The Field Of Forensic Psychiatry

By Gary Ward


Psychiatry as a field of medicine also has other sub-specialties under it. One of those sub-specialties is forensic psychiatry, which is also closely related to criminology. For the purpose of this article, the abbreviation FP will be used. FP is a field that interfaces the fields of psychiatry and law. Specialists in this field are referred to as forensic psychiatrists. They do many tasks in the court and law enforcement systems.

Forensic psychiatrists work with the court system in determination of the competency of individuals to stand trials. The evaluations they provide on individuals serve as recommendations for sentencing. These individuals also act as expert witnesses for defendants in lawsuits. FP encompasses two areas of criminal evaluations, these are, MSO and CST. CST stands for Competency to Stand Trial while MSO stands for Mental State at the Time of the Offence.

Competency to Stand Trial evaluates the mental capacity of an individual to understand the charges they face in a court. Besides providing the aforementioned evaluation, it also seeks to prove if the individual has the level of sanity needed to help their lawyer with fighting the case. In the constitution of the US, this provision falls under the Fifth Amendment. Under the provision, one should be able to assist the attorney in preparing defense, face their accuser, and be present during their trial.

There are also times when these psychiatrists may be required to act as expert witnesses in civil or criminal cases. Here, they present an independent opinion to the court in the form of a report. They formulate their opinions and explain to the court the basis of their opinions. The judge or jury may base on the opinion given by the expert witness to make the final ruling.

These psychiatrists may also be hired to formulate an opinion regarding the state of mind a person was in when they committed a certain crime. The goal here is to ascertain if the defendant knew that there actions were of a criminal nature when they committed them. The application of this psychiatric knowledge from state to state, with some states rejecting it altogether.

Three key standards of reason are based upon by FP specialists in determining mental fitness. The three standards are ALI test, Durham rule, and MNaghten rules. If mental capacity is determined to be lacking in the defendant during or after committing a crime, one of the three standards may be based upon to drop the charges. The basis for freeing the defendant is lack of mental capacity to understand the criminality of their actions.

In court trial where a psychiatrist has been hired to determine mental fitness, both the prosecution and the defense will have their own psychiatrists. Psychiatrists are also employed to take care of prisoners in jail as well as prison. In addition, they also provide care for mentally ill individuals who not been charged with criminal conduct on the basis of mental unfitness.

The field of risk management is also adopting FP very fast. Potential or suspected offenders can be put under supervision of a team of forensic psychiatric professionals. The team is often comprised of care workers, nurses, psychologists, and psychiatrists among others.




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