Heilbrun K, Rosenfeld B, Warren J, Collins S
Department of Psychiatry, Medical College of Virginia, Richmond 23298.
Bull Am Acad Psychiatry Law. 1994;22(3):399-406.
There is virtually no research on the normative characteristics of forensic mental health assessment, despite the significant increase in conceptual and empirical attention devoted to such assessment within the last 10 years. The present study addressed this deficit by examining the use of third-party information, a crucial component of forensic mental health assessment, by forensic clinicians in two states: Florida (a total of 277 evaluations on the issues of competency to stand trial and sanity at the time of the offense) and Virginia (316 evaluations addressing the same legal issues). Evaluations in each state were performed in either a community or a hospital setting. Basic information about the offense, records of prior mental health evaluation or treatment, and specific statements by victims or witnesses were the variables examined comprising "third-party information" in this study. More than three fourths of all evaluations across states and settings incorporated this information. There was less consistency in the use of mental health records and victim/witness statements, with significant differences observed across settings and states. Results are discussed in light of potential influences of state, setting, and study methodology.
尽管在过去十年中,对法医精神健康评估的概念和实证关注度显著增加,但实际上几乎没有关于法医精神健康评估规范特征的研究。本研究通过考察第三方信息的使用情况来解决这一不足,第三方信息是法医精神健康评估的一个关键组成部分,研究对象是两个州的法医临床医生:佛罗里达州(共对277例关于受审能力和犯罪时精神健全问题的评估)和弗吉尼亚州(316例针对相同法律问题的评估)。每个州的评估都在社区或医院环境中进行。关于犯罪的基本信息、先前精神健康评估或治疗的记录,以及受害者或证人的具体陈述,是本研究中构成“第三方信息”的被考察变量。所有跨州和跨环境的评估中,超过四分之三都纳入了这些信息。在精神健康记录和受害者/证人陈述的使用上,一致性较低,不同环境和州之间存在显著差异。根据州、环境和研究方法的潜在影响对结果进行了讨论。