SlideShare a Scribd company logo
1 of 110
Evidence-Base Crime Prevention




Dennis D. Embry, Ph.D.,president/senior scientist, PAXIS Institute
Co-investigator, Johns Hopkins Center for Prevention & Early Intervention
Scientific advisor, Healthy Child Manitoba,
Co-Investigator, School of Medicine, Yale University
What if…crime in Canada could
be reduce by 50% in a decade?
The anatomy of stopping a
         past epidemic…
Psychological flexibility is required…
What if we think about crime as an artifact of
evolution…instead from a cage of past ideas?
Every species has a Fearsome predator…
The first
capital
crime…
…and Cain rose up
and slew Abel
Humans have been the principle predator of other
humans since the invention of stone tools…
Three evolutionary
mechanism for today’s
mental gymnastics for
heartfelt & principled
prevention of crime…
  Epigensis
  Evolutionary Mismatches
  Evolutionary Bottlenecks
Friend                       Foe
       “Us”                  “Them”

The principal source of safety of humans has been
other humans…
Selection by Consequences –
A Meta-Theory with a Fractal Pattern
  A Fractal is a repeated     Selection Level           Consequences
  pattern at many levels                             Selection of Genes
                                    Genes
                                                     Evolution of species
                                     Cells
                                                     Epigensis
                                    Bodies
                             Individual Behaviors    Wiring of neurons
                               Group Behaviors       Human development
                            Organizational Actions   Selection of behaviors
                                   Language          Reproductive behaviors
                                  Economies          Behavioral economics
                               Species Groups        Organization behavior
                                                     Language /Cultural evolution
Social Biological
Epigenesis                  Environmental Inputs                                         Genesis
                                 Nurturing or Toxic
Epigenetics are                   Environments,                           These
heritable                           Disease, or                         polygenes
                                      Threats
changes in                                                                can be
gene expression                                                          “added”,
caused by                                                             “subtracted”,




                                                     M
mechanisms                  g                                          “divided”, or




                                                      or
                          lin
                                    Phosphorlyation




                                                        ph
other than                                                             “multiplied.”
                        na




                                                           og
                                      Acetylation
                     Sig




                                                                en
changes in the                        Methylation




                                                                 sis
underlying DNA                 Histone Remodeling
                           Chromatin Stucture Changes
sequence.
                   Development   Immunity   Stem Cell Changes   Imprinting

These changes                                                      Parent,
can pass           Three                                           1st Generation

through multiple   Generation                                      Baby,
                                                                   2nd Generation
                   Effects
generations.
                                                                   Reproductive Cells,
                                                                   3rd Generation
Evolutionary
Mismatch
Original              1491 AD
    Human
 Migrations to
 North America
                      30,000,000
                     ≈ Souls in      ≈ 300,000 Souls
                     North America




Evolutionary bottleneck
Original              1491 AD
    Human
 Migrations to
 North America
                      30,000,000                       8th
                     ≈ Souls in      ≈ 300,000 Souls   Fire
                     North America




Evolutionary bottleneck
Audited Life Path of a Male Convicted Criminal , “Billy”
           Age 4             6      8        10         12      14       16    18       20     22     24        26

   Birth
                  ADHD           ODD                   A/D      A/D   A/D A/D A/D             A/D    A/D

 DSM IV                    TS                CD        SA       SA       SA SA SA             SA     SA
 Labels                                                                  depression
                                                                          anxiety
 Self-Rep.       Likes      Stole             Binge            Daily        Meth &     IV
               Violent TV Cigarettes         Drinking        Marijuana    Other Drugs Use
 School             SD       SD         LD        LD         LD SED Dropout
 Labels
 Medical     Prenatal Unintentional Injuries          Sexually     Serious      Hepatitis C
             Smoking Ashtma                           Transmitted Car Crash
 Notes &                             Intentional      Diseases          Gunshot
                Low Birth Weight
 Bio              Fussy,Irritable
                                     Injuries at
                                                                Fathers
                                                                        Wound
                                                                                Fathers
                                     School
 Markers     Mom is 16.5 years old Underactive                  Child           Child
                   Low omega-3       Beh. Inhibition Reduced Prefontal Function
                   Serotonin         System            Lower Resting Heart Rate                                      Case study
 Police      Mom DV
 Records     Has
                             Abused     Assault
                     Calls by Mom's at School Theft
                                                   Various      Drug sales;     Armed
                                                                Felony Assault Robbery
                                                                                                                     from Reclaim-
             Multiple        Live-in Witness       Complaints;                                                       ing Wyoming
             Offenses                Homicde       Truancy
                                                                                                                     Blueprint by
                                                         Legend                                                      Embry and
             ADHD    =   Attention Deficit Hyperactivity Disorder        SA    =    Substance Abuse
             TS      =   Tourette's Syndrome (tics diagnosed)            SD    =    Speech Delay                     Rodgers, 2002,
             ODD
             A/D
                     =
                     =
                         Oppositional Defiant Disorder
                         Antisocial Personality Disorder
                                                                         LD
                                                                         SED
                                                                               =
                                                                               =
                                                                                    Learning Disabilityr
                                                                                    Severe Emotional Disorder
                                                                                                                     for Wyoming
             CD      =   Conduct Disorder                                                                            Legislature
Audited Life Path of a Male Convicted Criminal , “Billy”
                                                                                                                                      When could this path
           Age 4             6      8        10         12      14       16    18       20     22     24        26
                                                                                                                                       have been altered
   Birth
                                                                                                                                       based on scientific
                  ADHD           ODD                   A/D      A/D   A/D A/D A/D             A/D    A/D
                                                                                                                                          evidence?
 DSM IV                    TS                CD        SA       SA       SA SA SA             SA     SA
 Labels                                                                  depression
                                                                          anxiety
 Self-Rep.       Likes      Stole             Binge            Daily        Meth &     IV
               Violent TV Cigarettes         Drinking        Marijuana    Other Drugs Use
 School             SD       SD         LD        LD         LD SED Dropout
 Labels
 Medical     Prenatal Unintentional Injuries          Sexually     Serious      Hepatitis C
             Smoking Ashtma                           Transmitted Car Crash
 Notes &                             Intentional      Diseases          Gunshot
                Low Birth Weight
 Bio              Fussy,Irritable
                                     Injuries at
                                                                Fathers
                                                                        Wound
                                                                                Fathers
                                     School
 Markers     Mom is 16.5 years old Underactive                  Child           Child
                   Low omega-3       Beh. Inhibition Reduced Prefontal Function
                   Serotonin         System            Lower Resting Heart Rate                                      Case study
 Police      Mom DV
 Records     Has
                             Abused     Assault
                     Calls by Mom's at School Theft
                                                   Various      Drug sales;     Armed
                                                                Felony Assault Robbery
                                                                                                                     from Reclaim-
             Multiple        Live-in Witness       Complaints;                                                       ing Wyoming
             Offenses                Homicde       Truancy
                                                                                                                     Blueprint by
                                                         Legend                                                      Embry and
             ADHD    =   Attention Deficit Hyperactivity Disorder        SA    =    Substance Abuse
             TS      =   Tourette's Syndrome (tics diagnosed)            SD    =    Speech Delay                     Rodgers, 2002,
             ODD
             A/D
                     =
                     =
                         Oppositional Defiant Disorder
                         Antisocial Personality Disorder
                                                                         LD
                                                                         SED
                                                                               =
                                                                               =
                                                                                    Learning Disabilityr
                                                                                    Severe Emotional Disorder
                                                                                                                     for Wyoming
             CD      =   Conduct Disorder                                                                            Legislature
Audited Life Path of a Male Convicted Criminal , “Billy”
                                                                                                                                      When could this path
           Age 4             6      8        10         12      14       16    18       20     22     24        26
                                                                                                                                       have been altered
   Birth
                                                                                                                                       based on scientific
                  ADHD           ODD                   A/D      A/D   A/D A/D A/D             A/D    A/D
                                                                                                                                          evidence?
 DSM IV                    TS                CD        SA       SA       SA SA SA             SA     SA
 Labels                                                                  depression
                                                                          anxiety
 Self-Rep.       Likes      Stole
               Violent TV Cigarettes
                                              Binge
                                             Drinking
                                                               Daily
                                                             Marijuana
                                                                            Meth &     IV
                                                                          Other Drugs Use                                             What is the cost of
                                                                                                                                      human suffering to
 School             SD       SD         LD        LD         LD SED Dropout
 Labels
 Medical
 Notes &
             Prenatal Unintentional Injuries
             Smoking Ashtma
                                                      Sexually     Serious
                                                      Transmitted Car Crash
                                                                                Hepatitis C
                                                                                                                                      this family, victims,
                                     Intentional
                                                                                                                                         and society?
                Low Birth Weight                      Diseases          Gunshot
 Bio              Fussy,Irritable
                                     Injuries at
                                                                Fathers
                                                                        Wound
                                                                                Fathers
                                     School
 Markers     Mom is 16.5 years old Underactive                  Child           Child
                   Low omega-3       Beh. Inhibition Reduced Prefontal Function
                   Serotonin         System            Lower Resting Heart Rate                                      Case study
 Police      Mom DV
 Records     Has
                             Abused     Assault
                     Calls by Mom's at School Theft
                                                   Various      Drug sales;     Armed
                                                                Felony Assault Robbery
                                                                                                                     from Reclaim-
             Multiple        Live-in Witness       Complaints;                                                       ing Wyoming
             Offenses                Homicde       Truancy
                                                                                                                     Blueprint by
                                                         Legend                                                      Embry and
             ADHD    =   Attention Deficit Hyperactivity Disorder        SA    =    Substance Abuse
             TS      =   Tourette's Syndrome (tics diagnosed)            SD    =    Speech Delay                     Rodgers, 2002,
             ODD
             A/D
                     =
                     =
                         Oppositional Defiant Disorder
                         Antisocial Personality Disorder
                                                                         LD
                                                                         SED
                                                                               =
                                                                               =
                                                                                    Learning Disabilityr
                                                                                    Severe Emotional Disorder
                                                                                                                     for Wyoming
             CD      =   Conduct Disorder                                                                            Legislature
Audited Life Path of a Male Convicted Criminal , “Billy”
                                                                                                                                      When could this path
           Age 4             6      8        10         12      14       16    18       20     22     24        26
                                                                                                                                       have been altered
   Birth
                                                                                                                                       based on scientific
                  ADHD           ODD                   A/D      A/D   A/D A/D A/D             A/D    A/D
                                                                                                                                          evidence?
 DSM IV                    TS                CD        SA       SA       SA SA SA             SA     SA
 Labels                                                                  depression
                                                                          anxiety
 Self-Rep.       Likes      Stole
               Violent TV Cigarettes
                                              Binge
                                             Drinking
                                                               Daily
                                                             Marijuana
                                                                            Meth &     IV
                                                                          Other Drugs Use                                              What is the cost of
                                                                                                                                       human suffering to
 School             SD       SD         LD        LD         LD SED Dropout
 Labels
 Medical
 Notes &
             Prenatal Unintentional Injuries
             Smoking Ashtma
                                                      Sexually     Serious
                                                      Transmitted Car Crash
                                                                                Hepatitis C
                                                                                                                                       this family, victims,
                                     Intentional
                                                                                                                                          and society?
                Low Birth Weight                      Diseases          Gunshot
 Bio              Fussy,Irritable
                                     Injuries at
                                                                Fathers
                                                                        Wound
                                                                                Fathers
                                     School
 Markers     Mom is 16.5 years old Underactive                  Child           Child
                   Low omega-3       Beh. Inhibition Reduced Prefontal Function
                   Serotonin         System            Lower Resting Heart Rate                                      Case study
 Police      Mom DV          Abused     Assault    Various      Drug sales;     Armed                                from Reclaim-
                                                                                                                                      What are the costs of
 Records     Has     Calls by Mom's at School Theft             Felony Assault Robbery
             Multiple        Live-in Witness       Complaints;                                                       ing Wyoming
             Offenses                Homicde       Truancy
                                                                                                                     Blueprint by
             ADHD    =
                                                         Legend
                         Attention Deficit Hyperactivity Disorder        SA    =    Substance Abuse
                                                                                                                     Embry and          evidence-based
             TS
             ODD
                     =
                     =
                         Tourette's Syndrome (tics diagnosed)
                         Oppositional Defiant Disorder
                                                                         SD
                                                                         LD
                                                                               =
                                                                               =
                                                                                    Speech Delay
                                                                                    Learning Disabilityr
                                                                                                                     Rodgers, 2002,
                                                                                                                     for Wyoming
                                                                                                                                       practices to avert?
             A/D     =   Antisocial Personality Disorder                 SED   =    Severe Emotional Disorder
             CD      =   Conduct Disorder                                                                            Legislature
If modern society is to flourish for all,
we must alter the predator-prey
relationships between human groups.

This means fewer humans as prey,
This means fewer humans as predators;
This means more humans as cooperators.
Whether the talon, claw or weapon
carries human rank or authority
matters not to the blind engine of evolution
when trying to suppress one group of
humans in favor of another.

Life finds a way.
Hypothesis: Evolutionary “inflammatory” processes
Redness, rubor, a response of body
                           tissues to injury or irritation; characterized
                           by pain and swelling and redness and
                           heat.
                           Excitation, excitement, fervor, fervour the
                           state of being emotionally aroused and
                           worked up
                           Inflaming arousal to violent emotion
                           Firing, ignition, kindling, lighting



Hypothesis: Evolutionary “inflammatory” processes
Human Infectious/Biological Threats                      Human Predatory Threats


   Evolutionary Adaptive Responses                     Evolutionary Adaptive Responses
              (Simplified)             Neuro-Hormones              (Simplified)

                                          Mood
                                        Modulators

                                         Reward                                 Threat Attributional
                                          Delay         Intra-Group
Generalized           Localized         Modulators      Affiliation               Bias (Inflammatory)
Inflammatory       Inflammatory                           (Anti-Inflammatory)
                                                                                         Out-Group
Response             Response            Stress
                                                                             Aggress. (Inflammatory)
                                        Modulators      Intra-Group
                                                        Cooperation            Tit-for-Tat Beh. Bias
  Anti-Inflammatory Regulators           Puberty/Sex     (Anti-Inflammatory)
                                        Modulators                                     (Inflammatory)
Evolutionary Path
 of a Child’s Life
K                                                                         R
    Path                                                                      Path



                               Evolutionary Path
                                of a Child’s Life




                                                     Probability of short-life and
Probability of long-life and                        doubtful reproductive success
  reproductive success
Obesity
 Conduct
 Disorders

                                  Homicide
                                  & Suicide


                                                             Early Sex

                  Early
               Pregnancy
                           Addictions

                                                       Aggression
                                              Asthma




Disabilities



R PATH = risky adolescence, predator and prey
Multi-Inflammatory Brain & Body Response




Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses

      Reinforcement        Antecedents         Physiological       Verbal Relations
     more for anti-social cue anti-social    influences trigger    occasion perceived
       than prosocial     acts and threats   adverse biological   threats and related
         behaviors                              mechanisms             reactions
Mood                               Lo Reward     Lo Executive      Lo Behavioral
                            Inattention        Delay        Function
        Instability                                                          Competencies
         Poor                                                                 Immune-
         Motor                                                                 Healing
         Skills         Multi-Inflammatory Brain & Body Response              Dysfunction




Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses

      Reinforcement        Antecedents           Physiological             Verbal Relations
     more for anti-social cue anti-social      influences trigger          occasion perceived
       than prosocial     acts and threats     adverse biological         threats and related
         behaviors                                mechanisms                   reactions
Substance                        Work      Obesity,
 Early      Mental Illness                    Violence                                 Cancer       School
                                Abuse                        Problems      etc
 Sex                                                                                                Failure

              Mood                               Lo Reward     Lo Executive      Lo Behavioral
                                Inattention        Delay        Function
            Instability                                                          Competencies
             Poor                                                                 Immune-
STD’s        Motor                                                                 Healing           Special
             Skills          Multi-Inflammatory Brain & Body Response             Dysfunction           Ed




 Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses

          Reinforcement        Antecedents           Physiological             Verbal Relations
         more for anti-social cue anti-social      influences trigger          occasion perceived
           than prosocial     acts and threats     adverse biological         threats and related
             behaviors                                mechanisms                   reactions
Evolutionary Mismatches                   Evolutionary Consequences


                                          Change in                  Increased
                                           Genes                       Cancer


                                        Rise in                      Increased
                                        Obesity
                                                                       Autism
                                         Rates

               Rise in              Rise in           ATOD
                                                    Addictions       Increased
             Depression           Aggression
               Rates                Rates
                                                                       Schizo.




New cultural trends predict new challenges and risks
Evolutionary Mismatches                    Evolutionary Consequences


                                           Change in                  Increased
                                            Genes                       Cancer


                        Lower Rates      Rise in                      Increased
                         of Positive     Obesity
                       Reinforcement                                    Autism
                                          Rates

               Rise in               Rise in           ATOD
                                                     Addictions       Increased
             Depression            Aggression
               Rates                 Rates
                                                                        Schizo.




New cultural trends predict new challenges and risks
Evolutionary Mismatches                         Evolutionary Consequences


  Fear of           Reduced
Violence &          Outdoor
                                       Vitamin D     Change in                  Increased
                                       Deficiency      Genes
  Crime             Activities                                                    Cancer


Increased                         Lower Rates      Rise in                      Increased
Electronic                         of Positive     Obesity
Media Use                        Reinforcement                                    Autism
                                                    Rates

                    Rise in                    Rise in           ATOD
Omega 3                                                        Addictions       Increased
Fatty Acid        Depression                 Aggression
Deficiency           Rates                      Rates
                                                                                  Schizo.




New cultural trends predict new challenges and risks
Inukshuk points the way
Apparent consumption ofl inoleic acid (% of dietary energy) among
                                                                           Australia, Canada, UK and USA for the years 1961–2000


                                                                                                                   10        Australia       Canada         UK        USA




                                                                           Apparent consumption of linoleic acid
                                                                                                                    9

                                                                                                                    8

                                                                                                                    7




                                                                                       (% energy)
                                                                                                                    6

                                                                                                                    5

                                                                                                                    4

                                                                                                                    3

                                                                                                                    2

                                                                                                                    1

                                                                                                                    0
                                                                                                                        1960 1965   1970   1975 1980 1985    1990   1995 2000




    Evolution                            Neonates                                                                  Breast Milk                                                  “Risky” Beh.
 In the Rife Valley, the               Successful human                                                 American infants have                                                    Almost all adolescent
      human brain                      neonates born with                                                been getting steadily                                                   risky behaviors have
 evolution the result of                60-day supply of                                                less omega-3 (n3) and                                                   now been documented
   eating fish high in                     omega-3 in                                                    more pro-inflammatory                                                    to be related to low n3
      omega-3 not                       subcutaneous fat                                                omega-6 (n6) in breast                                                  and high n6 in US diet
   savannah animals                    from mother’s diet                                                       milk                                                            change in last 50 years
   See Broadhurst, Cunnane, &         See HIbbeln et al. (2007).Maternal                                           See Ailhaud et al. (2006).Temporal
 Crawford (1998). Rift Valley lake    seafood consumption in pregnancy                                             changes in dietary fats: Role of n6
 fish and shellfish provided brain-    and neurodevelopmental outcomes in                                              polyunsaturated fatty acids in                              Hibbeln et al. (2006). Healthy intakes
       specific nutrition for            childhood (ALSPAC study): an                                                   excessive adipose tissue                                 of n-3 and n-6 fatty acids: estimations
           early Homo                     observational cohort study                                                development and relationship to                                considering worldwide diversity.
                                                                                                                                obesity




Physiological Adaptation
Increasing Mismatch Causes Homicides
Homicide Rate

                10



                 8



                 6



                 4

                                United        2000
                                Kingdom
                 2

                         1961


                 0
                     0                    2           4        6         8   10

                     Lo                                                      Hi
                                                     Omega 3 Deficiency
Increasing Mismatch Causes Homicides
Homicide Rate

                10



                 8



                 6



                 4

                                United                      2000
                                              2000
                                                1961
                                Kingdom                        Canada
                 2

                         1961


                 0
                     0                    2             4               6   8   10

                     Lo                                                         Hi
                                                       Omega 3 Deficiency
Increasing Mismatch Causes Homicides
Homicide Rate

                10



                 8



                 6



                 4

                                United                             2000
                                              2000
                                                1961
                                Kingdom                                  Canada
                 2
                                                                  2000
                         1961
                          1961                   Australia
                 0
                     0                    2                   4                   6   8   10

                     Lo                                                                   Hi
                                                             Omega 3 Deficiency
Increasing Mismatch Causes Homicides
Homicide Rate

                10



                 8



                 6                                                                       1988




                 4                                            1961                       Argentina

                                United                                2000
                                              2000
                                                1961
                                Kingdom                                     Canada
                 2
                                                                     2000
                         1961
                          1961                   Australia
                 0
                     0                    2                   4                      6               8   10

                     Lo                                                                                  Hi
                                                             Omega 3 Deficiency
Increasing Mismatch Causes Homicides
Homicide Rate
                                                                                                             1985
                10


                                                                                                               United
                 8                                                                                             States



                 6                                                                        1988        1999

                                                                     1961


                 4                                            1961                        Argentina

                                United                                 2000
                                              2000
                                                1961
                                Kingdom                                      Canada
                 2
                                                                      2000
                         1961
                          1961                   Australia
                 0
                     0                    2                   4                       6               8                 10

                     Lo                                                                                                 Hi
                                                             Omega 3 Deficiency
An ancient inukshuk points the
                                                                                                                                                                                                                   way
                                                                          Brief Report
                                                                                                                                                                                                             30%




                                                                                                                                                                    Percentage with Psychosis at 12 months
                                      Omega-3 Fatty Acid Treatment of Women
 Physiological
                                                                                                                                                                                                                                         27.5%
                                        With Borderline Personality Disorder:

    Kernel                          A Double-Blind, Placebo-Controlled Pilot Study
                                                                                                                                                                                                             24%
                  Mary C. Zanarini, Ed.D.                                              Results: Twenty subjects were randomly assigned to 1 g of E-
                  Frances R. Frankenburg, M.D.                                         EPA; 10 subjects were given placebo. Ninety percent of those in
                                                                                       both groups completed all 8 weeks of the trial. Analyses that
                  Objective: The purpose of this study was to compare the effi-        used random-effects regression modeling and controlled for
                  cacy of ethyl-eicosapentaenoic acid (E-EPA) and placebo in the       baseline severity showed E-EPA to be superior to placebo in
                  treatment of female subjects with borderline personality disorder.
                  Method: The authors conducted an 8-week, placebo-con-
                                                                                       diminishing aggression as well as the severity of depressive
                                                                                       symptoms.                                                                                                             18%
                  trolled, double-blind study of E-EPA in 30 female subjects meet-     Conclusions: The results of this study suggest that E-EPA may
                  ing Revised Diagnostic Interview for Borderlines and DSM-IV cri-     be a safe and effective form of monotherapy for women with
                  teria for borderline personality disorder.                           moderately severe borderline personality disorder.



   Changes                                                                                                           (Am J Psychiatry 2003; 160:167–169)
                                                                                                                                                                                                             12%
biochemistry of   B     orderline personality disorder is marked by notable
                  reactivity of mood and impulsive aggression. Because re-
                                                                                       week, were actively abusing alcohol or drugs, or were acutely sui-
                                                                                       cidal.

   behavior       sponse to antidepressants and mood stabilizers has typi-
                  cally been clinically modest in this patient group (1), the
                                                                                          Subjects were next invited to participate in face-to-face inter-
                                                                                       views. At that time, the study procedures were fully explained,
                                                                                       and written informed consent was obtained. Two semistructured                                                         6%
                  identification of novel treatments is needed. Candidates             diagnostic interviews were then administered to each subject: the


                                                                                                                                                                                                                   4.9%
                  include omega-3 fatty acids, such as eicosapentaenoic                Structured Clinical Interview for DSM-IV Axis I Disorders (6) and
                  acid and docosahexaenoic acid, which are commonly                    the Revised Diagnostic Interview for Borderlines (DIB-R) (7). Two
                                                                                       observer-rated scales were also administered: the Modified Overt
                  found in seafood and have beneficial effects and none of             Aggression Scale (8) and the Montgomery-Åsberg Depression
                  the adverse side effects commonly associated with phar-              Rating Scale (9).
                  macotherapy. In cross-national studies, greater seafood
                  consumption was associated with lower rates of bipolar
                                                                                          Subjects were included if they met both DIB-R and DSM-IV cri-
                                                                                       teria for borderline personality disorder. They were excluded if
                                                                                                                                                                                                             0%
                  disorder (30-fold range) and major depression (50-fold
                  range) (2). In placebo-controlled trials, a mixture of these
                                                                                       they met current or lifetime criteria for schizophrenia, schizoaf-
                                                                                       fective disorder, or bipolar I or bipolar II disorder or were cur-                                                          Omega-3               Placeo
                                                                                       rently in the midst of a major depressive episode.
                  fatty acids was found to be an effective adjunctive agent
                  for patients suffering from bipolar disorder (3), and ethyl-
                                                                                          Study duration was 8 weeks. Subjects were seen every week for
                                                                                       the first month and then biweekly for the next month. Both psy-                                                                       Psychosis
                  eicosapentaenoic acid (E-EPA) was found to have a bene-              chiatric rating scales were readministered at each subsequent
                                                                                       visit. Side effects were also assessed at these visits with a struc-
                  ficial adjunctive effect for patients suffering from recur-
                                                                                       tured questionnaire.
                  rent depression (4). Because of the shared symptoms of                  Subjects received two capsules per day (beginning the day after


                  Source: Am. Journal of Psychiatry                                                                                                           Source: Archives of General Psychiatry
                  borderline personality disorder and these mood disorders,            their baseline assessment); each capsule contained either 500 mg
                  a double-blind, placebo-controlled trial of E-EPA seemed             of 97% E-EPA or a placebo (mineral oil). One gram was chosen as
                  warranted.                                                           the dose most likely to be effective on the basis of unpublished
                                                                                       studies in depression (David Horrobin, personal communication,
                                                                                       Feb. 1, 2001). Capsules were supplied by Laxdale Pharmaceuticals
                  Method                                                               (Stirling, U.K.).
Reduced Felony Violent Offenses Among Prisoners
 with recommended daily amounts of vitamins, minerals and
                  essential fatty acids
  Ratio of Disciplinary Incidents Supplementation/Baseline



                                                             1.00

                                                                                             Active -37.0%                 Placebo -10.1%
                                                             0.75                              p ‹ 0.005                        p = ns

                                                             0.50

                                                                                                                                     Active
                                                             0.25                                                                    Placebo


                                                               0
                                                                    Before supplementation        During supplementation


UK maximum security prison - 338 offences among 172 prisoners over 9 months
              treatment in a compared to 9 months baseline.
               Gesch et al. Br J Psychiatry 2002, 181:22-28
Why not reproduce the rapid
results in throughout Canada
to get a 37% reduction in jail
violence?
It cost the Brits 19¢ per day or $69.35 per year.
Omega-3 Status and US Military Suicide Deaths


Suicide Deaths of Active-Duty US Military and
Omega-3 Fatty-Acid Status: A Case-Control Comparison
Michael D. Lewis, MD; Joseph R. Hibbeln, MD; Jeremiah E. Johnson, RD;
Yu Hong Lin, PhD; Duk Y. Hyun, BS; and James D. Loewke, BS



ABSTRACT
Background: The recent escalation of US military
                                                        S    uicide rates among active-duty US military have increased to re-
                                                             cord numbers, doubling since the inception of Operation Enduring
                                                        Freedom (Afghanistan) and Operation Iraqi Freedom and rivaling the
suicide deaths to record numbers has been               battlefield in toll on the US military.1 Army Vice–Chief of Staff General
a sentinel for impaired force efficacy and has          Peter W. Chiarelli described the record suicide rate as “horrible” and
accelerated the search for reversible risk factors.     voiced frustration that “the Army has not yet been able to identify any
Objective: To determine whether deficiencies            causal links among the suicide cases.”2(pA2)
of neuroactive, highly unsaturated omega-3                  Deficiencies of nutrients critical for brain function may be a signifi-
essential fatty acids (n-3 HUFAs), in particular
docosahexaenoic acid (DHA), are associated with
                                                        cant contributing risk factor for psychiatric pathology, especially suicide
increased risk of suicide death among a large           and stress-related psychiatric symptoms.3 Highly unsaturated omega-3
random sample of active-duty US military.               essential fatty acids (n-3 HUFAs), in particular docosahexaenoic acid
Method: In this retrospective case-control              (DHA), are selectively concentrated in neural tissues and are required
study, serum fatty acids were quantified as             for optimal neural function.4 These fatty acids cannot be made de novo
a percentage of total fatty acids among US              but are available only from dietary sources, with seafood being the richest
military suicide deaths (n = 800) and controls          source. Nutritional deficiencies in n-3 HUFAs may increase vulnerabil-
(n = 800) matched for age, date of collection of
sera, sex, rank, and year of incident. Participants
                                                        ity to combat deployment stress, manifesting as psychiatric symptoms
were active-duty US military personnel                  including adjustment disorders, major depression, impulsive violence,
(2002–2008). For cases, age at death ranged             and suicide.5 In civilian populations, observational studies indicate that
from 17–59 years (mean = 27.3 years, SD = 7.3           low fish consumption is associated with increased risk of completed sui-
years). Outcome measures included death by              cides6,7 and greater suicidal ideation.8 Low DHA status was associated
suicide, postdeployment health assessment
questionnaire (Department of Defense Form
                                                        with increased risk of past suicide attempts9 and future suicide attempts.10
2796), and ICD-9 mental health diagnosis data.          In comparison to placebo, 2 grams per day of n-3 HUFA reduced suicidal
Results: Risk of suicide death was 14% higher per
                                                        thinking and depressive symptoms and reduced the perception of stress
SD of lower DHA percentage (OR = 1.14; 95% CI,          among subjects (n = 49) with deliberate self-harm.11
1.02–1.27; P < .03) in adjusted logistic regressions.       These findings suggest that low DHA levels may be a contributing
Among men, risk of suicide death was 62%                factor for adverse psychiatric symptoms. In this study, we posited that
greater with low serum DHA status (adjusted             low DHA status would be associated with increased risk of suicide death
OR = 1.62; 95% CI, 1.12–2.34; P < .01, comparing
DHA below 1.75% [n = 1,389] to DHA of 1.75%
                                                        among military personnel. Prospectively collected serum and supporting
and above [n = 141]). Risk of suicide death was         data were available from the Armed Forces Health Surveillance Center
52% greater in those who reported having seen           (AFHSC) for a large number of active-duty suicide deaths (n = 800) and
Matsuoka BioPsychoSocial Medicine 2011, 5:3
                                                                                            http://www.bpsmedicine.com/content/5/1/3




                                                                                             REVIEW                                                                                            Open Access

                                                                                            Clearance of fear memory from the hippocampus
                                                                                            through neurogenesis by omega-3 fatty acids:
                                                                                            a novel preventive strategy for posttraumatic
                                                                                            stress disorder?
                                                                                            Yutaka Matsuoka1,2


                                                                                             Abstract
                                                                                             Not only has accidental injury been shown to account for a significant health burden on all populations, regardless
                                                                                             of age, sex and geographic region, but patients with accidental injury frequently present with the psychiatric
                                                                                             condition of posttraumatic stress disorder (PTSD). Prevention of accident-related PTSD thus represents a potentially
 Clearance of fear memory from the hippocampus                                               important goal. Physicians in the field of psychosomatic medicine and critical care medicine have the opportunity
 through neurogenesis by omega-3 fatty acids: a novel                                        to see injured patients in the immediate aftermath of an accident. This article first briefly reviews the prevalence
 preventive strategy for posttraumatic stress disorder?                                      and associated factors of accident-related PTSD, then focuses on a conceptual model of fear memory and
 Matsuoka                                                                                    proposes a new, rationally hypothesized translational preventive intervention for PTSD through promoting
                                                                                             hippocampal neurogenesis by omega-3 fatty acid supplementation. The results of an open-label pilot trial of
                                              Matsuoka BioPsychoSocial Medicine 2011, 5:3
                               http://www.bpsmedicine.com/content/5/1/3 (8 February 2011)    injured patients admitted to the intensive care unit suggest that omega-3 fatty acid supplementation immediately
                                                                                             after accidental injury can reduce subsequent PTSD symptoms.




Omega-3 for PTSD symptoms could be used
routinely for the patients exposed to trauma
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012
Evidence-Based Crime Prevention, Manitoba 2012

More Related Content

Similar to Evidence-Based Crime Prevention, Manitoba 2012

CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...Dennis Embry
 
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...Jill Escher
 
The importance of genomic imprinting
The importance of genomic imprintingThe importance of genomic imprinting
The importance of genomic imprintingRyanY17
 
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...DES Daughter
 
Ch 2 genetics & evolutionary roots of behavior
Ch 2  genetics & evolutionary roots of behaviorCh 2  genetics & evolutionary roots of behavior
Ch 2 genetics & evolutionary roots of behaviorMeghan Fraley
 
Genetics & Nature vs. Nurture
Genetics & Nature vs. NurtureGenetics & Nature vs. Nurture
Genetics & Nature vs. NurtureSam Georgi
 
Genetics/ inheritance/ mendelian genetics/ non- mendelian genetics
Genetics/ inheritance/ mendelian genetics/ non- mendelian geneticsGenetics/ inheritance/ mendelian genetics/ non- mendelian genetics
Genetics/ inheritance/ mendelian genetics/ non- mendelian geneticsPAHAMMALAPITAN
 
Genetic and Evolutionary Roots of Behavior
Genetic and Evolutionary Roots of BehaviorGenetic and Evolutionary Roots of Behavior
Genetic and Evolutionary Roots of BehaviorMeghan Fraley
 
nature nurture intro powerpoint for website.ppt
nature nurture intro powerpoint for website.pptnature nurture intro powerpoint for website.ppt
nature nurture intro powerpoint for website.pptDan Lhery Gregorious
 
Mendelian genetics slides
Mendelian genetics slidesMendelian genetics slides
Mendelian genetics slidesQuanina Quan
 
Assignment 8 draft 2
Assignment 8 draft 2Assignment 8 draft 2
Assignment 8 draft 2luarapires
 

Similar to Evidence-Based Crime Prevention, Manitoba 2012 (20)

CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...
 
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...
Out of the Past: Old Exposures, Heritable Effects, and Emerging Concepts for ...
 
The importance of genomic imprinting
The importance of genomic imprintingThe importance of genomic imprinting
The importance of genomic imprinting
 
Epigenetics
EpigeneticsEpigenetics
Epigenetics
 
Chapter 3 ap psych- Nature & Nurture
Chapter 3 ap psych- Nature & NurtureChapter 3 ap psych- Nature & Nurture
Chapter 3 ap psych- Nature & Nurture
 
Beg perspectives nv
Beg perspectives nvBeg perspectives nv
Beg perspectives nv
 
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...
Time Bomb : a Journey into Old Exposures, Gametic Glitches, and the Autism Ex...
 
Ch 2 genetics & evolutionary roots of behavior
Ch 2  genetics & evolutionary roots of behaviorCh 2  genetics & evolutionary roots of behavior
Ch 2 genetics & evolutionary roots of behavior
 
Adolescent Self-harm
Adolescent Self-harmAdolescent Self-harm
Adolescent Self-harm
 
Chapter3
Chapter3Chapter3
Chapter3
 
Genetics & Nature vs. Nurture
Genetics & Nature vs. NurtureGenetics & Nature vs. Nurture
Genetics & Nature vs. Nurture
 
Genetics/ inheritance/ mendelian genetics/ non- mendelian genetics
Genetics/ inheritance/ mendelian genetics/ non- mendelian geneticsGenetics/ inheritance/ mendelian genetics/ non- mendelian genetics
Genetics/ inheritance/ mendelian genetics/ non- mendelian genetics
 
Epigenetics and Addiction Research - Michael Kobor
Epigenetics and Addiction Research - Michael Kobor Epigenetics and Addiction Research - Michael Kobor
Epigenetics and Addiction Research - Michael Kobor
 
Human genetics
Human geneticsHuman genetics
Human genetics
 
B1 lesson part one
B1 lesson part oneB1 lesson part one
B1 lesson part one
 
Genetic and Evolutionary Roots of Behavior
Genetic and Evolutionary Roots of BehaviorGenetic and Evolutionary Roots of Behavior
Genetic and Evolutionary Roots of Behavior
 
nature nurture intro powerpoint for website.ppt
nature nurture intro powerpoint for website.pptnature nurture intro powerpoint for website.ppt
nature nurture intro powerpoint for website.ppt
 
Mendelian genetics slides
Mendelian genetics slidesMendelian genetics slides
Mendelian genetics slides
 
Assignment 8 draft 2
Assignment 8 draft 2Assignment 8 draft 2
Assignment 8 draft 2
 
Pedigree drawing 2014
Pedigree drawing  2014Pedigree drawing  2014
Pedigree drawing 2014
 

More from Dennis Embry

Matching Law Simple Illustration with Students.pptx
Matching Law Simple Illustration with Students.pptxMatching Law Simple Illustration with Students.pptx
Matching Law Simple Illustration with Students.pptxDennis Embry
 
Creating an Evidence-Based Approach to Lifespan Suicide Prevention
Creating an Evidence-Based Approach to Lifespan Suicide PreventionCreating an Evidence-Based Approach to Lifespan Suicide Prevention
Creating an Evidence-Based Approach to Lifespan Suicide PreventionDennis Embry
 
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012  Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012 Dennis Embry
 
Upstream alcohol prevention rowan university
Upstream alcohol prevention rowan universityUpstream alcohol prevention rowan university
Upstream alcohol prevention rowan universityDennis Embry
 
Rapid results for usa jobs and child family wellbeing
Rapid results for usa jobs and child family wellbeingRapid results for usa jobs and child family wellbeing
Rapid results for usa jobs and child family wellbeingDennis Embry
 
Connecticut nurturing environments for rapid results rev2
Connecticut nurturing environments for rapid results rev2Connecticut nurturing environments for rapid results rev2
Connecticut nurturing environments for rapid results rev2Dennis Embry
 
Connecticut Presentation for Major Change
Connecticut Presentation for Major ChangeConnecticut Presentation for Major Change
Connecticut Presentation for Major ChangeDennis Embry
 
Creating a culture of prevention and recovery
Creating a culture of prevention and recoveryCreating a culture of prevention and recovery
Creating a culture of prevention and recoveryDennis Embry
 
Biglan et al the critical role of nurturing environments for promoting human ...
Biglan et al the critical role of nurturing environments for promoting human ...Biglan et al the critical role of nurturing environments for promoting human ...
Biglan et al the critical role of nurturing environments for promoting human ...Dennis Embry
 
PAX GBG Tune Up Webinar
PAX GBG Tune Up WebinarPAX GBG Tune Up Webinar
PAX GBG Tune Up WebinarDennis Embry
 
New Hampshire Keynote on Prevention for Whole County 11 10-11
New Hampshire Keynote on Prevention for Whole County 11 10-11New Hampshire Keynote on Prevention for Whole County 11 10-11
New Hampshire Keynote on Prevention for Whole County 11 10-11Dennis Embry
 
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...
Keynote talk:  Vermont Assn. for Mental Health and Friends of Recovery Annual...Keynote talk:  Vermont Assn. for Mental Health and Friends of Recovery Annual...
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...Dennis Embry
 
Women In Medicine University of Kansas
Women In Medicine University of KansasWomen In Medicine University of Kansas
Women In Medicine University of KansasDennis Embry
 
New prevention for everyone washington state aug 2011 copy
New prevention for everyone washington state aug 2011 copyNew prevention for everyone washington state aug 2011 copy
New prevention for everyone washington state aug 2011 copyDennis Embry
 
Nurturing the genius of genes the new frontier of education, therapy, and un...
Nurturing the genius of genes  the new frontier of education, therapy, and un...Nurturing the genius of genes  the new frontier of education, therapy, and un...
Nurturing the genius of genes the new frontier of education, therapy, and un...Dennis Embry
 
Harvard University Brief on Causes and Cures of Bullying and Harassment
Harvard University Brief on Causes and Cures of Bullying and Harassment Harvard University Brief on Causes and Cures of Bullying and Harassment
Harvard University Brief on Causes and Cures of Bullying and Harassment Dennis Embry
 
Harvard Presentation on the Science of Bullying Prevetion
Harvard Presentation on the Science of Bullying PrevetionHarvard Presentation on the Science of Bullying Prevetion
Harvard Presentation on the Science of Bullying PrevetionDennis Embry
 
Our Futures Meeting in Central Florida
Our Futures Meeting in Central FloridaOur Futures Meeting in Central Florida
Our Futures Meeting in Central FloridaDennis Embry
 
Creating Evidence-Based Practices When None Exist
Creating Evidence-Based Practices When None ExistCreating Evidence-Based Practices When None Exist
Creating Evidence-Based Practices When None ExistDennis Embry
 
Brief on the Science Behind Civility and the Mayors' Accord
Brief on the Science Behind Civility and the Mayors' AccordBrief on the Science Behind Civility and the Mayors' Accord
Brief on the Science Behind Civility and the Mayors' AccordDennis Embry
 

More from Dennis Embry (20)

Matching Law Simple Illustration with Students.pptx
Matching Law Simple Illustration with Students.pptxMatching Law Simple Illustration with Students.pptx
Matching Law Simple Illustration with Students.pptx
 
Creating an Evidence-Based Approach to Lifespan Suicide Prevention
Creating an Evidence-Based Approach to Lifespan Suicide PreventionCreating an Evidence-Based Approach to Lifespan Suicide Prevention
Creating an Evidence-Based Approach to Lifespan Suicide Prevention
 
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012  Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012
 
Upstream alcohol prevention rowan university
Upstream alcohol prevention rowan universityUpstream alcohol prevention rowan university
Upstream alcohol prevention rowan university
 
Rapid results for usa jobs and child family wellbeing
Rapid results for usa jobs and child family wellbeingRapid results for usa jobs and child family wellbeing
Rapid results for usa jobs and child family wellbeing
 
Connecticut nurturing environments for rapid results rev2
Connecticut nurturing environments for rapid results rev2Connecticut nurturing environments for rapid results rev2
Connecticut nurturing environments for rapid results rev2
 
Connecticut Presentation for Major Change
Connecticut Presentation for Major ChangeConnecticut Presentation for Major Change
Connecticut Presentation for Major Change
 
Creating a culture of prevention and recovery
Creating a culture of prevention and recoveryCreating a culture of prevention and recovery
Creating a culture of prevention and recovery
 
Biglan et al the critical role of nurturing environments for promoting human ...
Biglan et al the critical role of nurturing environments for promoting human ...Biglan et al the critical role of nurturing environments for promoting human ...
Biglan et al the critical role of nurturing environments for promoting human ...
 
PAX GBG Tune Up Webinar
PAX GBG Tune Up WebinarPAX GBG Tune Up Webinar
PAX GBG Tune Up Webinar
 
New Hampshire Keynote on Prevention for Whole County 11 10-11
New Hampshire Keynote on Prevention for Whole County 11 10-11New Hampshire Keynote on Prevention for Whole County 11 10-11
New Hampshire Keynote on Prevention for Whole County 11 10-11
 
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...
Keynote talk:  Vermont Assn. for Mental Health and Friends of Recovery Annual...Keynote talk:  Vermont Assn. for Mental Health and Friends of Recovery Annual...
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...
 
Women In Medicine University of Kansas
Women In Medicine University of KansasWomen In Medicine University of Kansas
Women In Medicine University of Kansas
 
New prevention for everyone washington state aug 2011 copy
New prevention for everyone washington state aug 2011 copyNew prevention for everyone washington state aug 2011 copy
New prevention for everyone washington state aug 2011 copy
 
Nurturing the genius of genes the new frontier of education, therapy, and un...
Nurturing the genius of genes  the new frontier of education, therapy, and un...Nurturing the genius of genes  the new frontier of education, therapy, and un...
Nurturing the genius of genes the new frontier of education, therapy, and un...
 
Harvard University Brief on Causes and Cures of Bullying and Harassment
Harvard University Brief on Causes and Cures of Bullying and Harassment Harvard University Brief on Causes and Cures of Bullying and Harassment
Harvard University Brief on Causes and Cures of Bullying and Harassment
 
Harvard Presentation on the Science of Bullying Prevetion
Harvard Presentation on the Science of Bullying PrevetionHarvard Presentation on the Science of Bullying Prevetion
Harvard Presentation on the Science of Bullying Prevetion
 
Our Futures Meeting in Central Florida
Our Futures Meeting in Central FloridaOur Futures Meeting in Central Florida
Our Futures Meeting in Central Florida
 
Creating Evidence-Based Practices When None Exist
Creating Evidence-Based Practices When None ExistCreating Evidence-Based Practices When None Exist
Creating Evidence-Based Practices When None Exist
 
Brief on the Science Behind Civility and the Mayors' Accord
Brief on the Science Behind Civility and the Mayors' AccordBrief on the Science Behind Civility and the Mayors' Accord
Brief on the Science Behind Civility and the Mayors' Accord
 

Recently uploaded

Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxdrashraf369
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxSasikiranMarri
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Prerana Jadhav
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiGoogle
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxvirengeeta
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Mohamed Rizk Khodair
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?bkling
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATROKanhu Charan
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 

Recently uploaded (20)

Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptx
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
 
Introduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali RaiIntroduction to Sports Injuries by- Dr. Anjali Rai
Introduction to Sports Injuries by- Dr. Anjali Rai
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptx
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptx
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 

Evidence-Based Crime Prevention, Manitoba 2012

  • 1. Evidence-Base Crime Prevention Dennis D. Embry, Ph.D.,president/senior scientist, PAXIS Institute Co-investigator, Johns Hopkins Center for Prevention & Early Intervention Scientific advisor, Healthy Child Manitoba, Co-Investigator, School of Medicine, Yale University
  • 2. What if…crime in Canada could be reduce by 50% in a decade?
  • 3. The anatomy of stopping a past epidemic…
  • 5. What if we think about crime as an artifact of evolution…instead from a cage of past ideas?
  • 6. Every species has a Fearsome predator…
  • 8. Humans have been the principle predator of other humans since the invention of stone tools…
  • 9. Three evolutionary mechanism for today’s mental gymnastics for heartfelt & principled prevention of crime… Epigensis Evolutionary Mismatches Evolutionary Bottlenecks
  • 10. Friend Foe “Us” “Them” The principal source of safety of humans has been other humans…
  • 11. Selection by Consequences – A Meta-Theory with a Fractal Pattern A Fractal is a repeated Selection Level Consequences pattern at many levels Selection of Genes Genes Evolution of species Cells Epigensis Bodies Individual Behaviors Wiring of neurons Group Behaviors Human development Organizational Actions Selection of behaviors Language Reproductive behaviors Economies Behavioral economics Species Groups Organization behavior Language /Cultural evolution
  • 12. Social Biological Epigenesis Environmental Inputs Genesis Nurturing or Toxic Epigenetics are Environments, These heritable Disease, or polygenes Threats changes in can be gene expression “added”, caused by “subtracted”, M mechanisms g “divided”, or or lin Phosphorlyation ph other than “multiplied.” na og Acetylation Sig en changes in the Methylation sis underlying DNA Histone Remodeling Chromatin Stucture Changes sequence. Development Immunity Stem Cell Changes Imprinting These changes Parent, can pass Three 1st Generation through multiple Generation Baby, 2nd Generation Effects generations. Reproductive Cells, 3rd Generation
  • 13.
  • 15. Original 1491 AD Human Migrations to North America 30,000,000 ≈ Souls in ≈ 300,000 Souls North America Evolutionary bottleneck
  • 16. Original 1491 AD Human Migrations to North America 30,000,000 8th ≈ Souls in ≈ 300,000 Souls Fire North America Evolutionary bottleneck
  • 17. Audited Life Path of a Male Convicted Criminal , “Billy” Age 4 6 8 10 12 14 16 18 20 22 24 26 Birth ADHD ODD A/D A/D A/D A/D A/D A/D A/D DSM IV TS CD SA SA SA SA SA SA SA Labels depression anxiety Self-Rep. Likes Stole Binge Daily Meth & IV Violent TV Cigarettes Drinking Marijuana Other Drugs Use School SD SD LD LD LD SED Dropout Labels Medical Prenatal Unintentional Injuries Sexually Serious Hepatitis C Smoking Ashtma Transmitted Car Crash Notes & Intentional Diseases Gunshot Low Birth Weight Bio Fussy,Irritable Injuries at Fathers Wound Fathers School Markers Mom is 16.5 years old Underactive Child Child Low omega-3 Beh. Inhibition Reduced Prefontal Function Serotonin System Lower Resting Heart Rate Case study Police Mom DV Records Has Abused Assault Calls by Mom's at School Theft Various Drug sales; Armed Felony Assault Robbery from Reclaim- Multiple Live-in Witness Complaints; ing Wyoming Offenses Homicde Truancy Blueprint by Legend Embry and ADHD = Attention Deficit Hyperactivity Disorder SA = Substance Abuse TS = Tourette's Syndrome (tics diagnosed) SD = Speech Delay Rodgers, 2002, ODD A/D = = Oppositional Defiant Disorder Antisocial Personality Disorder LD SED = = Learning Disabilityr Severe Emotional Disorder for Wyoming CD = Conduct Disorder Legislature
  • 18. Audited Life Path of a Male Convicted Criminal , “Billy” When could this path Age 4 6 8 10 12 14 16 18 20 22 24 26 have been altered Birth based on scientific ADHD ODD A/D A/D A/D A/D A/D A/D A/D evidence? DSM IV TS CD SA SA SA SA SA SA SA Labels depression anxiety Self-Rep. Likes Stole Binge Daily Meth & IV Violent TV Cigarettes Drinking Marijuana Other Drugs Use School SD SD LD LD LD SED Dropout Labels Medical Prenatal Unintentional Injuries Sexually Serious Hepatitis C Smoking Ashtma Transmitted Car Crash Notes & Intentional Diseases Gunshot Low Birth Weight Bio Fussy,Irritable Injuries at Fathers Wound Fathers School Markers Mom is 16.5 years old Underactive Child Child Low omega-3 Beh. Inhibition Reduced Prefontal Function Serotonin System Lower Resting Heart Rate Case study Police Mom DV Records Has Abused Assault Calls by Mom's at School Theft Various Drug sales; Armed Felony Assault Robbery from Reclaim- Multiple Live-in Witness Complaints; ing Wyoming Offenses Homicde Truancy Blueprint by Legend Embry and ADHD = Attention Deficit Hyperactivity Disorder SA = Substance Abuse TS = Tourette's Syndrome (tics diagnosed) SD = Speech Delay Rodgers, 2002, ODD A/D = = Oppositional Defiant Disorder Antisocial Personality Disorder LD SED = = Learning Disabilityr Severe Emotional Disorder for Wyoming CD = Conduct Disorder Legislature
  • 19. Audited Life Path of a Male Convicted Criminal , “Billy” When could this path Age 4 6 8 10 12 14 16 18 20 22 24 26 have been altered Birth based on scientific ADHD ODD A/D A/D A/D A/D A/D A/D A/D evidence? DSM IV TS CD SA SA SA SA SA SA SA Labels depression anxiety Self-Rep. Likes Stole Violent TV Cigarettes Binge Drinking Daily Marijuana Meth & IV Other Drugs Use What is the cost of human suffering to School SD SD LD LD LD SED Dropout Labels Medical Notes & Prenatal Unintentional Injuries Smoking Ashtma Sexually Serious Transmitted Car Crash Hepatitis C this family, victims, Intentional and society? Low Birth Weight Diseases Gunshot Bio Fussy,Irritable Injuries at Fathers Wound Fathers School Markers Mom is 16.5 years old Underactive Child Child Low omega-3 Beh. Inhibition Reduced Prefontal Function Serotonin System Lower Resting Heart Rate Case study Police Mom DV Records Has Abused Assault Calls by Mom's at School Theft Various Drug sales; Armed Felony Assault Robbery from Reclaim- Multiple Live-in Witness Complaints; ing Wyoming Offenses Homicde Truancy Blueprint by Legend Embry and ADHD = Attention Deficit Hyperactivity Disorder SA = Substance Abuse TS = Tourette's Syndrome (tics diagnosed) SD = Speech Delay Rodgers, 2002, ODD A/D = = Oppositional Defiant Disorder Antisocial Personality Disorder LD SED = = Learning Disabilityr Severe Emotional Disorder for Wyoming CD = Conduct Disorder Legislature
  • 20. Audited Life Path of a Male Convicted Criminal , “Billy” When could this path Age 4 6 8 10 12 14 16 18 20 22 24 26 have been altered Birth based on scientific ADHD ODD A/D A/D A/D A/D A/D A/D A/D evidence? DSM IV TS CD SA SA SA SA SA SA SA Labels depression anxiety Self-Rep. Likes Stole Violent TV Cigarettes Binge Drinking Daily Marijuana Meth & IV Other Drugs Use What is the cost of human suffering to School SD SD LD LD LD SED Dropout Labels Medical Notes & Prenatal Unintentional Injuries Smoking Ashtma Sexually Serious Transmitted Car Crash Hepatitis C this family, victims, Intentional and society? Low Birth Weight Diseases Gunshot Bio Fussy,Irritable Injuries at Fathers Wound Fathers School Markers Mom is 16.5 years old Underactive Child Child Low omega-3 Beh. Inhibition Reduced Prefontal Function Serotonin System Lower Resting Heart Rate Case study Police Mom DV Abused Assault Various Drug sales; Armed from Reclaim- What are the costs of Records Has Calls by Mom's at School Theft Felony Assault Robbery Multiple Live-in Witness Complaints; ing Wyoming Offenses Homicde Truancy Blueprint by ADHD = Legend Attention Deficit Hyperactivity Disorder SA = Substance Abuse Embry and evidence-based TS ODD = = Tourette's Syndrome (tics diagnosed) Oppositional Defiant Disorder SD LD = = Speech Delay Learning Disabilityr Rodgers, 2002, for Wyoming practices to avert? A/D = Antisocial Personality Disorder SED = Severe Emotional Disorder CD = Conduct Disorder Legislature
  • 21. If modern society is to flourish for all, we must alter the predator-prey relationships between human groups. This means fewer humans as prey, This means fewer humans as predators; This means more humans as cooperators.
  • 22. Whether the talon, claw or weapon carries human rank or authority matters not to the blind engine of evolution when trying to suppress one group of humans in favor of another. Life finds a way.
  • 24. Redness, rubor, a response of body tissues to injury or irritation; characterized by pain and swelling and redness and heat. Excitation, excitement, fervor, fervour the state of being emotionally aroused and worked up Inflaming arousal to violent emotion Firing, ignition, kindling, lighting Hypothesis: Evolutionary “inflammatory” processes
  • 25. Human Infectious/Biological Threats Human Predatory Threats Evolutionary Adaptive Responses Evolutionary Adaptive Responses (Simplified) Neuro-Hormones (Simplified) Mood Modulators Reward Threat Attributional Delay Intra-Group Generalized Localized Modulators Affiliation Bias (Inflammatory) Inflammatory Inflammatory (Anti-Inflammatory) Out-Group Response Response Stress Aggress. (Inflammatory) Modulators Intra-Group Cooperation Tit-for-Tat Beh. Bias Anti-Inflammatory Regulators Puberty/Sex (Anti-Inflammatory) Modulators (Inflammatory)
  • 26. Evolutionary Path of a Child’s Life
  • 27. K R Path Path Evolutionary Path of a Child’s Life Probability of short-life and Probability of long-life and doubtful reproductive success reproductive success
  • 28. Obesity Conduct Disorders Homicide & Suicide Early Sex Early Pregnancy Addictions Aggression Asthma Disabilities R PATH = risky adolescence, predator and prey
  • 29. Multi-Inflammatory Brain & Body Response Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses Reinforcement Antecedents Physiological Verbal Relations more for anti-social cue anti-social influences trigger occasion perceived than prosocial acts and threats adverse biological threats and related behaviors mechanisms reactions
  • 30. Mood Lo Reward Lo Executive Lo Behavioral Inattention Delay Function Instability Competencies Poor Immune- Motor Healing Skills Multi-Inflammatory Brain & Body Response Dysfunction Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses Reinforcement Antecedents Physiological Verbal Relations more for anti-social cue anti-social influences trigger occasion perceived than prosocial acts and threats adverse biological threats and related behaviors mechanisms reactions
  • 31. Substance Work Obesity, Early Mental Illness Violence Cancer School Abuse Problems etc Sex Failure Mood Lo Reward Lo Executive Lo Behavioral Inattention Delay Function Instability Competencies Poor Immune- STD’s Motor Healing Special Skills Multi-Inflammatory Brain & Body Response Dysfunction Ed Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs & Related Illnesses Reinforcement Antecedents Physiological Verbal Relations more for anti-social cue anti-social influences trigger occasion perceived than prosocial acts and threats adverse biological threats and related behaviors mechanisms reactions
  • 32. Evolutionary Mismatches Evolutionary Consequences Change in Increased Genes Cancer Rise in Increased Obesity Autism Rates Rise in Rise in ATOD Addictions Increased Depression Aggression Rates Rates Schizo. New cultural trends predict new challenges and risks
  • 33. Evolutionary Mismatches Evolutionary Consequences Change in Increased Genes Cancer Lower Rates Rise in Increased of Positive Obesity Reinforcement Autism Rates Rise in Rise in ATOD Addictions Increased Depression Aggression Rates Rates Schizo. New cultural trends predict new challenges and risks
  • 34. Evolutionary Mismatches Evolutionary Consequences Fear of Reduced Violence & Outdoor Vitamin D Change in Increased Deficiency Genes Crime Activities Cancer Increased Lower Rates Rise in Increased Electronic of Positive Obesity Media Use Reinforcement Autism Rates Rise in Rise in ATOD Omega 3 Addictions Increased Fatty Acid Depression Aggression Deficiency Rates Rates Schizo. New cultural trends predict new challenges and risks
  • 36. Apparent consumption ofl inoleic acid (% of dietary energy) among Australia, Canada, UK and USA for the years 1961–2000 10 Australia Canada UK USA Apparent consumption of linoleic acid 9 8 7 (% energy) 6 5 4 3 2 1 0 1960 1965 1970 1975 1980 1985 1990 1995 2000 Evolution Neonates Breast Milk “Risky” Beh. In the Rife Valley, the Successful human American infants have Almost all adolescent human brain neonates born with been getting steadily risky behaviors have evolution the result of 60-day supply of less omega-3 (n3) and now been documented eating fish high in omega-3 in more pro-inflammatory to be related to low n3 omega-3 not subcutaneous fat omega-6 (n6) in breast and high n6 in US diet savannah animals from mother’s diet milk change in last 50 years See Broadhurst, Cunnane, & See HIbbeln et al. (2007).Maternal See Ailhaud et al. (2006).Temporal Crawford (1998). Rift Valley lake seafood consumption in pregnancy changes in dietary fats: Role of n6 fish and shellfish provided brain- and neurodevelopmental outcomes in polyunsaturated fatty acids in Hibbeln et al. (2006). Healthy intakes specific nutrition for childhood (ALSPAC study): an excessive adipose tissue of n-3 and n-6 fatty acids: estimations early Homo observational cohort study development and relationship to considering worldwide diversity. obesity Physiological Adaptation
  • 37.
  • 38. Increasing Mismatch Causes Homicides Homicide Rate 10 8 6 4 United 2000 Kingdom 2 1961 0 0 2 4 6 8 10 Lo Hi Omega 3 Deficiency
  • 39. Increasing Mismatch Causes Homicides Homicide Rate 10 8 6 4 United 2000 2000 1961 Kingdom Canada 2 1961 0 0 2 4 6 8 10 Lo Hi Omega 3 Deficiency
  • 40. Increasing Mismatch Causes Homicides Homicide Rate 10 8 6 4 United 2000 2000 1961 Kingdom Canada 2 2000 1961 1961 Australia 0 0 2 4 6 8 10 Lo Hi Omega 3 Deficiency
  • 41. Increasing Mismatch Causes Homicides Homicide Rate 10 8 6 1988 4 1961 Argentina United 2000 2000 1961 Kingdom Canada 2 2000 1961 1961 Australia 0 0 2 4 6 8 10 Lo Hi Omega 3 Deficiency
  • 42. Increasing Mismatch Causes Homicides Homicide Rate 1985 10 United 8 States 6 1988 1999 1961 4 1961 Argentina United 2000 2000 1961 Kingdom Canada 2 2000 1961 1961 Australia 0 0 2 4 6 8 10 Lo Hi Omega 3 Deficiency
  • 43.
  • 44. An ancient inukshuk points the way Brief Report 30% Percentage with Psychosis at 12 months Omega-3 Fatty Acid Treatment of Women Physiological 27.5% With Borderline Personality Disorder: Kernel A Double-Blind, Placebo-Controlled Pilot Study 24% Mary C. Zanarini, Ed.D. Results: Twenty subjects were randomly assigned to 1 g of E- Frances R. Frankenburg, M.D. EPA; 10 subjects were given placebo. Ninety percent of those in both groups completed all 8 weeks of the trial. Analyses that Objective: The purpose of this study was to compare the effi- used random-effects regression modeling and controlled for cacy of ethyl-eicosapentaenoic acid (E-EPA) and placebo in the baseline severity showed E-EPA to be superior to placebo in treatment of female subjects with borderline personality disorder. Method: The authors conducted an 8-week, placebo-con- diminishing aggression as well as the severity of depressive symptoms. 18% trolled, double-blind study of E-EPA in 30 female subjects meet- Conclusions: The results of this study suggest that E-EPA may ing Revised Diagnostic Interview for Borderlines and DSM-IV cri- be a safe and effective form of monotherapy for women with teria for borderline personality disorder. moderately severe borderline personality disorder. Changes (Am J Psychiatry 2003; 160:167–169) 12% biochemistry of B orderline personality disorder is marked by notable reactivity of mood and impulsive aggression. Because re- week, were actively abusing alcohol or drugs, or were acutely sui- cidal. behavior sponse to antidepressants and mood stabilizers has typi- cally been clinically modest in this patient group (1), the Subjects were next invited to participate in face-to-face inter- views. At that time, the study procedures were fully explained, and written informed consent was obtained. Two semistructured 6% identification of novel treatments is needed. Candidates diagnostic interviews were then administered to each subject: the 4.9% include omega-3 fatty acids, such as eicosapentaenoic Structured Clinical Interview for DSM-IV Axis I Disorders (6) and acid and docosahexaenoic acid, which are commonly the Revised Diagnostic Interview for Borderlines (DIB-R) (7). Two observer-rated scales were also administered: the Modified Overt found in seafood and have beneficial effects and none of Aggression Scale (8) and the Montgomery-Åsberg Depression the adverse side effects commonly associated with phar- Rating Scale (9). macotherapy. In cross-national studies, greater seafood consumption was associated with lower rates of bipolar Subjects were included if they met both DIB-R and DSM-IV cri- teria for borderline personality disorder. They were excluded if 0% disorder (30-fold range) and major depression (50-fold range) (2). In placebo-controlled trials, a mixture of these they met current or lifetime criteria for schizophrenia, schizoaf- fective disorder, or bipolar I or bipolar II disorder or were cur- Omega-3 Placeo rently in the midst of a major depressive episode. fatty acids was found to be an effective adjunctive agent for patients suffering from bipolar disorder (3), and ethyl- Study duration was 8 weeks. Subjects were seen every week for the first month and then biweekly for the next month. Both psy- Psychosis eicosapentaenoic acid (E-EPA) was found to have a bene- chiatric rating scales were readministered at each subsequent visit. Side effects were also assessed at these visits with a struc- ficial adjunctive effect for patients suffering from recur- tured questionnaire. rent depression (4). Because of the shared symptoms of Subjects received two capsules per day (beginning the day after Source: Am. Journal of Psychiatry Source: Archives of General Psychiatry borderline personality disorder and these mood disorders, their baseline assessment); each capsule contained either 500 mg a double-blind, placebo-controlled trial of E-EPA seemed of 97% E-EPA or a placebo (mineral oil). One gram was chosen as warranted. the dose most likely to be effective on the basis of unpublished studies in depression (David Horrobin, personal communication, Feb. 1, 2001). Capsules were supplied by Laxdale Pharmaceuticals Method (Stirling, U.K.).
  • 45. Reduced Felony Violent Offenses Among Prisoners with recommended daily amounts of vitamins, minerals and essential fatty acids Ratio of Disciplinary Incidents Supplementation/Baseline 1.00 Active -37.0% Placebo -10.1% 0.75 p ‹ 0.005 p = ns 0.50 Active 0.25 Placebo 0 Before supplementation During supplementation UK maximum security prison - 338 offences among 172 prisoners over 9 months treatment in a compared to 9 months baseline. Gesch et al. Br J Psychiatry 2002, 181:22-28
  • 46. Why not reproduce the rapid results in throughout Canada to get a 37% reduction in jail violence? It cost the Brits 19¢ per day or $69.35 per year.
  • 47. Omega-3 Status and US Military Suicide Deaths Suicide Deaths of Active-Duty US Military and Omega-3 Fatty-Acid Status: A Case-Control Comparison Michael D. Lewis, MD; Joseph R. Hibbeln, MD; Jeremiah E. Johnson, RD; Yu Hong Lin, PhD; Duk Y. Hyun, BS; and James D. Loewke, BS ABSTRACT Background: The recent escalation of US military S uicide rates among active-duty US military have increased to re- cord numbers, doubling since the inception of Operation Enduring Freedom (Afghanistan) and Operation Iraqi Freedom and rivaling the suicide deaths to record numbers has been battlefield in toll on the US military.1 Army Vice–Chief of Staff General a sentinel for impaired force efficacy and has Peter W. Chiarelli described the record suicide rate as “horrible” and accelerated the search for reversible risk factors. voiced frustration that “the Army has not yet been able to identify any Objective: To determine whether deficiencies causal links among the suicide cases.”2(pA2) of neuroactive, highly unsaturated omega-3 Deficiencies of nutrients critical for brain function may be a signifi- essential fatty acids (n-3 HUFAs), in particular docosahexaenoic acid (DHA), are associated with cant contributing risk factor for psychiatric pathology, especially suicide increased risk of suicide death among a large and stress-related psychiatric symptoms.3 Highly unsaturated omega-3 random sample of active-duty US military. essential fatty acids (n-3 HUFAs), in particular docosahexaenoic acid Method: In this retrospective case-control (DHA), are selectively concentrated in neural tissues and are required study, serum fatty acids were quantified as for optimal neural function.4 These fatty acids cannot be made de novo a percentage of total fatty acids among US but are available only from dietary sources, with seafood being the richest military suicide deaths (n = 800) and controls source. Nutritional deficiencies in n-3 HUFAs may increase vulnerabil- (n = 800) matched for age, date of collection of sera, sex, rank, and year of incident. Participants ity to combat deployment stress, manifesting as psychiatric symptoms were active-duty US military personnel including adjustment disorders, major depression, impulsive violence, (2002–2008). For cases, age at death ranged and suicide.5 In civilian populations, observational studies indicate that from 17–59 years (mean = 27.3 years, SD = 7.3 low fish consumption is associated with increased risk of completed sui- years). Outcome measures included death by cides6,7 and greater suicidal ideation.8 Low DHA status was associated suicide, postdeployment health assessment questionnaire (Department of Defense Form with increased risk of past suicide attempts9 and future suicide attempts.10 2796), and ICD-9 mental health diagnosis data. In comparison to placebo, 2 grams per day of n-3 HUFA reduced suicidal Results: Risk of suicide death was 14% higher per thinking and depressive symptoms and reduced the perception of stress SD of lower DHA percentage (OR = 1.14; 95% CI, among subjects (n = 49) with deliberate self-harm.11 1.02–1.27; P < .03) in adjusted logistic regressions. These findings suggest that low DHA levels may be a contributing Among men, risk of suicide death was 62% factor for adverse psychiatric symptoms. In this study, we posited that greater with low serum DHA status (adjusted low DHA status would be associated with increased risk of suicide death OR = 1.62; 95% CI, 1.12–2.34; P < .01, comparing DHA below 1.75% [n = 1,389] to DHA of 1.75% among military personnel. Prospectively collected serum and supporting and above [n = 141]). Risk of suicide death was data were available from the Armed Forces Health Surveillance Center 52% greater in those who reported having seen (AFHSC) for a large number of active-duty suicide deaths (n = 800) and
  • 48. Matsuoka BioPsychoSocial Medicine 2011, 5:3 http://www.bpsmedicine.com/content/5/1/3 REVIEW Open Access Clearance of fear memory from the hippocampus through neurogenesis by omega-3 fatty acids: a novel preventive strategy for posttraumatic stress disorder? Yutaka Matsuoka1,2 Abstract Not only has accidental injury been shown to account for a significant health burden on all populations, regardless of age, sex and geographic region, but patients with accidental injury frequently present with the psychiatric condition of posttraumatic stress disorder (PTSD). Prevention of accident-related PTSD thus represents a potentially Clearance of fear memory from the hippocampus important goal. Physicians in the field of psychosomatic medicine and critical care medicine have the opportunity through neurogenesis by omega-3 fatty acids: a novel to see injured patients in the immediate aftermath of an accident. This article first briefly reviews the prevalence preventive strategy for posttraumatic stress disorder? and associated factors of accident-related PTSD, then focuses on a conceptual model of fear memory and Matsuoka proposes a new, rationally hypothesized translational preventive intervention for PTSD through promoting hippocampal neurogenesis by omega-3 fatty acid supplementation. The results of an open-label pilot trial of Matsuoka BioPsychoSocial Medicine 2011, 5:3 http://www.bpsmedicine.com/content/5/1/3 (8 February 2011) injured patients admitted to the intensive care unit suggest that omega-3 fatty acid supplementation immediately after accidental injury can reduce subsequent PTSD symptoms. Omega-3 for PTSD symptoms could be used routinely for the patients exposed to trauma

Editor's Notes

  1. \n
  2. \n
  3. \n
  4. \n
  5. \n
  6. \n
  7. \n
  8. \n
  9. \n
  10. \n
  11. \n
  12. \n
  13. \n
  14. \n
  15. \n
  16. \n
  17. \n
  18. \n
  19. \n
  20. \n
  21. \n
  22. \n
  23. \n
  24. \n
  25. \n
  26. \n
  27. \n
  28. \n
  29. \n
  30. \n
  31. \n
  32. \n
  33. \n
  34. \n
  35. \n
  36. \n
  37. \n
  38. \n
  39. \n
  40. \n
  41. \n
  42. \n
  43. \n
  44. \n
  45. \n
  46. \n
  47. \n
  48. \n
  49. \n
  50. \n
  51. \n
  52. \n
  53. \n
  54. \n
  55. \n
  56. \n
  57. \n
  58. \n
  59. \n
  60. \n
  61. \n
  62. \n
  63. \n
  64. \n
  65. \n
  66. \n
  67. \n
  68. \n
  69. \n
  70. \n
  71. \n
  72. \n
  73. \n
  74. \n
  75. \n
  76. \n
  77. \n
  78. \n
  79. \n
  80. \n
  81. \n
  82. \n
  83. \n
  84. \n
  85. \n
  86. \n
  87. \n
  88. \n
  89. \n
  90. \n
  91. \n
  92. \n
  93. \n
  94. \n
  95. \n
  96. \n
  97. \n
  98. \n
  99. \n
  100. \n
  101. \n