Throwing the baby out with the bath water: is it time for clinical judgment to supplement actuarial risk assessment?

نویسنده

  • Brian R Abbott
چکیده

The assessment of the potential for sexual violence is one of three prongs that must be met to satisfy the requirements for civil confinement of dangerous sex offenders in the 21 U.S. jurisdictions that have these laws. In a recent issue of The Journal, Sreenivasan et al. argued that, because of a host of methodological problems, actuarial risk assessment methods in general and the Static-99 and its progeny in particular are insufficient for accurate assessment of risk for dangerous sex offenders. They propose using a combination of clinical judgment with actuarial science as a solution. This analysis and review of Sreenivasan et al. reveals and corrects flaws in the arguments they employed to support their position and shows how the combination of actuarial science with clinical judgment is more error prone than the actuarial approach only, and cannot be forensically defended in court. Recommendations on reporting Static-99R data in expert testimony are provided, taking into account the limitations of the instrument.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Influence of Tube Arrangement on the Thermal Performance of Indirect Water Bath Heaters

Natural convection heat transfer from a tube bundle in the indirect water bath heaters is investigated. A computer-code is used for the solution of the governing equations of mass, momentum and energy transfer based on the SIMPLE-C algorithm. Simulations are carried out for the gas pressure station heater of Kermanshah city with various tube bundle arrangements. In order to validate the numeric...

متن کامل

The reform of UK research ethics committees: throwing the baby out with the bath water?

On 1 May 2004 research ethics committees became legally accountable to a new government body, the United Kingdom Ethics Committee Authority. This marks the end of the self regulation of research ethics. This paper describes how this change in research ethics committee status has come about and explores the implications for research subjects, researchers, institutions, and for regulation of rese...

متن کامل

Onm-13: Prenatal Care in High-Risk Pregnancies

Prenatal care is more than just health care in pregnancy. For the vast majority of women, pregnancy follows a routine course. Some women, however, have medical difficulties related to their health or the health of their baby. These women experience what is called a high-risk pregnancy. A pregnancy may be considered high-risk for a variety of reasons. Some of these include: diabetes, preeclampsi...

متن کامل

Are we throwing the baby out with the bath water?

OBJECTIVE This study aimed to explore aspects of the effectiveness of three pressure-redistributing support surfaces in routine clinical practice. METHOD A non-randomised prospective cohort study was used, with skin outcomes reported for 219 subjects at risk of pressure ulcer development. RESULTS Few instances of new pressure damage were observed; these related to specific clinical issues, ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The journal of the American Academy of Psychiatry and the Law

دوره 39 2  شماره 

صفحات  -

تاریخ انتشار 2011