Foundations, Ethics, Precedents, Testing, Opinions Flashcards

1
Q

Jenkins v United States

1962

A

DC Circuit Court ruled psychologists could provide expert opinions about mental illness at the time of an alleged event

Physicians were not uniquely qualified to offer testimony on matters of mental disorder

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2
Q

Brown v BOE

1954

A

First time psychological research was utilized in a major (SCOTUS) case

Clark doll studies

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3
Q

Dates for important organizations

A

APLS 1969
ABFP 1978
APA recognized forensic psychology as a subspecialty in 2001
Specialty Guidelines adopted by APA in 2011

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4
Q

How is “specialized knowledge” defined in the FRoE

A

An expert should provide re information about a subject than a lay person

Occupational status in and of itself is not sufficient

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5
Q

Kumho Tire v Carmichael

1999

A

Daubert criteria applied to scientific, technical, and specialized knowledge - Daubert applies to nonscientific testimony (soft sciences)

Mental health testimony needed to meet Daubert criteria to be admitted into court. Does the expert have sufficient specialized knowledge to assist the trier of fact?

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6
Q

Tippins and Wittmann Clinical Inference Hierarchy

A

Our observations
Inferences based on our observations
Implications for the inferences
Prescriptive recommendations

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7
Q

Steps to documenting ethical decisions

A

Identify the dilemma
Seek info and guidance from sources of professional authority
Seek info and guidance from professional journals
Seek info and guidance from professional workshops
Record steps taken to resolve the issue
Consult
Articulate the manner in which the final decision was made

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8
Q

Keith-Spiegel and Koocher’s ethical decision making process

A

Describe the dilemma and various related issues
Identify those who are likely to be impacted by the decision
Specify the considerations owed and basis for each
List applicable standards and professional guidelines
Outline alternative actions to include consequences and benefits
Delineate changes in circumscribed that could cause a different axn
Identify actions to take in the event of adverse consequences

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9
Q

Estelle v Smith

1981

A

Application of fifth (right to remain silent) and sixth (criminal protections) to forensic mental health

Limited use of competency evaluations, emphasized importance of notification of purpose, also included protections against the defendant participating with only defense-retained experts

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10
Q

Dilemma of bifurcating MSO trials…

A

MSO evaluations may include incriminating information
The first attempt to resolve this was to bifurcate trials
(Guilt, Sanity)

This limited the potentially prejudicial testimony of the expert solely to the second phase of trial
BUT this was ruled unconstitutional as it prevents the defendant from introducing all relevant testimony in their defense

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11
Q

Exceptions to Fifth Amendment protections

A

Juvenile cases - considered “quasi-criminal”
In re Gault remedied this and brought adult protections over

SVP cases - especially if the prosecution seeks commitment rather than criminal conviction

Child custody evals may yield incriminating information if it is not protected by attorney-client privilege

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12
Q

Right to Counsel in FMH Evaluations

A

Right to counsel doesn’t just apply to the trial phase of a case

However, most courts (supported by Estelle v Smith) have held that defendants do not have a right to counsel during evaluations

Can be useful for data collection, but can also present third party concerns

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13
Q

Ake v Oklahoma

1985

A

Guarantees indigent defendants the right to an evaluation and even a second opinion, but not necessarily the right to an evaluator of their choosing

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14
Q

Edney v Smith

1976

A

States (prosecutors) should have access to experts that the defendant has decided not to use in criminal cases once they have raised an MSO defense

Prevents the defense from “shopping” and taking unfriendly experts “off the market”

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15
Q

Duty to Protect and being privately retained

A

Disclosure of problematic information (e.g., past abuse of a child) may be protected by attorney-client privilege if you are privately retained

Disclosures of ongoing abuse should be guided by your own ethical compass

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16
Q

Ethical considerations in the evaluation process

A

Being both expert and consultant is not recommended

Role expectations and evaluation objectives are the most important matters to be sorted out with the attorney

Avoid pro bono and contingency work

Take steps to inform evaluee of your role, don’t do work on a previous psychotherapy patient or vise versa, advise the evaluee of reasonably foreseeable disclosures

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17
Q

Suggested information for a notification of purpose

A

Who the evaluator is conducting the evaluation for
Who will receive the report
Legal issue at hand
Reminder that you are not their doctor/treatment provider
Option to not answer questions (and consequences for doing so)
Expectation that they will do their best and be honest
May ask for breaks
Who is paying the examiner

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18
Q

Should an evaluee decline to participate in an evaluation…

A

Do not threaten them (-_-)
Advise them of any sanctions that may be imposed
Give them the opportunity to talk to their counsel for guidance
Advise on whether you’re required to offer an opinion anyway

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19
Q

In re Lifschutz

1970

A

A psychiatrist cannot assert privilege for information gathered in treatment when the patient has waived privilege

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20
Q

Jaffee v Redmond

1996

A

Federal courts upheld psychotherapist-patient privilege
Because the police officer wasn’t raising an MSO defense, her mental health records were protected and privileged

LCSWs were included in the definition of “psychotherapist”

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21
Q

The “Hand” Rule

A

We should consider the probability a negative event will occur, the gravity of the harm that would result, and the cost of taking steps to prevent the negative event

Named after Judge Hand (1947)

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22
Q

Fifth Amendment and Case Law

4 notable cases

A

Estelle v Smith (1981) - Forcing a defendant to sit for an exam solely for sentencing purposes violates the 5th and 6th Amendments // Can’t raise MSO and then refuse to cooperate

Buchanan v Kentucky (1987) - DA can use results of a court-ordered comp eval on any MSO defense raised by the defense without violating 5th Amendment (because mental state defenses forfeit this right)

Kansas v Cheever (2005) - No 5th Amendment protections when defense raises voluntary intoxication defense

In re Gault (1967) - 5th Amendment protections should apply to kids

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23
Q

Reciprocal Discovery

A

Controversial…may violate attorney-client privilege

The prosecution can gain access to the defense experts’s documents when the defense requests access to the prosecutor’s discovery

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24
Q

Allen v Illinois

A

SCOTUS found 5th Amendment protections did not apply to SVP commitment cases because commitment was seen as “treatment” and not punishment

Contradicts the opinion in In re Gault, which noted that 5th Amendment protections should apply in any situation that results in a “massive deprivation” of liberty (juvie cases being quasi-criminal)

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25
Q

Sixth Amendment

A

Right to the presence of counsel

Right to effective assistance of counsel

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26
Q

Pros and Cons to attorney presence during an eval

A

You get to observe the attorney-client relationship
Attorney presence could help to facilitate the interview

Third party observer effects
It’s not necessary
Could threaten test security
Impact of test validity (observer effects)

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27
Q

Pros and Cons to recording interviews

A

May be impractical or change the nature of the responses you get from the defendant

Weigh against the legitimate interest to have an accurate recording of the event and verbatim responses

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28
Q

Duty associated with Tarasoff

A

Duty to PROTECT

You can be held liable for failing to take action to protect future victims

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29
Q

Acquiring state and federal crimes

A

Some criminal charges have the potential to lead to both state and federal charges (armed robbery in a state, of a federally owned bank)

Both state and feds can prosecute because they are separate “sovereigns” (entities) and aren’t violating double jeopardy for that reason

Preemption doctrine - if state and federal laws exist, the federal law supersedes the state laws on whatever the issue is

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30
Q

Trial Courts v Appellate Courts v Federal Courts v State Judicial Systems

A

Trial courts ascertain facts of a case and apply the law to the facts via the adversarial judicial process

Appellate courts serve to determine if trial courts applied the rule of law correctly (no trial process, just analyze the facts of the case and transcripts)

Federal court systems are comprised of POTUS-nominated judges (life term) and hear cases that involve federal laws or regulations, OR claims that statutes or rules of law violate the US Constitution

State judicial systems contain judges that are elected, and often contain criminal and civil courts

31
Q

Four major types of judicial proceedings

A

Criminal - Assess guilt in the commission of an act that is forbidden by statute and punishable by prison or fine (beyond a reasonable doubt)

Civil - Dispute between parties and the govt provides the forum to settle the dispute (typically with monetary damages being awarded) (preponderance)

Administrative - Whether the govt can take away or give property with a clear and convincing standard (burden is between criminal and civil)

Quasi-Criminal - Civil commitment and juvenile cases, traditionally civil cases that can result in loss of liberty (clear and convincing standard)

32
Q

Therapeutic Courts

A

Judges and attorneys are collaborative
Collaboration between legal and non legal systems
Court attempts to intact outcomes that go beyond application of law
Attempts to resolve legal and nonlegal matters
Hears a range of issues (family probs, tx refusals, etc.)

33
Q

Frye v US

1923

A

Evidence not accepted by the scientific community is not accepted in a federal criminal trial

Experts’ opinions must be “sufficiently established to have gained general acceptance in the particular field.”

“General acceptance test”

34
Q

Daubert v Merrell Dow Pharmaceuticals

1993

A

Frye’s general acceptance test is no longer appropriate

Are the methods scientifically valid, has the theory been subject to peer review and publication, can or has the theory been tested, what is the theory of technique’s known potential error rate, are there related standards, is there wide-spread acceptance?

35
Q

Differences between forensic assessment and therapeutic assessment

A

FA looks at narrowly defined questions, TA is broad
FA has well-being and perspective secondary, TA they’re primary
FA is not wholly voluntary, TA is voluntary
FA client has no input on assessment objective and procedures
FA comes with greater conscious and unconscious threats to validity
FA has more emotional distance, TA has more therapeutic alliance
FA has legal schedules and deadlines, TA is more leisurely

36
Q

Three main types of assessment tools

A

Clinical assessment instruments - facilitates diagnosis and treatment planning, most researched, least often used in forensics

Forensically relevant instruments - tests that measure clinical constructs relevant to forensic work (response style, violence risk, psychopathy), tend to be less researched but can still be well-validated

Forensic assessment instruments - tests designed to tap directly into forensic questions (MacCAT, ECSTR, etc.), development reflects the understanding that CAIs and FRIs are of limited use in forensic contexts

37
Q

Caveats to using Clinical Assessment Instruments and Forensically Relevant Instruments

A

Most haven’t been normed on forensic populations or their specific legal contexts

Test results are hypothetical and may not 100% represent the defendant

Can have substantial caveats when used retrospectively (sanity, past competencies, etc.)

Face validity may pose issues

38
Q

Caveats to using Forensic Assessment Instruments

A

Tend to be face-valid

Valid instruments do not exist for most psycholegal questions that we need to answer (investigative interviewing is generally more appropriate)

39
Q

Suggested process for systematically evaluating amnesia

Per Charles Scott

A

Evaluate for conditions known to cause memory impairment
Compare self-reported info to what is generally known about amnesia, dissociation, head trauma, etc.
Examine relationship of substance abuse to amnesties event
Consider if alleged event was planned or rehearsed
Compare to independent information sources
Testing if appropriate

40
Q

Tests for feigned symptomatology

A

SIRS/ SIRS-2

MMPI

PAI

41
Q

Tests for feigned intellectual impairment

A

TOMM

VIP

WMT

42
Q

“Below chance” in symptom validity tests means…

A

Any score lower than that expected for 95% of random responding

43
Q

Roger’s Response Styles

MALINGERING

A

Deliberate fabrication or gross exaggeration to fill an external goal or motivation

44
Q

Rogers Response Styles

FEIGNING

A

Deliberate fabrication or gross exaggeration without any assumption about why

45
Q

Rogers Response Styles

DEFENSIVENESS

A

Deliberate denial or gross minimization in the service of an external goal

46
Q

Rogers Response Styles

IRRELEVANT RESPONDING

A

Disengagement from the assessment process by providing inconsistent (random) responses to test items or providing uninformative answers

47
Q

Rogers Response Styles

DISSIMULATION

A

An inaccurate portrayal of symptoms, often used when “malingering” for “feigning” are not appropriate for the situation

48
Q

Caveats to “secondary gain” or “suboptimal effort”

A

Secondary gain is imprecise and commonly confused with “malingering”

There could be bona fide reasons for suboptimal effort that is not malingering (head injury, fatigue, etc.)

49
Q

Explanatory models of malingering

A

Pathogenic - a person is trying to cover up legitimate dysfunction

Criminological - primary motivation is characterological, general deceptiveness when opportunities arise

Adaptational - person perceives an adversarial environment and malingering is a situational response deemed to be viable

50
Q

Percentage of malingering cases, based on research

A

15-17%

Not rare or common

51
Q

Misconceptions about malingering

A

We CANNOT predict it, it depends on so many factors

It is NOT static, again, depends on so many factors

Cut scores on tests are NOT “laser accurate”

52
Q

Useful research designs for malingering

A

Simulation design - participants randomly assigned to a control or simulation group (good internal validity, bad external validity)

Known-groups comparisons - independently classified malingerers are compared to genuine patients (good external, limited internal) (MMPI)

Bootstrapping - deviant scorers are compared to not deviant scorers, comparison of curves (VIP)

53
Q

Deficient research designs for malingering

A

Partial-criterion comparisons - poor version of known groups design, may rely on one Dr. to separate out the groups

Differential-prevalence comparisons - assumes certain groups will have specific response styles (assumes forensic groups will feign), fundamentally flawed

54
Q

Base rates for malingerer cognitive deficits

A

4-64%

It’s all over the place…

55
Q

Detection strategies for malingering cognitive deficits

EXCESSIVE IMPAIRMENT DETECTION STRATEGIES

A

Floor effect - utilizes simple tasks that may seem difficult but can be done by most people (TOMM)

Symptom validity testing - looks at failure rate on the test based on statistical probability (tends to be effective ol pinky with extreme forms of malingering)

Forced-choice testing - lower than expected performance based on normative data (just comparing group norms, not usually validated)

56
Q

Detection strategies for malingering cognitive deficits

UNLIKELY PRESENTATION DETECTION STRATEGIES

A

Magnitude of error - evaluates feigning based on unlikely errors that are uncommon among examiners with cognitive disorders

Performance curve - based on premise feigners don’t take item difficulty into account when choosing what items to do poorly on

Atypical presentation - unstructured clinical judgement mostly, comparing scores across tests and with observed behaviors

Psychological sequelae - when feigners claim bogus sxs as a result of their alleged cog impairment (found to produce high false positives upwards of 27%)

Response time measures - research is mixed, don’t use it

57
Q

Types of detection strategies for malingered mental disorder

A

Unlikely detection strategies - endorsement of rare sxs, unlikely sx combinations, reported v observed sxs, etc.

Amplified detection strategies - endorsement of unbearable symptom severity, endorsing broad and indiscriminate array of sxs

58
Q

Using MMPI for malingering

A

FBS correlated to feigners and genuine impairment

Fp may be promising

MMPI may not be ideal for civil litigation feigning

59
Q

PAI and malingering

A

RDF lacks discriminant validity and shouldn’t be used by itself

Average NIM can be used to help rule-out feigning

60
Q

SIRS-2

A

Excellent IRR and discriminant validity

Good convergent validity with the MMPI

61
Q

Malingered Neurocognitive Dysfunction Model

Three categories

A

Definite malingering - below chance on SVT and presence of external incentives (too narrowly construed)

Probable malingering - requires at least two factors indicative of potential feigning (too broadly construed, what’s the lay understanding of the difference between definite and probable anyway)

Possible malingering - any major discrepancy between self-report and other data (most cases have discrepancies, so don’t even use it)

62
Q

Jurisogenic Symptoms

A

Symptoms that would not exist were it not for the adverse effects of litigation (especially protracted, lengthy court cases)

May be due to frequent reexperiencing of injuries, emotional trauma, worsening of a vulnerable personality, etc.

63
Q

VIP for malingering

A

Focused on unlikely presentation….response consistency is what is measured and performance curves are compared
(Expected to do worse on harder items, should clear first ten with no issue)

Don’t use on those with ID or an LD

64
Q

TOMM for malingering

A

Utilizes floor effect and SVT

Use of the recognition trial improves sensitivity

Caveat: many studies on the TOMM used partial-criterion design, don’t use with MR sample, TOMM scores just generally appear to be lower for those involved in litigation

65
Q

Griggs v Duke Power Co

1971

A

The use of testing must be directly related to the thing wanting to be assessed for decision making (employment, parenting, placement, promotion, etc.)

66
Q

United States v Greer

1998

A

You can get enhanced sentences for malingering

Obstruction of justice enhancements

67
Q

Hall v Florida

2014

A

It is unconstitutional to rely strictly on IQ score when determining intellectual disability for the purposes of death penalty proceedings

When the test score falls within the known margin of error, additional evidence is needed (regarding adaptive deficits)

68
Q

Subpoena duces tectum

A

Formal discovery request for documents

Hospital records, test materials, etc.

69
Q

Three components to credible testimony

A

Expertise - formal aspects of the witnesses experience and training (degree, positions held, honors and awards, etc.)

Trustworthiness - perceptions that listeners form regarding the honesty of the witness

Dynamism - style and charisma that serve to ensure the audience pays attention

70
Q

What to know about giving a deposition

A

Because what you say can be used against you, give brief answers

Request the transcript and correct any errors

Less formal, but don’t let your guard down

71
Q

Grisso’s six principles to guide forensic report writing

A

Use the forensic question to guide content
Include only what is necessary to answer the forensic question
Sequence and describe in a way that makes sense to the reader
Separate facts from inferences (and note what facts lead to your inferences)
Show why you are providing the explanations you are
Fully explain your rejections of competing conclusions or opinions

72
Q

Talking about psychological testing in reports

A

Note what tests you used early in the report
Articulate rationale for why you used it
Acknowledge limitations (esp if any related to eval)
Detail any deviations made to standardization
Detail all findings that is free from jargon and understandable

73
Q

Case law on witness immunity

A

Bruce v Byrne Stevens - witness immunity is not only for defamation cases, you can use it anywhere, no matter what side retains you

Murphy v A A Matthew’s - you’re not immune from negligent professional conduct

Budwin v APA - private, voluntary associations can censure you for making false statements as a court-appointed expert

Deathrage - witness immunity doesn’t apply to professional disciplinary proceedings