Gendel Michael H
University of Colorado Health Sciences Center, Colorado Physician Health Program, 3300 East First Avenue, Suite 590, Denver, CO 80206, USA.
Psychiatr Clin North Am. 2004 Dec;27(4):611-26. doi: 10.1016/j.psc.2004.06.001.
There is a broad range of forensic issues in addiction psychiatry. For many psychiatrists, what is most challenging about addressing these issues is their origin in the law, which is a system and a way of thinking that may feel foreign to the medical practitioner. To address forensic issues, addiction psychiatrists should learn and understand the specific legal questions that arise in each forensic context. They should become familiar with the relevant definitions, criteria, and legal requirements that apply in each specific area of their practice, rather than assume that clinical definitions and reasoning will carry them. If they perform forensic evaluations, addiction psychiatrists must distance themselves from the wish to help the examinee, focusing on the role of neutral examiner. Comfort and effectiveness with forensic issues require familiarity with, knowledge of, and ultimately respect for the forensic contexts of addiction psychiatric practice.
成瘾精神病学中存在广泛的法医问题。对许多精神科医生来说，处理这些问题最具挑战性的是它们源于法律，而法律是一种系统和思维方式，可能让医学从业者感到陌生。为了解决法医问题，成瘾精神科医生应该学习并理解在每个法医背景下出现的具体法律问题。他们应该熟悉其执业各特定领域适用的相关定义、标准和法律要求，而不是假定临床定义和推理就能应对。如果进行法医评估，成瘾精神科医生必须抛开帮助受检者的愿望，专注于中立检查者的角色。要在法医问题上做到得心应手并有效处理，就需要熟悉、了解并最终尊重成瘾精神病学实践的法医背景。
