SOMETIMES A PLACEBO IS NOT A PLACEBO
A secondary analysis of the ReINVEST trial suggests that sustained, coordinated clinical contact — not medication — may account for measurable reductions in violent and domestic-violence reoffending in impulsive, high-risk men, which is directly relevant to how a forensic clinician frames treatment and risk-management recommendations for this population. It also flags that in offender trials the placebo arm is not an inert comparator, a caution for anyone reading or citing pharmacological violence-reduction trials. The comparison is non-randomized and vulnerable to selection, so it informs rather than establishes causation, and it does not change what an evaluator must do or can assert.