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Preempting the Development of Antisocial Behavior and Psychopathic Traits

Junewicz, Alexandra; Billick, Stephen Bates
Antisocial behavior and psychopathic traits are subject to complex patterns of inheritance, gene--environment interactive effects, and powerful environmental influences. Yet genetic factors are important in the etiology of antisocial behavior and psychopathic traits, and identifying youth with an elevated genetic risk may lead to improved interventions and preventive efforts. Additionally, research revealing the importance of gene--environment interactions in the development of antisocial behavior and psychopathic traits should be harnessed to promote more rehabilitative, developmentally appropriate policies to benefit youth in the juvenile justice and social welfare systems.
PMID: 33408155
ISSN: 1943-3662
CID: 4739072

Conduct Disorder: Biology and Developmental Trajectories

Junewicz, Alexandra; Billick, Stephen Bates
For centuries, attempting a successful rehabilitation of youth with antisocial behaviors has challenged juvenile justice systems and society. More recently, advances in science and neuroimaging have permitted a deeper understanding of the biological underpinnings of antisocial behavior and psychopathic tendencies. This paper reviews biological findings in youth with conduct disorder, highlighting comparisons to biological findings in adults with antisocial personality disorder and psychopathy. Overall, youth with conduct disorder exhibit several biological findings that are similar to adults with antisocial personality disorder and psychopathy, consistent with theories that conduct disorder is a neurodevelopmental disorder that progresses to these adult conditions. There is evidence that treatment interventions might mitigate this progression and induce biological changes. Further, biological findings might guide interventions to rehabilitate youth and change the developmental trajectory of antisocial behaviors.
PMID: 31768912
ISSN: 1573-6709
CID: 4215822

Intellectual Disabilities in Juvenile Justice: The Case for Screening [Editorial]

Tedeschi, Frank; Junewicz, Alexandra
Recent efforts to reform and improve the juvenile justice system have overlooked one critically important issue-the widespread failure to routinely screen for intellectual and developmental disabilities (I/DD) in young offenders. Pursuant to the Americans with Disabilities Act and Individuals with Disabilities Education Act, offenders with I/DD must receive appropriate accommodations. Yet across the country, adolescents and adults with I/DD must engage with the juvenile justice system without appropriate supports and often with their disabilities unknown to corrections staff, lawyers, judges, and other personnel.
PMID: 30522734
ISSN: 1527-5418
CID: 3678602

Nature, Nurture, and Attachment: Implications in Light of Expanding Definitions of Parenthood

Junewicz, Alexandra; Billick, Stephen Bates
Recent expansion of the legal definition of parenthood in New York State raises the question of whether the presence of a genetic relationship between a parent and child trumps environmental and interpersonal factors in the formation of a strong, secure attachment bond. The purpose of this paper is to emphasize that attachment between a child and secure attachment figure is inherently biological, and that such biological attachment supersedes the existence of a genetic parent-child relationship. First, the paper provides an overview of attachment and its biological basis. It then discusses the impact on attachment of environmental and interpersonal influences, which current research suggests have the power to alter brain biology. There is no clear evidence that a genetic relationship confers a significant advantage in terms of attachment. This paper proposes that the term "biological parent" be redefined to include anyone with whom a child shares a strong attachment bond.
PMID: 29292478
ISSN: 1573-6709
CID: 2899632

Victimization and Vulnerability: A Study of Incarceration, Interpersonal Trauma, and Patient-Physician Trust

Junewicz, Alexandra; Kleinert, Kelly J; Dubler, Nancy Neveloff; Caplan, Arthur
Despite the critical importance of patient-physician trust, it may be compromised among vulnerable patients, such as (1) incarcerated patients and (2) those patients who have been victims of trauma. The purpose of this study was to examine patient-physician trust among forensic and civilian psychiatric inpatient populations and to explore whether it varied based on a patient's history of incarceration and/or victimization. A trust survey (WFPTS) and a trauma instrument (LEC-5) were administered to 93 patients hospitalized on forensic and civilian psychiatric hospital units in a large, urban public hospital. Results showed no difference in patient-physician trust between incarcerated and civilian patients. Similarly, there was no effect of a history of physical assault or sexual assault on ratings of patient-physician trust. However, the hospitalized civilian and forensic patients who reported being the victim of weapons assault had significantly lower patient-physician trust scores than their counterparts.
PMID: 27553865
ISSN: 1573-6709
CID: 2221482

Rating scales for psychiatric disorders

Chapter by: Sajatovic, M; Opler, M; Junewicz, A; Opler, L
in: The Medical Basis of Psychiatry by
pp. 869-880
ISBN: 9781493925285
CID: 2687092

The Authors Reply [Comment]

Junewicz, Alexandra; Youngner, Stuart J
PMID: 26556136
ISSN: 1552-146x
CID: 2699972

Patient-satisfaction surveys on a scale of 0 to 10: improving health care, or leading it astray?

Junewicz, Alexandra; Youngner, Stuart J
Patient-satisfaction surveys can call attention to the importance of treating patients with dignity and respect, but good ratings depend more on manipulable patient perceptions than on good medicine. In fact, the pressure to get good ratings can lead to bad medicine.
PMID: 25753653
ISSN: 0093-0334
CID: 2699982

Primary cutaneous vs. parotid mucoepidermoid carcinoma of the scalp: A case report [Case Report]

Junewicz, Alexandra; Heaphy, John; Lavertu, Pierre; Wasman, Jay; Becker, Devra
Primary cutaneous mucoepidermoid carcinoma remains a rare occurrence. This is the first report of a case of primary cutaneous mucoepidermoid carcinoma originating on the scalp and subsequently metastasizing to the parotid gland. The patient was a 53-year-old female who presented with a purple mass on her scalp since 5 months prior to examination. Histopathology revealed nests and islands of atypical epithelioid cells with pleomorphism, medium to prominent nucleoli, and scattered mucin deposition highlighting with a mucicarmine stain. The atypical cells demonstrated intravascular involvement. These findings were compatible with metastatic adenocarcinoma. Later, fine needle aspiration of the patient's parotid lesion revealed malignant cells from a poorly differentiated carcinoma that appeared similar to the patient's previously excised scalp lesion. In addition to summarizing this patient's presentation, clinical course, and management, we discuss the diagnostic challenges posed by this atypical presentation. Primary cutaneous mucoepidermoid carcinoma should be considered in the differential diagnosis of patients presenting with a scalp mass. Moreover, patients with primary cutaneous mucoepidermoid carcinoma originating on the scalp should be evaluated for possible metastases.
PMID: 25708819
ISSN: 1532-818x
CID: 3115772

Q: Do patients who received only two doses of hepatitis B vaccine need a booster?

Junewicz, Alexandra; Brateanu, Andrei; Nielsen, Craig
PMID: 24891535
ISSN: 1939-2869
CID: 2700002