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Study Guide abnormal Exam 4 review

Know the situations in which confidentiality can be

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Know the situations in which confidentiality can be broken - Confidentiality can be violated when: o A patient gives the clinician permission to disclose o Suspected child abuse, elder abuse, or abuse of the disabled o Threat to self (suicidal) o Threat to others (homicidal) Be familiar with the Tarasoff duty to warn case - Tarasoff Rule o Psychologists have a duty to protect potential victims who are in imminent danger o Extended clinician’s duty to warn of imminent harm to a duty to protect Know the issues involved when researchers want to involve psychiatric patients in research, particular concerning the principle of informed consent. - Must be capable of understanding what they are consenting to - In severe mental illness may be mentally impaired beyond giving truly ‘informed’ consent - Legal definitions of insanity have changed across time Know the concept of the plea Not Guilty by Reason of Insanity—what is the principle in allowing insanity as a defense against guilt? No need to know all of the different legal definitions of insanity, but have a general understanding of what it means legally for someone to have been insane at the time of a crime. - Insanity o Legal term, not used in DSM-IV-TR o Addresses whether someone was criminally responsible at the time they committed a crime - Criminally responsible o Defendant’s crime was the product of both an action or attempted action and intention to perform that action - Legal system provides two opportunity to assess for mental illness: o What was the defendant’s mental state at the time the act was committed? Might the insanity defense be appropriate? o What is the defendant’s mental state during the time of assessment? Can they adequately assist in their own defense? - Guilty but mentally ill o Convicted defendant is sent to a psychiatric facility or to a prison where
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they (may) receive psychiatric care - Mental health clinicians try to determine whether a defendant was insane at the time of the criminal act through: o Interviews and psychological tests after arrest o Assessing psychological history Provides a context for evaluating the person at the time of the crime - Know how often the insanity plea is made when someone is charged with a crime. Who decides whether someone is not guilty by reason of insanity? - Insanity defense used in only 1% of felony cases - Only ¼ were acquitted What happens if someone is found not guilty by reason of insanity? - Involuntary commitment to a mental health facility of a person charged with a crime o Cannot confine someone indefinitely under a criminal commitment When states don’t allow the insanity plea, what alternate plea do they allow? - Kansas, Montana, Idaho, Utah What is required for someone to be competent to stand trial? -
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