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What is going on in this picture? Be as descriptive as possible. We will look at your responses shortly.
What do forensic psychiatrists do?• 1. Profile: use crime scene
details to describe characteristics of the criminal to help find him/her– Ex. Body was carried long
way. Criminal must have been strong or had help.
• 2. Evaluate competency: give tests and interviews to determine defendant’s personality, etc.– Ex. Are they insane?
If you were going to be a forensic psychiatrist, would you rather be
involved in evaluating mentality or profiling? WHY?
How is forensic psychiatry different than clinical psychiatry?
• CLINICAL: Treat person to improve mental health– Ex. If you’re
sad/anxious/etc. you see therapist to help you.
• FORENSIC: Dissect intellect/personality to reveal his/her true mental health– Ex. Only evaluates
defendants who committed crimes.
What does “evaluating competency” mean?• If the defendant is pleading “not guilty by reason of insanity,” then a for. psych.
needs to determine which category the person falls under• They already admitted to the crime, now the question is whether or not it was
technically their fault.
– 1. Legally Insane: The person was unaware that he/she was doing something wrong during the commission of the crime.
• Ex. Schizophrenic
– 2. Incompetent to stand trial: The person presently doesn’t understand legal proceedings. Eventually has to plead insane, diminished capacity or sane. (Temporary classification)
• Ex. In shock…mother who killed her children couldn’t communicate with her lawyers
– 3. Diminished Capacity: The person doesn’t or did not (during the crime) meet all criteria of a normal person during the crime.
• Ex. low intelligence, under great distress during crime
– 4. Sane: The person was aware that he/she was doing something wrong during the commission of the crime.
At which of the four levels would you classify the following defendants?
1. A soldier returns from Iraq and kills someone who threatens him.
1. Diminished capacity
2. Defendant is unable to discuss case with attorney representing him/her
1. Incompetent to stand trial
3. Defendant is under the influence of drugs/alcohol
1. Diminished capacity
How many cases in the U.S. use the insanity defense?
• 1%
• Most lawyers know insanity is VERY difficult to prove beyond all reasonable doubt.
• Montana, Idaho, Utah do not allow the insanity defense…instead, “guilty, but mentally ill.”
What’s the history of the insanity defense?
• Insanity is a legal term, not a medical/psychiatric
• McNaghten Rule: – Established in England in 1843
when McNaghten assassinated a Scottish civil servant
– States that if someone is unaware of what he/she is doing is wrong, it is inhumane to hold them accountable for their actions during that time.
DanielMcNaghten
How does a for. psych. determine the competency of a defendant?
• 1st: Medical history and physical exam– Family history of disorders or illness that may cause
certain behaviors
• 2nd: Test mental health two ways:– 1. Personality tests
• MMPI: 400 personality questions – Depression, obsession, anxiety, paranoia, lying,
manipulation
• Ink blots: analyzes interpretation of images• TATs: Show picture and ask person to interpret it
– Listen for interpretation, tone of the stories– Behaviors during story (tapping of fingers,
anxiousness, etc.)
– 2. Intellectual test (IQ)