{"title":"An Epistemology for Forensic Psychiatry.","authors":"Philip J Candilis","doi":"10.29158/JAAPL.260082-26","DOIUrl":"10.29158/JAAPL.260082-26","url":null,"abstract":"<p><p>Forensic opinion becomes authoritative when its epistemic (knowledge-based) content achieves a certain quality and credence. This is the point at which information qualifies as expert testimony. It is epistemology that traditionally unites the factual state of things (truth) with a level of surety (belief) to become knowledge. The following description of an epistemology, or way of knowing, for forensic psychiatry draws on traditional and contemporary scholarship to propose an alliance of logic and probability for moving from inquiry to knowledge. Using probabilistic reasoning to accrue evidence toward a conclusion, this approach acknowledges the uncertainties of science and human behavior, the biases of observation and research, and the misinformation and doubt of a political era typified by skepticism and distrust.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"294-301"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future Directions in the Evaluation of Forensic Cases Involving Artificial Intelligence \"Chatbots\".","authors":"Joseph R Simpson, Joseph M Pierre","doi":"10.29158/JAAPL.260081-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260081-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 3","pages":"275-281"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rethinking \"Objectivity\" for 21st Century Forensic Psychiatry.","authors":"Jacob M Appel","doi":"10.29158/JAAPL.260031-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260031-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 3","pages":"282-289"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Question of Caring for Incarcerated Patients.","authors":"Nathaniel P Morris","doi":"10.29158/JAAPL.260051-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260051-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 3","pages":"270-274"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"Keng Chuan Soh, Enquan Cheow, Kim Huat Jason Lee","doi":"10.29158/JAAPL.260099-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260099-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 3","pages":"378"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kavitha K Anandalingam, Carly L Baetz, Emily C Weinberger, Michael Zingman, Alison S McCann, Sarah McCue Horwitz
{"title":"A Systematic Review of the Effectiveness of Family Interventions in Reducing Juvenile Recidivism.","authors":"Kavitha K Anandalingam, Carly L Baetz, Emily C Weinberger, Michael Zingman, Alison S McCann, Sarah McCue Horwitz","doi":"10.29158/JAAPL.260083-26","DOIUrl":"10.29158/JAAPL.260083-26","url":null,"abstract":"<p><p>Family-based interventions have been shown to improve behavioral and justice-related outcomes for youth. There has been less focus on whether family-based interventions are effective at reducing youth recidivism, especially for newer or lesser known interventions. To address this gap, we conducted a systematic review of studies utilizing family-based interventions to address recidivism for youth involved in the juvenile justice system. Of the identified 3,497 unique articles, 235 full-text articles were reviewed and 31 met criteria for inclusion in the review. A variety of family-based interventions were used, including both widely known (e.g., multisystemic therapy) and lesser known interventions. Most studies demonstrated significant reductions in recidivism, with some mixed findings depending on the type of charge, assessment timepoint, measure of recidivism, or moderating factors. The findings from this review corroborate prior research on the effectiveness of well known interventions for reducing recidivism and highlight the promise of newer interventions. The results also highlight the need for additional research in this area, as well as a greater focus on better understanding the moderating factors that may affect treatment outcomes.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"318-329"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retraction Notice.","authors":"","doi":"10.29158/JAAPL.260101-26","DOIUrl":"10.29158/JAAPL.260101-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 3","pages":"379"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lindsey D Ryan-Jones, Richard Rogers, Mackenzie S Baranski, Ayomide V Ayoola
{"title":"A 20-Year Follow-Up on the Risky Enterprise of Evaluating Sexually Violent Persons.","authors":"Lindsey D Ryan-Jones, Richard Rogers, Mackenzie S Baranski, Ayomide V Ayoola","doi":"10.29158/JAAPL.260091-26","DOIUrl":"10.29158/JAAPL.260091-26","url":null,"abstract":"<p><p>Forensic evaluators commonly conduct evaluations of sexually violent persons (SVPs) but often retrofit generic risk assessments to assess SVP legal criteria. As a 20-year follow-up to \"The Risky Enterprise of Risk Assessment,\" this article critically evaluates updated versions of common risk measures (Historical-Clinical-Risk Management Scale 20 (HCR-20<sup>V3</sup>), Sexually Violent Risk 20 (SVR-20 V2), Violence Risk Appraisal Guide-Revised (VRAG-R), Static-99R, and Risk for Sexual Violence Protocol (RSVP V2)) to determine their appropriateness for SVP evaluations. For more balanced appraisals, risk assessments have more recently considered protective factors (Inventory of Offender Risk, Needs, and Strengths (IORNS), Structured Assessment of Protective Factors-Sex Offenders (SAPROF-SO), and Short-Term Assessment of Risk and Treatability (START)), given their growth in forensic research. Importantly, some risk measures demonstrated substantial improvements. Empirical support for predicting violent sexual recidivism, the legal standard in many SVP jurisdictions, has yet to be reached. Most studies assess general sexual recidivism rather than sexual violence, <i>per se</i> This disconnect presents a professional challenge for evaluators in determining whether previously convicted offenders pose such a risk of sexual violence, following their criminal sentence, as to warrant indefinite civil commitment. This review underscores the need for stronger alignments between SVP legal criteria and forensic assessment instruments to solidly support their empirical use in SVP determinations.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"340-351"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"National Survey of Undergraduate and Graduate Medical Education Exposure to Correctional Psychiatry.","authors":"Evan M Vitiello, Theodore R Zarzar","doi":"10.29158/JAAPL.260050-26","DOIUrl":"10.29158/JAAPL.260050-26","url":null,"abstract":"<p><p>Correctional facilities in the United States house many individuals with mental illness requiring psychiatric care. This study investigates didactic and clinical experiences and attitudes related to correctional psychiatry among psychiatry residency program directors and medical student clerkship directors. An online survey was distributed to assess the current landscape of learner exposure to correctional psychiatry, topics related to criminal legal involvement among people with mental illness, and attitudes toward correctional psychiatry. A total of 96 individuals responded to the survey (overall response rate of 16%). About half of clerkship director (45.2%) and program director (51.1%) respondents report affiliations with correctional institutions. Few residency programs have a mandatory rotation (24.4%) whereas a higher proportion offer elective rotations (57.8%). Although medical student clerkship directors identify teaching correctional health as important, medical students have limited exposure and education on core topics of correctional psychiatry, perhaps related to reported heightened safety concerns. Correctional settings offer an opportunity to expose future psychiatrists to the care of people with criminal legal involvement as well as individuals with serious mental illness needing care. We found variable experiences in the exposure, education, and availability of rotations related to correctional psychiatry. Educators should advocate for learners to have further opportunities in these needed areas.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"302-309"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laws Governing the Care of People with Serious Mental Illness in Solitary Confinement.","authors":"Stephanie Y Wu","doi":"10.29158/JAAPL.260052-26","DOIUrl":"10.29158/JAAPL.260052-26","url":null,"abstract":"<p><p>Solitary confinement continues to be a widespread practice among jails and prisons in the United States, despite extensive evidence of its negative effects on mental health, particularly for individuals with serious mental illness (SMI). Given this, it is imperative for forensic mental health clinicians, especially those working in correctional settings, to be aware of the laws and policies that govern who can be placed in solitary confinement, for what reasons, and for how long. This article summarizes each state's statutes, administrative codes, and department policies on solitary confinement regarding people with SMI, highlighting the wide variation in the treatment of individuals with SMI in the correctional system across states and the need for uniform legislation that restricts the use of solitary confinement for people with SMI. This knowledge can help clinicians to better understand the ways in which their patients may be affected by the practice of solitary confinement and, ultimately, how to advocate for incarcerated individuals placed in solitary confinement to help minimize adverse outcomes.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"310-317"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}