Ash P, Derdeyn A P
Department of Psychiatry and Behavioral Science, Emory University, Atlanta, USA.
J Am Acad Child Adolesc Psychiatry. 1997 Nov;36(11):1493-502. doi: 10.1016/S0890-8567(09)66557-6.
To review important developments in child and adolescent forensic psychiatry from 1987 through 1996.
Major changes in the law and developments in research and practice were surveyed in the areas of the legal regulation of psychiatry, family law (divorce and child abuse), consultation to juvenile and criminal courts, civil litigation, and the development of the subspecialty.
There has been a large increase in research based on quantifiable descriptive data of forensic populations, although studies using comparison or control groups remain relatively rare. While managed care has heavily influenced treatment practice, legal liability remains largely with the clinician. Issues regarding techniques of evaluation for sexual abuse have been scrutinized by the courts and by researchers. Legislative responses to rising rates of juvenile violence have been in the direction of treating violent adolescent offenders as criminally responsible adults. There has been a major move toward setting standards for forensic evaluations, training, and credentials.
Child and adolescent forensic psychiatry remains an area encompassing diverse clinical issues. It remains unclear the extent to which it will develop into a formal subspecialty.
回顾1987年至1996年间儿童及青少年法医精神病学的重要发展。
对精神病学法律监管、家庭法（离婚与虐待儿童）、青少年及刑事法庭咨询、民事诉讼以及该亚专业发展等领域的法律重大变化和研究与实践进展进行了调查。
基于法医人群可量化描述性数据的研究大幅增加，不过使用比较组或对照组的研究仍然相对较少。尽管管理式医疗对治疗实践产生了重大影响，但法律责任在很大程度上仍由临床医生承担。法院和研究人员已对性虐待评估技术相关问题进行了审查。针对青少年暴力发生率上升的立法回应朝着将暴力青少年罪犯视为应承担刑事责任的成年人的方向发展。在为法医评估、培训和资质设定标准方面已迈出重要一步。
儿童及青少年法医精神病学仍是一个涵盖各种临床问题的领域。其发展成为正式亚专业的程度仍不明确。
