当前位置: X-MOL 学术J. Forensic Psychol. Practi. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Cognitive Behavior Therapy for Psychosis (CBT-p) as an Adjunct to Competency Restoration
Journal of Forensic Psychology Practice Pub Date : 2021-01-20 , DOI: 10.1080/24732850.2021.1877022
Laura M. Grossi 1 , Mollimichelle Cabeldue 2 , Alexandra Brereton 3
Affiliation  

ABSTRACT

Adjudicative competence evaluations are the most common forensic evaluation to occur in the United States. As a result of these evaluations, pretrial defendants are often found to be incompetent to stand trial and ordered for competency restoration, with psychotic symptoms as a major barrier to competency. Traditional competency restoration services are sometimes insufficient for restoring such defendants to competency within a reasonable period of time. This can lead to a finding that a defendant is unrestorably incompetent to stand trial and potentially a dismissal of charges. However, if not all available interventions are attempted during the course of competency restoration, this may be perceived as a miscarriage of justice for victims. In other cases, defendants with psychotic symptoms may lack insight into their mental illness, and after being successfully restored to competency, become non-adherent with their prescribed medication regimens and decompensate before their cases are resolved. The authors contend that use of Cognitive Behavior Therapy for psychosis (CBT-p) as an adjunct to traditional competency restoration services may be a means of restoring more defendants to competency, and also strengthening the durability of restored competency, when psychotic symptoms are identified as a barrier to adjudicative competence. This makes use of the skill sets of many clinically trained treatment providers working in forensic settings, and is consistent with recent trends of applying empirically-based interventions designed for use with non-forensic patients in forensic contexts. A case example is included to demonstrate the potential application of CBT-p to competency restoration during the course of individualized intervention.



中文翻译:

精神病的认知行为疗法 (CBT-p) 作为能力恢复的辅助手段

摘要

裁决能力评估是美国最常见的法医评估。作为这些评估的结果,审前被告经常被发现不能胜任受审并被责令恢复胜任能力,精神病症状是胜任能力的主要障碍。传统的能力恢复服务有时不足以在合理的时间内恢复这些被告的能力。这可能会导致认定被告不可挽回地无法胜任受审,并有可能驳回指控。然而,如果在能力恢复过程中没有尝试所有可用的干预措施,这可能会被视为对受害者的司法不公。在其他情况下,有精神病症状的被告可能对其精神疾病缺乏洞察力,并且在成功恢复能力后,不遵守他们的处方药方案并在他们的病例得到解决之前失去代偿。作者认为,使用精神病认知行为疗法 (CBT-p) 作为传统能力恢复服务的辅助手段,可能是一种让更多被告恢复能力的手段,同时也加强了恢复能力的持久性,当精神病症状被确定为裁决能力的障碍。这利用了许多在法医环境中工作的经过临床培训的治疗提供者的技能,并且与最近应用基于经验的干预措施的趋势一致,这些干预旨在用于法医环境中的非法医患者。

更新日期:2021-01-20
down
wechat
bug