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Seattle University Collaborative Projects - International Academy of ...

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Evaluating Sex Offender Recidivism – An Attorney’s PerspectiveJoan Van Pelt, Attorney-at-Law, Plainfield, USA (jdvanpelt@gmail.com)Over the past 2 decades, the number <strong>of</strong> jurisdictions which impose post-incarceration restrictionson convicted sex <strong>of</strong>fenders has burgeoned across the United States and in other countries.Registration is the norm. It is <strong>of</strong>ten accompanied by restrictions on where the <strong>of</strong>fender can live,work or spend his time. In the more extreme cases, 20 states and the federal government havestatutes which permit civil detention as sexually predators. This detention may be in essence alife sentence. With these statutes there has been created growing areas <strong>of</strong> practice in both mentalhealth and law. The number <strong>of</strong> clinicians – both psychiatrists and psychologists – who specializein sex <strong>of</strong>fender evaluations has increased dramatically during this time. These mental healthpr<strong>of</strong>essionals evaluate, testify and write for publication relating to the best or most accurate way<strong>of</strong> assessing which convicted sex <strong>of</strong>fenders are likely to re<strong>of</strong>fend. At the same time, law schoolsnow <strong>of</strong>fer courses to train young lawyers in representing sex <strong>of</strong>fenders facing registration or civilcommitment proceedings. As advocates, rather than neutral evaluators, lawyers have asignificantly different perspective regarding the efficacy <strong>of</strong> sex <strong>of</strong>fender assessments. This paperevaluates the strengths and weaknesses <strong>of</strong> the various methods <strong>of</strong> sex <strong>of</strong>fender risk assessmentfrom the perspective <strong>of</strong> a lawyer representing clients before both judges and juries in sex<strong>of</strong>fender civil commitment proceedings.124. Post Traumatic Stress Disorder (PTSD)Review <strong>of</strong> the Current State <strong>of</strong> Knowledge <strong>of</strong> Comorbid mTBI and PTSD inNATO Military Personnel who Served in Iraq and AfghanistanAlexander E. Obolsky, Northwestern <strong>University</strong> (a-obolsky@northwestern.edu)Comorbid mTBI and PTSD has affected significant numbers <strong>of</strong> the NATO soldiers who haveserved in Operations Iraqi Freedom and Enduring Freedom. The comorbidity <strong>of</strong> mTBI and PTSDhave confounded physicians and researchers since well before the current military conflicts, butit is not until now that a large population <strong>of</strong> affected individuals that require proper assessmentand treatment, has made the scientific and clinical understanding <strong>of</strong> this elusive phenomenon anurgent necessity. This confluence <strong>of</strong> factors is bringing forth concerted and well-funded effort tostudy the phenomenon. This presentation will provide an overview <strong>of</strong> the current understanding<strong>of</strong> the prevalence, incidence, phenomenology, assessment, differential diagnosis, treatments, andprognosis <strong>of</strong> the comorbid mTBI and PTSD. The probable etiologies <strong>of</strong> this comorbidity will bereviewed. Finally the implications for clinical practice and forensic import <strong>of</strong> the new insightsinto the mTBI/PTSD comorbidity in civil litigation will be identified.294

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