Handbook of Forensic Psychiatric Practice in Capital Cases
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Handbook of Forensic Psychiatric Practice in Capital Cases Nigel Eastman Sanya Krljes Richard Latham Marc Lyall Second Edition In association with: Acknowledgements The Death Penalty Project would like to thank Nigel Eastman, Sanya Krljes, Richard Latham and Marc Lyall for drafting the text of this Handbook. It, together with the Casebook of Forensic Psychiatric Practice in Capital Cases, provides an indispensable, practical resource for mental health professionals and all those involved in the criminal justice process. The authors are grateful to Oxford University Press for its permission to use some text, amended, from Eastman N, Adshead G, Fox S, Latham R, Whyte S, Williams H Oxford Specialist Handbook of Forensic Psychiatry, Second Edition, Oxford University Press (publication 2019) and Eastman N, Adshead G, Fox S, Latham R, Whyte S Oxford Casebook of Forensic Psychiatry, Oxford University Press (publication 2019). This publication was made possible by a grant to The Death Penalty Project from the Magna Carta Fund of the United Kingdom Foreign and Commonwealth Office. © 2018 The authors All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage retrieval system, without permission in writing from the authors. Copies of this report may be obtained from: The Death Penalty Project 8/9 Frith Street Soho London W1D 3JB ISBN: 978-0-9576785-7-6 Contents Foreword Saul Lehrfreund and Parvais Jabbar ............................................................................................... vi Introduction Professor Nigel Eastman ..................................................................................................................ix Chapter 1: Clinical forensic psychiatry and legal psychiatry ......................................................01 How forensic services are related – hospital and community-based mental health services; secure psychiatric services; mental health services in prison; specific staff groups .............................................................................03 Clinical forensic services in less developed jurisdictions ..................................................................................05 Chapter 2: Law and psychiatry ..............................................................................................07 Goals and aims of the psychiatric and legal systems ..........................................................................................08 Tensions between psychiatry and law .................................................................................................................08 Words or phrases within discourses ....................................................................................................................08 Methods of inquiry ..............................................................................................................................................09 The practical effect of discipline incongruence ..................................................................................................09 Recognising the context is crucial .......................................................................................................................09 Medicine and psychiatry versus psychology .......................................................................................................10 Ultimate disparity ................................................................................................................................................10 Autopoesis versus reflexivity ................................................................................................................................10 Attempted translation between discourses .........................................................................................................11 Minimising errors in attempted translation .......................................................................................................12 ‘Psycholegal mapping’ ..........................................................................................................................................12 Psychiatry as forensically special .........................................................................................................................13 Some detail of ‘constructs from purposes’...........................................................................................................13 Use of information – ‘history’ versus ‘evidence’ ..................................................................................................14 Methods of selecting and gathering information ...............................................................................................15 Implications for forensic psychiatrists ................................................................................................................15 Psychiatry and law as a two-way relationship .....................................................................................................16 Keeping boundaries via mutual understanding ..................................................................................................17 Cooperation not contamination..........................................................................................................................17 The risk of convergence between psychiatry and the criminal justice system ...................................................17 Conclusion ...........................................................................................................................................................18 Chapter 3: Mental disorder and criminal behaviour ................................................................19 Functional psychosis, including paranoid schizophrenia ..................................................................................20 Alcohol and drug misuse and dependence ..........................................................................................................21 Personality disorder .............................................................................................................................................21 Mania ....................................................................................................................................................................22 Depression ............................................................................................................................................................22 Post-traumatic stress disorder (PTSD) ..............................................................................................................23 Asperger’s syndrome and other autistic spectrum disorders ..............................................................................23 Learning disability ...............................................................................................................................................23 Acquired brain injury ...........................................................................................................................................24 Epilepsy ................................................................................................................................................................24 Sleep disorders .....................................................................................................................................................24 Comorbidity .........................................................................................................................................................24 Conclusion ...........................................................................................................................................................25 Chapter 4: Forensic psychiatric assessment ...............................................................................27 Overview ..............................................................................................................................................................28 What is special about the context? – the effect of difference of purpose; additional stages in capital cases; difference of relationship with the assessee ...........................................................................................................29 ii Before accepting instructions ..............................................................................................................................31 Instructions ..........................................................................................................................................................32 Before the interview .............................................................................................................................................32 Sources of information ........................................................................................................................................33 Assessment – the environment; consent; the interview; interpreters; note-taking; should you record the precise questions asked and the precise responses?; should the defendant be seen more than once? ...................33 After the clinical interview(s) ..............................................................................................................................38