Dr. Appel is Associate Professor of Psychiatry and Medical Education, Director of Ethics Education in Psychiatry, and Assistant Director at Academy for Medicine & the Humanities, Icahn School of Medicine at Mount Sinai, and Attending Physician at Mount Sinai Health System.
J Am Acad Psychiatry Law. 2023 Mar;51(1):56-60. doi: 10.29158/JAAPL.220033-21. Epub 2023 Jan 10.
Developing a comprehensive theory of forensic ethics has proved a challenge for the profession since Alan Stone questioned the presence of psychiatrists in the courtroom in 1982. Two schools of thought have developed: a "principlist" approach associated with Appelbaum and an approach focused on narrative and context associated with Griffith. Both approaches, and their intellectual progeny, focus primarily upon the relationship between forensic evaluator, forensic subject, and the legal system. Yet the scarcity of forensic psychiatrists renders them a resource whose allocation, often self-driven, has significant implications for ethics. Rather than focus primarily upon questions related to subject-evaluator relations and evaluator work product, a comprehensive ethic for forensic psychiatry must also prioritize the ethics concerns of resource allocation.
自 1982 年艾伦·斯通质疑精神病医生在法庭上的存在以来，为法医学伦理建立一个全面的理论一直是该领域的一个挑战。已经形成了两种思想流派：一种是与阿佩尔鲍姆相关的“原则主义”方法，另一种是与格里菲思相关的关注叙事和背景的方法。这两种方法及其知识后代主要关注法医评估师、法医对象和法律系统之间的关系。然而，法医精神病学家的稀缺性使他们成为一种资源，其分配往往是自我驱动的，对伦理道德有重大影响。法医学的全面伦理不仅要优先考虑与评估对象关系和评估工作产品相关的问题，还必须优先考虑资源分配的伦理问题。
