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Interdisciplinary evaluation: interface between psychiatry and forensic psychology

Avaliação interdisciplinar: interface entre psiquiatria e psicologia forense

DEAR EDITOR

The study of the causes and consequences of the growing urban violence, the enhancing rates of work disability and labor accidents regarding mental illness, just to mention few examples, increasingly requires the engagement of psychiatrists and psychologists to help enlightening the facts, as answering the questions concerning mental health and justice altogether demands a multilayer comprehension1Grisso T, Vincent GM. The empirical limits of forensic mental health assessment. Law Hum Behav. 2005;29(1):1-5..

The advances in psychiatry, psychology and more recently in neuropsychology, contributed a great deal for the justice system to interact with these fields of knowledge when dealing in causes regarding the human being, thus richly valuing the role of forensic sciences2Heilbrun K, Marczyk GR, DeMatteo D, Zilmer EA, Harris J, Jennings T. Principles of forensic mental health assessment: implications for neuropsychological assessment in forensic contexts. Assessment. 2003;10(4):329-43.. Although psychiatry and psychology are different in many ways, in the forensic context it is central that they can work together, as the collaboration among the many mental health professionals enhances the reliability of the documents, lending credibility to the justice decisions3Gbadebo-Goyea EA, Akpudo H, Jackson CD, Wassef T, Baker NC, Cunningham-Burley R, et al. Collaboration: The Paradigm of Practice Approach between the Forensic Psychiatrist and the Forensic Psychologist. Front Psychiatry. 2012;3:89..

It is usual that the requiring authority asks for a “psychological and psychiatric evaluation”, as if they were a synonymous. As this is frequent, we started the interdisciplinary evaluation in the Forensic Unit of the Instituto de Psiquiatria do Hospital das Clínicas da USP, including, beyond psychiatric and psychological assessment, the neuropsychological and personality evaluation, when applicable. From February/2012 until August/2013 we received 352 justice requirements, 62% from criminal justice and 38% from labor or civil prosecutions. The interdisciplinary evaluation was required in 22% in the first and 43% of the former.

These data show that the justice system is frequently dealing with questions that cannot be answered without the assistance of a multidisciplinary staff, which we see as an opportunity to expand the boundaries of the mere description of signs and symptoms and help the justice with a comprehensive assessment of the mental state of the individual in legal cases4Kaufmann PM. Protecting raw data and psychological tests from wrongful disclosure: a primer on the law and other persuasive strategies. Clin Neuropsychol. 2009;23(7):1130-59..

Thus the collaboration between these two professions has the potential to increase both the credibility and utility of forensic services to the courts5Gierowski JK. Complex expertise on the psychiatric health of a criminal. Psychiatr Pol. 2006;40(1):5-17..

REFERENCES

  • 1
    Grisso T, Vincent GM. The empirical limits of forensic mental health assessment. Law Hum Behav. 2005;29(1):1-5.
  • 2
    Heilbrun K, Marczyk GR, DeMatteo D, Zilmer EA, Harris J, Jennings T. Principles of forensic mental health assessment: implications for neuropsychological assessment in forensic contexts. Assessment. 2003;10(4):329-43.
  • 3
    Gbadebo-Goyea EA, Akpudo H, Jackson CD, Wassef T, Baker NC, Cunningham-Burley R, et al. Collaboration: The Paradigm of Practice Approach between the Forensic Psychiatrist and the Forensic Psychologist. Front Psychiatry. 2012;3:89.
  • 4
    Kaufmann PM. Protecting raw data and psychological tests from wrongful disclosure: a primer on the law and other persuasive strategies. Clin Neuropsychol. 2009;23(7):1130-59.
  • 5
    Gierowski JK. Complex expertise on the psychiatric health of a criminal. Psychiatr Pol. 2006;40(1):5-17.

Publication Dates

  • Publication in this collection
    Jan-Mar 2014

History

  • Received
    22 Nov 2013
  • Accepted
    26 Feb 2014
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro Av. Venceslau Brás, 71 Fundos, 22295-140 Rio de Janeiro - RJ Brasil, Tel./Fax: (55 21) 3873-5510 - Rio de Janeiro - RJ - Brazil
E-mail: editora@ipub.ufrj.br