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精神病学/心理学法医报告撰写

Psychiatric/ psychological forensic report writing.

作者信息

Young Gerald

机构信息

York University, Glendon Campus, Toronto, Ontario, Canada.

出版信息

Int J Law Psychiatry. 2016 Nov-Dec;49(Pt B):214-220. doi: 10.1016/j.ijlp.2016.10.008. Epub 2016 Oct 29.

Abstract

Approaches to forensic report writing in psychiatry, psychology, and related mental health disciplines have moved from an organization, content, and stylistic framework to considering ethical and other codes, evidentiary standards, and practice considerations. The first part of the article surveys different approaches to forensic report writing, including that of forensic mental health assessment and psychiatric ethics. The second part deals especially with psychological ethical approaches. The American Psychological Association's Ethical Principles and Code of Conduct (2002) provide one set of principles on which to base forensic report writing. The U.S. Federal Rules of Evidence (2014) and related state rules provide another basis. The American Psychological Association's Specialty Guidelines for Forensic Psychology (2013) provide a third source. Some work has expanded the principles in ethics codes; and, in the third part of this article, these additions are applied to forensic report writing. Other work that could help with the question of forensic report writing concerns the 4 Ds in psychological injury assessments (e.g., conduct oneself with Dignity, avoid the adversary Divide, get the needed reliable Data, Determine interpretations and conclusions judiciously). One overarching ethical principle that is especially applicable in forensic report writing is to be comprehensive, scientific, and impartial. As applied to forensic report writing, the overall principle that applies is that the work process and product should reflect integrity in its ethics, law, and science. Four principles that derive from this meta-principle concern: Competency and Communication; Procedure and Protection; Dignity and Distance; and Data Collection and Determination. The standards or rules associated with each of these principles are reviewed.

摘要

精神病学、心理学及相关心理健康学科的法医报告撰写方法已从组织、内容和文体框架,转向考虑道德规范及其他准则、证据标准和实践考量。本文第一部分概述了法医报告撰写的不同方法,包括法医心理健康评估和精神病学伦理学的方法。第二部分特别探讨了心理学的道德方法。美国心理学会的《伦理原则与行为准则》(2002年)提供了一套用于撰写法医报告的原则。美国联邦证据规则(2014年)及相关州规则提供了另一个依据。美国心理学会的《法医心理学专业指南》(2013年)提供了第三个来源。一些工作扩展了道德准则中的原则;在本文第三部分,这些新增内容被应用于法医报告撰写。其他有助于解决法医报告撰写问题的工作涉及心理伤害评估中的4D原则(例如,以尊严行事、避免对抗性分歧、获取所需可靠数据、审慎确定解释和结论)。在法医报告撰写中特别适用的一项总体道德原则是全面、科学且公正。应用于法医报告撰写时,适用的总体原则是工作过程和成果应在道德、法律和科学方面体现诚信。源于这一总体原则的四项原则涉及:能力与沟通;程序与保护;尊严与距离;以及数据收集与确定。对与这些原则中的每一项相关的标准或规则进行了审查。

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