Bloom Joseph D, Dick Daniel W
Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201, USA.
J Am Acad Psychiatry Law. 2008;36(2):175-80.
In 1982, the American Academy of Psychiatry and the Law (AAPL) was a growing and ambitious professional organization. Its membership was a small but vigorous group united by the desire to develop the emerging psychiatric subspecialty of forensic psychiatry within the larger context of psychiatry. The organization was 13 years old. It was devoted to the goal of uplifting the practice of forensic psychiatry in the United States through continuing education and specialty training. AAPL was well positioned to achieve its goal. Its leaders were fairly single-minded and many were strategically placed within the hierarchy of the American Psychiatric Association. Subspecialty recognition within psychiatry and medicine appeared attainable. Then came the United States v. Hinckley case. Every aspect of the case was controversial: the facts of the case itself, the use of the insanity defense, the contradictory psychiatric testimony and, finally, the verdict. Forensic psychiatry was put on the defensive, and at the height of the controversy the former President of the American Psychiatric Association and the nation's most prominent Professor of Law and Psychiatry delivered a simple luncheon speech. As is evident from this article and from this edition of the Journal, now, some 25 years later, we are still talking about what he had to say.
1982年,美国精神病学与法律学会(AAPL)是一个不断发展且雄心勃勃的专业组织。其成员规模虽小,但精力充沛,他们因渴望在精神病学的大背景下发展新兴的法医精神病学亚专业而团结在一起。该组织成立13年了。它致力于通过继续教育和专业培训来提升美国法医精神病学实践水平这一目标。AAPL很有条件实现其目标。其领导人相当专注,而且许多人在美国精神病学协会的层级结构中处于战略位置。在精神病学和医学领域获得亚专业认可似乎是可以实现的。接着发生了美国诉欣克利案。该案件的方方面面都存在争议:案件本身的事实、精神错乱辩护的使用、相互矛盾的精神病学证词,以及最终的判决。法医精神病学处于守势,在争议最激烈的时候,美国精神病学协会的前任主席以及该国最杰出的法律与精神病学教授发表了一场简单的午餐演讲。从本文以及本期《期刊》可以明显看出,大约25年后的现在,我们仍在谈论他当时所说的话。