Forensic psychiatry: contemporary scope, challenges and controversies.

Forensic psychiatry is the branch of psychiatry that deals with issues arising in the interface between psychiatry and the law, and with the flow of mentally disordered offenders along a continuum of social systems. Modern forensic psychiatry has benefited from four key developments: the evolution in the understanding and appreciation of the relationship between mental illness and criminality; the evolution of the legal tests to define legal insanity; the new methodologies for the treatment of mental conditions providing alternatives to custodial care; and the changes in attitudes and perceptions of mental illness among the public. This paper reviews the current scope of forensic psychiatry and the ethical dilemmas that this subspecialty is facing worldwide.

[1]  R. Lifton.  Doctors and torture. , 2004, The New England journal of medicine.

[2]  N. Konrad.  Prisons as new asylums , 2002 .

[3]  J. Arboleda-flórez,et al.  Homeless Shelter Users in the Postdeinstitutionalization Era , 2000, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[4]  J. Arboleda-flórez.  Integration initiatives for forensic services. , 2003, World psychiatry : official journal of the World Psychiatric Association.

[5]  J. Arboleda-flórez.  On the evolution of mental health systems , 2004 .

[6]  J. Laks,et al.  [Forensic psychiatry and human rights along the course of life: children, adolescents and elderly]. , 2006, Revista brasileira de psiquiatria.

[7]  T. Gutheil.  Forensic Psychiatry as a Specialty , 2004 .

[8]  G. D. Re.  The whole truth , 2004 .

[9]  Heather Stuart.  Stigmatisation. Leçons tirées des programmes visant sa diminution , 2003 .

[10]  M L Commons,et al.  Expert witness travel dilemmas: a pilot study of billing practices. , 1998, The journal of the American Academy of Psychiatry and the Law.

[11]  P. Appelbaum,et al.  The parable of the forensic psychiatrist: ethics and the problem of doing harm. , 1990, International journal of law and psychiatry.

[12]  H. Goldman,et al.  The enduring asylum: in search of an international, perspective. , 1981, International journal of law and psychiatry.

[13]  William J. Scipio,et al.  Therapeutic failures: Patients who return within 30 days of hospital discharge , 1973, Psychiatric Quarterly.

[14]  Y. Nakatani.  Psychiatry and the law in Japan. History and current topics. , 2000, International journal of law and psychiatry.

[15]  S. Hodgins,et al.  Mental disorder, intellectual deficiency, and crime. Evidence from a birth cohort. , 1992, Archives of general psychiatry.

[16]  J. Arboleda-flórez.  Stigma and discrimination: an overview , 2005 .

[17]  A. Stone.  The ethical boundaries of forensic psychiatry: a view from the ivory tower. , 1984, The Bulletin of the American Academy of Psychiatry and the Law.

[18]  T. Gutheil,et al.  "The whole truth" versus "the admissible truth": an ethics dilemma for expert witnesses. , 2003, The journal of the American Academy of Psychiatry and the Law.