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Neuroprediction, Violence, and the Law: Setting the Stage

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Abstract

In this paper, our goal is to (a) survey some of the legal contexts within which violence risk assessment already plays a prominent role, (b) explore whether developments in neuroscience could potentially be used to improve our ability to predict violence, and (c) discuss whether neuropredictive models of violence create any unique legal or moral problems above and beyond the well worn problems already associated with prediction more generally. In “Violence Risk Assessment and the Law”, we briefly examine the role currently played by predictions of violence in three high stakes legal contexts: capital sentencing (“Violence Risk Assessment and Capital Sentencing”), civil commitment hearings (“Violence Risk Assessment and Civil Commitment”), and “sexual predator” statutes (“Violence Risk Assessment and Sexual Predator Statutes”). In “Clinical vs. Actuarial Violence Risk Assessment”, we briefly examine the distinction between traditional clinical methods of predicting violence and more recently developed actuarial methods, exemplified by the Classification of Violence Risk (COVR) software created by John Monahan and colleagues as part of the MacArthur Study of Mental Disorder and Violence [1]. In “The Neural Correlates of Psychopathy”, we explore what neuroscience currently tells us about the neural correlates of violence, using the recent neuroscientific research on psychopathy as our focus. We also discuss some recent advances in both data collection (“Cutting-Edge Data Collection: Genetically Informed Neuroimaging”) and data analysis (“Cutting-Edge Data Analysis: Pattern Classification”) that we believe will play an important role when it comes to future neuroscientific research on violence. In “The Potential Promise of Neuroprediction”, we discuss whether neuroscience could potentially be used to improve our ability to predict future violence. Finally, in “The Potential Perils of Neuroprediction”, we explore some potential evidentiary (“Evidentiary Issues”), constitutional (“Constitutional Issues”), and moral (“Moral Issues”) issues that may arise in the context of the neuroprediction of violence.

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Notes

  1. For the purposes of this essay, we are following Megargee [3] in using the terms “violent behavior” and “violence” to apply to acts such as “homicide, mayhem, aggravated assault, forcible rape, battery, robbery, arson, extortion” and other criminal acts that cause physical injuries.

  2. See [4] and [5] for attempts to identify all of the wide variety of legal contexts that depend, at least in part, on predictions of future violent behavior.

  3. For detailed discussion concerning the role that predictions of future dangerousness play in capital sentencing, see [6] and [7].

  4. People v. Murtishaw, 631 P.2d (Cal. 1981).

  5. Barefoot v. Estelle, 463 U.S. 880 (1983).

  6. It is worth pointing out that Dr. James P. Grigson is a particularly controversial individual. During his career, he appeared in at least 150 capital trials on behalf of the state. Moreover, his clinical predictions of future dangerousness were used in the trials of nearly one-third of all Texas death row inmates. For more on Dr. Grigson’s controversial role in Texas death penalty cases, see [8].

  7. Barefoot 463 U.S. at 918–19 (Blackmun, J., dissenting).

  8. Id. at 919 (Blackmun, J., dissenting).

  9. Id. (Blackmun, J., dissenting).

  10. Barefoot v. Estelle, 463 U.S. 883 (1983).

  11. According to the Texas statute in question—namely, Tex.Code Crim.Proc., Art. 37.071—jurors are given three threshold questions to answer during the sentencing phase of capital trials. One threshold requires the jury to make a judgment concerning the probability that the defendant would pose a continued threat to society in the future. The other two threshold questions were, (a) whether the defendant killed the victim(s) both knowingly and deliberately; and (b) in the event that the defendant was responding to a provocation by the victim(s), whether the defendant’s response was unreasonable or disproportionate given the nature of the provocation. If the jury unanimously finds that the state has proved each of these three issues beyond a reasonable doubt, the defendant automatically receives the death penalty rather than life in prison.

  12. Jurek v. Texas, 428 U.S. 262 (1976).

  13. Barefoot, 463 U.S. at 899.

  14. Id. at 920 (Blackmun, J., dissenting).

  15. Id. at 906 (fn.7).

  16. Barefoot, 463 U.S. at 897.

  17. Id. at 901.

  18. For recent overviews of the role that predictions of future dangerousness play in capital sentencing, see [911].

  19. State civil commitment statutes are compiled at http://www.psychlaws.org/LegalResources/Index.html

  20. Addington v. Texas 441 U.S. 418 (1979).

  21. Addington v. Texas 441 U.S. 421 (1979).

  22. Id.

  23. Id.

  24. Addington v. Texas 441 U.S. 430 (1979).

  25. See, e.g., [13].

  26. Kan. Stat. Ann. § 59-29a02(b) (1994).

  27. Kan. Stat. Ann. §59-29a01 (1994).

  28. Kansas v. Hendricks, 521 U.S. 346 (1997).

  29. Foucha v. Louisiana, 504 U.S. 71 (1992).

  30. Kansas v. Hendricks, supra, at 358.

  31. Kan. Stat. Ann. § 59-29a02(b) (1994).

  32. Kansas v. Hendricks, supra, at 358.

  33. The Court also rejected Hendricks’ claim that the Kansas statute runs afoul of prohibitions against double jeopardy and ex post-fact law making. Because the statute was civil in intent and design rather than criminal, the Court found that Hendricks’ worries on these two fronts were groundless. For present purposes, discussing their arguments on this front would take us too far afield.

  34. Kansas v. Hendricks, supra, at 360.

  35. Given the problems with circularity, it is perhaps unsurprising that the United States Supreme Court had to revisit the statutory scheme in Kansas five years later in Kansas v. Crane, 534 U.S. 407 (2002). In Crane, the Court was supposed to address the issue of how much, if any, volitional impairment was required before a sex offender could be classified as a sexual predator and indefinitely detained. At the end of the day, however, the Court refused to define with any “mathematical precision” what constituted a lack of control.

  36. See, e.g., [1416].

  37. New Jersey Statutes Annotated Title 30, §4–27.26.

  38. People v. Superior Court (Ghilotti), 27 Cal.4th 888 (2002).

  39. Id.

  40. In re Detention of Brooks, 145 Wash. 2d 275 (2001) (overruled on other grounds by In re Detention of Thorell, 149 Wash. 2d 724).

  41. In this section, the key terms are used with their usual technical meanings: (a) reliability = df “the consistency or stability of a measure from one use to the next”; (b) validity = df “accuracy of measurement—the degree to which as assessment measures what it is supposed to”; (c) incremental validity = df “the amount that validity is improved with the addition of new information”; (d) predictor variables = df “categories consisting of different levels that are presumed to be relevant to what is being predicted”; (e) base rate = df “the proportion of people in some population during a specified time period of time who fall into the criterion category that is to be predicted—e.g., violent recidivism.”

  42. For brevity’s sake, we are going to call this study MacRisk, for short. See [1] for the full details of the MacRisk study.

  43. The patients—all of whom were of white, African-American, or Hispanic ethnicity—were initially institutionalized in facilities in Pittsburgh, Kansas, and Worcester.

  44. For a complete list of the risk factors, see [1] Appendix B.

  45. The overall base rate for violent reoffending for the entire group of patients twenty weeks after discharge was 18.7%. See, [1] for more details.

  46. See [1] for further details concerning the development and validation of COVR.

  47. The entire list of factors can be found in Table 6.3 in [1].

  48. For more on the proper relationship between actuarial and clinical methods, see [2629].

  49. For a recent meta-analysis of the neuroimaging work that has been done on violence and aggression, see [30].

  50. See, e.g., [31, 32].

  51. See, e.g., [33].

  52. See, e.g., [34, 35].

  53. The majority of violent acts are reactive in nature and perpetrated by impulsive men who are easily aroused and who often satisfy the diagnostic criteria for Antisocial Personality Disorder (ASPD). See, e.g., [36]. But there is an important distinction to be drawn between this kind of impulsive violence that usually occurs “in the heat of the moment” and the much less common and more worrisome kind of premeditated and instrumental violence that is commonly associated with psychopathy.

  54. For more on the development and psychometric properties of the PCL-R, see [31, 37].

  55. While the PCL-R is the most widely used tool for measuring psychopathy—which is why we have chosen to focus on the PCL-R in this paper—other useful tools have been developed. See, e.g., the Self-Report Psychopathy Scale III (SRP-III; [38]); the Psychopathic Personality Inventory (PPI; [39]).

  56. The PCL-R Manual lists the mean score for North American prison samples and for forensic psychiatric samples as 23.6 (SD = 7.9) and 20.6 (SD = 7.8), respectively [31].

  57. Originally, Hare developed a two factor model of psychopathy—see, e.g., [31, 32, 40]—but more recently he has put forward a four factor model that was developed based on research involving nearly 7,000 psychopaths. The Interpersonal/Affective dimensions and the Lifestyle/Antisocial dimensions constitute the original Factor 1 and Factor 2, respectively. For more information concerning the four factor model see [41, 42].

  58. See, e.g., [4345].

  59. For instance, VRAG [46] and HCr-20 [47] both used PCL-SV scores. PCL:SV was also used as a risk factor by the MacRisk researchers in developing the ICT approach. However, even though Monahan et al. [1] found that the PCL:SV was the strongest predictor of violence, it was not included as one of the risk factors of COVR since the goal of the latter was to enable researchers to make quick decisions concerning future dangerousness in a forensic setting.

  60. For more details, see [48].

  61. It is worth pointing out that while the PCL:SV takes less time to complete than the PCL:R, it still takes a couple of hours to complete.

  62. In a recent study, Edens et al. [49] pit the PCL:SV against the modified 9 item version of VRAG (minus PCL:SV). The ROC analysis revealed that whereas the area under the curve for the modified version of VRAG (minus PCL:SV) was only .58, the variance attributable to the PCL:SV was .75 ([49], p.370).

  63. Through aversive conditioning, subjects learn to associate an unpleasant response—e.g., a mild shock—with an unwanted behavior which is supposed to discourage them from engaging in the behavior in the future.

  64. Passive avoidance involves the inhibition of a previously exhibited response. In passive avoidance, a subject may freeze as soon as the stimulus is presented. In active avoidance, on the other hand, the subject flees when the stimulus is presented.

  65. In differential reward-punishment tasks, sometimes subjects are exposed to both positive and negative reinforcement in response to the behavior under investigation.

  66. See, e.g., [6770].

  67. For other recent reviews of the MAOA literature, see [7276].

  68. See, also, [80, 81].

  69. For instance, researchers were recently able to use a “functional connectivity index” to predict individual brain maturity in participants ranging from 7 to 30 years of age with just 5 min of resting-state fMRI data. The resultant “functional maturation curve” accounted for 55% of the sample variance [85].

  70. For the purposes of this paper, we are going to limit our attention to the neuroprediction of violence since discussing the neuroprediction of drug/alcohol relapse would take us too far afield. It is nevertheless worth pointing out that recent studies suggestion the latter is no less promising than the former. See, e.g., [90].

  71. See, e.g., [23, 99101].

  72. As things presently stand, Kiehl and colleagues are running a pilot study with only 300 follow-up visits. If hypotheses are confirmed, additional funds will be sought to follow up with all of the 1,300 participants who have already consented to participate.

  73. The Frye Test was based on a 1923 decision by the Court of Appeals for the District of Columbia concerning the admissibility of a crude precursor to the polygraph machine. See Frye v. United States, 54 App. D.C. 46, 47, 293 F.1013, 1014 (D.C. Cir. 1923).

  74. Daubert v. Merrell Dow Pharmaceuticals, 509 U.S. 579 at 588-89 (1993).

  75. Id. at 589.

  76. Id. at 593.

  77. Id. at 595.

  78. See, e.g., [102104].

  79. Flores v. Johnson, 210 F.3d 456 (5th Cir. 2000)

  80. Id. at 464.

  81. Neno v. State, 970 S.W.2d 549 (Tex. Crim. App. 1998).

  82. See, e.g., [105107].

  83. This is not to suggest that there are not any evidentiary worries about predictions of dangerousness more generally. However, for present purposes, we are less interested in the more general evidentiary worries about predictions of violence and more interested in exploring whether adding neuroscience to the violence risk assessment equation generates any additional concerns.

  84. People v. Murtishaw (1981), 29 Cal. 3d 733, 175 Cal. Rptr. 738, 631 P.2d 446, 469 (1981).

  85. U.S. Const. amend. IV (“The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.”); United States v. Jacobsen, 466 U.S. 109, 113 (1984) (“[Fourth Amendment] protection proscribes only governmental action; it is wholly inapplicable to a search or seizure, even an unreasonable one, effected by a private individual not acting as an agent of the government or with the participation or knowledge of any governmental official.”).

  86. Katz v. United States, 389 U.S. 347, 351 (1967); id. at 360-61 (Harlan, J., concurring).

  87. Kyllo v. United States, 533 U.S. 1, 6-7 (2001) (internal quotation marks omitted).

  88. Schneckloth v. Bustamonte, 412 U.S. 218 (1973).

  89. Hudson v. Palmer, 468 U.S. 517, 526 (1983) (“The proscription against unreasonable searches and seizures under U.S. Const. amend. IV does not apply within the confines of the prison cell.”).

  90. Bell v. Wolfish, 441 U.S. 520, 558-59 (1979). Lower courts are split on whether jailers need reasonable suspicion to conduct body-cavity searches of pretrial detainees or not.

  91. Hudson, 468 U.S. at 527-28. To determine whether a prisoner’s expectation of privacy is reasonable, courts balance society’s interest in prison security against the prisoner’s interest in his own privacy. Id.

  92. Turner v. Safley, 482 U.S. 78, 89 (1987). Relevant factors in the reasonableness calculus are (1) whether the regulation is rationally connected to the legitimate governmental interest advanced to justify it; (2) whether prison inmates retain alternative means of exercising their right; (3) the impact of accommodating the right on guards and other inmates; and (4) whether there are ready alternatives to advance the government’s interest. Beard v. Banks, 548 U.S. 521, 529 (2006).

  93. Thornburgh v. Abbott, 490 U.S. 401, 408 (1988).

  94. See Sheffield v. Trevino, 207 Fed. Appx. 403 (5th Cir. 2006) (DNA sample); United States v. Balon, 384 F.3d 38 (2d Cir. 2004) (prison telephone conversations); Hunt v. Ortiz, 84 Fed. Appx. 34 (10th Cir. 2003) (holding that mandatory HIV testing and disclosure of a prisoner’s result is constitutional; prison’s substantial interest in treating inmates infected with HIV and preventing further transmission outweighed prisoner’s expectation of privacy).

  95. Samson v. California, 547 U.S. 843, 850-51 (2006).

  96. 410 U.S. 1, 10 (1973).

  97. 397 F.3d 587, 590-91 (7th Cir. 2005).

  98. Greenawalt, 397 F.3d at 589.

  99. Schmerber v. California, 384 U.S. 757, 766-67 (1966) (blood sample); Skinner v. Railway Labor Executives’ Ass’n, 489 U.S. 602, 617 (1989) (breathalyzer); Board of Education v. Earls, 536 U.S. 822, 828 (2002) (urine testing).

  100. [109], 869; [110].

  101. Winston v. Lee, 470 U.S. 753, 760 (1985).

  102. U.S. Const. amend. V.

  103. Estelle v. Smith, 451 U.S. 454, 462-63 (1981).

  104. Id. at 465-68.

  105. Id. at 468.

  106. 532 U.S. 782, 795 (2001).

  107. See, e.g., Pope v. United States, 372 F.2d 710, 720-71 (8th Cir. 1967). See also Slobogin et al. [111].

  108. Pennsylvania v. Muniz, 496 U.S. 582, 590-92, 601 (1990).

  109. Rhode Island v. Innis, 446 U.S. 291, 301 (1980).

  110. Muniz, 496 U.S. at 598-99.

  111. See, also, [113, 114].

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Correspondence to Thomas Nadelhoffer.

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This material is based upon work supported by the John D. and Catherine T. MacArthur Foundation, the Law and Neuroscience Project, and The Regents of the University of California. The opinions expressed in this paper are those of the authors and do not necessarily reflect the views of the John D. and Catherine T. MacArthur Foundation, the Law and Neuroscience Project, or of The Regents of the University of California. We would also like to thank members of the Law and Neuroscience Project network on criminal responsibility and prediction—especially Stephen Morse and Richard Bonnie—for their helpful guidance and suggestions during the earlier stages of this project.

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Nadelhoffer, T., Bibas, S., Grafton, S. et al. Neuroprediction, Violence, and the Law: Setting the Stage. Neuroethics 5, 67–99 (2012). https://doi.org/10.1007/s12152-010-9095-z

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