DOCSLIB.ORG

The Forensic Examination

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Forensic Examination The Forensic Examination A Handbook for the Mental Health Professional Alberto M. Goldwaser Eric L. Goldwaser 123 The Forensic Examination Alberto M. Goldwaser · Eric L. Goldwaser The Forensic Examination A Handbook for the Mental Health Professional Alberto M. Goldwaser Eric L. Goldwaser Rutgers Robert Wood Johnson Medical School Sheppard Pratt Health System Psychiatry New York University School of Medicine University of Maryland Medical Center Jersey City, NJ Baltimore, MD USA USA ISBN 978-3-030-00162-9 ISBN 978-3-030-00163-6 (eBook) https://doi.org/10.1007/978-3-030-00163-6 Library of Congress Control Number: 2018959462 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface This book prepares the mental health professional to use psychiatric skills when looking for and collecting data in a forensic examination and then apply sound clini- cal judgment in evaluating that data and presenting the information gathered through a systematic examination. Based on the experience accumulated in the forensic mental health field, and using the studies conducted as well as the narrative reports prepared as a model, this forensic psychiatric handbook can be read as a practical primer for those mental health professionals (MHPs) interested in using psychiatric and psychological understanding in the courtroom. This is a completely new “game” with its own rules and methods. We anticipate mental health professionals finding the concepts introduced in this book immediately helpful for use in their practices. This book presents important topics concerning human behavior and mental disorders, in a light and evocative style that brings forth recollections of past and present medicolegal cases in which mental aspects were or should have been prominent. As you read the cases presented, you become comfortable with the standards of psychiatric and psychotherapeutic practice. You now know what is expected from the expert witness, and how to communicate with the attorney what is at stake, to consider the legal criteria to adhere to, and how to present the basis of our opinions. We identify strategies for approaching “other” experts’ reports and displaying contradictions. This helps understand the basis (science or advocacy) of the oppos- ing views on the issues at hand. We demonstrate, with illustrations, how apparently average cases become unique, compelling, and of significant importance to attorneys representing clients, in which mental functioning is of essence. Psychiatric aspects considered by jurors, judges, and arbitrators should have now the same clarity we expect from X-rays in orthopedic incidents. This book answers the following questions: How to understand the concept of an adequately “greased” mind? What turns the functioning mind into a troubled mind? How to assess for the predisposing, determining, and triggering factors, when assessing psychic damage? Psychiatric aspects of legal cases are pointed out, as well as the legal criteria for the mental health practitioner to consider in the forensic work. Through these pages, v vi Preface the mental health professional will grasp why, when, and how to use the forensic psychiatric work, knowing the scope, depth, and limits of its contribution. Some of the topics in the vignettes included are forensic psychiatric examina- tions concerning employment matters: sexual harassment and bullying, discrimina- tion, workers’ compensation, disability evaluations; stalking, PTSD and other psychiatric disorders of legal import in diverse settings, competence, criminal and civil (to write, amend, execute a will; to manage financial and personal affairs). There are many ways to reach the goal of being and feeling competent working in this specialized forensic field. Objectivity is paramount though not enough. Besides honesty, clinical knowledge and the application of the scientific method are the key ingredients to become an expert. Early in our career, forensic psychiatry did not come across as an attractive one. Mental health sciences started with the search of how a person’s feeling, thinking, and behaving came together to produce a specific manifestation: a symptom, a sign, a disease, an action, or a particular style of relating to others. We looked for what were the mental tools needed to create those feelings, thoughts, and behaviors, as well as when and how they formed. Lastly, we strived to understand why they expressed themselves at the time they did. Once we harden the scientific and clinical foundations required to develop into a psychiatrist, we can become an expert wit- ness and comfortably sail across the subspecialty (forensics). During our initial days in the practice of clinical psychiatry, the day came when an attorney requested that we examine her client involved in an accident that caused him (personal injury) physical as well as psychological damage (the latter reflected as a psychiatric disorder and/or “pain and suffering”). I was asked to assess for the presence and extent of mental illness or problems, and if present, to ascertain if this was the first time it appeared, was a significant aggravation, exaggeration, or reen- actment of a mental illness that appeared and healed many years ago. Finally, we were to assess if the mental illness complained of was linked (proximately related) to the accident at issue. We recognized that this examination was not like any other we had customarily done until then. We were not expected to provide any treatment or clinical advice to the person being examined, and the concerns for confidentiality were greatly modi- fied. We were expected to focus on certain issues of value for the attorney, and we were going to be paid by that attorney, who was our “client,” rather than by the person sitting before me (examinee) that was the attorney’s client. At the end of the study, we were expected to prepare a report of our findings and mail it to the lawyer, with the description of and the clinical bases of such findings. All this is at first very different and confusing, for we were used to only seeing and treating “patients,” maintaining secret what we learned from them, and advocating for their wellbeing. All these rules go through many transformations when applied to the forensic field. In this distinctive subspecialty, we must train and adhere to being objective, neu- tral, inquisitive, and to position ourselves at equal distance from the forces creating feelings, thoughts, and actions. This proved to be the tool that facilitated our learn- ing this new forensic skill. Crucial was to learn that – as Robert Simon, M.D. said – the forensic mental health professional “is not the engine, but a hood ornament, in Preface vii the vehicle of litigation,” and it provided enough support to walk firmly into this shared field that anticipates from us to state what is clinically and scientifically evi- dent and relevant, in a language appropriate for an audience taken to be psychologi- cally unskilled. We do not mean this volume to be an encyclopedic survey of the field; therefore, vast areas of importance will be included. There is an increasing number of individuals that had been examined in forensic studies that started legal actions and succeeded in malpractice suits against mental health professionals who conducted independent medical examinations (IMEs), largely due to poor quality of the studies and misinterpretation of their legal duties in this context. Judicial immunity for expert witness is no longer sacred and it is eroding due to the unscientific methods used by some mental health professionals that perform these studies without proper restraint, and dispassionate style, using bias and advocacy in their conclusions. Lack of neutrality makes for subjective opinions. We are to uphold the medical mandate to “first of all, do no harm” (pri- mum non nocere) to the examinee, and if we find a clinical situation in need of urgent action, we are required to use proper skill and care to report such finding without delay. The responsibility “not to harm” the examinee applies with the same rigor expected of a treating physician interested in doing well for the patient. In carrying out an IME, professional
Load more

Recommended publications
  • Katsushika Hokusai and a Poetics of Nostalgia
    ACCESS: CONTEMPORARY ISSUES IN EDUCATION 2015, VOL. 33, NO. 1, 33–46 https://doi.org/10.1080/00131857.2014.964158 Katsushika Hokusai and a Poetics of Nostalgia David Bell College of Education, University of Otago ABSTRACT KEYWORDS This article addresses the activation of aesthetics through the examination of cultural memory, Hokusai, an acute sensitivity to melancholy and time permeating the literary and ukiyo-e, poetic allusion, nostalgia, mono no aware pictorial arts of Japan. In medieval court circles, this sensitivity was activated through a pervasive sense of aware, a poignant reflection on the pathos of things. This sensibility became the motivating force for court verse, and ARTICLE HISTORY through this medium, for the mature projects of the ukiyo-e ‘floating world First published in picture’ artist Katsushika Hokusai. Hokusai reached back to aware sensibilities, Educational Philosophy and Theory, 2015, Vol. 47, No. 6, subjects and conventions in celebrations of the poetic that sustained cultural 579–595 memories resonating classical lyric and pastoral themes. This paper examines how this elegiac sensibility activated Hokusai’s preoccupations with poetic allusion in his late representations of scholar-poets and the unfinished series of Hyakunin isshu uba-ga etoki, ‘One hundred poems, by one hundred poets, explained by the nurse’. It examines four works to explain how their synthesis of the visual and poetic could sustain aware themes and tropes over time to maintain a distinctive sense of this aesthetic sensibility in Japan. Introduction: Mono no aware How can an aesthetic sensibility become an activating force in and through poetic and pictorial amalgams of specific cultural histories and memories? This article examines how the poignant aesthetic sensibility of mono no aware (a ‘sensitivity to the pathos of things’) established a guiding inflection for social engagements of the Heian period (794–1185CE) Fujiwara court in Japan.
    [Show full text]
  • From Grasping to Emptiness – Excursions Into the Thought-World of the Pāli Discourses (2)
    From Grasping to Emptiness – Excursions into the Thought-world of the Pāli Discourses (2) Anālayo © 2010 Anālayo Published by The Buddhist Association of the United States 2020 Route 301, Carmel, New York 10512 Printed in Taiwan Cover design by Laurent Dhaussy ISBN 978-0-615-25529-3 Introduction 3 1. Grasping / Upādāna 5 1.1 Grasping at Sensual Pleasures 5 1.2 Grasping at Views 7 1.3 Grasping at Rules and Observances 9 1.4 Grasping at a Doctrine of Self 10 1.5 The Five Aggregates [Affected by] Clinging 13 1.6 Grasping and Nibbāna 15 1.7 Freedom from Grasping 16 2. Personality View / Sakkāyadihi 19 2.1 Manifestations of Personality View 19 2.2 Removal of Personality View 24 3. Right View / Sammādihi 27 3.1 Wrong View 27 3.2 Right View and Investigation 29 3.3 Right View as the Forerunner of the Path 31 3.4 Arrival at Right View 33 3.5 Right View and the Four Noble Truths 34 4. Volitional Formations / Sakhārā 39 4.1 Sakhāras as an Aggregate 40 4.2 Sakhāras as a Link in Dependent Arising 44 4.3 Sakhāras in General 48 5. Thought / Vitakka 55 5.1 The Ethical Perspective on Thought 56 5.2 The Arising of Thought 57 5.3 The Vitakkasahāna-sutta 60 5.4 Vitakka in Meditation 64 5.5 Thought Imagery 66 6. Wise Attention / Yoniso Manasikāra 69 6.1 Wise ( Yoniso ) 69 6.2 Attention ( Manasikāra ) 72 6.3 The Implications of Wise Attention 72 6.4 The Importance of Wise Attention 78 7.
    [Show full text]
  • UNITED STATES DISTRICT COURT EASTERN DISTRICT of MISSOURI EASTERN DIVISION JEFFREY D. BRIDGES, ) ) Plaintiff, ) ) V. )
    Case: 4:06-cv-01200-ERW Doc. #: 16 Filed: 07/26/07 Page: 1 of 40 PageID #: <pageID> UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION JEFFREY D. BRIDGES, ) ) Plaintiff, ) ) v. ) Case number 4:06cv1200 ERW ) TCM MICHAEL J. ASTRUE, ) Commissioner of Social Security,1 ) ) Defendant. ) REPORT AND RECOMMENDATION OF UNITED STATES MAGISTRATE JUDGE This is an action under 42 U.S.C. § 405(g) for judicial review of the final decision of Michael Astrue, the Commissioner of Social Security ("Commissioner"), denying Jeffrey D. Bridges disability insurance benefits ("DIB") under Title II of the Social Security Act ("the Act"), 42 U.S.C. §§ 401-433. Plaintiff has filed a brief in support of his complaint; the Commissioner has filed a brief in support of his answer. The case was referred to the undersigned United States Magistrate Judge for a review and recommended disposition pursuant to 28 U.S.C. § 636(b). Procedural History Jeffrey D. Bridges ("Plaintiff") applied for DIB in December 2003, alleging he was disabled as of January 2000 by Wegener's disease, stress, aches and pains, memory loss, 1Mr. Astrue was sworn in as the Commissioner of Social Security on February 12, 2007, and is hereby substituted as defendant pursuant to Rule 25(d)(1) of the Federal Rules of Civil Procedure. Case: 4:06-cv-01200-ERW Doc. #: 16 Filed: 07/26/07 Page: 2 of 40 PageID #: <pageID> depression, high blood pressure, and anxiety. (R. at 48-50.)2 This application was denied initially and after a hearing held in November 2004 before Administrative Law Judge ("ALJ") James B.
    [Show full text]
  • Specialists in Forensic Psychiatry
    A Competency Based Curriculum for Specialist Training in Psychiatry Specialists in Forensic Psychiatry Royal College of Psychiatrists February 2010 (update approved 2 October 2014, revised March 2016 and May 2017) © Royal College of Psychiatrists 2010 TABLE OF CONTENTS This curriculum is divided into six Parts: Parts Contents Page Nos Part I Curriculum Development & Responsibilities for Curriculum Delivery 6 - 20 Part II The Advanced Curriculum for Forensic Psychiatry 21 - 48 Part III The Methods of learning & teaching & delivery of the curriculum 49 - 55 Part IV The Assessment System for Advanced Training 56 - 59 Part V Trainee and Trainer Guide to ARCPs 60 - 75 Contents 1. Introduction .......................................................................................................................................................................................................................... 6 2. Rationale ............................................................................................................................................................................................................................... 7 3. Specific features of the curriculum ....................................................................................................................................................................................... 7 4. Training pathway .................................................................................................................................................................................................................
    [Show full text]
  • Psychiatric Emergency & Crisis Services
    APA Task Force on Psychiatric Emergency Services Michael H. Allen, M.D., Chair Peter Forster, M.D. Joseph Zealberg, M.D. Glenn Currier, M.D. Report and Recommendations Regarding Psychiatric Emergency and Crisis Services A Review and Model Program Descriptions August 2002 THE HISTORY OF THIS TASK FORCE AND A SUMMARY OF AVAILABLE DATA .........................4 Introduction ................................................................................................................................ 4 Toward "Organizationally Unique Treatment Facilities"........................................................... 4 Lack of Standards .................................................................................................................... 5 Funding Problems .................................................................................................................... 5 THE HISTORY OF THE TASK FORCE .....................................................................................7 A REVIEW OF THE LITERATURE ...........................................................................................8 Psychiatric Emergency Defined ............................................................................................... 8 Conceptualizing Emergency Services...................................................................................... 8 Hospital Based Services .......................................................................................................... 9 Consultation Liaison ............................................................................................................
    [Show full text]
  • Factors Influencing Depression in Men: a Qualitative Investigation
    University of Kentucky UKnowledge Theses and Dissertations--Nursing College of Nursing 2015 Factors Influencing Depression in Men: A Qualitative Investigation Lori A. Mutiso University of Kentucky, [email protected] Right click to open a feedback form in a new tab to let us know how this document benefits ou.y Recommended Citation Mutiso, Lori A., "Factors Influencing Depression in Men: A Qualitative Investigation" (2015). Theses and Dissertations--Nursing. 15. https://uknowledge.uky.edu/nursing_etds/15 This Doctoral Dissertation is brought to you for free and open access by the College of Nursing at UKnowledge. It has been accepted for inclusion in Theses and Dissertations--Nursing by an authorized administrator of UKnowledge. For more information, please contact [email protected]. STUDENT AGREEMENT: I represent that my thesis or dissertation and abstract are my original work. Proper attribution has been given to all outside sources. I understand that I am solely responsible for obtaining any needed copyright permissions. I have obtained needed written permission statement(s) from the owner(s) of each third-party copyrighted matter to be included in my work, allowing electronic distribution (if such use is not permitted by the fair use doctrine) which will be submitted to UKnowledge as Additional File. I hereby grant to The University of Kentucky and its agents the irrevocable, non-exclusive, and royalty-free license to archive and make accessible my work in whole or in part in all forms of media, now or hereafter known. I agree that the document mentioned above may be made available immediately for worldwide access unless an embargo applies.
    [Show full text]
  • From Grasping to Emptiness – Excursions Into the Thought-World of the Pāli Discourses (2)
    From Grasping to Emptiness – Excursions into the Thought-world of the Pāli Discourses (2) Anālayo © 2010 Anālayo Published by The Buddhist Association of the United States 2020 Route 301, Carmel, New York 10512 Printed in Taiwan Cover design by Laurent Dhaussy ISBN 978-0-615-25529-3 Introduction 3 1. Grasping / Upādāna 5 1.1 Grasping at Sensual Pleasures 5 1.2 Grasping at Views 7 1.3 Grasping at Rules and Observances 9 1.4 Grasping at a Doctrine of Self 10 1.5 The Five Aggregates [Affected by] Clinging 13 1.6 Grasping and Nibbāna 15 1.7 Freedom from Grasping 16 2. Personality View / Sakkāyadihi 19 2.1 Manifestations of Personality View 19 2.2 Removal of Personality View 24 3. Right View / Sammādihi 27 3.1 Wrong View 27 3.2 Right View and Investigation 29 3.3 Right View as the Forerunner of the Path 31 3.4 Arrival at Right View 33 3.5 Right View and the Four Noble Truths 34 4. Volitional Formations / Sakhārā 39 4.1 Sakhāras as an Aggregate 40 4.2 Sakhāras as a Link in Dependent Arising 44 4.3 Sakhāras in General 48 5. Thought / Vitakka 55 5.1 The Ethical Perspective on Thought 56 5.2 The Arising of Thought 57 5.3 The Vitakkasahāna-sutta 60 5.4 Vitakka in Meditation 64 5.5 Thought Imagery 66 6. Wise Attention / Yoniso Manasikāra 69 6.1 Wise ( Yoniso ) 69 6.2 Attention ( Manasikāra ) 72 6.3 The Implications of Wise Attention 72 6.4 The Importance of Wise Attention 78 7.
    [Show full text]
  • Forensic Psychiatry Lowell S
    Journal of Criminal Law and Criminology Volume 39 | Issue 5 Article 4 1949 Forensic Psychiatry Lowell S. Selling Follow this and additional works at: https://scholarlycommons.law.northwestern.edu/jclc Part of the Criminal Law Commons, Criminology Commons, and the Criminology and Criminal Justice Commons Recommended Citation Lowell S. Selling, Forensic Psychiatry, 39 J. Crim. L. & Criminology 606 (1948-1949) This Article is brought to you for free and open access by Northwestern University School of Law Scholarly Commons. It has been accepted for inclusion in Journal of Criminal Law and Criminology by an authorized editor of Northwestern University School of Law Scholarly Commons. FORENSIC PSYCHIATRY Lowell S. Selling The author was Acting Director, Bureau of Maternal and Child Health and Director of the Mental Health Program, Florida State Board of Health. He was Instructor in Psychiatry in University and Belleview Hospital Medical College, New York City, 1930, and Director of the Psychopathic Clinic of the Recorder's Court, Detroit, 1935- 1945, now in the private practice of psychiatry in Orlando, Fla. This article was read at the Medicolegal Congress in St. Louis, in January, 1948.-EDirOL Probably the oldest form of psychiatry which has been recog- nized in this country with the possible exception of state hospital management, is the psychiatry practiced in conjunction with the courts. The need for professional differentiation between those who are able to stand trial and those who are not so by virtue of mental disorders was early recognized in the courts. From time to time the expert has been castigated by the lay press and those who do not understand psychiatry and the modern prac- tice of medicine in the courts, who are likely to come to conclu- sions that are unjustified as to how the psychiatrist serves the bench ,and the bar.
    [Show full text]
  • Post-Traumatic Stress Disorder in Toni Morrison's Beloved
    ================================================================= Language in India www.languageinindia.com ISSN 1930-2940 Vol. 18:4 April 2018 India’s Higher Education Authority UGC Approved List of Journals Serial Number 49042 ================================================================ Post-Traumatic Stress Disorder in Toni Morrison’s Beloved Nidhin Johny, M.Phil. Research Scholar and Subin P. S., Ph.D. Scholar ================================================================== Courtesy: https://www.penguinrandomhouse.com/books/117647/beloved-by-toni- morrison/9780307264886/ Abstract Experiencing trauma is an inevitable part of human life, we must go through extremely difficult situation though we like it or not. History is painted in blood. Literature provides an amble medium for venting out certain emotions. Human beings are exposed to worst situation in the course of history and most of the rational race has come out of it without unaltered mental and spiritual sanctity. But not all of them were lucky despite the human ability to adapt and survive some traumatic experience has shaken up the whole composition of physical mental and psychological wellbeing of these people. Post- traumatic stress disorder gives a theoretical framework on how people’s conception of the world and themselves and how personal and shared experience are intertwined. In Toni Morrison’s Beloved we see the psychological effect of the personal and collective trauma of slavery. Each of the characters though out of slavery are still haunted by the ghosts of their past, their ================================================================= Language in India www.languageinindia.com ISSN 1930-2940 18:4 April 2018 Nidhin Johny, M.Phil. Research Scholar and Subin P. S., Ph.D. Scholar Post-Traumatic Stress Disorder in Toni Morrison’s Beloved 221 bodies are emancipated their minds still carries the burden of memory.
    [Show full text]
  • Psychological Fitness-For-Duty Examinations: Practical Considerations for Public Safety Departments
    Psychological Fitness-For-Duty Examinations: Practical Considerations for Public Safety Departments Reprinted with permission from ILLINOIS LAW ENFORCEMENT EXECUTIVE FORUM, 2001, Volume 1, pages 77-92 Gary L. Fischler, Ph.D. Minneapolis, MN Dr. Fischler earned his doctorate in clinical psychology from the University of Minnesota in 1984. He is an adjunct assistant professor of psychology at the University of Minnesota and an adjunct faculty at Argosy University, the Minnesota School of Professional Psychology. He is a Diplomate of the American Board of Law Enforcement Experts, the American Board of Psychological Specialties (Forensic Clinical Psychology), and the American Board of Professional Disability Consultants. He currently serves as chair of the Ethics Committee of the Minnesota Psychological Association. He has conducted research, authored a number of professional papers, and coauthored a book related to the interface between mental health issues and occupational functioning. He conducts psychological pre-employment and fitness for duty examinations for public safety agencies at federal, state, and local levels. He may be reached by phone at 612-333-3825 or [email protected]. Police officers with known or suspected psychological or behavioral problems often present complex issues for administrators. For example, an officer who was once a productive and respected member of a department now shows a distinct change in behavior or attitude that is confusing, frightening, or irritating to his or her supervisors and coworkers. Such an officer can have a profound effect on public safety as well as organizational effectiveness, productivity, and morale. Once a problem officer has been identified, a public safety department must exercise due diligence in order to protect itself from liability for the officer‘s actions, as well as to protect the officer, the public and other officers from potential harm.
    [Show full text]
  • Psychosurgery and Other Invasive Approaches in Treatment-Refractory Obsessive-Compulsive Disorder: a Brief Overview Through a Case
    Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2018;31:225-227 Letter to the Editor / Editöre Mektup DOI: 10.5350/DAJPN2018310213 Psychosurgery and Other Yasin Hasan Balcioglu1 , Fatih Oncu1 Invasive Approaches in 1Bakirkoy Prof Mazhar Osman Training and Research Hospital for Psychiatry, Neurology, and Neurosurgery, Treatment-Refractory Department of Forensic Psychiatry, Istanbul - Turkey Obsessive-Compulsive Disorder: a Brief Overview Through a Case How to cite this article: Balcioglu YH, Oncu F. Psychosurgery and other invasive approaches in treatment-refractory obsessive-compulsive disorder: a brief overview through a case. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2018;31:225-227. https://doi.org/10.5350/DAJPN2018310213 Address reprint requests to / Yazışma adresi: Yasin Hasan Balcioglu, Bakirkoy Prof Mazhar Osman Training and Research Hospital for Psychiatry, Neurology, and Neurosurgery, Department of Forensic Psychiatry, Dr. Tevfik Saglam St., 34147, Zuhuratbaba, Bakirkoy/Istanbul, Turkey Phone / Telefon: +90-212-409-1515/2490 E-mail address / Elektronik posta adres: [email protected] Date of receipt / Geliş tarihi: August 22, 2017 / 22 Ağustos 2017 Date of the first revision letter / İlk düzeltme öneri tarihi: October 26, 2017 / 26 Ekim 2017 Date of acceptance / Kabul tarihi: November 2, 2017 / 2 Kasım 2017 Dear Editor, quality of life and an increased burden on the caregiver. Treatment algorithms for the disorder are well-defined; As is well known, obsessive-compulsive
    [Show full text]
  • Forensic Assessment*
    AAPL Practice Guideline for the Forensic Assessment* 1. Statement of Intent standards in the relevant jurisdiction and to complete This document is intended as a review of legal and the evaluation at hand. psychiatric factors to offer practical guidance in the 2. Introduction performance of forensic evaluations. It is a guideline developed through the participation of forensic psy- Forensic assessment is one of the basic building chiatrists who routinely conduct a variety of forensic blocks that form the foundation of the practice of assessments and who have expertise in conducting psychiatry and the law, in addition to report-writing these evaluations in a variety of practice settings. The and giving testimony in court. Similar to any foun- developmental process incorporated a thorough re- dation, the integrity of the process depends on how view that integrated feedback and revisions into the well each brick is laid upon the other. In psychiatry final draft. The final version was reviewed and ap- and the law, the quality of the final product depends proved by the Council of the American Academy of on the quality of the assessment, regardless of the Psychiatry and the Law on October 26, 2014. Thus, practitioner’s report-writing skills. the Guideline reflects a consensus among members Forensic psychiatrists are often called on to act as and experts about the principles and practices appli- consultants to the courts, lawyers, regulatory agen- cable to the conduct of forensic assessments. How- cies, or other third parties. The referring agent has a ever, it should not be construed as dictating the stan- specific psycholegal question that requires an expert dard for forensic evaluations.
    [Show full text]