NY v Junco: Sex, Civil, Hygiene, and Mental, All In One Post
Forensic psychiatrist James Knoll writes The Political Diagnosis: Psychiatry in the service of the law. You should read it (short) now, I'll wait.
If you have the great misfortune to live in NY, as I once did, for three years in a miserable art deco apartment building near 180 and Broadway, sandwiched between Hellfire and Damnation, fighting thugs to get into an apartment you had to fight roaches to get out of-- but I digress.
In any event, the state of New York is pleased to offer civil commitment of sex offenders. How do you determine who is "a sex offender requiring civil management?"
According to the Mental Hygiene Law (yes, it's called that)
" '[s]exual offender requiring civil management' means a detained sex offender who suffers from a mental abnormality. A sex offender requiring civil management can, as determined by procedures set forth in this article, be either (1) a dangerous sex offender requiring confinement or (2) a sex offender requiring strict and intensive supervision."The second sentence is indecipherable. I think it says, "a person requiring commitment is a) a dangerous person requiring commitment or b) a person requiring commitment."
Leaving us with the first sentence: "... is a sex offender who suffers from a mental abnormality."
Mental abnormality is: a condition that "predisposes him to the commission of conduct constituting a sex offense and that results in his having a serious difficulty in controlling such conduct."
Which makes sentence 1: "a sex offender requiring commitment is a sex offender who suffers from a condition that makes him a sex offender." Which, of course, means anything you want it to.
II.
Douglas Junco was sentenced to 15 years for attempting to rape a woman because she gave him a ride home from a bar. After serving out his sentence, the state tried to civilly commit him further, but the jury refused to play along, so Junco went to Georgia and raped a 48 year old relative.
You'll probably want to say that he should have been civilly committed after all.
So what psychiatric testimony was presented to get him committed? The psychiatrist diagnosed him with:
Axis I: Impulse Control Disorder NOS.
Axis II: Antisocial Personality Disorder.
I will post a naked picture of myself punching a dolphin if anyone can tell me what the difference between those two diagnoses is in this case. Which one of these constitutes the mental abnormality? Explain your answer using evidence. It's a trial, right?
The judge:
...the court expresses its concern that although the respondent had been subjected to numerous psychiatric evaluations while in custody over a prolonged period of time (since 1992), he never was diagnosed with impulse control disorder NOS until the evaluation by Dr. Gonzalez on March 15, 2007. The court is further concerned that Dr. Gonzalez was generally not aware of the circumstances surrounding the numerous "tickets" issued to the respondent while in custody; that the doctor apparently gave some consideration to a criminal charge against the respondent in 1991 which was in effect immediately dismissed; that a determination had been made in a separate proceeding that as to the instant offense there was a lack of sexual contact; and, finally, that the doctor apparently was not provided with, nor did he therefore consider, any favorable reports submitted as to the respondent while he was in custody.If you are thinking the psychiatrist didn't do a good enough job of presenting evidence to commit, you're missing the point. The psychiatrist did everything exactly the way every other psychiatrist does things, i.e. half-assed and disinterestedly. But that same evidence could easily have gotten a man committed forever. The reason he wasn't diagnosed with Impulse Control Disorder while in prison is because there was no external reason for the diagnosis. There were no services to provide or deny him on the basis of a diagnosis. And the reason Gonzalez did diagnose him with that is because that's what he needed for a commitment, in the absence of good stuff like psychosis. Expediency. It's that simple.
In addition to reviewing numerous documents and reports concerning the respondent, Dr. Gonzalez conducted a telepsychiatry interview of Mr. Junco which lasted approximately one hour. Incredibly, the doctor did not take any notes during the interview.Incredibly? Your Honor, what was incredible is that it lasted an hour, and by incredible I mean completely and utterly impossible.
Again, to clarify: we're upset he didn't do a good enough job to commit, but a judge could easily have just taken the psychiatric testimony at face value and locked him and his mom and his fish and his car for a century. The hoax is that there is any evidence to present at all. What evidence? What does a shrink know about future behavior, of human nature? I'm not saying intelligent things aren't known; I'm saying they are not more known by shrinks. Hell, why wouldn't you just ask other sex offenders for their testimony?
The reason this guy was able to get out and rape again is the same reason why other people who won't ever hurt anyone will be held indefinitely with no recourse: political expediency masquerading as science.
III.
Just a piece of advice. If you are ever arrested, make sure to ask for a jury. As for two juries. If your lawyer says the words "bench" and "trial" at any point in the same paragraph, flee to Argentina. Those 12 idiots, imperfect as they are, are one of the only things protecting you from a top down, hierarchical, classist, flow chart wielding government clusterfuck that has no time, interest, or money to deal with people as individuals, so it deals with them as groups, types, diagnoses and organ banks.
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May 27, 2010 6:57 PM | Posted by : | Reply
Millions of dollars paid for unscientific evaluations by so-called professionals in the field of psychiatry and psychology. Dr Knoll reports that one psychologist made 1,5 million dollars doing SVPs, that is sexually-violent-predator-evaluations.
Greed, expediency, prejudice, no integrity, noe ethics, no spine seems to be what it takes to be a successful breadwinner in the inglorious, unscientific field of psychiatry.
Score: 6 (8 votes cast)
May 27, 2010 6:59 PM | Posted by : | Reply
If your lawyer says the words "bench" and "trial" at any point in the same paragraph, flee to Argentina.
Depends on your lawyer. I also guess it depends on the seriousness of the crime. If you have a lawyer who is
the best a bench trial can have advantages over a jury. But usually such lawyers are rare (maybe a handful per county), require a referral and they cost lots of $$$$$.
In general, it is true that most lawyers (and people working in the criminal justice system) are interested in expediency. You would be too if you had to get home in time for Grey's.
Then again the "expediency" issue pertains to any career. Unfortunately it is indicative of our time, not just any one branch of society.
Score: 6 (8 votes cast)
May 27, 2010 11:55 PM | Posted by : | Reply
From my limited experience, seems that the problem is that none of us want to admit what a fine line there is between "normal" people and sexual deviants/predators/etc. I don't think anyone honestly wants to know what is going on there, or why it's happening, except if it would serve some larger purpose, political or otherwise.
Score: 8 (8 votes cast)
May 28, 2010 12:21 AM | Posted by : | Reply
Could you please post the picture of yourself naked punching a dolphin anyway? There's a crisp $5 bill in it for you if you do.
$10 if the dolphin is wearing your clothes.
Score: 18 (18 votes cast)
May 28, 2010 1:30 AM | Posted by : | Reply
Heck, flee here, to Colombia instead. If a Colombian isn't pressing charges against you, you're free to do whatever you want, EVEN IF IT IS ABSOLUTELY OBVIOUS YOU DID SOMETHING. I'm serious.
Also, I second the dolphin with your clothes thing. I put in another 10 bucks.
In Topic: Politics in science is the reason research on stem cells won't make people walk, see, get cured from cancer, etc.
Score: 4 (6 votes cast)
May 28, 2010 3:14 AM | Posted by : | Reply
BTW, can I run a PCL-R test somewhere online? Wanna know if I can score below 30 or I should never travel to America...
Score: -1 (1 votes cast)
May 28, 2010 8:12 AM | Posted by : | Reply
You pretty much said it.
How much of what a by-the-book (there therefore not "negligent") psychiatrist does could be boiled down into a manual less than 150 pages ? 90% ? 95% ?
Score: 4 (4 votes cast)
May 28, 2010 9:49 AM | Posted by : | Reply
The article by James Knoll and comment by editor Ron Pies (love that name!) is on target. Did readers make comments on the article?
The tendency to see people in bunches - rather than as individuals - is the enabling step toward more politicians gaining a stranglehold over the practice of medicine (or practice of anything else) to ease their creation of more nonsense "laws".
Score: 2 (2 votes cast)
May 28, 2010 1:07 PM | Posted by : | Reply
Which is exactly why people who try to get out of jury duty (and brag about it, no less!) should all be hung. Without a jury.
Score: 1 (3 votes cast)
May 28, 2010 3:25 PM | Posted by : | Reply
Do I get CMEs? Where are the four bone-head simple questions at the end of the article? What med am I supposed to prescribe upon gaining this knowledge? Oh, wait, the article was not handed to me by a drug rep.
The tautology jumped out of me like dolphin leaping out of one of those stereogram pictures. Actually, more like Alice in Wonderland logic. The limit to the logic of such a diagnosis as "crime-committing personality" is that there is no longer a way to commit a crime other than through some pathology of the psychiatric type.
When I was a kid, I used to steal candy from the store. Why did I steal candy? I knew it was wrong. I believe I did it because I had the opportunity and the sweet tooth, and I could get away with it. Now, I know it is because I lack insight regarding my "criminal-committing personality."
Score: 1 (1 votes cast)
May 28, 2010 4:21 PM | Posted by : | Reply
Alex-5: I could assess you on the PCL-R, but then I would be obliged to pre-emptively incarcerate you. It is Friday afternoon, and getting someone involuntarily committed is really difficult on Friday afternoons.
Score: 1 (1 votes cast)
May 28, 2010 4:28 PM | Posted by : | Reply
I think the idea of using mental health in any aspect of criminal justice is pretty much wrong. This is essentially "future crime" convictions, and the man himself has no opportunity to question the results of the pycho-judge's findings. If Dr. Psychaitrist says you'll commit a crime, that's it.
What a perfect way to deal with whomesver the state decides is undesireable. Eventually, disagreeing with the offical policy of the president is going to be mental illness. Or being a "socialist" or whatever other label catches people's fancy.
Long story short, I think this is about circumventing the justice system (what little remains of it anyway) rather than anything to do with paedophilia.
Score: 2 (2 votes cast)
May 28, 2010 4:39 PM | Posted by : | Reply
"How much of what a by-the-book (there therefore not "negligent") psychiatrist does could be boiled down into a manual less than 150 pages ? 90% ? 95% ?"
It is not the 95% of the time that things are straightforward that you are paying for. It is getting that work done by someone who should know when he or she is looking at the 5% that are out-of-the-ordinary.
I have a ratio of time spent in training regarding suicidal management/ time spent in suicide intervention; and a ratio of time spent in general psychotherapy training to time spent doing psychotherapy.
For the average psychologist, you don't want these two ratios to be the same.
Efficiency is usually a desirable characteristic in the workplace. But think about this: you don't want a fire station to be efficient.
"A man was suffering a persistent problem with his house. The floor squeaked. No matter what he tried, nothing worked. Finally, he called a carpenter who friends said was a true craftsmen. The craftsmen walked into the room, and heard the squeak. He set down his toolbox, pulled out a hammer and nail, and pounded the nail into the floor with three blows.
The squeak was gone forever. The carpenter pulled out an invoice, on which he wrote the total of $45. Above the total were two line items:
Hammering , $2
Knowing where to hammer, $43"
Score: 2 (2 votes cast)
May 28, 2010 5:09 PM | Posted by : | Reply
I will post a naked picture of myself punching a dolphin if anyone can tell me what the difference between those two diagnoses is in this case.
You used to stab harp seals, now this. Man, what have you got against aquatic mammals? It's okay, you can tell us.
Score: 2 (2 votes cast)
May 28, 2010 11:15 PM | Posted, in reply to , by : | Reply
From what I understand, politics is the only reason anybody *does* embryonic stem cell research. They've had much more success with other stem cells, but by claiming they can make people walk, see, get cured from cancer, etc., they keep the money flowing from the pro-abortion side, who would just love to have a scientific basis for their political leanings.
Score: -1 (3 votes cast)
May 29, 2010 7:57 AM | Posted by : | Reply
Woman with hospital phobia must be forcibly treated for cancer, judge rules.By Martin Beckford, Stephen Adams and Laura Roberts 26 May 2010
Experts questioned whether lawyers and doctors should be allowed to over-ride the wishes of patients and whether the use of force was ever justified in providing medical care.
Score: 0 (0 votes cast)
May 29, 2010 8:12 AM | Posted by : | Reply
The biggest problem with most of the psychiatrists I've known is that they lack depth on of insight--they're incapable of seeing character in dynamic terms. They see behavior and "symptoms," but they have no idea about the dynamic "why" of thought, affect and behavior. Typically, they dismiss the concept of the "why," except as some sort of physiological process. Or they become one trick ponies, obsessed with one personality or one diagnosis, seeing it as the organizing construct behind all intrapsychic life and culture (I exaggerate here, only a little). This state of affairs makes for very disappointing, boring professional lives. I've seen too many psychiatrists with a cynical, resentful edge take it out on patients. There is only one small step to renting out one's soul, when the soul isn't deeply invested in the work.
Score: 4 (4 votes cast)
May 29, 2010 12:32 PM | Posted, in reply to , by : | Reply
Anon - Depends what you mean by "normal" - narcissistic behavior has been normalized in our society...it's the new normal. But just because narcissism (or sociopathic or any kind of behavior) is "normal" doesn't mean it's actually healthy. There is actually a pretty big - and easily observable difference - between healthy and unhealthy social behavior, or prosocial and antisocial behavior. It's just that "normal" people who are themselves essentially antisocial see this behavior as "normal" and conflate "normal" with "healthy". (Also, a lot of people think antisocial means "not good with other people" which is completely off the mark. Lots of antisocial people socialize a lot and are very good at manipulating people to do things that are essentially against their own best interests, particularly narcissists who desperately need to see the image they construct of themselves reflected in other's eyes to affirm their existence and have a hard time being alone a lot of the time.
Score: 2 (6 votes cast)
May 30, 2010 1:31 AM | Posted, in reply to , by : | Reply
What's the point in talking about narcissism without giving some kind of example ?
Score: 0 (0 votes cast)
May 31, 2010 11:49 AM | Posted by : | Reply
Y'all should see "Don Juan de Marco" movie. A cute movie about psychiatry at service of law.
Score: 0 (0 votes cast)
June 2, 2010 3:44 PM | Posted by : | Reply
If you commit crimes because you're sick, then we can keep you in jail oops! I mean hospital until you're cured. I think "anti-social tendencies" can be the catch-all diagnosis of the future. We're going to take you to the hospital now, because you were going to commit a crime. . .
Score: 1 (1 votes cast)
June 2, 2010 4:07 PM | Posted by : | Reply
oh, and you're cured when we say you are, and not before. Sit down now, this will hardly hurt at all...
Score: 1 (1 votes cast)
June 2, 2010 7:23 PM | Posted by : | Reply
Just another reason for patients to resist going to the psych ward. A patient is much better off spending that money on a spa vacation instead. As they keep putting more and more criminals in the psych ward the more the psych ward resembles a prison, and the more the staff act like wardens. And they wonder why people fight to get out of there? Lack of insight? Not so much.
Score: 1 (1 votes cast)
June 2, 2010 7:36 PM | Posted, in reply to , by : | Reply
Have you heard of a man by the name of Tucker Max, or Tibor TaMpAX, as he prefers to be called?
Score: 0 (0 votes cast)
June 2, 2010 9:09 PM | Posted by : | Reply
Impulse Control Disorder NOS implies that all we have to do is tattoo his forhead with "Poor Impulse Control" and our citizens can consider themselves forwarned with a relatively low price. So it's not that serious.
Score: 2 (2 votes cast)
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