Barnard G W, Nicholson R A, Hankins G C, Raisani K K, Patel N R, Gies D, Robbins L
Department of Psychiatry, University of Florida Health Science Center, Gainesville 32610.
Behav Sci Law. 1992 Summer;10(3):419-35. doi: 10.1002/bsl.2370100311.
Male defendants (n = 99) who had been court ordered to a forensic treatment facility as incompetent to stand trial were tested using the Computer-Assisted Determination of Competency to Proceed (CADCOMP) instrument soon after admission (median days = 15). Shortly thereafter, competency was assessed by a forensic psychiatrist and by a majority decision of three mental health professionals who viewed a videotape of the forensic psychiatrist's interview. From the CADCOMP item pool, 18 scales were constructed on conceptual grounds. Internal consistency analyses revealed that most scales had reasonable item homogeneity and scale reliability. In addition, item and scale analyses, with few exceptions, followed predicted patterns of intercorrelation and association with competency as determined by both criteria. Scales and items measuring serious psychopathology, psycholegal ability, and criminal history demonstrated the strongest associations with competency. These findings suggest that additional research on CADCOMP is warranted. The instrument shows promise for use in forensic research and assessment.
99名被法庭判定为无受审能力而被送往法医治疗机构的男性被告在入院后不久（中位天数 = 15天）使用计算机辅助诉讼能力判定（CADCOMP）工具进行了测试。此后不久，一名法医精神病学家以及观看了法医精神病学家访谈录像带的三名心理健康专业人员通过多数决定对其诉讼能力进行了评估。基于概念从CADCOMP项目库中构建了18个量表。内部一致性分析表明，大多数量表具有合理的项目同质性和量表信度。此外，项目和量表分析，除少数例外，均遵循由两种标准确定的相互关联和与诉讼能力相关性的预测模式。测量严重精神病理学、心理法律能力和犯罪史的量表和项目与诉讼能力的关联最强。这些发现表明有必要对CADCOMP进行更多研究。该工具在法医研究和评估中显示出应用前景。
