Forensic Mental Health Evaluators' Unprocessed Emotions as an Often-Overlooked Form of Bias.

Julie Goldenson, Thomas Gutheil
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Abstract

There has been robust interest in the influence of cognitive and implicit biases that can hamper a forensic mental health evaluator's ability to provide objective opinion evidence. By contrast, literature exploring the biasing effects of the examiner's unacknowledged and unprocessed emotions has been scanty. Borrowing from concepts originating from psychodynamic treatment literature, this article explores how a forensic mental health evaluator's emotional and transferential reactions can affect the assessment process and formulation of findings. We make the case that forensic mental health evaluators are not impervious to their own mental health concerns, including vicarious trauma. We ultimately argue for a cultural shift in forensic practice that acknowledges the unavoidable existence and influence of a forensic evaluator's human emotions, personal reactions, and conflicts, so that strategies can be developed for compassionate but careful management in training programs, supervision, and beyond. We suggest that self-reflection, sometimes with the aid of consultation and psychotherapeutic support, is not only important for clinical trainees but also could serve forensic practitioners throughout their careers, especially during challenging junctures in their personal and professional lives.

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法医心理健康评估者未经处理的情绪是一种经常被忽视的偏见形式。
人们对认知和隐性偏见的影响非常感兴趣,这些偏见可能会阻碍法医心理健康评估人员提供客观意见证据的能力。相比之下,研究考官未被承认和未被处理的情绪的偏见影响的文献很少。本文借鉴心理动力学治疗文献中的概念,探讨了法医心理健康评估者的情绪和转移反应如何影响评估过程和结果的形成。我们认为,法医心理健康评估人员并非对自己的心理健康问题无动于衷,包括替代性创伤。我们最终主张在法医实践中进行文化转变,承认法医评估人员的人类情感、个人反应和冲突不可避免地存在和影响,以便制定策略,在培训计划、监督等方面进行富有同情心但谨慎的管理。我们认为,自我反思,有时是在咨询和心理治疗支持的帮助下,不仅对临床受训人员很重要,而且可以在他们的整个职业生涯中为法医从业者服务,尤其是在他们个人和职业生活中具有挑战性的时刻。
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来源期刊
CiteScore
2.00
自引率
29.60%
发文量
92
期刊介绍: The American Academy of Psychiatry and the Law (AAPL, pronounced "apple") is an organization of psychiatrists dedicated to excellence in practice, teaching, and research in forensic psychiatry. Founded in 1969, AAPL currently has more than 1,500 members in North America and around the world.
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