Seattle University Collaborative Projects - International Academy of ...

these substances, individuals might appear psychotic and engage in violent behaviors. The user’spresentations may also mimic a psychotic disorder or a delirium. The Courts often requestassessments to determine whether such a defendant is fit to stand trial. Drug-induced variablechanges in mental state often result in stark discrepancies between serial examinations over aperiod of time. The initial clinical assessment and the diagnosis may vary significantly fromsubsequent evaluations depending upon the timing of the assessment, the type(s) of substance(s)ingested as well as the pharmacokinetics of the substance(s). All of these substances usedindependently are known to induce changes in mental status. However, the combination canproduce a more potent and prolonged effect. Also, despite abstinence, the user may havepersistent symptoms of psychosis and the individual may be diagnosed with a mental disorderdespite abstinence. This may complicate their Fitness to Plead and Stand Trial assessments,diagnosis of a mental order and the use of settled insanity as an affirmative defense. In thispresentation, we will review the pronounced psychopathological effects of the marijuanaembalming fluid on the defendant user and the legal ramifications.78. Indirect Measures in the Evaluation of the Clinical TreatmentProcessThe Application of the Implicit Association Test for Measurement of ImplicitTheories/Cognitive Distortions in Sexually Violent Forensic PsychiatricInpatientsThijs Kanters, FPC de Kijvelanden, Rotterdam, Netherlands (Thijs.Kanters@hotmail.com)This paper concerns a study on the implicit theories/cognitive distortions in sexually violentforensic psychiatric inpatients. We investigated the cognitive distortion “children as sexualbeings” in sexually violent inpatients (rapists and child abusers), non-sexually violent inpatients,staff members and students. Two IAT’s were used: a neutral IAT (flowers, insects, pleasant,unpleasant) and a child/sex-IAT (child, adult, sex, and not sex). The IAT-scores of the inpatientswere related to scores on risk assessment instruments and self-report questionnaires aboutaggression, personality and attitudes towards women. From the literature, we expected that childabusers would have a stronger association between children and sex than both rapist and controlgroups, and that the strength of the child-sex association would be correlated with risk ofrecidivism. During this paper the results of our study will be presented. Consequences of theseresults for the development of an effective treatment program will be discussed.Behavior Change in Forensic Psychiatric Inpatients during their Stay inHospitalRuud H.J. Hornsveld, FPC de Kijvelanden, Rotterdam, Netherlands (r.hornsveld@tiscali.nl)190