Division of Law, Ethics and Psychiatry, Columbia University, New York, NY, USA.
J Am Acad Psychiatry Law. 2010;38(4):551-8.
As part of the Festschrift in honor of Howard Zonana, MD, this article reviews two important concerns that emerged in the ethics of forensic psychiatry in the resolution of which he played critical roles. In the late 1980s and early 1990s, the question arose of what role, if any, was proper for psychiatrists to play with regard to evaluations of competence to be executed and treatment of incompetent prisoners. Dr. Zonana was a major force in developing the American Psychiatric Association's position, in which the rights of prisoners were balanced with protection of the integrity of the medical profession. He was then deeply involved in helping to persuade the American Medical Association to reject a more extreme position and to adopt this approach. Similarly, in the mid-2000s, Dr. Zonana brought to the attention of the American Psychiatric Association (APA) the participation of psychiatrists in interrogation of detainees in national security settings. The policy that he subsequently helped to craft was adopted by APA and influenced the subsequent, very similar AMA policy. These two examples, of the many that could have been chosen, illustrate the profound impact that Howard Zonana has had on the ethics of psychiatry as a whole and on the ethics of forensic psychiatry in particular.
作为纪念霍华德·佐纳纳医学博士的文集的一部分，本文回顾了在法医精神病学伦理中出现的两个重要问题，他在解决这些问题中发挥了关键作用。在 20 世纪 80 年代末和 90 年代初，出现了这样一个问题，即精神病医生在评估被处决的罪犯的行为能力和治疗无行为能力的囚犯方面应该扮演什么角色，如果有的话。佐纳纳博士是制定美国精神病学协会立场的主要力量，该立场平衡了囚犯的权利与保护医学专业完整性之间的关系。随后，他深入参与帮助说服美国医学协会拒绝更极端的立场，并采取这种方法。同样，在 21 世纪初，佐纳纳博士提请美国精神病学协会（APA）注意精神病医生参与国家安全环境中被拘留者的审讯。他随后帮助制定的政策被 APA 采纳，并影响了后来非常相似的 AMA 政策。这两个例子（可以选择很多）说明了霍华德·佐纳纳对整个精神病学伦理以及特别是法医精神病学伦理的深远影响。
