool (CADCOMP).

The authors describe a Computer-Assisted Determination of Competency to Proceed (CADCOMP), a new instrument that collects data directly from the defendant through an interactive computer program and renders a report covering relevant historical, psychopathological, and legal information. The comprehensive report could be utilized by the clinician to focus the clinician's interview with the defendant on areas requiring further probing, thus reducing the time required to assess competency. Preliminary reliability and validity assessment studies are reported. The results support the predictive validity of CADCOMP used as a screening instrument and found the CADCOMP to be sufficiently reliable to be used for screening purposes.

Adult↗
PubMed1988

Treating those found incompetent for execution: ethical chaos with only one solution.

In early 1988 the population on America's death rows climbed above the 2,000 mark for the first time in history. In 1986 the United States Supreme Court firmly stated that the Constitution will have been violated if any of these prisoners is put to death while mentally incompetent for execution. In this article we discuss the case of Gary Alvord, the only inmate to be formally found incompetent for execution in modern times. Interviews with psychiatrists and mental health professionals at the Florida psychiatric hospital where Alvord was treated between 1984 and 1987 reveal much ambivalence and anger about the case. We conclude that, out of respect for the rights of these mental health professionals and the ethical codes of their professions, any prisoner found incompetent for execution should have his or her death sentence commuted to long-term imprisonment before treatment is requested or given.

Adult↗
PubMed1987

Development of a computerized sexual assessment laboratory.

Computer-assisted psychological assessment has been operational for 25 years. It has been well received by patients and shows a degree of reliability that is comparable to that of conventional testing. The authors report on the development of a computerized psychosexual assessment laboratory in a forensic facility housing convicted sex offenders who volunteered for treatment. The development of the laboratory was in response to the need for uniform psychosocial data on each resident that can be used for making better diagnoses, developing personalized treatment programs, and assessing treatment outcome. The process of selecting the psychological tests and programming them for interactive administration is described, as are the testing procedures using the penile plethysmograph with stimuli based on the Tanner developmental stages. A computer-assisted psychosocial assessment that produces a psychosocial history was developed. The laboratory's overall value in the treatment program is assessed.

Arousal↗
PubMed1986

Ethics and the psychiatric determination of competency to be executed.

For the last several centuries, most jurisdictions using capital punishment have had formal or informal rules that prohibit the execution of the mentally ill. In this article, the procedures for such exclusions in Florida are examined. The article begins by attempting to answer the question of why legislators and judges, at least nominally, have prohibited the execution of the mentally ill. Next, Florida's criteria for defining and procedures for excluding mentally ill prisoners are examined and found to be vague. We then turn attention to the ethical problems created by the statute and its implementation that face the participating psychiatrists and the profession. These problems are compounded because the physician's findings are not acted upon by politically neutral authorities and the inmate has no opportunity to challenge the findings with his own panel of experts. Finally, since any exclusion of the mentally ill from execution is temporary and the patient will be executed if he recovers, the dilemmas facing the treatment staff if the death sentence is not commuted to life imprisonment before treatment are discussed.

Capital Punishment↗
PubMed1979

The intelligence of rapists: new data.

IQs of violent sexual offenders (rapists) were compared to those of alleged nonviolent sexual offenders, nonsexual violent offenders, and nonsexual nonviolent offenders. Data were gathered from defendants referred to the medical coauthor for pretrial psychiatric evaluation. Rapists scored lower in the IQ test, but this difference did not appear to be significant in the pairwise X2 comparisons. This held true after controlling for the race of the defendant.

Humans↗
PubMed1975

Changing patterns of psychiatric inpatient care in a university general hospital.

The authors describe the changing patterns of psychiatric inpatient care in a university hospital. Patients are shortening their hospital stay and are traveling fewer miles from their homes to the hospital. Increasing numbers of blacks, men, and low-income persons are being treated. In addition, the percentage of patients with neuroses and transient situational disturbances has decreased, while the percentage of those with personality and behavior disorders has increased. The authors discuss the implications of these changes, which benefit both patients and the education of students.

Financing, Government↗
PubMed1974

The Baker Act can work.

Explore the source record for details and available documents.

Community Mental Health Services↗