International Journal of Law and Psychiatry最新文献

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Diagnosing psychopathy in an intercultural setting: Applications and implications in postcolonial contemporary Mayotte 在跨文化环境中诊断心理变态:后殖民时代马约特岛的应用和影响
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-02-20 DOI: 10.1016/j.ijlp.2024.101963
Elie K.N. Letourneur , Erwann Gouadon , Malika Mansouri
{"title":"Diagnosing psychopathy in an intercultural setting: Applications and implications in postcolonial contemporary Mayotte","authors":"Elie K.N. Letourneur ,&nbsp;Erwann Gouadon ,&nbsp;Malika Mansouri","doi":"10.1016/j.ijlp.2024.101963","DOIUrl":"https://doi.org/10.1016/j.ijlp.2024.101963","url":null,"abstract":"<div><p>International scientific research has extensively studied psychopathy, but few studies focus on an intercultural and postcolonial context. Mayotte, a French overseas collectivity located in East Africa, offers a unique opportunity to study the application and effects of psychopathy diagnosis in the criminal justice field within a social context shaped by colonial legacy.</p><p>This research uses a mixed-method approach, combining quantitative and qualitative data, to show that in Mayotte, the majority of individuals diagnosed with psychopathy are young, low-income individuals who act in groups. Among them are minors, and the majority have no prior criminal history.</p><p>This article provides a complementarist reflection on this phenomenon, informed by immersive field anthropology and theoretical contributions from psychology, sociology, and criminology. Through an inductive research process, this study posits the hypothesis that diagnoses of psychopathy in post-colonial contexts may be influenced by complex determinants rooted in collective history and contemporary power relations.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"93 ","pages":"Article 101963"},"PeriodicalIF":2.3,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252724000128/pdfft?md5=8e78efc674876158e9f95f3673daca42&pid=1-s2.0-S0160252724000128-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139908201","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}
引用次数: 0
(Un)blurred lines? Sex, disability, and the dynamic boundaries of mental capacity law (界限(不)模糊?性别、残疾和心智能力法的动态界限
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-02-13 DOI: 10.1016/j.ijlp.2024.101960
Ruby Reed-Berendt , Beverley Clough
{"title":"(Un)blurred lines? Sex, disability, and the dynamic boundaries of mental capacity law","authors":"Ruby Reed-Berendt ,&nbsp;Beverley Clough","doi":"10.1016/j.ijlp.2024.101960","DOIUrl":"https://doi.org/10.1016/j.ijlp.2024.101960","url":null,"abstract":"<div><p>In this article, we consider the approach to decisions regarding capacity and sexual relations in the Court of Protection in England and Wales, and the boundaries drawn through its application of the Mental Capacity Act 2005 (MCA). We discuss recent developments in the law following the UK Supreme Court case <em>A Local Authority v JB</em> [2021] UKSC 52, which recast how capacity in relation to sexual relations ought to be assessed. Noting that this case has been warmly received by some feminist theorists for the centrality it affords to mutual consent, we draw on critical approaches from feminist, Black feminist, and disability scholarship, to call attention to the legal techniques and judicial reasoning in this case and the ways in which this embeds problematic norms and reinforces the marginalisation of disabled people. We call attention to the impoverished notions of equality advanced in the case and the assumptions that this appears to rely upon which obscure the realities and histories of legal intervention in disabled people's lives. We further argue that the approach in sexual relations cases appears to use capacity determinations as a vehicle to supplement gaps left by the criminal law, blurring their distinct rationalities and enabling further opportunities for control. We suggest that important insights can be gained from bringing these critical perspectives into conversation, including unsettling assumptions contained in the judgment and in mental capacity scholarship more broadly, manoeuvring us out of the perceived intractability of legal reasoning in this context, and offering productive ways forward.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"93 ","pages":"Article 101960"},"PeriodicalIF":2.3,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252724000098/pdfft?md5=db6ab04b11be2fb2a043cfd1bf571595&pid=1-s2.0-S0160252724000098-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139732953","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}
引用次数: 0
Homicide perpetrators with psychotic illness found not criminally responsible in Turkiye and Russia: An international comparison 土耳其和俄罗斯认定患有精神病的杀人犯不负刑事责任:国际比较。
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-02-08 DOI: 10.1016/j.ijlp.2024.101962
Yasin Hasan Balcioglu , Andrei Vasilyevich Golenkov , Alperen Yildiz , Rustem Dogan Uzlar , Fatih Oncu
{"title":"Homicide perpetrators with psychotic illness found not criminally responsible in Turkiye and Russia: An international comparison","authors":"Yasin Hasan Balcioglu ,&nbsp;Andrei Vasilyevich Golenkov ,&nbsp;Alperen Yildiz ,&nbsp;Rustem Dogan Uzlar ,&nbsp;Fatih Oncu","doi":"10.1016/j.ijlp.2024.101962","DOIUrl":"10.1016/j.ijlp.2024.101962","url":null,"abstract":"<div><h3>Objective</h3><p>The primary objective was to conduct a comparative analysis of homicide cases and their perpetrators with psychotic illnesses in samples from Turkiye and Russia to elucidate contextual similarities and differences, and providing novel perspectives to enhance international research in this field.</p></div><div><h3>Method</h3><p>This cross-national retrospective study, conducted at forensic psychiatric centers in Istanbul, Turkiye, and Chuvashia, Russia, involved individuals with psychotic illnesses (ICD-10 F20-F29) who were deemed criminally non-responsible for index homicide offenses between December 2012 and December 2022. The sample included 92 Turkish patients and 29 Russian patients who were compared for background, clinical characteristics, and each homicidal act.</p></div><div><h3>Results</h3><p>Binary analyses revealed that Russian subjects were more educated, had more lifetime suicide attempts, longer illness duration, had acquaintances as victims more frequently, higher rates of blunt traumatic homicides, higher rates of intoxication with alcohol or substances, and lower rates of experiencing delusions at the time of the index homicide compared to their Turkish counterparts. Multivariate analyses indicated that more years of education, a greater frequency of lifetime suicide attempts, higher prevalence of intoxication and a lower rate of delusions at the time of the homicide were associated with belonging to the Russian group.</p></div><div><h3>Conclusion</h3><p>Despite several similarities, the remarkable differences between the two samples underscore the importance of international research in enhancing our understanding of mental health, homicidal offense and offender characteristics in the sociocultural context.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"93 ","pages":"Article 101962"},"PeriodicalIF":2.3,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708124","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
Perspectives on the eligibility criteria for euthanasia for mental suffering caused by psychiatric disorder under the Belgian Euthanasia Law: A qualitative interview study among mental healthcare workers 比利时《安乐死法》对因精神失常导致精神痛苦而实施安乐死的资格标准的看法:对精神科医护人员的定性访谈研究。
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-02-07 DOI: 10.1016/j.ijlp.2024.101961
M. Verhofstadt , K. Van Assche , K. Pardon , M. Gleydura , K. Titeca , K. Chambaere
{"title":"Perspectives on the eligibility criteria for euthanasia for mental suffering caused by psychiatric disorder under the Belgian Euthanasia Law: A qualitative interview study among mental healthcare workers","authors":"M. Verhofstadt ,&nbsp;K. Van Assche ,&nbsp;K. Pardon ,&nbsp;M. Gleydura ,&nbsp;K. Titeca ,&nbsp;K. Chambaere","doi":"10.1016/j.ijlp.2024.101961","DOIUrl":"10.1016/j.ijlp.2024.101961","url":null,"abstract":"<div><h3>Introduction</h3><p>Euthanasia in adults with psychiatric conditions (APC) is allowed in Belgium and impacts a variety of workers in this field, including psychiatrists, psychiatric nurses, psychologists, and support “buddies”. This study examines their perspectives on the appropriateness of the current legal criteria for, and practice of, euthanasia in the context of psychiatry, and their suggestions to properly implement or amend these criteria.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with 30 Dutch-speaking mental healthcare workers who had at least one experience with an APC requesting euthanasia, in Flanders and Brussels (Belgium), between August 2019 and August 2020. Interview transcripts were analyzed through qualitative content analysis.</p></div><div><h3>Findings</h3><p>Our study shows that, for these mental healthcare workers, only one of the legal eligibility criteria to assess euthanasia requests by APC (i.e., unbearable suffering) is rather straightforward to interpret. In addition, there was a lack of consensus on what aspects of the Euthanasia Law should be modified and in what way.</p></div><div><h3>Conclusions</h3><p>Many mental healthcare workers do not well understand or misinterpret the legal criteria for euthanasia involving APC. Criteria are sometimes defined so narrowly that euthanasia requests by APC are generally deemed ineligible or, alternatively, are stretched to allow for inclusion of cases that go beyond what the Law intended. Our study indicates the need for an authoritative professional code of conduct offering clear advice for Belgian euthanasia practice in the context of psychiatry. It is also recommended that future trainings are standardized, supported by the most important professional associations in the field, and freely available to all who are confronted with euthanasia requests from APC or who offer support to APC who consider euthanasia.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"93 ","pages":"Article 101961"},"PeriodicalIF":2.3,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252724000104/pdfft?md5=7b32f11e39e57a1bce859a32378d2216&pid=1-s2.0-S0160252724000104-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708125","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}
引用次数: 0
Compulsory treatment in Portuguese-speaking countries: An analysis and comparison of the legal framework 葡萄牙语国家的强制治疗:法律框架的分析与比较。
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-01-01 DOI: 10.1016/j.ijlp.2023.101950
Jéssica Schmeling , João Martins-Correia , Mariana Pinto da Costa
{"title":"Compulsory treatment in Portuguese-speaking countries: An analysis and comparison of the legal framework","authors":"Jéssica Schmeling ,&nbsp;João Martins-Correia ,&nbsp;Mariana Pinto da Costa","doi":"10.1016/j.ijlp.2023.101950","DOIUrl":"10.1016/j.ijlp.2023.101950","url":null,"abstract":"<div><h3>Background</h3><p>Compulsory treatment involves the hospital admission of individuals with mental disorders in appropriate facilities through judicial decisions. However, limited information is available regarding the similarities and differences in compulsory treatment legislation in Portuguese-speaking countries.</p></div><div><h3>Aims</h3><p>To analyse the commonalities and differences in compulsory treatment legislation in Portuguese-speaking countries, where Portuguese is the primary official language, including Angola, Brazil, Cape Verde, East Timor, Guinea-Bissau, Mozambique, Portugal, and São Tomé and Príncipe.</p></div><div><h3>Methods</h3><p>A comparative analysis of the specific legislation on compulsory treatment in Portuguese-speaking countries was conducted. National development plans were analysed in countries lacking legislation. A purposive sampling of mental health professionals was contacted to gather information on the countries under study.</p></div><div><h3>Results</h3><p>Among the eight Portuguese-speaking countries examined, specific legislation regarding compulsory treatment was found only in Brazil, Cape Verde, and Portugal. These countries, with the lowest poverty rates, exhibited a notable degree of homogeneity in the criteria supporting compulsory treatment, ensuring the protection of individual rights. In contrast, in Angola, East Timor, Guinea-Bissau, Mozambique, and São Tomé and Príncipe, compulsory treatment primarily relies on mental health development plans, resulting in significant variations in the presented criteria.</p></div><div><h3>Conclusions</h3><p>The significant disparities in compulsory treatment policies among Portuguese-speaking countries, with only Brazil, Cape Verde, and Portugal having specific legislation, underscore the need for a collective effort to establish more consistent procedures and safeguard individual rights.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"92 ","pages":"Article 101950"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252723000936/pdfft?md5=8f09f9b6d861e8df2736cafd30f66698&pid=1-s2.0-S0160252723000936-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106715","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}
引用次数: 0
Comparing mental health and mental capacity law data across borders: Challenges and opportunities 跨境比较心理健康和心智能力法律数据:挑战与机遇。
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-01-01 DOI: 10.1016/j.ijlp.2023.101949
Gavin Davidson , Elizabeth Agnew , Lisa Brophy , Jim Campbell , Mary Donnelly , Anne-Maree Farrell , Trisha Forbes , Rhiannon Frowde , Brendan D. Kelly , Claire McCartan
{"title":"Comparing mental health and mental capacity law data across borders: Challenges and opportunities","authors":"Gavin Davidson ,&nbsp;Elizabeth Agnew ,&nbsp;Lisa Brophy ,&nbsp;Jim Campbell ,&nbsp;Mary Donnelly ,&nbsp;Anne-Maree Farrell ,&nbsp;Trisha Forbes ,&nbsp;Rhiannon Frowde ,&nbsp;Brendan D. Kelly ,&nbsp;Claire McCartan","doi":"10.1016/j.ijlp.2023.101949","DOIUrl":"10.1016/j.ijlp.2023.101949","url":null,"abstract":"<div><p>The island of Ireland is partitioned into Northern Ireland and the Republic of Ireland. In both jurisdictions, there have been important developments in mental health and mental capacity law, and associated policies and services. This includes an emphasis on developing more comprehensive approaches to collecting data on outcomes and so there is an opportunity to align these processes to enable comparison and shared learning across the border. This article explores: legal and policy developments; international approaches to mental health outcomes; and the type of data that would be helpful to collect to better understand the use of mental health and mental capacity laws. It is argued that an inclusive strategy to developing a comprehensive, integrated and aligned approach to collecting and analysing data would benefit citizens, policy makers and professionals.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"92 ","pages":"Article 101949"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252723000924/pdfft?md5=7d134dd88d886aa01cbc1910767edf1d&pid=1-s2.0-S0160252723000924-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106714","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}
引用次数: 0
Efficiency of psychological interventions in the prevention of suicidal behavior and self-injury in penitentiary population: A systematic review 心理干预在预防监狱服刑人员自杀行为和自残方面的效率:系统回顾
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-01-01 DOI: 10.1016/j.ijlp.2023.101948
Anna Pedrola-Pons , Yolanda Sanchez-Carro , Andres Pemau , Adriana Garcia-Ramos , Alejandro De la Torre-Luque
{"title":"Efficiency of psychological interventions in the prevention of suicidal behavior and self-injury in penitentiary population: A systematic review","authors":"Anna Pedrola-Pons ,&nbsp;Yolanda Sanchez-Carro ,&nbsp;Andres Pemau ,&nbsp;Adriana Garcia-Ramos ,&nbsp;Alejandro De la Torre-Luque","doi":"10.1016/j.ijlp.2023.101948","DOIUrl":"https://doi.org/10.1016/j.ijlp.2023.101948","url":null,"abstract":"<div><h3>Introduction</h3><p>Suicidal behavior is an important public health problem, with a high prevalence in penitentiary context. Nowadays, there is a wide variety of specific treatment programs, aimed to prevent suicidal and self-injurious behavior in incarcerated people. These programs show relative efficiency depending on the model of the psychological intervention applied. This systematic review evaluates the efficiency of suicidal and self-injurious behavior prevention programs in prisons.</p></div><div><h3>Method</h3><p>Empirical studies, evaluating prevention programs for suicidal and self-injurious behavior in penitentiary context were considered for inclusion. PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) directives were followed. Studies from 1990 to 2022 were reviewed, based on the review developed by Winicov (2019) that covered the time lapse between 1990 and 2015. Articles from 2015 to 2022 were located by database research (EBSCOHost, ScienceDirect, PubMed &amp; ProQuest).</p></div><div><h3>Results</h3><p>44,050 potential studies were identified. Eighteen were included in this systematic review (9 studies by Winicov, 2019). 14 studies showed efficacy of intervention programs on self-injury behavior. The use of Cognitive Behavioral Therapy (CBT) reduced suicidal ideation. In addition, positive results were observed in 3 studies using third-generation therapies as an intervention.</p></div><div><h3>Conclusions</h3><p>Suicidal and self-injurious behavior in prison shows lower levels of incidence when specific treatment programs are applied. It's crucial to increase the evaluation in relation to the implementation of new treatment models (i.e., Dialectical Behavior Therapy - DBT, Acceptance and Commitment Therapy - ACT, Mindfulness, Functional Analytic Psychotherapy – FAP) as to better orientate prevention strategies. Further research is needed in gender sensitive interventions.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"92 ","pages":"Article 101948"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252723000912/pdfft?md5=372ff0565b721856b18869c6252cf991&pid=1-s2.0-S0160252723000912-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139434534","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}
引用次数: 0
Informed consent for capacity assessment 能力评估的知情同意
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2024-01-01 DOI: 10.1016/j.ijlp.2023.101951
Shaun T. O'Keeffe , Mary Donnelly
{"title":"Informed consent for capacity assessment","authors":"Shaun T. O'Keeffe ,&nbsp;Mary Donnelly","doi":"10.1016/j.ijlp.2023.101951","DOIUrl":"https://doi.org/10.1016/j.ijlp.2023.101951","url":null,"abstract":"<div><p>In this paper we examine the role of informed consent to capacity assessment, focussing primarily on the two jurisdictions of England and Wales, and Ireland. We argue that in both jurisdictions, a capacity assessment should be regarded as a distinct intervention, separate from the ‘original’ intervention at issue, and that specific informed consent to the assessment should generally be sought in advance. As part of this, we consider what information should be provided so as to ensure informed consent. Having established a baseline requirement for informed consent, we also recognise that informed consent to assessment will not always be possible, either because the person is unable to understand the information about assessment or because the person refuses to be assessed and so, in the final part of the article, we explore how to proceed when informed consent is either not possible or not forthcoming, including an analysis of the implications of the statutory presumption of capacity.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"92 ","pages":"Article 101951"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139107825","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
Experts' decision-making processes in Swedish forensic psychiatric investigations: A case vignette study 瑞典法医精神病学调查中专家的决策过程:案例研究
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2023-12-18 DOI: 10.1016/j.ijlp.2023.101947
Olof Svensson , Peter Andiné , Sara Bromander , Karl Ask , Ann-Sophie Lindqvist Bagge , Malin Hildebrand Karlén
{"title":"Experts' decision-making processes in Swedish forensic psychiatric investigations: A case vignette study","authors":"Olof Svensson ,&nbsp;Peter Andiné ,&nbsp;Sara Bromander ,&nbsp;Karl Ask ,&nbsp;Ann-Sophie Lindqvist Bagge ,&nbsp;Malin Hildebrand Karlén","doi":"10.1016/j.ijlp.2023.101947","DOIUrl":"10.1016/j.ijlp.2023.101947","url":null,"abstract":"<div><p>It has previously been demonstrated that decisions made by forensic experts can suffer from issues with both bias and poor reliability. The outcome of Swedish forensic psychiatric investigations can have a major impact on the courts' choice of sanction for a mentally disordered offender. These investigations are performed by multi-professional teams of experts, where each expert is obliged to state their opinion on whether the client has a severe mental disorder (SMD) or not. In the present study, a case vignette design was used to simulate the decision-making process of forensic psychiatric investigations. Of the 73 Swedish experts working with forensic psychiatric investigations, a total of 27 (37%) participated in the study. The results showed that the Swedish experts formulated multiple diagnostic hypotheses about cases throughout the process and revised these hypotheses when presented with new information. There was substantial variation between the experts in which hypotheses were seen as most relevant. While the experts grew more certain of their opinions on SMD during the simulated investigation, there was considerable variation in their opinions both throughout and at the end of the process. Although low statistical power and the sample not being randomized limit generalizations, the results indicate no idiosyncratic patterns in the decision-making processes of Swedish experts or signs of confirmation bias. If used properly, the variation in both process and outcome could be used to safeguard and possibly increase the reliability and validity of the final decision of Swedish forensic psychiatric investigations.</p></div>","PeriodicalId":47930,"journal":{"name":"International Journal of Law and Psychiatry","volume":"92 ","pages":"Article 101947"},"PeriodicalIF":2.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0160252723000900/pdfft?md5=93a196870a3d43ede130f0efbae66a46&pid=1-s2.0-S0160252723000900-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138716690","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}
引用次数: 0
Risk factors for involuntary admission in a Romanian patient sample 罗马尼亚患者非自愿入院的危险因素
IF 2.3 4区 医学
International Journal of Law and Psychiatry Pub Date : 2023-11-01 DOI: 10.1016/j.ijlp.2023.101938
Radu-Mihai Păun , Alexandru Neculai Pavel , Valentin Petre Matei , Cătălina Tudose
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