29 research outputs found
Implementation of a problem-solving training initiative to reduce self-harm in prisons : a qualitative perspective of prison staff, field researchers and prisoners at risk of self-harm
Semantics, syntax or neither? A case for resolution in the interpretation of N500 and P600 responses to harmonic incongruities.
The processing of notes and chords which are harmonically incongruous with their context has been shown to elicit two distinct late ERP effects. These effects strongly resemble two effects associated with the processing of linguistic incongruities: a P600, resembling a typical response to syntactic incongruities in language, and an N500, evocative of the N400, which is typically elicited in response to semantic incongruities in language. Despite the robustness of these two patterns in the musical incongruity literature, no consensus has yet been reached as to the reasons for the existence of two distinct responses to harmonic incongruities. This study was the first to use behavioural and ERP data to test two possible explanations for the existence of these two patterns: the musicianship of listeners, and the resolved or unresolved nature of the harmonic incongruities. Results showed that harmonically incongruous notes and chords elicited a late positivity similar to the P600 when they were embedded within sequences which started and ended in the same key (harmonically resolved). The notes and chords which indicated that there would be no return to the original key (leaving the piece harmonically unresolved) were associated with a further P600 in musicians, but with a negativity resembling the N500 in non-musicians. We suggest that the late positivity reflects the conscious perception of a specific element as being incongruous with its context and the efforts of musicians to integrate the harmonic incongruity into its local context as a result of their analytic listening style, while the late negativity reflects the detection of the absence of resolution in non-musicians as a result of their holistic listening style
The effect of a peer-led problem-support mentor intervention on self-harm and violence in prison : an interrupted time series analysis using routinely collected prison data
Background: Levels of mental disorder, self-harm and violent behaviour are higher in prisons than in the
community. The purpose of this study was to determine whether a brief peer-led problem-support mentor
intervention could reduce the incidence of self-harm and violence in an English prison.
Methods: An existing intervention was adapted using a theory of change model and eligible prisoners were
trained to become problem-support mentors. Delivery of the intervention took two forms: (i) promotion of
the intervention to fellow prisoners, offering support and raising awareness of the intervention but not delivering the skills and (ii) delivery of the problem-solving therapy skills to selected individual prisoners. Training and intervention adherence was measured using mentor log books. We used an Interrupted Time Series
(ITS) design utilizing prison data over a 31 month period. Three ITS models and sensitivity analyses were
used to address the impact across the whole prison and in the two groups by intervention delivery. Outcomes
included self-harm and violent behaviour. Routine data were collected at monthly intervals 16 months pre-,
10 months during and six months post-intervention. Qualitative data measured the acceptability, feasibility,
impact and sustainability of the intervention. A matched case-control study followed people after release to
assess the feasibility of formal evaluation of the impact on re-offending up to 16 months.
Findings: Our causal map identified that mental health and wellbeing in the prison were associated with
environmental and social factors. We found a significant reduction in the incidence of self-harm for those
receiving the full problem-solving therapy skills. No significant reduction was found for incidence of violent
behaviour.
Interpretation: Universal prison-wide strategies should consider a series of multi-level interventions to
address mental health and well-being in prisons
Men Presenting With Sexual Thoughts of Children or Coercion: Flights of Fancy or Plans for Crime?
Introduction. There is limited evaluation of clinical and theoretical claims that sexual thoughts of children and coercing others facilitate sexual offending. The nature of these thoughts (what they contain) is also unknown. Aims. To examine the relationship between child/coercive sexual thoughts and sexual offending, and to determine the nature of these thoughts and any differences between sexual offending (SO), non-sexual offending (NSO) and non-offending (NO) men. Methods. In a cross-sectional computerized survey, anonymous qualitative and quantitative self-reported sexual thought and experience data were collected from 279 adult volunteers, comprising equal numbers of SO, NSO and NO men recruited from a medium-security UK prison and a community sample of 6081 men. Main Outcome Measures. Computerized Interview for Sexual Thoughts and Computerized Inventory of Sexual Experiences. Results. Three analytical approaches found child sexual thoughts were related to sexual offending; sexual thoughts with coercive themes were not. Latent class analyses identified three types of child sexual thought (primarily differentiated by interpersonal context: the reporting of own emotions, emotions of others or both) and four types of sexual thoughts of coercing others (chiefly discriminated by the other person’s response: no emotional states reported, consent, non-consent, mixed). Type of child sexual thought and participant group were not significantly related. Type of coercive sexual thought and group were marginally related; the consensual type was more common for the NO group, the non-consensual type more common for the SO group, than expected statistically. Conclusions. Child sexual thoughts are a risk factor for sexual offending and should be assessed by clinicians. Generally, sexual thoughts with coercive themes are not a risk factor, though thought type may be important (i.e. thoughts where the other person expresses an enduring lack of consent). Exploring the dynamic risk factors associated with each type of child/coercive thought may lead to more targeted treatment
Cognitive bias for sexual and aggressive material in offenders using the Emotional Stroop task
Processing bias for sexual material:the emotional stroop and sexual offenders
ases in forensic and nonforensic participants (n = 10sex offenders, n = 10 violent offenders, n = 10 nonviolent offenders, and n = 13 undergraduates). A comput-erised version of the Stroop task demonstrated that offenders convicted of both sexual and violent offences were significantly slower than undergraduates to color-name words relating to sexual offending (with sex offenders demonstrating the greatest interference bias). Furthermore, processing bias was also evident for aggression words in violent offenders and violent sexual offenders but not in non-violent sexual offenders. Specifically, paedophiles convicted of indecent assault presented different response profiles compared to heterosexual rapists. These find-ings suggest that tests that assess information processing bias for salient material may also prove useful as an assessment tool within forensic populations. KEY WORDS: Stroop; bias; sexual; aggression; offender