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As President of the American Academy of Psychiatry and the Law (AAPL), it is a pleasure to write this foreword. Dr. Richard Rosner deserves full credit for helping AAPL pursue its educational goals by publishing a series of books. Consumerism and the civil rights movement have dramatically changed the practice of American psychiatry over the last 2 decades. Extensive legal regulation now makes it necessary for both general and forensic psychiatrists to keep abreast of changing laws. The contents of Volume II of Critical Issues in American Psychiatry and the Law demonstrate Dr. Rosner's gift for selecting and editing important theoretical and practical articles. This volume addresses a broad range of forensic issues. The pen dulum-like swings of laws regarding civil commitment and insanity are clearly illuminated by Dr. Quen's contribution, "Violence, Psychiatry, and the Law." A review of historical psychiatric testimony supporting insanity defenses on the bases of homicidal mania, moral insanity, and phrenological evidence should make modern forensic psychiatrists hum ble. However, some of our colleagues continue to testify that defendants were unable to refrain from criminal conduct because of CT evidence of schizophrenia, pathological gambling, or the effects of junk food. Excellent theoretical discussions are presented by Dr. Macklin ("A Philosophical Perspective on Ethics and Forensic Psychiatry") and Mr. Hughes ("Legal Aspects of Predicting Dangerousness"). These chapters present thorough, up-to-date, scholarly analyses of complex issues from the vantage point of non psychiatrists.
Topics covered: Violence on suburban streets in Brisbane; natural breast enlargement; family feud; Mondayitis; Tony Abbott/adoption issue.
General clinicians conduct most forensic psychiatric examinations and provide most psychiatric testimony. Yet these clinicians often receive little or no training in forensic psychiatry, leaving them ill prepared to meet the inevitable ethical and legal challenges that arise. Both timely and informative, this textbook is the first reference designed and written for both the general clinician and the experienced forensic psychiatrist. Here, 28 recognized experts introduce the forensic subjects that commonly arise in clinical practice. Unique in the literature, this outstanding collection covers • Introductory subjects—Organized psychiatry and forensic practice; the legal system and the distinctions between therapeutic and forensic roles; business aspects of starting a forensic practice; the role of the expert witness; the differences between the ethics of forensic and clinical psychiatry; the use of DSM in the courtroom; and issues that arise in working with attorneys• Civil litigation—The standard of care and psychiatric malpractice; civil competency; issues in conducting evaluations for personal injury litigation; personal injury claims of psychiatric harm; and disability determination and other employment-related psychiatric evaluations• Criminal justice—Competency to stand trial and insanity evaluations; the use of actuarial and clinical assessments in the evaluation of sexual offenders; psychiatry in correctional settings; and the relationship between psychiatry and law enforcement, including mental health training, crisis negotiation, and fitness for duty evaluations• Special topics—Assessment of malingering; evaluations of children and adolescents; violence risk assessments; the use of prediction instruments to determine "dangerousness"; and the evolving standard of expert psychological testimony Each chapter is organized around case examples and includes a review of key concepts, practical guidelines, and references for further reading. A study guide is also available for use in teaching, in studying, and in preparing for the forensic board examination. This practical textbook makes this interesting specialty accessible to trainees and seasoned practitioners. With its detailed glossary of legal terms, subject index, and index of legal cases, it will be a welcome addition to all psychiatric residency and forensic fellowship programs.
Of related interest . . . PSYCHOLOGICAL SERVICES FOR LAW ENFORCEMENT —Theodore H. Blau This unique training guide/reference was written in response to the ever-growing demand for psychological services in law enforcement agencies. Written by one of the nation's most respected experts in forensic psychology, it offers psychologists now working in law enforcement agencies and those interested in entering the field, a detailed overview of the many functions psychologists serve within those agencies. Organized by sections corresponding to the major functions psychologists perform—assessment, intervention, consultation, and training—the book deals with all issues that psychologists working in law enforcement will encounter in their practice, including officer recruitment, fitness-for-duty evaluations, stress counseling, drug and alcohol counseling, hostage negotiations, investigative hypnosis, management consultation, and much more. 1994 (0-471-55950-4) 454 pp. THE PSYCHOLOGICAL EXAMINATION OF THE CHILD —Theodore H. Blau Over twenty-five years in the making and the result of examinations of over four thousand children, this book is a comprehensive guide to performing psychological examinations on children. Covering virtually every aspect of the examination procedure, it offers specific recommendations and step-by-step guidelines to everything from office decor, requisite equipment, test selection, rating categories, and techniques for minimizing stress to administering tests, writing reports, and making recommendations. Closely following Dr. Blau's famous Basic Psychological Examination package, the book guides readers in their assessment of environmental pressure, behavioral responses, intellectual factors, neuropsychological status, response capabilities, academic achievement, and personality. 1991 (0-471-63559-6) 279 pp. THE PSYCHOLOGIST AS EXPERT WITNESS —Theodore H. Blau This very practical guide arms mental health professionals with everything they need to serve comfortably and effectively as expert witnesses. With the help of numerous real-life examples, excerpts from transcripts, sample forms, checklists, and legal documents, it shows you how to: prepare for your day in court; avoid being manipulated by attorneys; write up depositions and psychological and technical reports; and much more. And, as the use of mental health professionals as expert witnesses continues to extend beyond traditional judicial applications, the author addresses a wide range of untraditional situations and types of cases in which readers may be called upon to serve, including cases of liability and personal injury, eyewitness identification research, trademark and patent litigation, and others. 1984 (0-471-87129-X) 424 pp. PSYCHIATRY AND CRIMINAL CULPABILITY How do we distinguish between sin and sickness? Few cases in recent memory so well typify the current confusion over this question as that of Jeffrey Dahmer. The confessed killer of fifteen young men, Dahmer had sex with and cannibalized his victims' bodies. Yet, because he was not found to be mentally ill—the threshold requirement in tests of legal insanity-—he was convicted and sentenced to 936 years imprisonment. How is it that such a severely disturbed person as Dahmer is adjudged sane and therefore culpable, while "Twinkiedefense" killer, Dan White and would-be presidential assassin John Hinckley, Jr., are deemed not guilty by reason of insanity? What are the origins of tests for criminal responsibility, and how is mental illness defined under them? Can causal links be shown to exist between specific crimes and disorders? Psychiatry and Criminal Culpability explores, in-depth, these questions and many others at the heart of one of the most controversial issues in our criminal justice system today. Throughout, Dr. Ralph Slovenko, an acknowledged expert whose professional experience straddles both the worlds of psychiatry and the law, brings a wealth of scholarship and direct experience to bear on the subject. Citing numerous landmark cases and historical formulations of criminal responsibility dating back to biblical times, he traces the evolution of current legal and psychiatric notions of culpability and the relationship between culpability and insanity. Writing for both a mental health and legal audience, Dr. Slovenko clearly and eloquently addresses a wide range of important topical issues. He explains the distinctions between the defenses of not guilty by reason of insanity, guilty but mentally ill, and diminished capacity. He identifies the types of mental illness that currently qualify under the test of criminal responsibility, including disorders that psychiatrists do not regard as psychotic, but which, nevertheless, many experts assert negate responsibility. He explores the role of the mental health professional as an expert character witness in cases where it is uncertain whether the accused committed the crime in question. And much more. Fascinating, thought-provoking, and enlightening, Psychiatry and Criminal Culpability helps guide mental health and legal professionals through the moral and technical complexities of one of the knottiest issues of our day.
Forensic psychiatry (the interface of psychiatry and the law), forensic psychology, and mental health law are growing and evolving subspecialties in their respective larger disciplines. Topics included in these fields include a range as diverse as capital sentencing guidelines, informed consent, and standards of care for mental health treatment. All of these topics need to be understood and mastered by clinicians, educators, administrators and attorneys working with psychiatric patients. This book brings together concise, comprehensive summaries of the most important "landmark" legal decisions relating to mental health practice in the United States. These decisions, along with their underlying reasonings, make up a critical portion of the national certification examination for forensic psychiatry offered by the American Board of Psychiatry and Neurology (ABPN). Many of the themes are also tested in the ABPN certification examination for general psychiatry. This book is the first to provide a combination of summaries of the relevant legal content paired with board-style test questions designed to help consolidate knowledge and prepare for certification. Cases with similar themes are grouped together with an eye toward helping the reader understand the evolution of legal and clinical thinking on a particular topic. This book represents an important addition to the study tools and textbooks available related to psychiatry and the law and will serve as a useful reference for clinicians who must follow established legal requirements in their field.
I am not sure when a series of volumes becomes an "institution"; this is the fourth annual volume of Critical Issues in American Psychiatry and the Law, and each has been an extraordinary summary of important forensic topics. This book makes the point that the interface of psychiatry and law is not merely a legal one, but has a great deal to do with clinical issues such as diagnosis and treatment. Children and adolescents are not adults. This may come as something of a shock to those who proselytize for equal rights for children, and to those adults (including some psychiatrists, attorneys, and judges) who advocate giving the child adult choices and/or responsibilities. Children differ from adults in many ways. The specialist in child or adoles cent psychiatry knows not only that one must attend to special social and family issues for juveniles, but that juveniles are more complex internally as well. They attempt to survive in the world while rapidly growing and learning, usually with physically and emotionally immature resources. They have had few years in which to develop experience, and do not have the psyche with which to integrate that experience in ways one would expect of a mature adult. Sometimes this frightens the patient, as in the case of a physically large teen ager whose impulse control is impaired. Sometimes it is frustrating, as in the case of a healthy child unable to escape from a dysfunctioning family. It is always confusing, and usually uncomfortable.
The third edition of this award-winning textbook has been revised and thoroughly updated. Building on the success of the previous editions, it continues to address the history and practice of forensic psychiatry, legal regulation of the practice of psychiatry, forensic evaluation and treatment, psychiatry in relation to civil law, criminal law and family law, as well as correctional forensic psychiatry. New chapters address changes in the assessment and treatment of aggression and violence as well as psychological and neuroimaging assessments.
Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.
Resource added for the Paralegal program 101101.