Darby William Connor
Dr. Darby is Health Sciences Clinical Assistant Professor and Director of the UCLA Forensic Psychiatry Fellowship Program in the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
J Am Acad Psychiatry Law. 2021 Jun;49(2):179-186. doi: 10.29158/JAAPL.210009-21. Epub 2021 May 10.
Advances in psychiatric science and technology such as genetic testing hold great promise in enhancing care in treatment settings and improving truth-telling in forensic settings. Despite this promise, these emerging technological advances present considerable ethics dilemmas to forensic practitioners because of risks related to coercing evaluees to consent to testing, and not adequately informing people of forensic risks associated with these tests, as well as important prejudicial effects (e.g., the significance of the tests being overvalued by the trier of fact and introducing racial and socioeconomic biases). Ethics theories from Stone, Appelbaum, Griffith, Norko, as well as Weinstock and Darby, are reviewed and applied to the specific challenge of presenting genetic data in parental rights termination proceedings. Dialectical principlism is utilized as a framework to analyze the competing duty considerations in these situations to help guide ethics-based decision-making for forensic experts in these scenarios.
精神病学科学与技术的进步，如基因检测，在改善治疗环境中的护理以及提高法医环境中的信息真实性方面具有巨大潜力。尽管有此前景，但这些新兴技术进步给法医从业者带来了相当大的伦理困境，原因包括存在强迫被评估者同意检测的风险、未充分告知人们与这些检测相关的法医风险，以及重要的偏见影响（例如，事实认定者对检测的重要性估计过高，并引入种族和社会经济偏见）。本文回顾了斯通、阿佩尔鲍姆、格里菲思、诺尔科以及温斯托克和达比的伦理理论，并将其应用于在终止父母权利程序中呈现基因数据这一具体挑战。辩证原则主义被用作一个框架，以分析这些情况下相互冲突的义务考量，从而帮助指导法医专家在这些场景中基于伦理的决策。
