توضیحات
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 doctorpatient 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 SchoolContent:
Chapter 1 Ethical Issues in Forensic Psychiatry in the United States (pages 126): Dr. Robert L. Sadoff
Chapter 2 Minimizing Harm: A Perspective from Forensic Psychiatry in the United Kingdom (pages 2733): John A. Baird
Chapter 3 Mental Health and Human Rights in Forensic Psychiatry in the European Union (pages 3555): Emanuele Valenti and Luis Fernando Barrios Flores
Chapter 4 The Forensic Psychiatric Examination (pages 5778): Dr. Robert L. Sadoff
Chapter 5 The Forensic Psychiatric Report (pages 7995): Dr. Robert L. Sadoff
Chapter 6 Expert Psychiatric Testimony (pages 97110): Dr. Robert L. Sadoff
Chapter 7 Children and Adolescents (pages 111134): Dr. Robert L. Sadoff
Chapter 8 The Elderly, the Mentally Retarded, and the Severely Mentally Disabled (pages 135147): Dr. Robert L. Sadoff
Chapter 9 Victims and Predators of Sexual Violence (pages 149154): Dr. Robert L. Sadoff
Chapter 10 Immigrants: A Vulnerable Population (pages 155165): Solange Margery Bertoglia
Chapter 11 Prisoners and Death Row Inmates (pages 167175): Robert L. Sadoff
Chapter 12 Forensic Psychiatric Experts: Risks and Liability (pages 177195): Robert L. Sadoff
Chapter 13 Risks of Harm to the Forensic Expert: The Legal Perspective (pages 197211): Donna L. Vanderpool
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ترجمه ماشینی :
عمل پزشکی اخلاقی و درمان در روانپزشکی مبتنی بر مفهوم اول است که هیچ آسیبی انجام نمی دهد. با این حال ، این نمی تواند و نمی تواند در مورد موارد پزشکی قانونی اعمال شود که هیچ رابطه پزشک وجود ندارد و روانپزشک پزشکی قانونی ممکن است در واقع به معاینه آسیب برساند. در این کتاب ، رابرت سادوف موضوعات اخلاقی مؤثر بر عمل روانپزشکی پزشکی قانونی ، به ویژه مواردی را که توسط آکادمی روانپزشکی آمریکا و قانون اعلام شده است ، تجزیه و تحلیل می کند. در این دستورالعمل ها ، او به تعصب فردی ، آسیب پذیری معاینه و آسیب بالقوه به متخصص بهداشت روان نگاه می کند. این کتاب در مورد هر یک از رویه های متخصص پزشکی قانونی به طور جداگانه با توجه به به حداقل رساندن آسیب بحث می کند. این برنامه با توجه به مخاطبان بین المللی در ذهن نوشته شده است و به ترتیب توسط Emanuele Valenti و John Baird به بررسی چشم اندازهای اروپایی و انگلیس می پردازد.
رابرت سادوف به آسیب های بلند مدت که می توان از طریق برنامه ریزی دقیق و استفاده از اصول اخلاقی جلوگیری کرد یا به حداقل برسد ، می پردازد. او از این امر حمایت نمی کند که این آسیب کاملاً از بین برود ، زیرا در سیستم مخالف که روانپزشکان پزشکی قانونی در آن کار می کنند ، غیرممکن است. با این وجود ، در صورت مراقبت در طول ارزیابی ، گزارش گزارش و مرحله شهادت دادرسی ، می توان آسیب ها را به حداقل رساند. این کتاب د
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