Actual venire members ( N = 764) completed the Big Five Inventory before going through the jury selection process for 1 of 11 criminal or 17 civil trials. Jury selection decisions by attorneys were not associated with juror personality traits but were associated with juror race and sex, especially in criminal cases. In the 17 juries that deliberated to a verdict ( n = 285), high levels of juror extraversion were associated with not guilty verdicts or verdicts for the defendant, especially in criminal cases. Extraversion was also associated with being selected as a jury foreperson, and foreperson extraversion was associated with longer jury deliberation times and perceived foreperson influence in criminal cases.
In an era of rapid changes in the healthcare marketplace the specialty of clinical neuropsychology faces a substantial increase in advocacy challenges. These include maintaining both access to services and a favorable practice climate as new healthcare structures and payment models evolve. The issue of regional variability complicates an effective response to these challenges from national professional organizations. One response to the challenge of regional variability is to strengthen our national organizations' capacity to engage in coordinated and effective advocacy, and to partner with state and regional neuro/psychological associations. The Inter-Organizational Practice Committee (IOPC) was formed in 2012 to meet this need. The IOPC has developed a model of 360 Degree Advocacy that coordinates local, regional, and national resources for high-impact, efficient advocacy. This paper describes the 360 Degree Advocacy model, and walks readers through an example of the model in action, successfully responding to a threat to patient access and practice climate with a regional Medicare carrier.
This study examined the clinical utility of a performance validity test (PVT) for screening consecutive referrals (N = 436) to a neuropsychology service at a state psychiatric hospital treating both civilly committed and forensic patients. We created a contingency table with Test of Memory Malingering (TOMM) pass/fail (355/81) and secondary gain present/absent (181/255) to examine pass rates associated with patient demographic, clinical and forensic status characteristics. Of the 81 failed PVTs, 48 had secondary gain defined as active criminal legal charges; 33 failed PVTs with no secondary gain. These individuals tended to be older, female, Caucasian, and civilly committed compared with the group with secondary gain who failed. From estimations of TOMM False Positive Rate and True Positive Rate we estimated base rates of neurocognitive malingering for our clinical population using the Test Validation Summary (TVS; Frederick & Bowden, 2009 ). Although PVT failure is clearly more common in a group with secondary gain (31%), there were a number of false positives (11%). Clinical ratings of patients without gain who failed suggested cognitive deficits, behavioral issues, and inattention. Low scores on PVTs in the absence of secondary gain provide useful information on test engagement and can inform clinical decisions about testing.
Several Minnesota Multiphasic Personality Inventory—2 Personality Psychopathology Five (PSY-5) scales and facets showed small to medium levels of predictive validity in identifying law enforcement officer applicants who would later be forced to leave their agencies ( n = 436 still employed, n = 164 forced to leave agency). The PSY-5 measures were moderately to strongly associated with measures of positive impression management (L and K scales), although the direction of these associations sometimes varied for facets of the same PSY-5 scale (e.g., Disconstraint, Introversion/Low Positive Emotionality). The predictive effects of the PSY-5 were often observed only in officers without significant levels of impression management (L ≤ 55T, K ≤ 65T). The PSY-5 scales and facets were not especially useful for predicting on-the-job misconduct.
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