Critical Issues in American Psychiatry and the Law


Book Description

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.










Crime, Punishment, and Mental Illness


Book Description

Hundreds of thousands of the inmates who populate the nation's jails and prison systems today are identified as mentally ill. Many experts point to the deinstitutionalization of mental hospitals in the 1960s, which led to more patients living on their own, as the reason for this high rate of incarceration. But this explanation does not justify why our society has chosen to treat these people with punitive measures. In Crime, Punishment, and Mental Illness, Patricia E. Erickson and Steven K. Erickson explore how societal beliefs about free will and moral responsibility have shaped current policies and they identify the differences among the goals, ethos, and actions of the legal and health care systems. Drawing on high-profile cases, the authors provide a critical analysis of topics, including legal standards for competency, insanity versus mental illness, sex offenders, psychologically disturbed juveniles, the injury and death rates of mentally ill prisoners due to the inappropriate use of force, the high level of suicide, and the release of mentally ill individuals from jails and prisons who have received little or no treatment.




Landmark Cases in Forensic Psychiatry


Book Description

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.




Critical Psychiatry


Book Description

This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.




The American Psychiatric Publishing Textbook of Forensic Psychiatry


Book Description

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.




Principles and Practice of Forensic Psychiatry


Book Description

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.




Ethical Issues in Prison Psychiatry


Book Description

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.




Juvenile Psychiatry and the Law


Book Description

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.