Violent media and aggression

There is a long-standing debate as to whether violent television, movies, and video games impact a person’s tendency to behave aggressively, especially with children. While psychologists have performed most of the experiments looking into this issue, in the past several years, neuroscientists have begun to look at the effect that viewing such violence has on the brain. A 2007 study used fMRI scanning to observe changes in subjects’ brains after being exposed repeatedly to violent movie clips. These researchers found that after such exposure, there was decreased activity in the right lateral orbitofrontal cortex (right ltOFC), as well as less interaction between this area and the amygdala. This area has been associated with control and inhibition of inappropriate behaviors, such as reactive aggression. With these facts, the researchers concluded that exposure to violent media could lead to a decreased ability to control aggressive behaviors.

Just recently, another study on this topic was published that tried to study the emotional changes to the brain due to viewing violent material. In this study, 22 teenage boys were shown 60 short clips of violent material from movies while being scanned in an fMRI as well as having their skin conductance responses (SCR) measured through an electrode on one of their fingers. The results showed that as the subjects viewed more violent scenes, they became desensitized to the material they were seeing. This was shown on the brain scans, where emotional areas were progressively less active as more scenes had been viewed, as well as with the SCR, which showed lower responses indicating less emotional reaction over time. Also of note is that the subjects that showed the greatest desensitization were those who had the greatest exposure to violent movies, television, and video games in their everyday lives. These results led the researchers to conclude that viewing violent material could “make an adolescent less sensitive to violence, more accepting of violence, and more likely to commit aggressive acts” due to a suppressed emotional reaction to real-life violent situations.

These two studies, along with the host of other literature on this subject, definitely have a profound relevance for the field of law as aggressive behavior often relates to criminal behavior. But what is the legal system to do with such knowledge? While it is clear that this type of evidence can help us to explain why some people behave as they do, it also seems that it would be difficult to convince a jury that it should be a mitigating factor, as participating in viewing such violent media is seen as a voluntary choice. And it would also be very difficult to try to reduce the amount of violent media witnessed by adolescents, as it has become such a prominent part of our culture. The movies with the shock value of violence, or the video games where the player gets to attack or kill, seem to be wildly successful and so they will continue to be produced. But with all the genetic and environmental factors that we can’t control that can make us more prone to committing criminal acts, wouldn’t it be nice if we could eliminate one that is under our control?

Trying a Juvenile as an Adult

A murder in Minnesota demonstrates yet another instance of a juvenile tried as an adult for his crimes, although this one has a slight twist. In this case, Mahdi Hassan Ali is on trial for murdering several people during a robbery and the evidence against him is strong. Ali’s driver’s license states that he was born on January 1, 1993, which makes him older than 16 at the time of the crime which happened in January earlier this year. However, his lawyer claims that this is not actually Ali’s birthday; it was just an arbitrary date given to him when he came to the United States after living in an African refugee camp. The lawyer states that his client was only 15 when he committed the crime.

The court decided to use dental x-rays to estimate how old Ali is because the details of his past make it too difficult to trace his actual age. The results found that, with 75% certainty, Ali was older than 16 when the crime was committed. According to the article, this finding was good enough that the courts are going to try him as an adult, which means he faces the possible sentence of life in prison without the possibility of parole.

Ali’s lawyer filed an appeal to further look into the matter of his client’s age. He states that the 75% likelihood cited by the dental x-rays is not high enough to make such an important decision in his client’s trial. In the end, this appeal was declined for consideration because it does not have pre-trial jurisdiction, but the lawyer plans to take it to the state Supreme Court.

This type of story highlights the absurdity of using hard lines like age to determine important issues, such as whether a juvenile should be tried as an adult. Does it really matter whether Ali was 15, 16, 17 or any age? No, what the court has tried to establish with these age requirements for being tried as an adult is to protect juveniles whose brains aren’t fully developed, and therefore don’t have the reasoning and other capabilities of an adult. But age is not the only factor on how developed a person’s brain is, and there are a lot of individual differences. So logically, age should not be the only thing used to make this decision. Technologies like the one described in this previous post can be very useful in determining the maturity of the brain itself, which is what the courts have been trying to figure out using only age. As neuroscience can provide these types of technologies, the courts must start to take notice that there are more advanced ways of solving the problems they have long struggled with.

Smoking during pregnancy breeds criminals

In this day and age, it is pretty well known that smoking is bad for you. It is just as commonly known that a mother smoking while pregnant can be harmful to her baby. According to one website for pregnant women, maternal smoking during pregnancy (MSP) can lead to low birth weight and size, underdeveloped lungs which can make the baby more vulnerable to sudden infant death syndrome and asthma, and brain problems such as learning disorders and low IQ.

Recently, a new study from researchers at Harvard’s School of Public Health reports a link between MSP and the offspring’s future criminal behavior. As a part of a large-scale prospective study, 3766 pregnant women in the 1950s and 60s reported on different factors that were present during pregnancy, including MSP. After all of the offspring had reached age 33, a criminal background check was performed. According to a news article reporting on this study, they found that people whose mothers smoked more than 20 cigarettes per day had a 30% increase in likelihood of having been arrested. Also, these offspring were more likely to be repeat offenders than those whose mothers did not smoke this quantity. These increased likelihoods remained significant even after controlling for a wide variety of family characteristics and sociodemographic factors, such as mother’s mental health and socioeconomic status.

So what about smoking during pregnancy could lead to increased criminal behavior? According to Dr. Angela Paradis, one of the researchers on this study, nicotine can have an effect on the neurobehavioral pathways that are developing during pregnancy. Previous research, such as this article, has found that MSP is related to later increased hyperactivity, impulsivity, aggression, and overall behavioral problems along with decreased attention. It is believable therefore that these effects of maternal smoking during pregnancy could lead a person to be more prone to criminal behavior.

This article is an interesting, but not surprising, finding of another negative consequence of smoking in general, and smoking during pregnancy in particular. Pregnancy is a time of development, both body and brain, so it makes sense that any toxin the fetus is exposed to can effect this development. In the body, MSP can lead to problems with lung development, so it’s not too much of a stretch to believe that nicotine could effect brain development. And certain effects can create a person who is more likely to engage in criminal behavior – a person who is impulsive, aggressive, and hyperactive. So while the headline “Smoking during pregnancy breeds criminals” may be a bit sensationalist and it might be difficult to see the connection between the two, it actually is quite logical.

Veterans’ Courts

A recent article from The New York Times focused on the relatively new appearance of something known as veterans’ courts. The idea behind the formation of these courts is that serving our country often leads to some mental health problems for our veterans, most commonly post-traumatic stress disorder and substance abuse problems. These issues may lead to criminal behavior, and the article states that attempting to help restore their normal lives is a way to repay them for the sacrifices they made for our country by serving in the military. And so, veterans with evidence of some of these psychological problems who have committed non-violent offenses can be assessed by a court and placed into a rehabilitation program rather than standing trial and possibly facing criminal punishment. The treatment programs that are utilized by these courts are specifically focused on veterans and their problems and hope to, according to the article, “reawaken the service members’ pride, discipline, and courage” to help them fix their problems, as well as creating camaraderie between veterans suffering from these problems.

Judge Robert T. Russell Jr., from Buffalo created the first veterans’ court three years ago, after seeing an increasing number of veteran defendants with mental health problems. Since then, similar courts have been formed in Wisconsin, Pennsylvania, California, and Oklahoma. But how often do veterans suffer from mental health problems that could lead to criminal behavior? According to the website of the National Association of Drug Court Professionals (drug courts are similar treatment programs for any drug-addicted person), 1 in 5 veterans report symptoms of a mental health disorder and 1 in 4 veterans between the ages of 18 and 25 qualified as having a substance abuse disorder. The website also reports that of the veterans involved with the legal system, 81% had a substance abuse problem before going to prison and 25% were classified as mentally ill. So, there does seem to be a reason to believe that veterans suffer from some problems that may lead them to become involved in the criminal system, so perhaps there is a need for effective rehabilitative programs. And according to the NYT article, 90% of veterans who qualify for the program complete it, and of these there hasn’t been a single occurrence of recidivism, which is impressive.

It is a great thing that our judicial system has taken this step from a punishing system to one that tries to rehabilitate and return productive members to society. And it makes sense why this idea has first come out with veterans, as the public is probably much more willing to take the “easy” stance on people who have been in the military and possible been to war. However, I would hope that if these programs are as successful as the article suggests that the use of them would be expanded to others that suffer from similar health problems. And if the public can see that programs like this can reduce crime by treating the underlying causes, maybe our judicial system will be able to shift away from a retributive one, and towards one that is more utilitarian.

Tourette Syndrome as a Murder Defense

In 2007, Jennifer Mee was brought into the public spotlight after appearing on many talk shows to share her interesting story of a month of almost non-stop hiccups, earning her the nickname “the hiccup girl”. According to an ABC story, on October 24 of this year, Mee was charged, along with two others, for the first-degree murder of Shannon Griffin, who was lured by Mee to a house where the others were waiting, armed. It has been suggested that this was an attempted robbery that turned deadly, and all three of those charged have confessed to the crime. What makes this case interesting and relevant to the area of neuroscience, is that Mee’s lawyer, John Trevena, has declared that he plans to look into his client’s diagnosis of Tourette syndrome (her hiccups have been identified as manifestations of this disorder and were successfully treated with Tourette’s medication) as having relevance for the alleged crime. Trevena mentioned that the hiccups are a symptom of Tourette’s, but does not claim how he plans to use this as a murder defense. The Medical Advisory Board of the Tourette Syndrome Association has strongly opposed the notion that Tourette’s could be linked to criminal behavior in a posting on their website that states that “the diagnosis of Tourette Syndrome in a legal offender is no more the reason for, or an excuse for such offense than other medical diagnoses — such as asthma or rheumatism. Scientifically, there is no evidence of a causal relationship between having Tourette Syndrome and criminal behavior.”

So why does Trevena think that Tourette syndrome is a valid murder defense? According to a 2006 paper in The Journal of Neuropsychiatry, there is some reason to believe a diagnosis of Tourette syndrome could lead to decreased culpability, mostly due to the common comorbidities of the disorder. This article by Jankovic, Kwak, and Frankoff first describes the syndrome as one “characterized neurologically by involuntary motor and phonic tics” and then goes on to investigate the other symptoms that are commonly present with Tourette syndrome, which include ADHD, OCD, mood disorders, problems with inhibition of aggression and emotion, and poor impulse control. With these associated problems, it becomes a little clearer how the diagnosis of Tourette’s could make it reasonable to believe that Mee possesses some of these commonly associated symptoms, which could be seen as contributing to the crime. The article also examined the history of Tourette syndrome brought up in court cases. Most of the cases they brought up as relevant were about competency to stand trial, the validity of confessions, or the ability to understand rights. There was one mentioned case, United States v Sassani, in which Tourette’s was used as a mitigating factor for sentence reduction, but the court found this claim unwarranted.

It will be interesting to follow this case and see how Trevena will use the diagnosis of Tourette’s to mitigate his client’s crime, which can be punishable with the death penalty in Florida (where the crime was committed). I think that this case shows progress in neuroscience’s message that we need to be conscious of how the brain, and by extension malfunction of the brain, has an extremely significant affect on behavior, in this case criminal behavior. Although from reading the comments following the news articles covering this story it is obvious that the general public sees this type of defense as making excuses, it is important that the legal system considers possible mitigating factors due to brain malfunction. And while Tourette’s might pan out to not be a viable factor, there does not seem to be any harm in investigating the matter, and hopefully, with more information and enough time, the public will come to realize that defenses like these are not excuses or trying to weasel out of something, but are in fact valid reasons why a person should not be held culpable for a crime.

Quantitative EEG deemed admissible

Several months ago, Grady Nelson was found guilty of the murder of his wife, Angelina Martinez, who was stabbed over 60 times, as well as attempted murder and sexual battery of Martinez’s two children. His case holds relevance for the area of neuroscience and law as it was reported very recently by PRweb.com that results from a quantitative EEG (qEEG) will be allowed to be presented to the jurors for the sentencing phase of the trial. The defense attorney, Terence Lenamon, states “This may be the first time in any United States criminal courtroom where qEEG analysis has been ruled admissible.” So what is this test? According to the Drake Institute, qEEG, also known as brain mapping, involves using 19 scalp electrodes to take readings of brain activity, and then comparing these results to a normative database to determine if a part of the brain is not functionally correctly. This technology is useful in evaluating disorders from ADHD to depression and can often help tell if symptoms are neurologically based.

This isn’t the first time an attorney has tried to get qEEG results admitted as evidence in a trial. In fact, the article from PRweb states that qEEG results have been found inadmissible for over 20 years. Rulings of admissibility of new technology are determined based on either the Frye or Daubert standards. As defined by legal-dictionary.com, the Frye standard states that admissibility is based on general acceptance by the scientific community, while the Daubert standard is based on evidence being reliable and scientifically valid as determined by testing, peer review, error rates, and acceptability in the scientific community. The PRweb article states that qEEG has been ruled inadmissible, at times based on Frye and others based on Daubert, for so many years due to a lack of reliability of the measure.

If this is in fact the first time that quantitative EEG results have been deemed admissible, it clearly is an important moment where we see again how the advancement of neuroscience can come to help in legal proceedings. The story does leave me with two questions. First, I would like to hear the judge’s reasons for finally admitting this evidence after such a long trend of finding it inadmissible. The article quoted her as saying she was convinced the methodologies, techniques, and science behind the technology were all sound, but it would still be interesting to know if these methodologies have changed since the last time someone tried to get this evidence admitted or if there is more evidence proving its reliability and validity or if it is simply more acceptable in the scientific community than it used to be. My second interest is how this evidence is going to be used by the defense attorney. Lenamon states that he believes this evidence should be used as a mitigating factor for the jury who are making a death penalty decision. However, I would like to know what conclusions the defense is going to draw from the qEEG results, and how they will use this to try to convince a jury that their client should not be sentenced to death for some very horrific crimes.

Execution of the Mentally Disabled

As reported in a CNN story last week, Supreme Court Justice Antonin Scalia has granted Gayland Bradford, a prisoner on Texas’ death row, a stay of execution. Bradford was sentenced to death after being found guilty of the murder of a security guard working in a Dallas convenience store in 1988. The stay of execution was granted based on the fact that Bradford’s lawyers are claiming that he is mentally deficient, citing an IQ of 68. The Supreme Court has ruled that people who are mentally deficient cannot be executed, but there is no clear definition what classifies someone to be considered deficient. Justice Scalia is intending to give Bradford’s lawyers a chance to try to convince a court that he falls into the mentally deficient category and that he, therefore, cannot be subjected to the death penalty.

According to the Death Penalty Information Center, in 1989, in the case Penry v. Lynaugh, the Supreme Court declared executing the mentally retarded was constitutional as a national consensus against the matter had not developed, although they said that mental retardation should be a mitigating factor in sentencing. However in 2002, in Atkins v. Virginia, the Supreme Court declared that executing the mentally retarded was unconstitutional as it violated the Eighth Amendment that prohibits cruel and unusual punishment, a ruling which then matched statutes prohibiting such executions in 18 states and in the federal death penalty statute (this constitutes a national consensus). The Center gives the definition for intellectual disability created by The American Association for Intellectual and Developmental Disabilities which is that: intellectual disability involves “significant limitations both in intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills.” Notice that this definition does not provide a clear cutoff line, based on IQ or any other factor, that allows a court to say definitively that a person qualifies as mentally retarded or not. So, while the Supreme Court made it unconstitutional to execute someone who is “mentally retarded”, it was left up to the state judicial systems to determine the criteria that classify people into this group.

The Death Penalty Information Center gives a listing of the criteria for mental retardation of the 16 states that had statutes before Atkins v. Virginia and another of 6 states that have since passed statutes. Texas, which is the state of question in the above case, is absent from both of these lists, so it is difficult to know how mental retardation is determined in Texas. However, looking over the other states’ definitions, those that do name IQ cutoffs most commonly cite 70, with a range of 65-75, and most require that intellectual disability must be determined by a licensed psychologist (for whom the DSM-IV-TR gives a criterion of an IQ approximately 70 or below). I think the case above reminds people why strict cutoff lines such as age and IQ seem to be a requirement of the legal system, even though we might want to consider each person as an individual with a unique set of circumstances. If the law said that under 70 is mentally retarded and above is not, this case could be determined by a couple of hours with a psychologist, but when the criteria start to be less strict, an IQ of 68 can be argued either way, making decisions much more complicated. This is why there is always some struggle between the sciences and law; the former allows for and makes use of continuums while the latter essentially requires clear-cut lines to operate.

Brain Scans as Evidence & Human Rights

Scientific evidence has had its place in courtrooms for many years now in the form of fingerprints and DNA analysis among many others. As science is progressing at such a rapid rate, the legal system has the difficult task of balancing the use of new developments that could help make the truth more clear, and making sure that these techniques are valid and don’t violate human rights set forth by the courts. This is especially true in the realm of neuroscience. In his recent article “Can’t get you out of my head: The human rights implications of using brain scans as criminal evidence” (Farrell 2010), Brian Farrell discusses what evidence neuroscience can offer to the legal system by way of brain scans and how this possibly could violate legal human rights in two ways. Neuroscientists are experimenting with using fMRI and EEG as a sort of lie detectors to tell if someone has experiential knowledge of a crime that only the person who committed the crime could know. This can be done in several ways such as the traditional lie detector yes/no questions, simply showing images or reading statements with the subject passively perceiving, or presenting these stimuli so quickly they cannot be processed consciously. Then, a scientist can examine the locations of activation in the fMRI or the pattern of activation in the EEG to infer whether the subject had knowledge of each of the stimuli presented. In theory, introducing this kind of evidence would be the same as a recording of the defendant saying a specific detail during an interview that was not provided and could not have been known unless he was the perpetrator.

Farrell raises two ways that this kind of evidence could violate rights set by the legal system. The first is that, for at least the near future, the validity of these types of measures will be questioned. The process requires interpretation of scans which is always prone to bias or human error. If this type of evidence becomes admissible before it is definitely scientifically valid (and who decides what this means?), it violates a person’s right to a fair trial, according to Farrell. But even if everyone agrees that this process has become perfected, there is still another possible violation. It is likely that prosecutors will want to acquire scans of all defendants, and they might be allowed to without consent. However, if a scan is used against a person who did not consent, this could be seen as a violation of the guarantee against self-incrimination, which is an internationally guaranteed right, although what is counted in this has a few stipulations. The European Court of Human Rights says that fingerprints, urine, blood, etc. can be taken without consent as they have “an existence independent of the will of the suspect”. However, they also say that a defendant cannot be forced to disclose incriminating documents. So the question is whether these brain scans fit in with the first type or evidence or the second, and Farrell argues for the latter. First, he claims that a person’s memory and thoughts “should be viewed as a part of the person’s will” which makes these scans not meet the criterion that allows the other physical evidence. He goes on to say that the formation of memories is more than a physical process but “is a product of subjective interpretation and individual cognitive limitations.” In this way, he argues, these brain scans are like the documents that defendants cannot be forced to disclose. I think this second possible violation is interesting and one that the court is going to have to really think about before allowing this new type of evidence, even once is gets some scientific backing in the way of validity. Science in law is supposed to help us make fewer mistakes in courts and be more confident in the decisions that are made, but these improvements don’t seem worth it if our human rights are violated in the process.

How old is your brain?

When a young person commits a crime, the initial thought is whether or not he should be tried as an adult. This is a problem that is currently being widely considered in different state governments and in the Supreme Court. This year, Connecticut raised the age when a person is automatically tried as an adult from 16 to 17, similar movements have been started to raise ages in many states such as North Carolina, Georgia, and Wisconsin, and the Supreme Court will decide if juveniles should ever be able to receive a sentence of life without parole, except in cases of murder (Chen 2010). However, there is a key flaw in this type of legislation. Obviously, the question is when are juveniles mature enough to have the ability to think like an adult, and therefore be treated like an adult when they commit a crime. The flaw is that, from simple everyday observation, not every person of a certain age possesses the same amount of maturity. But besides age, what can courts use to objectively determine maturity. An interview is more individualized, but doesn’t give an objective measure. So age is used, even though it might not be the best, but because it the only thing we have.

However, this might all change soon. Researchers from St Louis Children’s Hospital have developed a technique known as functional connectivity MRI (fcMRI) to determine the maturity of a brain (Stein 2010). From scanning the brains of 238 volunteers they were able to find 200 connections that helped to place a brain on an index of maturity and find norms of how brains should look at different ages. In general, they found that closer connections became weaker as a brain matures while more distant connections are strengthened. With all of this research they were able to differentiate between children (7-11) and adults (25-30) with 90% accuracy, while with 75% accuracy they could differentiate between adolescents and adults. Although this technology is obviously in an extremely early stage, results and analysis of a brain scan could allow courts to have a more meaningful and individualized, yet still objective measure to determine whether or not a defendant is mature enough to be treated, and punished, as an adult. Or even if the courts do not set a brain maturity age and stick to it, defense attorneys could use scans to make a claim that their clients are less mature than others their age and therefore, even if the others should be considered adults, this particular defendant should not. Or, on the other hand, a prosecutor could use a scan to show that a young defendant, younger than would normally be considered an adult, is actually as mature as an adult and should be treated as such. This is a overly simplistic view of a neuroscientific finding and I hope that the legal system realizes that there needs to be much more work done and more precise results found before this sort of evidence should be allowed to have a large impact on the proceedings in a courtroom.

PTSD and criminal behavior

Several weeks ago, a news story broke about a man, Michael Enright, brutally attacking and stabbing a cab driver in New York City (Corcoran 2010) . It was reported that the young man entered the cab obviously drunk, asked the cab driver if he was Muslim, and when he received the affirmative answer pulled out a knife and stabbed him multiple times in the arms, face, and neck. A few days after his arrest, the defendant was moved to a psychiatric hospital for undisclosed reasons. About a week ago, the defendant’s lawyer claimed that his client is suffering from PTSD (Long 2010) . Enright, a journalism student, had recently spent time in Afghanistan with some troops to make a documentary. Although the defense attorney has not specifically stated that he will be using his client’s PTSD as a legal defense, his actions so far certainly seem to be heading in that direction.

Looking at the diagnostic criteria in the DSM-IV-TR for PTSD (National Center for PTSD), it is possible to see how this disorder might lead to criminal behavior. The disorder can involve symptoms such as “restricted range of affect” meaning a person cannot experience a full range of emotions, a “feeling of detachment or estrangement from others”, or “irritability or outbursts of anger” among other things that make the link between the disorder and crime evident. Another important facet of PTSD is the fact that people with the disorder may feel as though the traumatic event is occurring again, which can include hallucinations and a dissociative state. This is more likely to occur just after one has woken up or when they are intoxicated (as is the case in the story above).

I think that this type of defense seems to be one that could legitimately explain some criminal behavior of people who have been through traumatic events, but it also seems that it could be difficult to convince a jury to believe. Not only must the defense attorney show that their client is suffering from the disorder, but they must also show that because of the disorder, the defendant is not culpable for his actions. But how does someone go about proving that it was the PTSD that led the defendant to act the way he did? It is extremely difficult, as Eric Acevedo found out when he was found guilty of capital murder for killing his ex-girlfriend (Branch 2010). Acevedo was a soldier in Afghanistan and met all the criteria for PTSD, but the prosecution argued that PTSD had nothing to do with his crime and that he simply killed in a jealous and drunken rage, and now he has been sentenced to life without parole. As for Enright, if his lawyer does decide to go the PTSD route, he is going to have the same tough burden to prove that the disorder was present and impacted his client’s behavior, and that this isn’t simply a hate crime as the prosecution is claiming.