MacArthur Competence Assessment Overview
MacArthur Competence Assessment Overview
Psychometric Assessment in
Forensic Science
Although, conventional psychological tests have limited use in forensic contexts, they are
Non used to make a link between the test and the legal issues to actually assess the criminal as
forensic an individual. Example: Tests to measure achievement, (Woodcock Johnson Tests of
Achievement), personality (Personality Assessment Inventory), or intellectual ability
(Wechsler Adult Intelligence Scale-III).
Non The most popular of forensically relevant instruments are measures that assess a suspect’s
forensic criminal’s response style, personality type, presence of psychological disorder,
but specifically evaluating minimization or feigning of problems (Minnesota Multiphasic
relevant Personality Inventory-II or Structured Interview of Reported Symptoms). Other such
tests may help in child custody assessments (Parenting Stress Index) or measures of
psychopathy (Hare Psychopathy Checklist).
When a client seeks the services of a psychologist to obtain relief from a mental
health problem such as depression, schizophrenia or a personality disorder, the
Therapeutic
psychologist will begin by conducting a therapeutic assessment. The
Assessment psychologist's role in this assessment is to find out with empathy what problems
the client needs help with and determine what course of treatment is likely to
benefit the client.
Ψ The Thematic Apperception Test is a type of projective test that involves describing
ambiguous scenes to learn more about a person's emotions, motivations, and
personality.
Ψ The TAT is one of the most widely researched and clinically used personality tests.
The test that focuses on the subconscious dynamics of a person's personality.
How it Thematic Apperception Test (TAT)
works?
§ The subject is instructed to tell a story, as dramatic as possible, including a beginning, a middle,
and an end. For each of the picture cards, he is asked to answer the following four questions:
‾ What is happening in the picture?
‾ What led up to the event?
‾ What are the characters thinking and feeling?
‾ What is the outcome of the story?
§ To score, examiner will analyze each of the subject's stories based on the following aspects:
– Content of the story — This may reveal a person's attitudes, beliefs, expectations, inner
conflicts, and views on the world.
– Emotional tone of the story — Emotions such as sadness, fear, anger, happiness, or anxiety
can provide the examiner with insight.
– Subject's behavior while telling the story — Changes in voice, poor eye contact, fidgeting,
pausing, and hesitancy.
Rorschach Inkblot Test (RIT)
Ψ In the Rorschach (roshak) inkblot test, the person is asked to
describe what they see in ambiguous inkblot images.
Ψ The therapist then interprets the person's answers.
Ψ This projective test is a way of revealing a person’s
unconscious thoughts, motives, or desires.
Ψ A person's interpretation of an ambiguous scene might
reveal hidden aspects of that individual's personality.
Ψ Swiss psychologist named Hermann Rorschach developed the
test in 1921 using inkblots as an assessment tool.
Ψ Rorschach noticed that patients with schizophrenia
responded to the blots differently from patients with other
diagnoses. He began wondering if inkblots could be used to
create profiles for different mental disorders.
Rorschach Inkblot Test (RIT)
Some common contents in the test include:
The way of working:
If the test person has too few sexual responses, it may indicate sexual frustration. A not positive
response to such potentially sexual motives, (that means responding the blot as sexual organs or
orientations) may indicate some problems with the relationship with the opposite sex.
A large number of sexual responses (not positive) will indicate schizophrenia. However, a total
absence of sexual interpretations will also be unusual, at least if the applicant is a man. It is said that
normal men think about sex more than 50 times every day!
What is the difference between TAT and RIT?
RIT
16 Personality Factors (16PF)
Ψ Psychologist Raymond Cattell created a taxonomy of 16 different personality traits
that could be used to describe and explain individual differences between people's
personalities.
Ψ According to Trait Theory, human personality is composed of a number of broad traits
or dispositions. 16 personality dimensions described by Cattell—
16 Personality Factors (16PF)
Ψ STAI is a commonly used measure of trait anxiety and state anxiety for adults.
Ψ It can be used in clinical settings to diagnose anxiety and to distinguish it from depressive syndromes.
Ψ It also is often used in research as an indicator of caregiver distress.
• Total 40 items
This test is split into the • 4 point rating
S-Anxiety scale and the • Higher scores indicate greater anxiety and vice versa
T-Anxiety scale, each having 20
• Temporary condition—state anxiety
items.
• More general & long-standing condition—trait anxiety
State-Trait Anxiety Inventory (STAI)
S T
Post Traumatic Stress Disorder (PTSD) Inventory
PTSD Ψ This 30-item structured interview was developed by staff at the U.S.
Inventory Department of Veterans Affairs National Center for PTSD.
Ψ It can be used to make a diagnosis, determine lifetime diagnosis, or
assess PTSD symptoms over the previous week.
Perceived Stress Scale (PSS)
• The Perceived Stress Scale (PSS) is a classic stress assessment
About the scale instrument.
• It helps understand how different situations affect our feelings and
our perceived stress.
• In each case, you will be asked to indicate how often you felt or
thought a certain way.
Assessment § The PCR consists of 20 items that are rated on a three-point scale
(from 0 to 2) based on the degree to which the personality or
behavior of the subject matches the description of the item.
Coding and
Scoring § To diagnose adult males in prisons, criminal psychiatric hospitals,
and awaiting psychiatric evaluations or trial in other correctional
and detention facilities.
Applications § To identify the degree of a person’s psychopathic tendencies.
§ To use in forensic settings as a factor in deciding the length and
type of prison sentences.
Item’s Hare Psychopathy Checklist Revised (PCL-R)
content
During the evaluation, the clinician scores 20 items that measure
central elements of the psychopathic character. The items cover
the nature of the subject’s interpersonal relationships; his or her
affective or emotional involvement; responses to other people
and to situations; evidence of social deviance and lifestyle.
Interpretation
A prototypical psychopath would receive a maximum score of
40, while someone with absolutely no psychopathic traits
would receive a score of zero. A score of 30 or above
qualifies a person for a diagnosis of psychopathy. People with
no criminal backgrounds normally score around 5. Many
non-psychopathic criminal offenders score around 22.
Scale for Suicidal Ideation (SSI)
✔ Suicidal ideation is one of the symptoms of both major depression and depression found
in bipolar disorder, but it may also occur in people with other mental illnesses or no
mental illness at all.
✔ It means wanting to take your own life or thinking about suicide. However, there are
two kinds of suicidal ideation: active and passive.
Non-suicidal
Suicidal Suicidal threat: Suicide attempt: self-injury:
thoughts: Thoughts of Behavior that is Directly and
Thoughts killing oneself that intended to kill intentionally
of killing are verbalized to oneself but doesn’t hurting oneself
oneself others result in death without the
intention of suicide
Scale for Suicidal Ideation (SSI)
Ψ A suicidal ideation scale is a clinical tool used to assess a person’s
risk of committing suicide.
Examples of SSI:
– Beck Scale for Suicide Ideation (BSSI)
– Columbia-Suicide Severity Rating Scale (C-SSRS)
– Suicide Assessment Five-Step Evaluation and Triage (SAFE-T)
– Patient Health Questionnaire-9 (PHQ9)
Beck Scale for Suicidal Ideation (BSSI) is a
Beck Scale for widely used instrument to assess suicidality.
Suicide Ideation
(BSSI) Here are 19 items of German Beck Scale for
Suicide Ideation developed in 2017.
Purpose of use: Suicidal ideation has been identified as one of the major
predictors of attempted or actual suicide. Routinely screening individuals
for endorsing suicidal thoughts could save lives and protect many from
severe psychological consequences following the suicide of loved ones.
Forensic purpose: Often, offenders after being caught, tried to take their
own lives avoiding proper investigation or misleading the legal procedures.
General Health Questionnaire (GHQ)
Ψ Self-administered questionnaire for identifying non-psychotic and minor psychiatric
disorders.
Ψ GHQ is a proven, accurate and sensitive assessment tool to pick up signs of distress
among respondents.
disorder
person), at the expense of making “false positives”
(those identified as possibly being mentally
disordered who are not).
✔ understanding
✔ reasoning
✔ appreciation
MacArthur Competence Assessment
Scoring System:
o Items are scored on a 0-2 scale, with higher scores indicative of higher levels of capacity.
o Score ranges for three levels of impairment-
• none or minimal
• mild
• clinically significant
Competence Assessment for Standing Trial
The evaluator should explore with the defendant his factual understanding of
Basic Legal the proceedings. This section contains 25 multiple-choice items and
Concepts addresses understanding of the roles of key players in the process—for
example, judge, attorney, prosecutor, witness—and important procedures
such as a plea bargain and trial.
Skills to Assist It indicates the defender’s ability to defend himself during the trial. The
in Defense defendants are presented with 15 scenarios in MCQ format that involve the
choices they must make about their case or when working with their
attorneys.
Understanding The last portion contains 10 questions. The defendants must answer a series
Case Events of open ended key questions about the circumstances of their arrest and the
charges.
Competence Assessment for Standing Trial
Sample Questions:
(a) defends you (b) decides on the case (c) works for your attorney
What if the police ask you to sign something and you don’t understand. What should you do?
(a) refuse to talk to them (b) sign it anyway (c) ask to see your lawyer
Scoring Guidelines
For each MCQ asked, a 3 point rating scale is used— 0 point, 1/2 point and 1 point.
Competence Assessment for Standing Trial
Competence Assessment for Standing Trial
Why is it needed?
Ψ Application of the doctrine of competence to stand trial to defendants with mental retardation
requires special consideration because of the unique nature of the disability.
Ψ Because of the high risk that intellectual and adaptive behavior limitations may negatively affect
the necessary elements of competence to stand trial, particular care must be taken to conduct
an authentic assessment in order to preserve fairness.
TAT
Non Forensic RIT
16PF
MMPI
STAI Inventory
Non forensic PTSD Inventory
but relevant Perceived Stress Scale
Psychopathy Checklist
Scale for Suicidal Ideation
General Health Questionnaire
Jail Screening Assessment Tool
Pure Forensic MacArthur Competence Assessment
Competence Assessment for Standing Trial
Summary of the Chapter
Tools Application in Forensic Psychology
TAT……………………………….
Assesses the subconscious dynamics of a person's personality
RIT………………………………..
Investigates unconscious thoughts, motives or desires
16PF……………………………… Detects the personality type of the offender
MMPI………………………………. Diagnoses mental health disorders
STA Inventory……………………. Measures trait anxiety and state anxiety of adults
PTSD Inventory…………………… Assesses psychiatric disorder
Perceived Stress Scale …………… Measures situational effect on feelings and perceived stress
Psychopathy Checklist……………. Rates a person’s psychopathic or antisocial tendencies
Scale for Suicidal Ideation ………….. Assesses a person’s risk of committing suicide
General Health Questionnaire ………. Identifies non-psychotic and minor psychiatric disorders
Jail Screening Assessment Tool……… Identifies mentally disordered offenders in jails and prisons
MacArthur Competence Assessment…. Measures defendant's competence related abilities
Competence Assessment for Standing Trial..... Evaluates competency in defendants with mental retardation
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