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Abuses and Misuses of Psychological Testimony

The use of a qualified and objective mental health professional can aid the trier of fact by providing scientifically valid information. While there seems to be an increase in mental health testimony, the is also an increased risk of abuse and misuse. This report address several issues that need to be considered when considering psychological, social work, and psychiatric testimony.

The Standard

The mental health professional should present with considerable professional education from accredited institutions. The professional should have additional supervised clinical training and experience. These areas should include clinical and forensic qualifications. In most jurisdictions, the professional should have appropriate licensure. Appropriate board certification, from a recognized Diplomate organization is a measure of additional competency. Board certification usually involves post graduate supervised practice, traditionally five years, an application, and examination.

For psychologists, the recognized education includes a Doctor of Philosophy [Ph.D.], Doctor of Education [Ed.D.] or Doctor of Psychology [Psy.D.] from a regionally accredited institution. The professional standard is that the program should also be accredited by the American Psychological association. Every state in the United States licenses psychologists at the doctoral level for independent practice. The American Psychological Association has recognized the Diplomate certifications from the American Board of Professional Psychology and the American Board of Psychological Hypnosis. The are also other multidisciplinary boards that recognize different professions. For forensic consultation, the profession has established a minimum of five years of clinical practice experience.

The recognized education for clinical social workers included a Master of Social Work or Social Welfare [M.S.W.] from a program accredited by the Council on Social work Education. Additional social work education includes a Doctor of Philosophy [Ph.D.] or a Doctor of Social Work [D.S.W.] in social work. The majority of social workers that have a doctorate, have the degree in a field other than social work. Every state licenses social workers for independent practice at the masters level. Five years experience is usually the standard for forensic consultation. The profession has two recognized Diplomate certifications. The first is the Board Certified Diplomate issued by the American Board of examiners in Clinical Social Work and the Diplomate in Clinical Social Work [D.C.S.W.] issued by the National Association of Social Workers.

Psychiatry is not specifically regulated by state statute. Psychiatrist must be licensed under the generic physicians and surgeons act but any licensed medical doctor [M.D.] or doctor of osteopathy [D.O.] can legally practice psychiatry without any specialized training. Diplomate certification is established by certification by the American Board of Psychiatry and Neurology

Forensic certification has been established in psychology and psychiatry. Advanced competency has been established by Fellowship in the American College of Forensic Psychology and the American College of Forensic Psychiatry. Multidisciplinary Boards have also been established that certify more than just one profession. Such boards include the American Board of Forensic Examiners, American Board of Forensic Medicine, and the American Board of Psychological Specialties.

The forensic standard of care includes enforceable ethical codes of conduct and advisory guidelines established by membership in various professional associations. The forensic standards have been established by community, state, and national standards.

Forensic Malpractice

Just as there are issues of clinical malpractice, there are also issues of malpractice when a mental health professional provides forensic consultation and expert witness services. The specific issues include problems of assessment and testimony.

Assessment

A professional should:

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Clarify the impact of limited information on the reliability and validity of the reports and testimony.

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Explain why he or she did not perform certain tasks.

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Assess parties to the dispute

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Attempt to name an alleged perpetrator

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Not intentionally withhold or omit findings or opinions discovered during a forensic examination that would cause the facts of a case to be misinterpreted or distorted.

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Not fail to adequately conduct and document assessment sessions.

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Videotaping certain types of assessments

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Hypnosis

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Imagery

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Suggestion

Testifying

The professional should:

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Testify truthfully, honestly, and candidly.

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Not release raw test results or raw data to persons who are not qualified to use such information.

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Provide testimony that is consistent with applicable legal procedures or issues.

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Misrepresent ones

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Credentials

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Education

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Experience

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Membership basis or status

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Training

Failure to Follow the Primary Standard of Care

The professional must be careful to follow the standard or care. Specific concerns include:

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Assumption of Belief Errors

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Assessment Errors

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Findings and Conclusions Mistakes

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Disclosure Errors

Failure to Follow the Forensic Standard of Care

The entry into the world of forensic consultation involves an additional standard of care. The professional must be careful not to present with:

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Role Confusion

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Offering Opinions on Matter of Law

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Offering Opinions Outside Area of Expertise

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Offering Opinions Based on Inappropriate Clinical Data

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Presenting Irrelevant Clinical Data

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Presenting Insufficient Clinical Examination

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Not Following the Scientific Method

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Offering Pseudoscientific Policy Recommendations

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Overreaching Findings / Conclusions

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Overreaching the Appropriate Role

State of the Art Considerations

The forensic expert literature reveals that there are some basic considerations that should be applied whenever one is considering mental health information. Some professionals have a tendency to:

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Over-Pathologize

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Misinterpret the Material

Current Knowledge Controversies

The current state of mental health knowledge does contribute to an understanding of legal issues. Special care should be taken when addressing issues like:

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Eye Witness Testimony

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Memory

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Dangerousness

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Rehabability

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Developmental Age

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Sexual Issues

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Predicting Behavior

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Examiner Effect

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Incorrect Procedures

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Environmental Variables

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Double Standards

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Contextual Effects

Referral Question

Many complications related to mental health consultations can be controlled by making it clear to the professional, the limits of the referral question. Make sure that there is a statement of:

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SPECIFIC REQUEST

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STATED PARAMETERS

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LIMITS AND NATURE OF CONFIDENTIALITY

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MIRANDA ISSUES

 

 

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