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The purpose of this paper is to present a focused viewpoint of coercion in psychiatry from the perspective of a survivor and activist.

This paper takes elements from and builds on three recent conference and seminar presentations presented in France and the UK in 2014: International Congress on Clinical Ethics Consultation 2014, Paris: Comité Européen Droit Ethique et Psychiatrie, June 2014, Perpignan and Royal College of Psychiatrists’ Annual Congress, London 2014.

Coercion in psychiatry runs counter to the highest human rights standards, rules out genuine care and profoundly undermines trust.

Additional research from a user and survivor experience would offer a different and more grounded perspective of how coercion is actually exerted and experienced through, for instance, a narrative approach.

The paper is proposed from the viewpoint of a survivor of psychiatry and human rights activist. It is a contribution towards a more user/survivor oriented discourse in this area.

The purpose of this paper is to critique Spandler and McKeown’s recent advocacy of a truth and reconciliation (T&R) process in psychiatry.

A critique of a recent paper in Mental Health Review Journal.

That Spandler and McKeown’s advocacy of a T&R process in psychiatry can be criticised from a number of inter-related practical, political and ethical perspectives.

The present critique contributes to the ongoing debate about the desirability of a T&R process in psychiatry.

This paper is an author’s reply to the article by Cresswell (2017) critiquing the original piece by Spandler and McKeown (2017) on truth and reconciliation (T&R) in psychiatry. The paper aims to discuss this issue.

It continues the dialogue about the nature of reconciliation in mental health services and reflects on distinctions between the nature of historical abuses within the asylum system and the need to understand and prevent further harm within contemporary services.

Whilst the authors acknowledge the tension between reconciliation and democratic debate they suggest that the process does not have to mean agreement or acquiescence. They reaffirm their optimistic belief that better mental health services are possible and appreciate that true reconciliation is a process that will require both debate and the building of constructive alliances.

A grassroots T&R process might be a form of transitional justice which does not negate the need for wider social and policy changes, but may actually help achieve it.

Colombia presents with one of the largest armed conflicts in the world. Children exposed directly or indirectly to armed conflicts live the emotional footprints left by war. This paper aims to identify mental health problems among children survivors of Colombia’s armed conflict and associated factors.

A cross-sectional study with (n = 80) children aged 7 to 11 years (M = 9.8 years; SD = 1.4) was conducted using the Child Behavior Checklist, Family APGAR and MOS social support survey adaptation to children. Linear regression analyses were also performed with emotional and behavioral problems as the outcomes and related factors as the predictors.

Clinical levels of emotional and behavioral problems were found in 56.3% of children. Internalizing problems (63.7%) were more common than externalizing problems (51.2%). Older children had greater emotional problems at the trend level, and those with higher functioning families had lower emotional problems. Children with higher perceived social support had lower behavior problems at the trend level.

This study includes a sample facing multiple risks and uses a holistic approach to consider family and social resources that may support children who are survivors of the armed conflict in Colombia. These results provide a foundation for future promotion and prevention programs related to children’s mental health problems to support peacebuilding within the framework of the Colombian post-conflict process.

To the best of authors’ knowledge, this is the first study to collect empirical data on the mental health of children survivors of Colombia’s armed conflict focused in the Atlantic Department.

Previous literature suggests that exposure to trauma has both positive and negative impacts on leadership and leadership development, although there is a lack of empirical research. This exploratory study compared military leaders’ use of transformational leadership styles (TLS) before and after trauma exposure from the followers’ perspective. This study used a retrospective pretest design to survey veteran and active duty military personnel. Significant differences were found between pre- and post-trauma exposure TLS ratings, with a mean decline in the TLS after trauma exposure. The analysis of the open-ended questions indicated a reduction in the use of the TLS after trauma, but identified positive changes in some cases. There was no evidence that changes in the TLS were concentrated in any of the five styles.

To show how e‐readiness indicators, specifically the Networked Readiness Index (NRI), participate in the work of defining policy problems.

The article critically examines the Networked Readiness Index in terms of its presentation and its underlying model. It relies on an approach to policy analysis that views policy problems as socially constructed.

E‐readiness assessment tools purport to show how ready the nations of the world are to exploit the potential of new information and communication technologies. Yet they do more than that; being actively engaged in constructing policy problems. In the case of the NRI, the problem of the international digital divide is defined in a particular way that privileges certain interests while at the same time legitimatizing its inclusion on the agenda of international organizations as a problem worthy of sustained attention.

The findings of the article suggest a need for alternative indicators that register the voices of a wider range of groups and could therefore create a more inclusive digital divide policy problem.

Little critical (as opposed to technical) analysis of e‐readiness indicators exits in the literature. By focusing on these tools, the article contributes to the debate surrounding the issue of the digital divide.

Study samples, having responded to similar survey content, allowed examination of suicide risk factors for deployed soldiers relative to nondeployed or home station soldiers. Specific research questions addressed by this study are: First, what is the prevalence of suicidal behaviors among Army National Guard (ARNG) soldiers – deployed or not, and how do these rates compare with known US national and international rates? Second, what are stressful life events associated with suicidal risk? How do these compare between deployed and nondeployed soldiers? Third, what specifically about combat exposure makes soldiers at risk for suicide? And fourth, is there any evidence of stress-buffering effect between risk factors and suicidal behaviors? The paper aims to discuss these issues.

Three data sources were used. First, the responding sample for the Unit Risk Inventory consisted of 180 company-sized units with a total of 12,567 responding soldiers. Second, the responding sample for the Unit Risk Inventory-Reintegration consisted of 50 company-sized units with a total of 4,567 soldiers. The third data source was all ARNG suicides for calendar years 2007 through 2012. For each calendar year, a random sample of 1,000 ARNG soldiers was drawn to represent nonsuicides. This resulted in a study sample size of 6,523, including the 523 suicides for the years 2007 through 2012 plus 1,000 nonsuicide cases for each calendar year.

Prevalence of suicidal behaviors among soldiers was higher (for thoughts, plans, and attempts, respectively, 4-6, 1.3-2.2, and 0.7-0.08 percent) than among civilian populations (respectively, 2.6, 0.7, and 0.4 percent). Risk was highest among home station than deployed soldiers. Stressful life events associated with suicide risk included personal feelings of loneliness, anger, and frustration, followed by interpersonal behavioral problems, such as aggressive behavior toward a significant other and having committed a crime. Also evident are the beneficial effects (as a main effect and buffering effect) of feelings of cohesiveness, quality leaderships, and job satisfaction on suicidal behaviors.

Findings here were consistent with the stressor-strain hypothesis. Stressful life events were associated with suicide risk, especially, personal feelings of loneliness, anger, and frustration, followed by interpersonal behavioral problems, such as aggressive behavior toward a significant other and having committed a crime. Evident, too, were the beneficial effects of feelings of cohesiveness, quality leaderships, and job satisfaction on suicidal behaviors. Soldiers reporting these events were less likely to report suicidal behaviors and social support lessened the cumulative effect of risk factors on suicidal behaviors. Given these findings, it seems that suicide risk in the military is not uniquely different from that observed in civilian populations. The higher prevalence of suicides in the military likely has to do with proportionally more individuals who have historically shown to be at risk for suicide, namely, young males.

Strong association of individual-level attributes with suicidal behaviors, such as age, gender, and race, suggest individual-level vulnerability to suicidal behaviors. This expectation is consistent with the stress/suicide vulnerability theory (Bryan, 2014; Nock et al., 2013). Such vulnerabilities may include negative affectivity (one of the Big Five personality dimensions) and early childhood trauma to suicidal behaviors (Griffith, 2012a, 2014).

Suicide, related constructs, and their underlying processes need to be further examined in future research. Their understanding would be useful in screening individuals most at risk for suicidal behaviors, with referral and treatment, if needed. Practically, such vulnerabilities in relation to what specific experiences could be determined, potentially describing which individuals are suited best to adapt to which environments.

There has been much research on the increased suicides in the military, and to date, studies have focussed primarily on traumatic events, such as, deployments and combat exposure associated with suicidal behaviors. Yet, studies have almost exclusively examined the combat-suicide connection without reference to suicide risk factors among nondeployed or home station soldiers. This study fills this gap by examining survey responses to standardized questionnaires administered to ARNG soldiers during calendar year 2010 – one sample of deployed units either to Iraq or to Afghanistan and another sample of nondeployed or home station units.

Criminology has produced more than a century of informative research on the social correlates of criminal behavior. Recently, a growing body of theoretical and empirical work has begun to apply evolutionary principles, particularly from life history theory (LHT), to the study of crime. As this body of research continues to grow, it is important that work in this area synthesizes evolutionary principles with the decades of sociological research on the correlates of crime. The paper aims to discuss these issues.

The current paper reviews the brief history of research applying life history concepts to criminology, providing an overview of the underlying framework, exploring examples of empirically testable and tested hypotheses that have been derived from the theory, discussing cautions and criticisms of life history research, and discussing how this area of research can be further integrated with existing theory.

A growing body of research has, with relative consistency, associated indicators of a faster life history strategy with aggression and violence in humans and across the animal kingdom. Research into these associations is still vulnerable to genetic confounding and more research with genetically sensitive designs is needed. The use of hypotheses informed by evolutionary insight and tested with genetically sensitive designs provides the best option for understanding how environmental factors can have an impact on violent and criminal behavior.

The current paper provides an updated review of the growing application of LHT to the study of human behavior and acknowledges criticisms and areas of concern that need to be considered when forming hypotheses for research.

Major developments in the management of and intervention for people with significant personality difficulties who have offended are continuing, most recently with the implementation of the Offender Personality Disorder (Department of Health/National Offender Management Service (DoH/NOMS), 2011) Pathway. Included in this, is the Psychologically Informed Planned Environment model, currently being implemented in Prisons and Probation Approved Premises. This model includes the provision of “socially creative activities” (Benefield et al., 2018), opportunities for social learning and relationship building. The purpose of this paper is to explore the rationale for and examples of the implementation of these.

The paper offers a narrative review of research around child development, personality, social learning and the policy context around the OPD Pathway. An overview of the socially creative sessions and a rationale for them is provided.

A conceptual understanding of the rationale for socially creative sessions is provided with a description of the sessions that focussed upon development of imagination, narrative/story making, social expression and relational experiences, i.e. singing, drama and reading with others. It is argued that the activities offered opportunities to engage in a different medium for expression, learning and relating, that may provide a catalyst for change in individuals with entrenched motivational and interpersonal difficulties.

This is a conceptual paper that provides a rationale for socially creative sessions and describes the sessions. This paper does not feature outcome data which are outside the remit of this paper; however, future research into the impact of this approach to aid relational development and assist in emotional and behavioural stability is essential.

The complex needs of this client group emphasise the need for services to offer holistic ways to engage people who can have a positive impact upon relationships.

The work presented in this paper is valuable for professionals working within the personality disorder and criminal justice field, also for policy makers and commissioners.