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

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Pregnancy Criminalization in the United States. 美国的怀孕定罪。
IF 2 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260035-26
Jacqueline Landess, Aimee Kaempf
{"title":"Pregnancy Criminalization in the United States.","authors":"Jacqueline Landess, Aimee Kaempf","doi":"10.29158/JAAPL.260035-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260035-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 2","pages":"141-146"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220223","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
Options for the Forensic Mental Health Evaluator When Retaining Counsel Is Impaired. 当聘请律师受损时，法医心理健康评估员的选择。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260033-26
Stanley L Brodsky, C Adam Coffey, Eric Y Drogin, Thomas Gutheil
{"title":"Options for the Forensic Mental Health Evaluator When Retaining Counsel Is Impaired.","authors":"Stanley L Brodsky, C Adam Coffey, Eric Y Drogin, Thomas Gutheil","doi":"10.29158/JAAPL.260033-26","DOIUrl":"10.29158/JAAPL.260033-26","url":null,"abstract":"<p><p>When forensic mental health professionals find themselves working with seemingly impaired attorneys, a substantial dilemma is presented. The forensic professional must consider how, if at all, to respond to legal performance deficits that may reflect dementia, a substance use disorder, a mood disorder, or some other identifiable psychiatric condition. Two de-identified cases are presented that highlight the difficulty of providing expert witness and consultation services under such circumstances. Codified ethics guidance for attorneys, psychiatrists, and psychologists offers relevant, albeit rather limited, direction. Several overlapping options are proposed, including discreet inquiry, frank discussion, treatment referral, and withdrawal from participation.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"156-164"},"PeriodicalIF":2.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844405","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
Change in Severity of Mental Disorder for Individuals in Custody in Short-Term Segregation. 短期隔离关押中精神障碍严重程度的变化。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260045-26
Roland M Jones, Margaret Maheandiran, Marcos Sanches, Stephanie Penney, Alexander I F Simpson
{"title":"Change in Severity of Mental Disorder for Individuals in Custody in Short-Term Segregation.","authors":"Roland M Jones, Margaret Maheandiran, Marcos Sanches, Stephanie Penney, Alexander I F Simpson","doi":"10.29158/JAAPL.260045-26","DOIUrl":"10.29158/JAAPL.260045-26","url":null,"abstract":"<p><p>The mental health effects of segregation remain contested, with limited longitudinal evidence using clinical data. We conducted a retrospective longitudinal observational study of individuals placed in segregation in British Columbia correctional facilities between 2019 and 2022. Global mental health severity was assessed using serial Clinical Global Impression for Corrections (CGI-C) ratings. Mixed-effects regression models were used to examine change in CGI-C scores over time, accounting for repeated observations nested within segregation encounters and individuals. The sample included 2,288 individuals across 3,273 segregation encounters (9,282 CGI-C observations). The median segregation duration was 10 days. At the encounter level, 24.6 percent showed at least a one-point improvement in CGI-C, 60.3 percent showed no change, and 15.1 percent worsened. In adjusted models, identified mental health needs (MHNs) were associated with higher overall severity (higher CGI-C scores) and a small deterioration (increase in CGI-C scores) over time. Baseline mental health severity strongly differentiated the trajectories: individuals with high initial CGI-C ratings showed a marked early reduction in severity, whereas those with low initial severity exhibited a gradual increase. Despite improvement, high-severity individuals remained more symptomatic overall. Individuals with MHNs at baseline experienced a less favorable trajectory, although persons with a higher severity at baseline modestly improved over time, perhaps because of available support services.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"202-212"},"PeriodicalIF":2.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044298","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
Misclassifying Ego-Syntonic Violence as Obsessive Compulsive Disorder. 将自我-同步暴力错误地归类为强迫症。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260036-26
Tiffany Tryniszewski
{"title":"Misclassifying Ego-Syntonic Violence as Obsessive Compulsive Disorder.","authors":"Tiffany Tryniszewski","doi":"10.29158/JAAPL.260036-26","DOIUrl":"10.29158/JAAPL.260036-26","url":null,"abstract":"<p><p>The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) defines obsessions in obsessive-compulsive disorder (OCD) as recurrent thoughts, urges, or images that are intrusive, unwanted, and distressing. Because the manual does not include an explicit ego-dystonicity requirement, its definition risks conflating anxiety-driven intrusions with gratification-driven impulses. This ambiguity carries significant forensic implications. When violent ideation is emotionally gratifying, it may still be described as distressing or unwanted, in a practical sense. In such cases, it may be misclassified as obsessional, potentially mitigating culpability or distorting assessments of intent and risk. Using the cases of William Heirens and Robert Cameron Houston, this article illustrates how DSM language can blur the boundary between true obsessional phenomena, experienced as alien, morally incongruent, and resisted, and ego-syntonic violent ideation that is volitional, reinforcing, and aligned with behavior. Tracing this vulnerability to the DSM's historical shift from psychodynamic to descriptive nosology, the paper argues that diagnostic precision must be grounded in phenomenological meaning rather than in surface description. In forensic contexts, this distinction safeguards determinations of intent, volition, and responsibility. Clarifying that obsessions are, by definition, ego-dystonic would preserve the conceptual integrity of OCD, prevent its misuse in court, and support the ethical and evidentiary coherence of psychiatric testimony.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"224-231"},"PeriodicalIF":2.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057534","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
Letter. 信。
IF 2 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260025-26
Mary E Nance, Baton Rouge
{"title":"Letter.","authors":"Mary E Nance, Baton Rouge","doi":"10.29158/JAAPL.260025-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260025-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 2","pages":"266"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220146","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
In Reply. 在回答。
IF 2 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-06-10 DOI: 10.29158/JAAPL.260037-26
Jason Quinn, Kiran Patel, Shaheen A Darani
{"title":"In Reply.","authors":"Jason Quinn, Kiran Patel, Shaheen A Darani","doi":"10.29158/JAAPL.260037-26","DOIUrl":"https://doi.org/10.29158/JAAPL.260037-26","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 2","pages":"267"},"PeriodicalIF":2.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220199","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
Threats to Objectivity in Risk Assessment for Individuals with Borderline Personality Disorder. 边缘型人格障碍个体风险评估客观性的威胁。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-03-12 DOI: 10.29158/JAAPL.250103-25
Mary Elizabeth Wood, Sean E Evans, Jaime L Anderson
{"title":"Threats to Objectivity in Risk Assessment for Individuals with Borderline Personality Disorder.","authors":"Mary Elizabeth Wood, Sean E Evans, Jaime L Anderson","doi":"10.29158/JAAPL.250103-25","DOIUrl":"10.29158/JAAPL.250103-25","url":null,"abstract":"<p><p>Borderline personality disorder is unique in many ways from other diagnoses contained in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Most salient, however, are the negative connotations often associated with the label itself and the resulting bias of providers. The ways in which these biases manifest are especially problematic in violence risk assessment, wherein evaluators are tasked with systematic consideration of data, with most data coming from available records. In this article, we describe some of the ways in which bias and objectivity are encountered in risk assessment with this population, describe a relevant case example, and offer practical recommendations for evaluators.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"49-58"},"PeriodicalIF":2.3,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318083","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
Recognizing the Existence of Quack Experts in Forensic Psychiatry and Exploring Hard Truths. 认识到法医精神病学庸医的存在，探索残酷的真相。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-03-12 DOI: 10.29158/JAAPL.250107-25
Ryan Wagoner
{"title":"Recognizing the Existence of Quack Experts in Forensic Psychiatry and Exploring Hard Truths.","authors":"Ryan Wagoner","doi":"10.29158/JAAPL.250107-25","DOIUrl":"10.29158/JAAPL.250107-25","url":null,"abstract":"<p><p>The quack expert pretends to have some peculiar knowledge or skill that the expert does not possess or that may not even exist at all. Within forensic psychiatry, the response to quack experts has been varied and largely ineffective in mitigating their effect. Previous efforts to address quack experts have primarily relied on the courts, sanctions from professional organizations, or state board intervention. A shift to more globally addressing the misinformation itself and creating education of what appropriate testimony entails is likely far more helpful than trying to identify and punish each quack expert. At the individual level, new avenues of intervention include forensic psychiatrists taking advantage of educational opportunities and engaging in self-reflection. At the regional and national level, potential interventions include the American Academy of Psychiatry and the Law's educating courts and attorneys, developing resource documents conveying basic principles of appropriate practice, and expanding peer review.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"31-38"},"PeriodicalIF":2.3,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317587","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
Homelessness, Grave Disability, and Mental Health Legislation. 无家可归、严重残疾和精神健康立法。
IF 2 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-03-12 DOI: 10.29158/JAAPL.250092-25
Olalekan Olaolu, Vikram Kumar, Chinmoy Gulrajani
{"title":"Homelessness, Grave Disability, and Mental Health Legislation.","authors":"Olalekan Olaolu, Vikram Kumar, Chinmoy Gulrajani","doi":"10.29158/JAAPL.250092-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250092-25","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"54 1","pages":"12-20"},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445564","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
Medicolegal Considerations in the Psychiatric Management of Pregnancy and Postpartum Disorders. 妊娠和产后障碍的精神病学管理中的医学法律考虑。
IF 2.3 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2026-03-12 DOI: 10.29158/JAAPL.250105-25
Allison R Horan, Dale E McNiel, Renée L Binder
{"title":"Medicolegal Considerations in the Psychiatric Management of Pregnancy and Postpartum Disorders.","authors":"Allison R Horan, Dale E McNiel, Renée L Binder","doi":"10.29158/JAAPL.250105-25","DOIUrl":"10.29158/JAAPL.250105-25","url":null,"abstract":"<p><p>Psychiatrists who treat mental disorders in pregnancy must navigate the risks associated with prescribing medication to pregnant and breastfeeding people alongside the risks associated with untreated mental illness. This article examines how U.S. courts have engaged with this complex landscape when tasked with evaluating allegations of clinician and pharmaceutical negligence in cases involving pharmacological management of perinatal mental health disorders (PMHDs). We begin first with a review of the legal theories that form the basis of negligence lawsuits related to PMHDs. We then explore cases of both pharmaceutical negligence (which are usually pursued under product liability claims) and professional negligence (i.e., malpractice), distinguishing how the courts' interpretation of liability has varied for errors of omission and errors of commission. We then provide an analysis of relevant themes in this area of case law with the goal of informing expert witnesses of considerations when called to opine upon questions related to negligence in the treatment of PMHDs.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"39-48"},"PeriodicalIF":2.3,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317604","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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