Conducting Insanity Evaluations

Overview

Insanity evaluations represent the most challenging and complex evaluations in forensic psychology and psychiatry. Mental health and legal professionals involved in insanity cases need a solid foundation in current concepts, legal standards, and clinical methods. This need is heightened by the substantial legal and clinical changes that have occurred in the field during the past decade.

This text from two leading authorities brings forensic professionals up to date on key issues...

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Overview

Insanity evaluations represent the most challenging and complex evaluations in forensic psychology and psychiatry. Mental health and legal professionals involved in insanity cases need a solid foundation in current concepts, legal standards, and clinical methods. This need is heightened by the substantial legal and clinical changes that have occurred in the field during the past decade.

This text from two leading authorities brings forensic professionals up to date on key issues surrounding insanity evaluations. It delineates explicit, research-based guidelines for interview-based assessments, psychological testing and other specialized procedures, and forensic reports and testimony. The volume explores how insanity is conceptualized under the law and differentiated from other standards of criminal responsibility. A range of clinical measures and techniques are examined, with special attention to such relevant phenomena as malingering and amnesia. Included in the appendices are invaluable databases on 413 defendants evaluated for criminal responsibility and 6,479 defendants found not guilty by reason of insanity.

For clinicians, the volume provides the knowledge and skills needed to conduct ethical, legally defensible insanity evaluations and to present their findings effectively. Legal professionals will gain a basis for understanding the logic and clinical methods used by mental health experts and for evaluating the quality of their assessments.

The book contains no figures.

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Editorial Reviews

From The Critics
Reviewer: Terri L. Vital, MD (Rush-Presbyterian-St. Luke's Medical Center)
Description: This practical text is an outline of clinical methods used for the assessment of criminal responsibility; relevant clinical and legal issues are also illuminated. This timely edition is an update of the initial version published in 1986.
Purpose: The authors outline the essential issues for mental health professionals assessing defendants for criminal responsibility, update clinical methods, and provide explicit standards for forensic practice. Their comprehensive approach to a commonly addressed topic in forensic mental health serves as a valuable guide for both mental health professionals and attorneys.
Audience: This book is a helpful primer for any mental health professional or member of the legal profession. Overall, the balanced discussion of pertinent issues makes this book exceedingly readable for psychiatrists, psychologists, and general and forensic practitioners.
Features: The authors cover the clinician's role in insanity evaluations, the expert-attorney relationship, legal standards, and the critical topics of malingering and deception as well as amnesia and dissociation. In the clinical methods section of the book, the authors elaborate the process of conducting an assessment of criminal responsibility beginning with the interview and proceeding through psychological testing, the use of structured interview approaches, and laboratory and special assessment techniques. They wrap up with detailed recommendations for synthesizing and communicating the findings.
Assessment: In this edition the authorsdocument changes in relevant legal standards and draw upon a larger database of clinical information than the first edition. Throughout the text, the authors give illustrative examples to clarify their points. The chapter on comparison of structured interviews makes for lively and interesting reading. Because the broad scope of the evaluation process is encompassed and the authors address theoretical as well as pragmatic concerns that typically arise in these cases, this book is as a useful introduction for the novice forensic expert or attorney. Seasoned veterans in the field will find it to be well documented, from both clinical and legal perspectives.
Booknews
This update of the 1986 edition adds Shuman as coauthor, covers changes in the conceptualization and legal basis of insanity evaluations, and includes a data base compiled from studies of US defendants acquitted "not guilty by reason of insanity." Appends court decisions on expert opinions, and commonly used psychological tests. Includes 35 pages of references. Rogers teaches psychology at the U. of Northern Texas, Denton; Shuman is a law professor at Southern Methodist U. School of Law, Dallas, TX. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780442279455
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 10/1/1986
  • Pages: 304

Table of Contents

1. Introduction
I. Clinical and Legal Issues
2. The Clinician's Role in Insanity Evaluations
3. The Expert Attorney Relationship
4. Addressing the Legal Standards
5. Malingering and Deception
6. Amnesia and Dissociation
II. Clinical Methods
7. Clinical Interviews
8. Psychological Testing
9. Structured Approaches to Insanity Evaluations
10. Laboratory and Specialized Assessment Techniques: Issues and Methods
11. Clinical Synthesis
12. Communication of Findings
Appendices:
A. Data Bases on NGRI Patients and R-CRAS Evaluations.
B. Appellate Decisions on the Discoverability of Expert Opinions in Insanity Cases.
C. Commonly Used Psychological Tests and Their Abbreviations.
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