{"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}
{"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}
{"title":"Ethics Challenges in Correctional Mental Health.","authors":"Graham Glancy","doi":"10.29158/JAAPL.240122-24","DOIUrl":"10.29158/JAAPL.240122-24","url":null,"abstract":"<p><p>Forensic psychiatry has been developing ethics guidelines over the last 50 years. The forensic psychiatry guidelines have taken a somewhat different path from traditional medical ethics based on beneficence and nonmaleficence. In particular, for forensic psychiatrists, the ethics concept of the primacy of striving for an individual's benefit may conflict with duties to the justice system. I posit that correctional psychiatry is a branch of forensic psychiatry that has ethics characteristics of both systems and discuss a way of resolving some of these dilemmas. Even if it is practiced by suitably qualified forensic psychiatrists, correctional psychiatry demands its own variation of ethics principles. This variation involves the additional variable of acknowledgment of the duty to the security of the institution. I develop this theory and apply it to some day-to-day ethics dilemmas with which correctional psychiatrists deal. Developing a code of ethics for correctional psychiatry is important. I apply a theoretical code of ethics to the many daily dilemmas experienced by correctional psychiatrists.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"74-82"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442352","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}
Lillian J Svete, William W Tindell, Christopher J McLouth, Timothy S Allen
{"title":"A Retrospective Analysis of Rates of Malingering in a Forensic Psychiatry Practice.","authors":"Lillian J Svete, William W Tindell, Christopher J McLouth, Timothy S Allen","doi":"10.29158/JAAPL.240083-24","DOIUrl":"10.29158/JAAPL.240083-24","url":null,"abstract":"<p><p>Malingering is defined as the intentional falsification or exaggeration of symptoms for secondary gain. The prevalence of malingering varies widely among different medicolegal contexts, emphasizing the need to identify additional predictive factors when considering the diagnosis. This study measured rates of malingering in a sample of 1,300 subjects from a forensic psychiatry practice located in Lexington, Kentucky. Among those who failed at least three symptom or performance validity scales, odds ratios for malingering were approximately twice as high in subjects with less than a college education (<i>p</i> = .011), those referred by the opposing counsel (<i>p</i> = .001), and those meeting criteria for a mental illness in three or more DSM-5 diagnostic categories (<i>p</i> = .015). Those evaluated for worker's compensation and head injury were more likely to malinger than other case types (<i>p</i> = .028). Men were found to malinger at a higher rate than women (<i>p</i> = .014), and no significant differences were observed based on race. These results indicate that education, gender, psychiatric history, case type, and referral type may be important factors to consider when assessing for malingering.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"26-34"},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068825","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":"Gigantomachy and the Psychomachia of Prudentius","authors":"Aaron Pelttari","doi":"10.1353/ajp.2025.a953886","DOIUrl":"https://doi.org/10.1353/ajp.2025.a953886","url":null,"abstract":"Abstract: In the Psychomachia , Prudentius engages with the myth and poetry of the gigantomachy, in particular the work of Claudian, his foremost poetic contemporary and occasional rival. Prudentius' dialogue with Claudian is one crucial input for understanding how he blends epic poetry and scriptural interpretation into a full-scale personification allegory that depicts a war between good and evil within the cosmos and within individual human beings. In this way, the currency of the gigantomachy in the early 5th century is critical for understanding the contemporary poetic significance of Prudentius' greatest work.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"146 1","pages":"149-179"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147382180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characterization of Microbial Diversity and Mobile Genetics Elements Through Single-Cell Genomics","authors":"Alicia Ortiz-Maiques, Mária Džunková","doi":"10.1007/978-3-032-07527-7_3","DOIUrl":"https://doi.org/10.1007/978-3-032-07527-7_3","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"1 1","pages":"23-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147382178","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}
Susan Hatters Friedman, Renée Sorrentino, Aimee Kaempf, Marilyn Price, Jacqueline Landess, Anna Glezer, Joseph Penn, Patricia Westmoreland, Catherine Lewis, Cathleen Cerny, Jeffrey Janofsky
{"title":"Practice Resource for Reproductive Psychiatry/Women's Mental Health in Forensic Psychiatry Practice.","authors":"Susan Hatters Friedman, Renée Sorrentino, Aimee Kaempf, Marilyn Price, Jacqueline Landess, Anna Glezer, Joseph Penn, Patricia Westmoreland, Catherine Lewis, Cathleen Cerny, Jeffrey Janofsky","doi":"10.29158/JAAPL.240103-24","DOIUrl":"10.29158/JAAPL.240103-24","url":null,"abstract":"<p><p>This practice resource seeks to describe salient problems within reproductive psychiatry (also known as women's mental health) for the practice of forensic psychiatry. Understanding is critical and can help combat gender bias in such evaluations. Forensic psychiatric evaluations in the criminal realm, including evaluations related to neonaticide, infanticide, filicide, child abuse, and kidnapping by cesarean, require an understanding of reproductive psychiatry. Civil forensic evaluations requiring knowledge about reproductive psychiatry include parenting evaluations and risk assessments in the postpartum. Similarly, forensic psychiatrists performing a treatment role within corrections or forensic hospitals recognize the importance of understanding mental illness in pregnancy and postpartum, lactation, mother-baby units, and forced separation or custody loss. In addition to menstruation, pregnancy, and postpartum, specific concerns that bear consideration within reproductive forensic psychiatry include the periods of girlhood and menstruation. Finally, eating disorders and substance misuse bear additional attention in this group.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 4 Supplement","pages":"S1-S31"},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856112","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":"Medical Misogyny and the Implications of Not Believing Women.","authors":"Karen B Rosenbaum","doi":"10.29158/JAAPL.240067-24","DOIUrl":"https://doi.org/10.29158/JAAPL.240067-24","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"52 4","pages":"398-401"},"PeriodicalIF":2.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819581","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}
Alexandria G Polles, Cristiana N P Araujo, Rosalie S Hemphill, Hanzhi Gao, Lisa J Merlo
{"title":"Characterizing Referrals to Professional Health Monitoring Programs for Unprofessional Sexual Behavior.","authors":"Alexandria G Polles, Cristiana N P Araujo, Rosalie S Hemphill, Hanzhi Gao, Lisa J Merlo","doi":"10.29158/JAAPL.240069-24","DOIUrl":"10.29158/JAAPL.240069-24","url":null,"abstract":"<p><p>Concerns about sexual misconduct by health care professionals have been highlighted by recent high-profile cases. Professional health monitoring programs (PHPs) offer an additional layer of protection when health care professionals with a history of unprofessional sexual behavior (USB) return to practice; however, little is known about the characteristics or outcomes of clinicians referred to a PHP because of USB. Data were extracted from over 35 years of PHP records involving USB-related referrals (<i>N</i> = 570). The majority of cases were deemed ineligible for PHP monitoring and handled by other entities (e.g., licensing board, legal system). Of the 232 monitored cases (46.84 ± 9.42 years; 95.7% male), most were physicians (<i>n</i> = 156, 67.2%), with 75.9 percent of monitored cases involving USB with at least one patient. Most (74.9%) PHP monitoring outcomes were classified as \"successful\" or \"very successful.\" Only three individuals (1.3%) who completed their monitoring were rereferred to the PHP. Monitored professionals exhibited less severe USB and were less likely to experience legal or disciplinary consequences (57.3% versus 69.8%, Cramer's V = .174, <i>p</i> < .0001) compared with unmonitored professionals. Findings enhance transparency of the PHP process and highlight its utility in safely returning clinicians to practice. Results may inform policies to prevent USB by health care professionals.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"429-440"},"PeriodicalIF":2.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298624","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}
Stephanie M Schonholz, Jacob M Appel, Harold J Bursztajn, Mohan Nair, Michael R MacIntyre
{"title":"Legal and Ethics Concerns of Psilocybin as Medicine.","authors":"Stephanie M Schonholz, Jacob M Appel, Harold J Bursztajn, Mohan Nair, Michael R MacIntyre","doi":"10.29158/JAAPL.240089-24","DOIUrl":"10.29158/JAAPL.240089-24","url":null,"abstract":"<p><p>Preliminary research shows the psychedelic psilocybin to be a promising potential treatment for psychiatric illnesses. Recent U.S. government legislation and policy indicate that access to psilocybin, which remains illegal on the federal level despite increasing efforts to decriminalize it at the state and local levels, will be expanded to enable further research into its treatment potential. It remains unclear how psilocybin will be regulated and who will have access to this new treatment, raising important legal and ethics questions psychiatrists must consider. This article reviews the current legal regulation of psilocybin and matters related to standard of care, right to effective treatment, and the respectable minority doctrine. It concludes with a discussion of the ethics matters surrounding the use of psilocybin as medicine, including provider bias, the interpersonal dynamic between providers and patients, informed consent, and equity and access.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"477-485"},"PeriodicalIF":2.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676589","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}