- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
Ethical Considerations of Multiple Roles in Forensic Services
Ethical Considerations of Multiple Roles in Forensic Services
- Chapter:
- (p.255) 18 Ethical Considerations of Multiple Roles in Forensic Services
- Source:
- Applied Ethics in Mental Health Care
- Author(s):
Robert Henley Woody
- Publisher:
- The MIT Press
Attorneys increasingly rely on the services of mental health practitioners. Although some practitioners lack training, the promise of professional rewards lead some to accept opportunities with resulting ethical quandaries. Due to significant differences between the objectives of traditional mental health services and expert testimony, problems occur when clinicians venture into forensic services. Attorneys and judges, unfamiliar with mental health specialties, may seek to press a mental health practitioner into multiple roles. Although not all multiple roles are ethically inappropriate, caution demands careful parsing of particular roles: (a) academic/behavioral science expert; (b) fact witness as a treating therapist; (c) expert witness based on a clinically oriented assessment; (d) pretrial and/or trial consultant; and (e) professional critic of other experts. Possible ethical issues and risks associated with accepting multiple roles are identified and strategies for avoiding or minimizing harm or exploitation are discussed.
Keywords: Forensic psychiatry, Ethics, Law, Mental health policy
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- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
