Department of Psychology, University of Minnesota, 75 East River Road, Minneapolis, MN 55455, USA.
Psychol Assess. 2010 Jun;22(2):382-95. doi: 10.1037/a0019228.
All states have statutes in place to civilly commit individuals at high risk for violence. The authors address difficulties in assessing such risk but use as an example the task of predicting sexual violence recidivism; the principles espoused here generalize to predicting all violence. As part of the commitment process, mental health professionals, who are often psychologists, evaluate an individual's risk of sexual recidivism. It is common for professionals conducting these risk assessments to use several actuarial risk prediction instruments (i.e., psychological tests). These tests rarely demonstrate close agreement in the risk figures they provide. Serious epistemological and psychometric problems in the multivariate assessment of recidivism risk are pointed out. Sound psychometric, or in some cases heuristic, solutions to these problems are proffered, in the hope of improving clinical practice. The authors focus on how to make these tests' outputs commensurable and discuss various ways to combine them in coherent, justifiable fashions.
所有州都有法规将有暴力高风险的个人民事拘留。作者探讨了评估这种风险的困难,但以预测性暴力累犯为例;这里拥护的原则概括了预测所有暴力的情况。作为承诺过程的一部分,心理健康专业人员(通常是心理学家)评估个人的性累犯风险。专业人员进行这些风险评估时,通常会使用几种计算风险预测工具(即心理测试)。这些测试很少在提供的风险数据上有密切一致的结果。在对累犯风险的多元评估中指出了严重的认识论和心理计量学问题。提出了一些合理的心理计量学或启发式解决方案来解决这些问题,希望能改进临床实践。作者专注于如何使这些测试的结果可比,并讨论了以连贯和合理的方式组合它们的各种方法。