Objective: The authors compared data from psychiatrists and psychologists in California to determine whether long-standing differences in clinical practice remain after the introduction of managed care and other changes in mental service delivery. Methods: Responses from practicing clinicians in California who participated in the 1998 National Survey of Psychiatric Practice and the 2000 California Survey of Psychological Practice were compared on items related to patient caseload, practice profile, and insurance or reimbursement arrangements.
Unlike in Alzheimer's Disease, neurofibrillary tangles in athletes with CTE tend to accumulate perivascularly within the superficial neocortical layers. It is interesting to note that TAU pathology in CTE is partially and extensively distributed, possible related to multi-directional mechanical force from physical trauma (McKee et al, 2009; Neuropath Exp Neurol 68, 709-35.) It is theorized that accumulation of hyperphosphor is related to a protein that is thought to result in development of CTE and associated neurobehavioral disturbances.
Changes in practice patterns routinely occur over time, both with in an individual psychologist's practice and between generations of practitioners. However, little empirical research has been conducted to examine psychologists' practice patterns across their collective professional life span, and whether meaningful differences exist in these patterns among a sample of psychologists. This attic Ie examines clinical practice patterns among a sample of California psychologists whose collective career life span ranges from I to 40 years of postlicensure experience. The data for this aIticle were drawn from the 2000 California Survey of Psychological Practice (hereafter the California Survey; Pingitore, Scheffler, Haley, Sentell, & Schwalm, 200Ia).
Just this month, an article appeared in the Journal of Neuropsychology entitled "Early Onset Marijuana Use is Associated with Learning Inefficiencies." Young adults reporting early onset marijuana use have learning weaknesses, which accounted for the association between early onset marijuana use and delayed recall.
The recent editors of Myers on Evidence of Interpersonal Violence (Myers 2016) notes that the most well-known of psychological instruments to assess suggestibility is the Gudjohnson Suggestibility Scales (GSS). The GSS is utilized by psychologists to evaluate whether defendant's confessions were voluntary. The author notes that it is doubtful that these instruments are sufficiently reliable for use in legal proceedings. It is noted that in Shanklin, 379 111 Dec 211 the trial judge did not err in subjecting the GSS to a Frye Henry.
I have been providing expert witness services for several years. My practice, for the most part, has involved personal injury and wrongful death matters in health and human service agencies. More specifically, my work frequently requires a Standard of Care opinion related to the level of care provided by a service organization to a person with a developmental disability and/or mental retardation. As a part of this practice I have worked several cases involving an eating disorder referred to as PICA.
Forensic psychological evaluations have become a valuable resource for the criminal justice system by addressing important forensic questions. For instance, assessing risk for violence can help courts make appropriate decisions on issues such as sentencing, granting privileges, and community reintegration. If an individual is assessed to be a high risk for future violence, a judge has grounds to order a more restrictive setting compared to someone who is a lower risk for recidivism. By tailoring court decisions based on accurate psychological evaluations, the community is safer while the defendant's rights are also protected.
Forensic Psychologists can assist both Plaintiff and Defense lawyers in their assessment of the emotional damages related to traumatic injuries with adults as well as children. PTSD in children and teens is caused by events that have caused them or someone else to be killed or badly injured. Not all children develop PTSD after a traumatic injury. 3-15% of girls and 1-6% of boys develop PTSD in response to a traumatic experience. Rates of PTSD are higher for certain types of trauma survivors. Nearly 100% get PTSD if they see a parent being killed or if they see a sexual assault. 90% of sexually abused children develop PTSD; 77% of children who see a school shooting develop PTSD; and 35% of children who see violence in the area they live, develop PTSD (National Center for PTSD in Children and Teens).
Amputation is an injury involving loss of function, loss of sensation, and loss of body image. It is not surprising amputees often suffer psychological difficulties following such an event. Further, these psychological difficulties can also result in long term Post Traumatic Stress Disorder (PTSD) for the amputee. Often these psychological injuries and resultant PTSD can be difficult to explain to a jury. The forensic expert's presentation of psychological testing assessing potential PTSD is one part of proving or disproving damages. However, the forensic expert can better assist either the Defense or Plaintiff's attorney by addressing specific functions in the amputee that have been affected by the injury.