Gerbasi Joan B, Scott Charles L
Department of Psychiatry, University of California, Davis Medical Center, 2230 Stockton Boulevard, Sacramento, CA 95817, USA.
J Am Acad Psychiatry Law. 2004;32(1):83-90.
Competency to Stand Trial (CST) evaluations are common in the U.S. criminal justice system. Of those defendants found Incompetent to Stand Trial (IST), psychotic disorders are the most common diagnoses, and active psychotic symptoms are strongly correlated with impairments in trial-related abilities. If a defendant is rendered IST because of psychosis, restoration will be unlikely without antipsychotic medication. Last term, in Sell v. U.S., the U.S. Supreme Court dealt with medication refusal in the context of competency restoration. The Court held that involuntary medication, under certain circumstances, is appropriate. This article includes a review of earlier relevant legal decisions and an analysis and discussion of the Sell decision.
受审能力（CST）评估在美国刑事司法系统中很常见。在那些被认定为无受审能力（IST）的被告中，精神障碍是最常见的诊断结果，且活跃的精神病症状与审判相关能力受损密切相关。如果被告因精神病而被判定为无受审能力，那么在没有抗精神病药物的情况下，恢复受审能力的可能性不大。上一任期，在塞尔诉美国案中，美国最高法院处理了在恢复受审能力背景下拒绝服药的问题。法院认为，在某些情况下，非自愿服药是合适的。本文包括对早期相关法律裁决的回顾以及对塞尔案裁决的分析与讨论。
