Journal of the American Academy of Psychiatry and the Law最新文献_第3页

Insights from California on Involuntary Commitment for Substance Use. 加利福尼亚州对药物使用非自愿入院的启示。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-09-03 DOI: 10.29158/JAAPL.240054-24

Stephen L Weiner, Berneen Bal, Matthew E Hirschtritt, Alex Barnard

引用次数: 0

Legal Implications of Psychiatric Assessment for Medical Aid in Dying. 临终医疗救助的精神病学评估的法律意义。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-09-03 DOI: 10.29158/JAAPL.240042-24

Hira Hanif, Dale E McNiel, Lois Weithorn, Renée L Binder

引用次数: 0

Formulating Performance Crimes. 制定绩效犯罪。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-09-03 DOI: 10.29158/JAAPL.240052-24

Ryan C W Hall, Terry Day

引用次数: 0

Attitudes of Forensic Fellowship Psychiatry Directors towards an Applicant Match. 法医研究员精神病学主任对申请人匹配的态度。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-09-03 DOI: 10.29158/JAAPL.240053-24

Dhruv R Gupta, Philip J Candilis, Octavio Choi, Margarita Abi Zeid Daou, Reena Kapoor, Sean D Cleary, Renée Binder, Peter Ash

{"title":"Attitudes of Forensic Fellowship Psychiatry Directors towards an Applicant Match.","authors":"Dhruv R Gupta, Philip J Candilis, Octavio Choi, Margarita Abi Zeid Daou, Reena Kapoor, Sean D Cleary, Renée Binder, Peter Ash","doi":"10.29158/JAAPL.240053-24","DOIUrl":"10.29158/JAAPL.240053-24","url":null,"abstract":"Forensic psychiatry fellowship programs recruit applicants through a nonstandardized process that differs by program. Although there are deadlines, informal guidance, and more recent communication guidelines, perceived differences in recruitment practices persist between geographic regions, small and large programs, and newer and more well-established programs. In the wake of a survey of fellowship applicants that found mixed opinions surrounding the application process, U.S. forensic fellowship directors undertook a mixed method quantitative-qualitative survey of their colleagues to assess interest in a match as a potential improvement and factors influencing that interest (e.g., program size, age, and unfilled positions). With responses from all 46 active U.S. programs, results indicated broad support for principles of fairness, transparency, and minimizing pressure on applicants, with an almost perfectly divided interest in a match. Respondents supported the use of a centralized database to standardize the application process and favored certain exceptions for internal applicants. Hypotheses about the reasons underlying program directors' attitudes toward a match did not yield significant results, with only the size of a program approaching significance. This novel comprehensive survey of forensic fellowship directors offers a model for assessing and monitoring the evolution of application processes for medical subspecialties interested in expanding and improving their recruitment.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"304-310"},"PeriodicalIF":2.1,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761662","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

The Evolving Standard of Care for Autoimmune Neuropsychiatric Illness. 不断演变的自身免疫性神经精神疾病治疗标准。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240033-24

Cynthia He, Nathaniel Morris, Dale McNiel, Renee Binder

{"title":"The Evolving Standard of Care for Autoimmune Neuropsychiatric Illness.","authors":"Cynthia He, Nathaniel Morris, Dale McNiel, Renee Binder","doi":"10.29158/JAAPL.240033-24","DOIUrl":"10.29158/JAAPL.240033-24","url":null,"abstract":"In recent decades, there has been increasing biomedical and public understanding of the role of autoimmunity in neuropsychiatric illness. Popular media have highlighted patients with psychiatric illnesses who were eventually diagnosed with autoimmune neuropsychiatric illnesses such as anti- N-methyl-D-aspartate receptor encephalitis. Coverage of these cases has often drawn attention to the effects of misdiagnosis or delayed diagnosis of such diseases in psychiatric patients. Autoimmune encephalitis can have varied presentations and often involves evaluation and management from multiple medical specialties. As a result, there remains considerable uncertainty regarding how courts might gauge the legal standard of care with regard to psychiatric workup of new-onset psychiatric symptoms, and the degree to which autoimmune encephalitis must be considered. In this article we provide a brief overview of autoimmune encephalitis and autoimmune psychosis, including current diagnostic approaches to these conditions. We review case law regarding the standard of care for psychiatric disorders caused by general medical conditions. Finally, we provide a medicolegal perspective on the responsibilities of psychiatrists and other mental health professionals in the evaluation of possible autoimmune encephalitis.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"225-234"},"PeriodicalIF":2.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187096","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

Predictors of Criminal Sentiments Scale-Modified Scores in Outpatients with Legal System Involvement. 涉及法律系统的门诊患者犯罪情绪量表修正分数的预测因素。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.230120-23

Luca Pauselli, Adria Zern, En Fu, Oluwatoyin Ashekun, Samantha Ellis, Elisabeth Jackson, Leah G Pope, Amy C Watson, Jennifer D Wood, Michael T Compton

{"title":"Predictors of Criminal Sentiments Scale-Modified Scores in Outpatients with Legal System Involvement.","authors":"Luca Pauselli, Adria Zern, En Fu, Oluwatoyin Ashekun, Samantha Ellis, Elisabeth Jackson, Leah G Pope, Amy C Watson, Jennifer D Wood, Michael T Compton","doi":"10.29158/JAAPL.230120-23","DOIUrl":"10.29158/JAAPL.230120-23","url":null,"abstract":"The Criminal Sentiments Scale-Modified (CSS-M) has been widely used as a measure of criminal attitudes. This analysis examined CSS-M scores in a large sample of outpatients with serious mental illnesses and a criminal legal system history. We compared total and subscale scores in our sample to scores from two other previously published U.S. studies in which the CSS-M was used, and evaluated associations between total CSS-M score and nine variables (age, educational attainment, gender, race, marital status, employment status, diagnostic category, substance use disorder comorbidity, and adverse childhood experiences (ACE) score). Scores were higher than in two prior U.S. studies involving other types of samples. Independently significant predictors of higher CSS-M scores included being younger (P < .001), having a higher ACE score (P < .001), being male (P = 03), not identifying as White (P < 001), not having a psychotic disorder (P < 001), and having a comorbid substance use disorder (P = 002). Future research should test the hypothesis that these factors increase risk for arrest and that arrest events, and subsequent criminal legal system involvement, are characterized by negative experiences and perceptions of poor procedural justice, which in turn underpin the negative opinions referred to as \"criminal sentiments\" or criminal attitudes.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"176-185"},"PeriodicalIF":2.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248973","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

Dim Cap? Or Dull Bulb? 暗盖？还是暗淡的灯泡？

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240024-24

Victoria Harris

引用次数: 0

Mute by Visitation of God, Competency to Stand Trial and Fitness to Plead. 因上帝探视而哑巴、有能力出庭受审和适于认罪。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240005-24

Alec Buchanan

引用次数: 0

Effectiveness of Dialectical Behavior Therapy (DBT) in a Forensic Psychiatric Hospital. 辩证行为疗法 (DBT) 在法医精神病院的疗效。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240009-24

Liyah Marshall, Nicole Kletzka, Jean Kanitz, Kiel J Opperman, Jason Rockwell

{"title":"Effectiveness of Dialectical Behavior Therapy (DBT) in a Forensic Psychiatric Hospital.","authors":"Liyah Marshall, Nicole Kletzka, Jean Kanitz, Kiel J Opperman, Jason Rockwell","doi":"10.29158/JAAPL.240009-24","DOIUrl":"10.29158/JAAPL.240009-24","url":null,"abstract":"Dialectical behavior therapy (DBT) has strong evidence in support of its effectiveness in reducing suicide attempts, anger, impulsivity, and substance abuse. It has been implemented in a variety of forensic settings to help with these challenges, despite limited research on the efficacy of DBT within this population. The current study presents treatment outcomes from an established DBT program in a maximum-security forensic facility. Outcomes included self-reported functioning, behavioral outcomes, and assessment of DBT skills knowledge among inpatients who participated in either comprehensive DBT or DBT skills training. Behaviorally, the study found a significant decrease in rates of patient assaults and reduced use of \"Pro re nata\" (PRN) medication for anxiety or agitation over the course of DBT treatment. During the first six months of treatment, self-reported symptoms of depression, emotional and behavioral dysregulation, and psychological inflexibility significantly decreased. Within this time frame, patients also displayed a significant decrease in the use of dysfunctional coping skills and a significant increase in knowledge pertaining to emotion regulation and interpersonal effectiveness. The results of this study largely support the use of DBT in forensic settings.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"196-206"},"PeriodicalIF":2.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248912","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 Neurology and the Role of Neurologists in Forensic Evaluations. 法医神经学和神经学家在法医评估中的作用。

IF 2.1 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2024-06-04 DOI: 10.29158/JAAPL.240018-24

William C Darby, Ciaran M Considine, R Ryan Darby

{"title":"Forensic Neurology and the Role of Neurologists in Forensic Evaluations.","authors":"William C Darby, Ciaran M Considine, R Ryan Darby","doi":"10.29158/JAAPL.240018-24","DOIUrl":"10.29158/JAAPL.240018-24","url":null,"abstract":"Forensic psychiatrists may be asked to opine on neurological evidence or neurological diseases outside the scope of their expertise. This article discusses the value of involving experts trained in behavioral neurology in such cases. First, we describe the field of behavioral neurology and neuropsychiatry, the subspecialty available to both neurologists and psychiatrists focused on the behavioral, cognitive, and neuropsychiatric manifestations of neurological diseases. Next, we discuss the added value of behavioral neurologists in forensic cases, including assisting in the diagnostic evaluation for complex neuropsychiatric diseases, using expertise in localization to provide a strong scientific basis for linking neurodiagnostic testing to relevant neuropsychiatric symptoms, and assisting in relating these symptoms to the relevant legal question in cases where such symptoms may be less familiar to forensic psychiatrists, such as frontal lobe syndromes. We discuss approaches to integrating behavioral neurology with forensic psychiatry, highlighting the need for collaboration and mentorship between disciplines. Finally, we discuss several forensic cases highlighting the additional value of experts trained in behavioral neurology. We conclude that forensic psychiatrists should involve behavioral neurology experts when encountering neurological evidence that falls outside their scope of expertise, and the need for further cross-disciplinary collaboration and training.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 2","pages":"139-148"},"PeriodicalIF":2.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248936","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