Blashfield R K, Robbins L, Barnard G W
Department of Psychiatry, University of Florida, Gainesville 32610-0256, USA.
Bull Am Acad Psychiatry Law. 1994;22(4):587-94.
Forensic psychiatrists who were members of the American Academy of Psychiatry and the Law analyzed case histories to make a competency or incompetency decision. The case histories were created to alter background information, diagnostic information, information about the defendants' understanding of the adversarial process, courtroom behavior, and the nature of the crime. The information that had the most influence on the decisions of the forensic psychiatrists included the cognitive status of the defendant, psychotic features, courtroom behavior, and understanding of the adversarial process. Relationship with the lawyer, alcohol/drug use history, psychiatric history, and criminal history had less influence. The forensic psychiatrists tended to "error" toward a decision for competency unless compelling evidence was presented to the contrary.
美国精神病学与法律学会的法医精神病学家分析病历，以做出是否具备行为能力的决定。病历旨在改变背景信息、诊断信息、关于被告对对抗程序的理解、法庭行为以及犯罪性质的信息。对法医精神病学家的决定影响最大的信息包括被告的认知状态、精神病特征、法庭行为以及对对抗程序的理解。与律师的关系、酒精/药物使用史、精神病史和犯罪史的影响较小。除非有相反的有力证据，法医精神病学家往往倾向于做出被告具备行为能力的“错误”决定。
