Forensic psychiatry
Download
1 / 44

Forensic Psychiatry - PowerPoint PPT Presentation


  • 203 Views
  • Uploaded on

Forensic Psychiatry. What is forensic psychiatry?. Forensic psychiatry is a branch of medicine which focuses on the interface of law and mental health. It may include psychiatric consultation in a wide variety of legal matters expert testimony clinical work with perpetrators and victims. .

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Forensic Psychiatry' - reya


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

What is forensic psychiatry
What is forensic psychiatry?

  • Forensic psychiatry is a branch of medicine which focuses on the interface of law and mental health.

  • It may include psychiatric consultation in a wide variety of legal matters

    • expert testimony

    • clinical work with perpetrators and victims.


What is a forensic psychiatrist
What is a forensic psychiatrist?

  • A psychiatrist is a medical doctor (M.D. or D.O. in the U.S.) who has completed several years of additional training in the understanding, diagnosis, and treatment of mental disorders.

  • A forensic psychiatrist is a psychiatrist who has additional training and/or experience related to the various interfaces of mental health (or mental illness) with the law.


Forensic psychiatrist vs forensic psychologist
Forensic psychiatrist vs Forensic psychologist

  • Psychiatrists are physicians with specialty training in the understanding, diagnosis, and treatment of mental disorders.

  • This includes:

    • biological evaluations and treatments

      • (such as laboratory tests and medications)

    • psychotherapy, and family & social issues.

  • Doctoral-level psychologists do not go to medical school,

    • Have special expertise in topics not usually studied in detail by psychiatrists (such as psychological testing).


How is forensic psychiatry useful to the legal process
How is forensic psychiatry useful to the legal process?

  • When legal matters involve issues outside lay (general public) expertise, lawyers and judges regularly seek consultation from professionals in a wide variety of fields, including medical specialties.

  • Such professionals are often called "experts" or "expert witnesses."

  • Forensic experts usually are truly knowledgeable, the criteria for "expert" designation in such cases are legal ones, and not necessarily scientific.

  • Sometimes the expertise is sought in an effort to provide the best possible information to judges or juries, but there are many other situations in which a prudent attorney, judge, or other party may request consultation.


Are forensic psychiatrists advocates for one side or the other in legal matters
Are forensic psychiatrists "advocates" for one side or the other in legal matters?

  • Usually not.

  • Ethical forensic psychiatrists try to avoid bias.

  • They focus on the data or evidence within their areas of expertise, and comment objectively on the information as they see it.

  • Are often consultants to advocates (lawyers) or courts, and at other times may participate in advocacy strategy, but consider it unethical to combine our expert opinions (testimony, reports, or affidavits, for example) with advocacy per se.

  • Ethical forensic psychiatrists do not accept contingency fees or otherwise conduct themselves in ways that may interfere with, or imply, a lack of professional objectivity.


Doesn’t the expert have an incentive to agree with the lawyer, so he or she can testify and make money?

  • In most cases, no.

  • Ethical experts are paid for their time, not their testimony.

  • Since the time spent forming the opinion usually far exceeds time spent testifying, most payment is received regardless of whether or not the expert testifies.

  • Forensic psychiatrists are similar to most other professionals in their respect for their work and their clients. The minority who "cheat" in some way risk severe censure and loss of credibility.


What does a forensic psychiatrist do
What Does a Forensic Psychiatrist Do? lawyer, so he or she can testify and make money?

  • Most forensic psychiatrists don't specialize in criminal matters.

  • The word "forensic" refers to anything that has to do with the law.

  • Forensic psychiatrists thus may be involved with:

    • criminal matters

    • civil litigation (such as malpractice lawsuits)

    • competence to do things (like make a will, consent to medical care, or take care of children)

    • child custody

    • treating and working with mentally ill people who get in trouble with the law

    • helping victims of crimes

    • helping lawyers and judges understand the psychological aspects of their cases.


Here are three things they are not
Here are three things they are lawyer, so he or she can testify and make money?not:

  • (1) We're not lawyers. We may work with lawyers, or try to understand the legal aspects of the matter we're working on, but our job is to be good doctors who can translate what we know into something useful for the legal system, not to be lawyers ourselves.

    • (A few forensic psychiatrists and psychologists have law degrees as well as medical ones. In my view, those folks usually do best when they pick one role or the other.)

  • (2) We're not judges. We don't interpret the law or tell judges or juries how they should rule. Most of the time, psychiatric issues are only a small part of the entire legal matter being considered. Sometimes we're asked to give an opinion about those psychiatric issues, but that's to help the judge or jury decide, not to tell them what to do.

  • (3) We're not cops. We aren't the folks who protect the community, deal with dangerous or criminal situations, or contain the bad guys. That's not our area of expertise, and nobody gives us permission to do it anyway.


Stalking

Stalking lawyer, so he or she can testify and make money?

"Even if I did do this,

it would have to have been because I loved her very much, right?"

- OJ Simpson


Do now
Do Now: lawyer, so he or she can testify and make money?

  • Is stalking socially acceptable?

Eight million American women -- or one in 12 –

will be a victim of stalking at some point in their lives.

-Kristin Ohlson


Well is it

"The Lloyd Dobler Effect". lawyer, so he or she can testify and make money?

Emily, like me, is an a crazy fan of John's, specifically of his Lloyd Dobler role in Say Anything

Well Is It?


What is stalking
What is Stalking ? lawyer, so he or she can testify and make money?

  • a set of "behaviors that last more than two weeks and involves repeated and persistent attempts to impose on another person unwanted contacts and/or communications which induce fear or distress."

    -Paul Mullen, M.D.

“He always told me he would make me sorry,”

“I never dreamed he would do it by killing our child.”


Who is doing the stalking
Who is doing the Stalking ? lawyer, so he or she can testify and make money?

  • ____% of the stalkers were male

  • ____% of the stalkers were ex partners of the victims

  • ____% had some form of relationship with the victim

  • Who is stalked the most??

    • ex-partners professional relationship, fellow employees,

      customers casual acquaintances

  • the stalkers who assaulted were most likely to be ____?

    -(Mullen, Pathe, Purcell, Stuart, 1999: 1244)


Who is doing the stalking1
Who is doing the Stalking ? lawyer, so he or she can testify and make money?

  • 79% of the stalkers were male

  • 30% of the stalkers were ex partners of the victims

  • 86% had some form of relationship with the victim,

    • including ex-partners (36%),

    • professional relationship (23%)

    • fellow employees or customers (11%)

    • casual acquaintances (19%)

  • 36% (52) of the stalkers attacked their victims, 14 involved sexual assault

  • the stalkers who assaulted were most likely to be rejected ex partners.

  • ’ (Mullen, Pathe, Purcell, Stuart, 1999: 1244)


According to a 1998 study by the department of justice

8% of women will be stalked in their lifetime lawyer, so he or she can testify and make money?

Women

aged 18 to 35 (11%)

aged 36 to 55 (8 %)

56 or older (4%)

-Paul Mullen, M.D., at APA’s 2001

2% of men will be stalked in their lifetime

Men

ages of 18 and 35 (8%)

aged 36 to 55 (4%)

aged 56 and older (3%),

Professor of forensic psychiatry at Monash University in Victoria, Australia.

According to a 1998 study by the Department of Justice.


Do now1
Do Now: lawyer, so he or she can testify and make money?

  • In what ways can stalkers communicate with their victims?

“I have to eliminate what I cannot obtain.”

Bardo,in a letter to his sister

Later he killed Rebecca Schaeffer


Do now answers
Do Now: Answers lawyer, so he or she can testify and make money?

In what ways can stalkers communicate with their victims?

  • telephone, e-mail, fax, letters, notes, gifts

  • Attempt to be physically close to the victim by approaching, following, surveilling, and loitering near that person


Do now 11 12 what might concern you about this letter
Do Now 11/12: lawyer, so he or she can testify and make money?What might concern you about this letter?


How might you describe the stalker s profile
How might you describe the stalker’s profile? lawyer, so he or she can testify and make money?

“He always told me he would make me sorry,”

“I never dreamed he would do it by killing our child.”


How might you describe the stalker s profile1
How might you describe the stalker’s profile? lawyer, so he or she can testify and make money?

  • Usually an isolated and shy person , May be unemployed

  • Social Failure: one who lives alone, lacks any type of important intimate relationship

  • Narcissistic personality disorder and very low self-esteem.

    • The stalker feels that they're the most important person in the world."

  • Many people stalk someone they have only met briefly

    • Someone they don't really know, or barely know.


What are mullen s five categories of stalkers
What are Mullen’s Five Categories of Stalkers lawyer, so he or she can testify and make money?


Mullen s five categories of stalkers
Mullen’s Five Categories of Stalkers lawyer, so he or she can testify and make money?


1 the rejected suitor
1. The Rejected Suitor lawyer, so he or she can testify and make money?

  • Sometimes a partner rejected by their spouse or lover may vacillate between overtures of reconciliation and revenge. They have a narcissistic sense of entitlement and belief this is the only relationship they are going to have.

  • More than 80% of rejected stalkers in Mullen’s study had personality disorders.

  • Therapeutic treatment of the rejected stalker involves helping him or her come to terms with the end of the relationship.


2 the intimacy seeker
2. The Intimacy Seeker lawyer, so he or she can testify and make money?

  • The intimacy-seeking stalker intends to establish a relationship with his "true love" regardless of her wishes.

  • More than half of the intimacy seekers Mullen evaluated were delusional, believing that their love was reciprocated, and nearly a third had a personality disorder and a delusion that their quest would be ultimately successful.

  • Legal actions do not work well with intimacy seekers, who may justify their behavior with the belief they must pay a price for true love.

  • The court may order treatment, which should focus on treating their delusions or other mental disorders.


3 the incompetent suitor
3. The Incompetent Suitor lawyer, so he or she can testify and make money?

  • This type is typically a man who had been rebuffed after asking a woman for a date.

  • He’s often socially inept, and when rejected, begins to stalk with the hope that his persistent behavior will change the woman’s mind.

  • The incompetent suitors can be responsive to judicial sanctions but are also likely to relapse.


4 the resentful stalker
4. The Resentful Stalker lawyer, so he or she can testify and make money?

  • These offenders express anger in response to a perception that they have been humiliated or treated unfairly by the object of their obsession.

  • They thrive on having a sense of power and control over the victim, and are hard to treat because they often see themselves as the victim.


5 the predatory stalker
5. The Predatory Stalker lawyer, so he or she can testify and make money?

  • Predator plans their attack, rehearses it, has lots of sexual fantasies about it.

  • Derives pleasure from gathering information about the target and fantasizing about the assault.

  • Doesn't necessarily know the victim.

  • The victim may not know she is being stalked.

  • They often have prior convictions as sexual deviants.


Lets see who s a stalker
Lets see who’s a stalker.. lawyer, so he or she can testify and make money?

I love you


Do now 11 13
Do Now 11/13: lawyer, so he or she can testify and make money?

Why might a person stalk a celebrity?

From today’s headlines: http://abcnews.go.com/Entertainment/wireStory?id=6237229

Know this Commercial?

Is Stalking acceptable??

http://www.youtube.com/watch?v=mhehKgU5oBs

Burger King Stalker


Do now 11 131
Do Now 11/13: lawyer, so he or she can testify and make money?

Why might a person stalk a celebrity?

From today’s headlines: http://abcnews.go.com/Entertainment/story?id=6241069&page=1


Do now 11 13 answer
Do Now 11/13: lawyer, so he or she can testify and make money?ANSWER

Why might a person stalk a celebrity?

  • may focus on a celebrity, especially if they've seen him or her in person at a public appearance like a concert.

    • Develop a relationship through viewing

      • Learn about their family and who they are from TV or Radio

    • "They develop convoluted thoughts about this person.

    • They feel this person is the answer to their dreams,"


Looking inside the letters
Looking inside the letters lawyer, so he or she can testify and make money?


Two Questions: lawyer, so he or she can testify and make money?1. Why did we leave off the Predatory Stalkers?2. Predict which stalker is the most to be concerned about causing harm?

From Jack Jordan


Why did we leave off the predatory stalkers
Why did we leave off the Predatory Stalkers ? lawyer, so he or she can testify and make money?


Predict which is the most to be concerned about
Predict which is the most to be concerned about? lawyer, so he or she can testify and make money?

  • The rejected and predatory stalkers are most likely to assault their victims.


When to be concerned
When to Be Concerned lawyer, so he or she can testify and make money?

The red flags:

  • You immediately start getting several phone calls or emails right after meeting this person.

  • The person is clingy, controlling, or upset if you want to spend time with friends and family.

Marlon Pagtakhan stalked Jerry Ryan


How to take action
How to Take action: lawyer, so he or she can testify and make money?

  • Tell everyone you know that this is going on -- your employer, friends, family.

  • Gently but firmly tell the person you've decided to move on.

  • Don't get drawn into discussions of why. Just say, "This situation isn't right for me" or "I'm not ready.." -- whatever you need to say, but say it gently.


Treatments for victims
Treatments for Victims lawyer, so he or she can testify and make money?

  • Mullen has found that cognitive-behavioral therapy works well in managing the anxiety stalking victims experience.

  • Medications such as SSRIs for some patients.

  • "It is important to inform and educate family members about the stalking and enlist their help in managing it," he stated.


Treatments for victims1
Treatments for Victims lawyer, so he or she can testify and make money?

  • Stressed that victims of stalking, like victims of sexual or physical abuse, often blame themselves for the situation.

    • Because they feel shame or misplaced guilt, they do not share their ordeal with others and become more isolated and afraid

  • Counseling the victim to realize that he or she is not responsible for the stalking.

  • Advises victims to file a complaint with the police if the stalking episodes continue for more than two weeks.

    • "To prove that the perpetrator is guilty of a crime and have the court order treatment, evidence is critical. Do not destroy answering-machine tapes, notes, letters, e-mails, or gifts in a moment of distress," he advised


Professionals at risk what about the victims
Professionals at Risk, lawyer, so he or she can testify and make money?What about the victims?

  • "Professionals who work with the lonely and unstable are at risk of being stalked," said Mullen.

  • Estimated that about 15 percent have been stalked by a patient during their career.

  • Victims are often forced to alter their lives to avoid the stalker.

  • Mullen’s study found:

    • 53% of his subjects quit or changed jobs

    • 40% moved to a different home

    • 70% curtailed social activities.


Professionals at risk what about the victims1
Professionals at Risk, lawyer, so he or she can testify and make money?What about the victims?

  • In addition to the physical dangers, stalking takes a severe psychological toll on its victims.

    • 83% Subjects were diagnosed with an anxiety disorder

    • 37% with posttraumatic stress disorder (PTSD).

    • Additional 18% had PTSD symptoms but did not meet formal diagnostic criteria.

    • 24% had ideas of suicide

    • 25% percent increased their alcohol consumption and/or cigarette smoking


-END lawyer, so he or she can testify and make money?


Pics lawyer, so he or she can testify and make money?


ad