Is Police Misconduct Contagious? Non-trivial Null Findings from Dallas, Texas

Objectives Understanding if police malfeasance might be “contagious” is vital to identifying efficacious paths to police reform. Accordingly, we investigate whether an officer’s propensity to engage in misconduct is associated with her direct, routine interaction with colleagues who have themselves engaged in misbehavior in the past. Methods Recognizing the importance of analyzing the actual social networks spanning a police force, we use data on collaborative responses to 1,165,136 “911” calls for service by 3475 Dallas Police Department (DPD) officers across 2013 and 2014 to construct daily networks of front-line interaction. And we relate these cooperative networks to reported and formally sanctioned misconduct on the part of the DPD officers during the same time period using repeated-events survival models. Results Estimates indicate that the risk of a DPD officer engaging in misconduct is not associated with the disciplined misbehavior of her ad hoc, on-the-scene partners. Rather, a greater risk of misconduct is associated with past misbehavior, officer-specific proneness, the neighborhood context of patrol, and, in some cases, officer race, while departmental tenure is a mitigating factor. Conclusions Our observational findings—based on data from one large police department in the United States—ultimately suggest that actor-based and ecological explanations of police deviance should not be summarily dismissed in favor of accounts emphasizing negative socialization, where our study design also raises the possibility that results are partly driven by unobserved trait-based variation in the situations that officers find themselves in. All in all, interventions focused on individual officers, including the termination of deviant police, may be fruitful for curtailing police misconduct—where early interventions focused on new offenders may be key to avoiding the escalation of deviance.

Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events

Placing foreign bodies into the urethra is not a common occurrence in the general population. Patients self-insert foreign bodies for a multitude of reasons such as sexual gratification, secondary gain, and psychiatric illness. From our own experience and what has been reported in the literature, there is a wide variability in the type of objects that patients place into the urethra. We report a unique case of a 17-year-old adolescent boy with repeated foreign body insertions into the urethra over a 1-year period. This patient suffers from significant psychiatric illness. Due to the number of events in this past year, we initiated a conservative observational approach that contrasts the traditional invasive protocol to treat with endoscopic removal. This management has proven to be successful in his case and can be replicated in other scenarios after careful consideration of the clinical presentation.

Introduction to the Health of a Population

Chapter 1 conceptualizes a health system as a collection of interacting elements that are designed to produce outputs that lead to better population health. A system’s elements both “hang together” as a whole and continually interact and affect each other as they interoperate to produce their final result. Systems thinking is one of the most important disciplines enabling one to understand and characterize systems that display dynamic complexity. Systems thinking in health is a framework for seeing interrelationships and repeated events rather than individual activities, for discerning patterns of change, understanding responses to policies, and for deciphering human behavior within health systems and over time.

Importance analysis of fault trees by visual inspection

To achieve high reliability for any system, it is necessary to identify the components and the subsystems that have the greatest impact on its reliability. Such items can be identified using importance measures that rank the items quantitatively according to their contribution to the system unreliability. Taking into consideration the complexity and time involved in computing these measures we have proposed an algorithm that can pinpoint the most important component just by visually inspecting the fault tree. Calculations whenever required, involve simple arithmetic. It gives the user freedom from the complex calculations, save their time and performs the intended task without the use of software tools. Then the generalization of this work has been proposed that ranks the components of the fault tree. We have illustrated both the algorithms for the fault trees without as well as with repeated events.

Importance analysis of fault trees by visual inspection

To achieve high reliability for any system, it is necessary to identify the components and the subsystems that have the greatest impact on its reliability. Such items can be identified using importance measures that rank the items quantitatively according to their contribution to the system unreliability. Taking into consideration the complexity and time involved in computing these measures we have proposed an algorithm that can pinpoint the most important component just by visually inspecting the fault tree. Calculations whenever required, involve simple arithmetic. It gives the user freedom from the complex calculations, save their time and performs the intended task without the use of software tools. Then the generalization of this work has been proposed that ranks the components of the fault tree. We have illustrated both the algorithms for the fault trees without as well as with repeated events.

The role of metamemory in autobiographical memory performance in dysphoric individuals

Autobiographical memory (AM) performance in individuals with depressive symptoms has repeatedly been shown to be overgeneral (OGM) in nature, and characterized by summaries of repeated events or long periods of time rather than a single event tied to a unique spatial and temporal context. The present body of work was designed to address the metamnemonic aspects of AM performance in dysphoric individuals, with the underlying motivation being that OGM may not be a unique phenomenon specific to depression or AM, and that it may reflect a more general pattern of memory impairment. The studies presented herein examine various aspects of metamemory and other memory processes that may offer a parsimonious account of OGM as poor event memory in general, rather than a specific standalone finding. In Study 1 several metamnemonic processes were investigated using a quantity-accuracy profile approach. Here, the results showed that performance between dysphoric and non-dysphoric participants was nearly indistinguishable on measures of calibration, resolution, grain-size setting, and criterion setting, suggesting that these aspects of metamemory are intact in dysphoria for immediately tested material. Study 2 examined whether it is possible to “create” OGMs by employing a delay manipulation for both autobiographical (3 day delay) and laboratory-based events (7 day delay). Indeed, the results from this study showed that the performance on both tasks declines for both groups, but that this effect was of a greater magnitude in the dysphoric group. Critically, no differences emerged for immediately tested information. Finally, Study 3 examined the role of working memory and memory search strategies in the recollection of autobiographically relevant information. The results from Study 3 showed that dysphoric individuals may engage in a less organized search strategy than non-dysphoric participants as exhibited by a tendency to switch set in the midst of thematically related information. Taken as a whole, these data indicate that OGM may be attributable to deficits in memory search strategies in conjunction with memories that may be more prone to decay and/or forgetting, suggesting that OGM may not be a depression-specific phenomenon, but rather the downstream deficit of degraded memory representation.

The role of metamemory in autobiographical memory performance in dysphoric individuals

Autobiographical memory (AM) performance in individuals with depressive symptoms has repeatedly been shown to be overgeneral (OGM) in nature, and characterized by summaries of repeated events or long periods of time rather than a single event tied to a unique spatial and temporal context. The present body of work was designed to address the metamnemonic aspects of AM performance in dysphoric individuals, with the underlying motivation being that OGM may not be a unique phenomenon specific to depression or AM, and that it may reflect a more general pattern of memory impairment. The studies presented herein examine various aspects of metamemory and other memory processes that may offer a parsimonious account of OGM as poor event memory in general, rather than a specific standalone finding. In Study 1 several metamnemonic processes were investigated using a quantity-accuracy profile approach. Here, the results showed that performance between dysphoric and non-dysphoric participants was nearly indistinguishable on measures of calibration, resolution, grain-size setting, and criterion setting, suggesting that these aspects of metamemory are intact in dysphoria for immediately tested material. Study 2 examined whether it is possible to “create” OGMs by employing a delay manipulation for both autobiographical (3 day delay) and laboratory-based events (7 day delay). Indeed, the results from this study showed that the performance on both tasks declines for both groups, but that this effect was of a greater magnitude in the dysphoric group. Critically, no differences emerged for immediately tested information. Finally, Study 3 examined the role of working memory and memory search strategies in the recollection of autobiographically relevant information. The results from Study 3 showed that dysphoric individuals may engage in a less organized search strategy than non-dysphoric participants as exhibited by a tendency to switch set in the midst of thematically related information. Taken as a whole, these data indicate that OGM may be attributable to deficits in memory search strategies in conjunction with memories that may be more prone to decay and/or forgetting, suggesting that OGM may not be a depression-specific phenomenon, but rather the downstream deficit of degraded memory representation.