Journal of the American Academy of Psychiatry and the Law最新文献

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Toward Aspirational Forensic Mental Health Practice.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-05 DOI: 10.29158/JAAPL.240123-24
Julie Goldenson, Stanley L Brodsky, Terry Kukor
{"title":"Toward Aspirational Forensic Mental Health Practice.","authors":"Julie Goldenson, Stanley L Brodsky, Terry Kukor","doi":"10.29158/JAAPL.240123-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240123-24","url":null,"abstract":"<p><p>Forensic mental health professionals are often provided with aspirational guidelines to inform their practice; however, disparities exist between what such professionals should strive to do and what they actually do. This article considers pathways to improving practice not only in terms of knowledge base but also in terms of ethics, skills, and intellectual, dispositional, and interpersonal qualities. Obstacles are identified that could prevent forensic mental health professionals from practicing at higher levels of excellence.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568447","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}
引用次数: 0
Challenges and Opportunities for Forensic Mental Health in Immigration Courts.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240084-24
Richard Rogers, Kamar Y Tazi
{"title":"Challenges and Opportunities for Forensic Mental Health in Immigration Courts.","authors":"Richard Rogers, Kamar Y Tazi","doi":"10.29158/JAAPL.240084-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240084-24","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"53 1","pages":"2-10"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558344","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}
引用次数: 0
Our Thanks to Reviewers.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.250007-25
Michael A Norko, Susan Hatters Friedman, Jacquelyn T Coleman
{"title":"Our Thanks to Reviewers.","authors":"Michael A Norko, Susan Hatters Friedman, Jacquelyn T Coleman","doi":"10.29158/JAAPL.250007-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250007-25","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"53 1","pages":"132"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558347","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}
引用次数: 0
Benefits of Correctional Psychiatry Teaching and Clinical Exposure for Third-Year Medical Students.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240116-24
Ibrahim Yahia Z Mohammad, Neil de Laplante, Stephen Floyd Wood
{"title":"Benefits of Correctional Psychiatry Teaching and Clinical Exposure for Third-Year Medical Students.","authors":"Ibrahim Yahia Z Mohammad, Neil de Laplante, Stephen Floyd Wood","doi":"10.29158/JAAPL.240116-24","DOIUrl":"10.29158/JAAPL.240116-24","url":null,"abstract":"<p><p>Medical students have limited exposure to correctional health, and their attitudes toward inmates are understudied. We investigated medical students' attitudes toward inmates, assessing whether an intervention can improve their understanding of the correctional system and help them develop more positive attitudes toward inmates. One hundred thirty third-year medical students at the University of Ottawa attended a one-hour lecture on correctional health and adverse childhood experiences (ACEs) and subsequently observed a three-hour correctional telepsychiatry clinic during their clerkship psychiatry rotation. Students completed a preintervention and postintervention questionnaire that included a modified 20-item Attitudes Toward Prisoners (ATP) scale (quantitative) and feedback questions (qualitative). Of 130 students who completed the preintervention questionnaire, 106 completed the postintervention questionnaire (81.5%). Students' mean total modified ATP scores increased significantly after our intervention, from 72.8 to 78.4 (<i>p</i> <<i> </i>001). Fourteen of 20 ATP items increased significantly, reflecting greater understanding of the correctional system and more positive attitudes toward inmates. Thematic analysis of qualitative feedback revealed students gained a better understanding of the correctional system and increased comfort treating inmates. Scarce criticism included minimal interactivity and a desire for more sessions. Although students perceived benefits, further research is required to determine its educational significance.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"65-73"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426458","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}
引用次数: 0
Applying AAPL Ethics and Mission in Forensic Treatment.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.250001-25
Charles C Dike
{"title":"Applying AAPL Ethics and Mission in Forensic Treatment.","authors":"Charles C Dike","doi":"10.29158/JAAPL.250001-25","DOIUrl":"10.29158/JAAPL.250001-25","url":null,"abstract":"<p><p>The increased visibility of the patients' rights movement in medicine in recent years has left the erroneous impression that patients and their physicians are on equal footing in the physician-patient relationship. The reality is that vulnerability of patients in this relationship leaves them at the mercy of health care professionals. This is most acute in psychiatry, where patients reveal aspects of their inner being to their psychiatrist, including strange beliefs they would never disclose to their closest friends and family members, whereas psychiatrists, in contrast, reveal close to nothing of themselves to patients. Additionally, distortions of reality can strip patients of social mores and basic humanity and sometimes cause them to commit crimes. American Academy of Psychiatry and the Law (AAPL) scholars have espoused the values of treating evaluees professionally and with compassion and respect while upholding their dignity and humanity. These worthy forensic psychiatric writings, however, have unfortunately not always transitioned into the clinical treatment of forensic patients. Reports of patient abuse by staff in psychiatric hospitals, including forensic psychiatric hospitals, remain rampant. Using real-life examples, I apply forensic psychiatric ethics to patient care and offer suggestions of practices and policies that would enhance treatment of patients and decrease the potential for patient abuse in psychiatric hospitals.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"11-18"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400409","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}
引用次数: 0
Hunger Strikes After Restricted Housing Reform. 限制住房改革后的绝食抗议。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240088-24
Anthony Tamburello, Kerri Edelman, Rusty Reeves
{"title":"Hunger Strikes After Restricted Housing Reform.","authors":"Anthony Tamburello, Kerri Edelman, Rusty Reeves","doi":"10.29158/JAAPL.240088-24","DOIUrl":"10.29158/JAAPL.240088-24","url":null,"abstract":"<p><p>Hunger strikes are a common occurrence in carceral settings accompanied by serious health risks and intensive health care utilization. A 2017 study on hunger strikes within the New Jersey Department of Corrections found these events most often occurred in a disciplinary setting. We undertook this study after a new state law, the Isolated Confinement Restriction Act (ICRA), improved conditions of confinement in part by reducing the utilization, nature, and duration of disciplinary housing. We hypothesized that ICRA would reduce the frequency of hunger strikes. Although the frequency of strikes was unchanged, the mean hunger strike duration declined from 28.9 days to 9.7 days (<i>p</i> = .034). The typical strike was modestly briefer, with the median duration before ICRA being four days and after being three days. The rate of hunger strikes greater than three days declined (from 60.3% to 45.2%; <i>p</i> = .049). There was no difference in the rate of hunger striking in disciplinary housing before or after ICRA. Although hunger strikes remain a frequently used method of protest for incarcerated persons, reform to the conditions of confinement was associated with reducing the health-related dangers and associated health care costs of these phenomena and arguably was a factor in this reduction.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"45-54"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013629","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}
引用次数: 0
Bias in Peer Review of Forensic Psychiatry Publications.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240090-24
Alan R Felthous, Robert M Wettstein, Jose Nassif
{"title":"Bias in Peer Review of Forensic Psychiatry Publications.","authors":"Alan R Felthous, Robert M Wettstein, Jose Nassif","doi":"10.29158/JAAPL.240090-24","DOIUrl":"10.29158/JAAPL.240090-24","url":null,"abstract":"<p><p>Bias can vitiate the quality and credibility of a mental health professional's forensic evaluations as well as scientific and scholarly contributions to the forensic process in forensic psychiatry publications. Our attention here is on this latter influence of bias, although the genres of bias identified here can as well occur in forensic practice and writings. Attention is given to multiple forms of bias in peer review: <i>ad hominem</i>, ideological, confirmatory, hindsight, the halo effect, gender, publication, conflict of (financial) interest, political, religious, nationality or country of origin, esthetic or linguistic, racial or ethnicity, and herding. No doubt much bias in peer review goes undetected and no absolute purification process exists. Nonetheless, as with almost any problem, the first step toward a remedy is recognition.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"55-64"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400410","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}
引用次数: 0
Methamphetamine-Associated Psychosis and Criminal Responsibility.
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240121-24
Brianna Engelson, Laura Sloan, Peter J Teravskis, Chinmoy Gulrajani
{"title":"Methamphetamine-Associated Psychosis and Criminal Responsibility.","authors":"Brianna Engelson, Laura Sloan, Peter J Teravskis, Chinmoy Gulrajani","doi":"10.29158/JAAPL.240121-24","DOIUrl":"10.29158/JAAPL.240121-24","url":null,"abstract":"<p><p>Stimulants are among the most widely used substances in the world after cannabis, with a rapid rise in methamphetamine use in the last 15 years. Methamphetamine has a high propensity to cause psychosis ranging from transient psychosis during acute intoxication to persisting psychosis with similarities to schizophrenia. Although the former condition may not abrogate criminal responsibility, the latter is recognized as a basis for an exculpatory mental state in a majority of jurisdictions across the United States. Methamphetamine use can therefore complicate criminal responsibility evaluations. We present the literature on methamphetamine-induced psychosis, underscoring the shortfalls in existing classificatory schemes for methamphetamine-associated psychosis that can complicate forensic mental health evaluators' opinions in criminal responsibility evaluations. We offer practical considerations for forensic mental health professionals performing criminal responsibility evaluations where methamphetamine use is a concern.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"83-92"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068826","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}
引用次数: 0
Reconsidering the Relationship Between Criminal Insanity and Delusions. 重新思考精神错乱与妄想之间的关系。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.240085-24
Linda Gröning, Susanna Radovic, Unn K Haukvik
{"title":"Reconsidering the Relationship Between Criminal Insanity and Delusions.","authors":"Linda Gröning, Susanna Radovic, Unn K Haukvik","doi":"10.29158/JAAPL.240085-24","DOIUrl":"10.29158/JAAPL.240085-24","url":null,"abstract":"<p><p>This article discusses the relevance of delusions for a finding of criminal insanity. The authors start from the recognition that the psychiatric notion of delusion is considered relevant to criminal insanity in most jurisdictions and therefore integrates psychiatric perspectives to define delusions. The key focus is on the differences regarding how and why delusions matter legally between the Anglo-American and the Norwegian approach to criminal insanity. The authors argue that Norwegian law provides a new point of entrance to clarify legal implications of delusions but also uncovers further challenges and targets for future research regarding how the law relies upon psychiatric constructs.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"35-44"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013640","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}
引用次数: 0
Forensic Fiction: "Tangled Roots".
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-03-04 DOI: 10.29158/JAAPL.250002-25
Susan Hatters Friedman
{"title":"Forensic Fiction: \"Tangled Roots\".","authors":"Susan Hatters Friedman","doi":"10.29158/JAAPL.250002-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250002-25","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"53 1","pages":"93-96"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558346","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}
引用次数: 0
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