Court-ordered inpatient psychiatric care in Switzerland: determinants of length of stay and treatment outcome.

Introduction: In several European countries, offenders with decreased or abolished responsibility and high risk of recidivism due to long-lasting mental disorders are compulsory admitted for court-ordered treatments (COT) that take place in high and medium-security hospitals. As a rule, length of stay in these structures is very long implying major restrictions for the inmate and high societal cost. Despite intensive research, the predictors of length of stay and treatment outcome in long stay forensic services is still matter of debate. Methods: We report here a detailed analysis of the demographic, psychiatric and offense predictors of length of stay and discharge locations of 204 mentally disordered offenders convicted to COT in a new medium-security forensic psychiatry clinic in Geneva, Switzerland. Kaplan-Meier survival estimates were performed to determine time to release. Length of stay was predicted by Cox regressions, and discharge locations were predicted by multinomial logistic regressions. Results: The typical inpatient was a 35-age single male re-offender, submitted to COT after a conviction for physical violence (78.9%) or property violation (64.2%), with drug trafficking (52.9%), in relation to psychotic (67.2%), antisocial or borderline personality disorder (35.8%) with comorbid substance use disorders (60.3%). Sex offenses were found in 24.5% of cases and were associated with Cluster B personality disorders. The median length of stay was of 2.5 years and was independent of demographic variables, severity of crime recidivism and psychiatric diagnosis. Longer COT at admission, and type of offense (in particular drug traffic and sexual violence) predicted longer stays. At discharge, 32.8% of cases were transferred to sheltered educational housing, 23.1% to open low-security wards, while 30.6% returned to regular prisons and 9.7% to their country of origin. Discussion: Younger age and conviction for property violation rather than physical violence increased the chances to be discharged to sheltered educational housing. Longer COT at admission, personality disorders, and conviction for sexual offense increased the risk to return to prison. These data suggest that sex offenses determine not only longer stays under COT but also drastically decreases the chance of freedom for inmates with Cluster B personality disorders.

Talking to the Dead in the Classroom: How a Supposedly Psychic Event Impacts Beliefs and Feelings.

Paranormal beliefs (PBs) are common in adults. There are numerous psychological correlates of PBs and associated theories, yet, we do not know whether such correlates reinforce or result from PBs. To understand causality, we developed an experimental design in which participants experience supposedly paranormal events. Thus, we can test an event's impact on PBs and PB-associated correlates. Here, 419 naïve students saw a performer making contact with a confederate's deceased kin. We tested participants' opinions and feelings about this performance, and whether these predicted how participants explain the performance. We assessed participants' PBs and repetition avoidance (PB related cognitive correlate) before and after the performance. Afterwards, participants rated explanations of the event and described their opinions and feelings (open-ended question). Overall, 65% of participants reported having witnessed a genuine paranormal event. The open-ended question revealed distinct opinion and affect groups, with reactions commonly characterized by doubt and mixed feelings. Importantly, paranormal explanations were more likely when participants reported their feelings than when not reported. Beyond these results, we replicated that 1) higher pre-existing PBs were associated with more psychic explanations (confirmation bias), and 2) PBs and repetition avoidance did not change from before to after the performance. Yet, PBs reminiscent of the actual performance (spiritualism) increased. Results showed that young adults easily endorse PBs and paranormal explanations for events, and that their affective reactions matter. Future studies should use participants' subjective experiences to target PBs in causal designs (e.g., adding control conditions).

Magical Potential: Why Magic Performances Should be Used to Explore the Psychological Factors Contributing to Human Belief Formation.

Beliefs in supernatural entities are integral parts of both our culturally embedded religions and more individualized magical belief systems (e.g., paranormal beliefs, spirituality). Scholars regularly link the occurrence of beliefs to individuals' cognitive and affective ways of information processing. For magical beliefs in particular, we expect children to endorse them. When reaching adulthood, however, individuals should have abandoned magical beliefs, and become pragmatic, sceptical, critical and rational thinkers. The reality is, a large proportion of the adult population can be described as magical thinkers, or report having had magical experiences, even in the recent past. Moreover, psychological research in adults shows a large range of magical beliefs, which correlate with particular psychological processing biases (e.g., repetition avoidance, seeing signal in noise). Unfortunately, these correlational studies do not tell us whether such psychological processing biases precede magical beliefs or whether they result from these magical beliefs. Knowing the direction of such relationships is key to understand which psychological biases might contribute to adult belief formation (or the persistence of beliefs from childhood). To test such causal relationships, we started to systematically apply an experimental approach in which people are exposed to anomalous events. Such a central event allows before-after comparisons of psychological biases. First empirical results confirmed that the use of magic performances, particularly when of paranormal nature, results in an important amount of paranormal explanations. Pre-existing beliefs enhanced this explanation bias. These results show how easily naïve observers can be "tricked" into unsubstantiated beliefs.

Magic Performances - When Explained in Psychic Terms by University Students.

Paranormal beliefs (PBs), such as the belief in the soul, or in extrasensory perception, are common in the general population. While there is information regarding what these beliefs correlate with (e.g., cognitive biases, personality styles), there is little information regarding the causal direction between these beliefs and their correlates. To investigate the formation of beliefs, we use an experimental design, in which PBs and belief-associated cognitive biases are assessed before and after a central event: a magic performance (see also Mohr et al., 2018). In the current paper, we report a series of studies investigating the "paranormal potential" of magic performances (Study 1, N = 49; Study 2, N = 89; Study 3, N = 123). We investigated (i) which magic performances resulted in paranormal explanations, and (ii) whether PBs and a belief-associated cognitive bias (i.e., repetition avoidance) became enhanced after the performance. Repetition avoidance was assessed using a random number generation task. After the performance, participants rated to what extent the magic performance could be explained in psychic (paranormal), conjuring, or religious terms. We found that conjuring explanations were negatively associated with religious and psychic explanations, whereas religious and psychic explanations were positively associated. Enhanced repetition avoidance correlated with higher PBs ahead of the performance. We also observed a significant increase in psychic explanations and a drop in conjuring explanations when performances involved powerful psychic routines (e.g., the performer contacted the dead). While the experimentally induced enhancement of psychic explanations is promising, future studies should account for potential variables that might explain absent framing and before-after effects (e.g., emotion, attention). Such effects are essential to understand the formation and manipulation of belief.