Topic B - Forensic Psychiatry > Section B.8.0. Forensic Future > Unit.B.8.2. Forensic Psychiatric/Correctional Research

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Unit.B.8.2. Forensic Psychiatric/Correctional Research

[Unit B.8.2] [Unit C.8.4] [Unit D.8.2]


Australia
focus points

"Studies have confirmed the need for special knowledge for forensic psychiatric nurses that work with extreme behavioral problems" (Dhondea, 1995, p. 77).

"Studies in the areas of forensic nursing have been few and there is concerns about the survey type of research as it does not reveal the real world of forensic nursing practice" (Dhondea, 1995, p. 77).

"Ethnographers seek to construct descriptions of the phenomena within the various contexts and takes care to avoid purposive manipulation of variables in the study. Goetz and LeCompte (1984) emphasize that ethnographic design provides investigatory strategies that are conducive to cultural construction" (Dhondea, 1995, p. 77).

"Ethnography is also associated with anthropology. It aims to reconstruct the showed belief that, practices, artifacts, folk knowledge and behaviors of members of some groups" (Dhondea, 1995, p. 77).

"MacDonald and Grogier's (1991) study on forensic psychiatric nursing concluded that caring for an incarcerated population of forensic psychiatric patients creates unique learning challenges for nurses. They also concluded that it was important to understand the complex roles of nurses working with people with extreme behavior problems in order to identify their specific learning needs" (Dhondea, 1995, p. 77).

Canada
focus points

"Ethical research involving humans requires that the experiment be scientifically sound, that those participating give informed consent, except in a few carefully defined situations, and that the research not involve any unacceptable risk to the participants" (Young,1998, p. 149).

"This commentary discuses what has been written about risk in research in some of the documents that have governed research in Canada: The Nuremburg Code, the Declaration of Helsinki, the Medical Research Council of Canada - Guidelines on research involving human subjects (1987) and finally the Tri-Council Working Group's Code of Ethical Conduct for Research involving humans" (Young,1998, p. 149).

"The Nuremburg Code was written primarily by jurists in the late 1940s. Four items of the Nuremberg Code deal directly with risk:

  • Item 5 states that no experiment should be conducted where there is a priori reason to believe that death or disabling injury will occur, except where the experimenting physician also serve as subjects.
  • Item 4 states that the experiment should be so conducted that as to avoid all necessary physical and mental suffering and injury.
  • Item 6 states that the degree of risk to be taken should never exceed that determined by the humanitarian importance of the problem to be solved by the experiment.
  • Item 7 states that proper preparations should be made to and adequate facilities provided to protect the experimental subject against even emote possibilities of injury, disability or death" (Nurenburg Code, 1949, sited in Young,1998, 149-150).
"The first code of ethics for research with human subjects emanated from the famous Doctors' Trial which took place in Nuremberg between 1947 and 1949. This trial focused on the Nazi doctors' experiments on prisoners in concentration camps--experiments that included exposure to extreme cold, high altitudes, mustard gas, sulfanilamide, sea water, and incendiary bombs (Marrus, 1999, cited in Regehr, Edwardh, & "Bradford, 2000, p. 892).

"While we have, as Canadians, been for the most part immune from these exposes, many concerns about research in Canada have recently been raised as a result of the lawsuit of Dorothy Parker, one of 23 inmates involved with LSD experiments conducted between 1960 and 1963 at Kingston Prison for Women (13). Pursuant to this case, Ms Parker's attorneys cited evidence that psychotropic drugs were also tested in Kingston Penitentiary in 1960, and in Collins Bay Prison in 1973. Moreover, they presented evidence of abuses elsewhere, including a 1964 letter wherein the federal government permitted researchers to give nightly steroid enemas for up to 3 weeks to inmates at Collins Bay Prison to assess whether rectal irritation occurred (Regehr, Edwardh, & Bradford, 2000, p. 893).

"Other examples of abuse included permission granted in 1972 to test penicillin on inmates in Quebec and a 1967 study in which the federal government used inmates to test the effects of ingesting pesticides. Canada's justice minister had decided in 1949 that consent from inmates was unnecessary for ECT experiments; however, by the early 1960s, Corrections Canada's policy was that consent was a prerequisite for scientific experiments (13). The degree to which this consent is free and informed among involuntarily detained individuals nevertheless remains questionable (Regehr, Edwardh, & Bradford, 2000, p. 893).

 

International
focus points

Insert forensic focus points here

United Kingdom
focus points

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Types of Threats in Researching Sensitive Topics:

Research as Threat:

  • Intrusive threat
  • Threat of sanction
  • Political threat

Threat to Researcher:

  • Stigma contagion
  • Career dangers
  • Anonymous dangers
  • Presentational dangers (Mason, 1997, p. 85)

"Mix of Principles and Practices to Aid Resistance to Research Censorship:

  • Maintain a firm belief in the intellectual development of your profession.
  • Have your work peer reviewed in the scientific community.
  • Ensure that your research is supervised by recognized experts.
  • Provide a disclaimer in scientific papers.
  • Take every opportunity to debate, in public, the issues involved in censorship.
  • If your paper is honest, non-libellous, and peer reviewed then stand by your research.
  • If you submit your paper for internal scrutiny by non academics, then accept that their suggestions are advisory only and decline to change the paper if you do not think that it is appropriate, or it changes the meaning, or it is false.
  • Keeps a log of all threats, including the names of those involved, the date the time and the content of the threat.
  • Make formal complaints when necessary.
  • Ensure that you subscribe to a professional body". (Mason, 1997, p. 90-91).

"It is essential that nurses working in this field are aware of the power/knowledge equation that frames their practice, research and education" (Mason & Mercer, 1996, 153).

United States
focus points

Insert forensic focus points here

Focus Points Reference

Dhondea, R. (1995). An ethnographic study of nurses in a forensic psychiatric setting: Education and training implications. Australia and New Zealand Journal of Mental Health Nursing, 4, 77-82.

Mason, T. (1997). Censorship of research in the health service setting. Nurse Researcher, 4 (4), 83- 92.

Mason, T. & Mercer, D. (1996). Forensic psychiatric nursing: Vision of social control. Australian and New Zealand Journal of Mental Health Nursing, 5, 153-162.

Regehr, C., Edwardh, M. , & Bradford, J. (2000). Research ethics and forensic patients. Canadian Journal of Psychiatry, 45(10), 892-899. Retrieved December 19, 2002, from Academic Search Premier database: http://search.epnet.com/direct.asp?an=4003664&db=aph

Young, S.N. (1998). Risk in research- from the Nuremberg Code to the Tri-Council Code: Implications for clinical trials of psychotropic drugs. Journal of Psychiatry and Neuroscience, 23 (3), 149-155.


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.B.8.2. Forensic Psychiatric/Correctional Research

[Unit B.8.2] [Unit C.8.4] [Unit D.8.2]


Australia
Presentation(s)

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Canada
Presentation(s)

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International
Presentation(s)

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United Kingdom
Presentation(s)

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United States
Presentation(s)

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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit:

Unit.B.8.2. Forensic Psychiatric/Correctional Research

[Unit B.8.2] [Unit C.8.4] [Unit D.8.2]


Australia
case study

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Canada
case study

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International
case study

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United Kingdom
case study

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United States
case study

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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.B.8.2. Forensic Psychiatric/Correctional Research

[Unit B.8.2] [Unit C.8.4] [Unit D.8.2]


forensic panels of experts

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Australia
authors/experts

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Canada
authors/experts

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International
authors/experts

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United Kingdom
authors/experts

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United States
authors/experts

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