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Succinct, structured, and focused, this book concentrates on the key facts and practical day-to-day issues vital to forensic psychiatry. Includes fact-oriented practical advice and clinically relevant examples Reflects current practice and the latest laws Provides tips on testifying in legal matters Features a clear bullet point style to help readers find key facts at a glance An essential purchase for trainees in psychiatry, the book is ideal both fact-oriented exam preparation. It is also valuable as a quick clinical reference for practising consultant psychiatrists and other mental health professionals working in forensic psychiatry, including mental health nurses, social workers, psychologists, and occupational therapists.
Concise account systematically describes the relationship between psychiatric disorders and offending, with detailed discussion of the criminal justice system, court proceedings, mental health legislation, dangerousness, prison psychiatry, and civil issues.
Ethical medical practice and treatment in psychiatry are based on the concept of first do no harm. However, this cannot, and does not, apply to forensic cases where there is no doctor–patient relationship and the forensic psychiatrist may indeed cause harm to the examinee. In this book, Robert Sadoff analyzes the ethical issues affecting forensic psychiatric practice, especially those promulgated by the American Academy of Psychiatry and the Law. Within those guidelines, he looks at individual bias, vulnerability of the examinee, and potential harm to the mental health professional. The book discusses each of the procedures of the forensic expert separately with respect to minimizing harm. It has been written with an international audience in mind and features chapters reviewing the European and UK perspectives, by Emanuele Valenti and John Baird, respectively. Robert Sadoff addresses the long-term harm that can be either avoided or minimized through careful planning and application of ethical principles. He is not advocating that the harm can be totally eliminated, because that is impossible in the adversarial system in which forensic psychiatrists work. However, there are means by which harm may be minimized if care is taken during the assessment, the report writing, and the testimony phase of the proceedings. The book develops the scope of forensic psychiatry from the standpoint of administrative, civil and criminal cases. It presents the practical issues involved in conducting forensic psychiatric assessments under various conditions plus special considerations, such as bias, minimizing harm, developing a therapeutic approach, and elaborating on various vulnerable individuals who are frequently examined in forensic cases. These include juveniles, mentally retarded, autistic, sexual assault victims, the elderly, the organically damaged, the psychotic, and mentally disabled prisoners. Immigrants are covered in a chapter by Solange Margery Bertoglia. The ethical issues in conducting forensic psychiatric examinations and presenting psychiatric testimony in court are examined and discussed. Cases illustrating the difficulties involved punctuate the presentation. The book closes with a fascinating account of the legal perspective by Donna Vanderpool. In summary, this book illustrates the ethical and practical issues that affect forensic psychiatric practice. The question is not what we do, but how we do it, and which standards, ethical guidelines and personal values contribute to the total picture. Despite the fact that we cannot always adhere to the doctrine of "primum non nocere," we can minimize the harm caused inherently by the adversarial system in which we participate. Praise for Ethical Issues in Forensic Psychiatry "One of the founding giants of the forensic psychiatric field has written here far more than a "mere" ethics textbook. Instead, this compendium serves multiple purposes: it is a valuable primer on forensic techniques of examination and testimony, a model of best forensic practices, and an instruction on the most appropriately civilized way in which to conduct oneself as a forensic psychiatrist. The success of these multiple accomplishments clearly derives from characteristics of the author. In both sage advice to practitioners and in many revealing case examples, Dr. Sadoff displays the tact, good manners and sensitivity of a consummate gentleman – a term not always associated with the hurly-burly of courtroom work. The book's primary focus on avoiding harm to all the parties involved in the work places it on the moral high ground of the legal system in which participating clinicians must find a place." Thomas G. Gutheil, MD, Professor of Psychiatry and Co-Founder, Program in Psychiatry and the Law, Beth Israel Deaconess Medical Center, Harvard Medical School
This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.
The new, second edition of this comprehensive text boasts coverage that is both expanded and reconfigured to focus on the most critical topics and the most up-to-date approaches in forensic psychiatry. The first edition rapidly became the gold standard in this maturing discipline because it was the first textbook designed and written for both the general clinician and the forensic psychiatrist. This edition retains that versatility and extends its scope to include new issues in the field. New features include: A chapter on forensic geriatric psychiatry, a topic that grows in importance as our population ages A chapter on forensic psychiatry and the Internet, which poses questions and raises issues that become more salient every day An extensively revised chapter on psychological testing that addresses the administration and interpretation of the most current instruments in use in the field. In addition, the Textbook has preserved the features that made it so successful in its first edition, updating them to reflect current knowledge and practice. These include: An index of legal cases that provides the foundational knowledge and navigational tools to identify relevant precedents easily Chapters that are organized around case examples and include reviews of key concepts, practical guidelines, and references for further reading. A study guide is also available to assist in teaching or preparing for the forensic board examination A revised and updated chapter on ethics that takes into account the ongoing evolution and clarification of the ethical role of forensic psychiatrists Thorough coverage of what it takes to set up and manage a forensic practice and deal with key players in law enforcement and the legal system Detailed information about the role and responsibilities of the expert witness A survey of the different categories of legal cases, including malpractice, disability, competency, and criminal A detailed glossary of legal terms Practicing psychiatrists, psychiatric residents, and those enrolled in forensic fellowship programs, as well as other mental health professionals, will find The American Psychiatric Publishing Textbook of Forensic Psychiatry, Second Edition a well-organized, truly practical text and reference.
Prepared by two of the fields leading scholars and practitioners, this original work cuts through dense forensic mental health theory and addresses the concrete approaches to ethical and effective testimony that experts need in court. Rich in examples of courtroom dialogue, this text shows how to avoid the common pitfalls and various traps that experts so frequently encounter.
The first handbook to explore forensic assessment from psychiatric and psychological perspectives "The editors have assembled a magnificent collaboration between psychiatrists and psychologists to bring forth critical knowledge and insight to the core competency of forensic assessment. This handbook is essential reading and a comprehensive resource for both newly minted and seasoned forensic practitioners." —Robert I. Simon, MD, Director, Program in Psychiatry and Law, Georgetown University School of Medicine "This long-awaited resource blows the dust off traditional standards, shakes the cobwebs out of our old ways of thinking, and shows the practical steps in producing work that will make sense to juries and withstand the most skillful cross-examination. . . . [T]here is no better resource." —Kenneth S. Pope, PhD, ABPP, Diplomate in Clinical Psychology; coauthor, Ethics in Psychotherapy and Counseling, Fourth Edition "From preparation to collection to interpretation to communication of the results, this excellent, comprehensive treasure shows how to conduct forensic assessments. Each splendid evidence-based chapter is presented from the collaboration between psychologists and psychiatrists. It is a must-have resource for forensic experts as well as general practitioners or anyone wishing to understand standard of care in forensic assessment." —Melba Vasquez, PhD, ABPP, 2011 American Psychological Association President The practitioner-oriented coverage in the Handbook of Forensic Assessment examines: The current state of psychology and psychiatry—including requisite clinical competencies, ethical guidelines, and considerations of multidisciplinary collaboration Various approaches to assessments in criminal and civil matters The principles of effective preparation, data collection, and interpretation, as well as communication for each special situation Topics including competence to stand trial, sexual offender evaluations, addictions, child abuse, and education Overarching practice issues, such as practice development, retention, compensation, consultation, and forensic treatment Includes sample reports that demonstrate the integrative potential of both psychology and psychiatry Incorporating a wealth of current and multidisciplinary research, the Handbook of Forensic Assessment is destined to become every mental health professional's most valuable one-stop reference for their forensic work.

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