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The Conundrum of Children, Confrontation, and Hearsay 孩子的难题,对抗和传闻
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192372
Richard D. Friedman
Richard D. Friedman (*) I INTRODUCTION The adjudication of child abuse claims poses an excruciatingly difficult conundrum. The crime is a terrible one, but false convictions are abhorrent. Often the evidence does not support a finding of guilt or innocence with sufficient clarity to allow a decision free of gnawing doubt. In many cases, a large part of the problem is that the prosecution's case depends critically on the statement or testimony of a young child. Even with respect to adult witnesses, the law of hearsay and confrontation is very perplexing, as anyone who has studied American evidentiary law and read Supreme Court opinions on the subject knows. Juxtaposing problems of hearsay and confrontation with those of child sexual abuse yields one of the most intractable problems that a system of criminal justice can face. II RESTRUCTURING THE GENERAL LAW OF CONFRONTATION AND HEARSAY I do not believe that our criminal justice system can reach a satisfactory resolution of the problems inherent in adjudicating claims of child abuse until it restructures the general law of confrontation and hearsay. (1) In Lilly v. Virginia, (2) I co-authored an amicus brief for the American Civil Liberties Union proposing a reconceptualization of the confrontation right. (3) Justice Breyer, one of the members of the plurality in that case, wrote a concurring opinion referring extensively to the brief and expressing considerable sympathy for the views advanced in it. (4) These views are in many ways compatible with those of Justices Scalia and Thomas. (5) Thus, it is plausible that in the reasonably near future the Court will revamp the Confrontation Clause along the lines suggested in the amicus brief. The current doctrine depends largely on the Court's perception that hearsay law and the confrontation right "are generally designed to protect similar values and stem from the same roots." (6) Thus, the Court has tended to meld the two, treating both as aimed at facilitating accuracy in truth-finding by weeding out unreliable evidence. With respect to out-of-court statements, therefore, the Court has given the confrontation right very little ambit independent of hearsay law. If a statement fits within a "firmly rooted" hearsay exemption, (7) then the Confrontation Clause is unlikely to pose an obstacle to admissibility. (8) As a result, whether a statement by a child alieging sexual abuse should be admitted at the trial of the alleged abuser often depends on whether the court deems the statement to fit within one of the hearsay exemptions listed in the Federal Rules, a list purportedly determined by considerations of reliability. (9) This approach is objectionable on numerous grounds. A. The Difficulties of Determining Reliability Reliability is very difficult to determine. To confirm this point, we need look no further than the current debate over the reliability of child witnesses. (10) Any attempt to sort out reliable from unreliable evidence must run aground. If
对虐待儿童指控的裁决提出了一个令人难以忍受的难题。这是一种可怕的罪行,但错误的定罪是令人憎恶的。通常情况下,证据不足以清晰地支持有罪或无罪的判决,从而使裁决不存在令人痛苦的怀疑。在许多案件中,问题的很大一部分是,控方的案件严重依赖于一个年幼的孩子的陈述或证词。即使是对成年证人而言,道听途说和对抗法也非常令人困惑,任何研究过美国证据法并阅读过最高法院对此问题的意见的人都知道这一点。将传闻和对抗的问题与儿童性虐待的问题并置,是刑事司法系统可能面临的最棘手的问题之一。我不相信我们的刑事司法系统能够在裁决虐待儿童索赔的固有问题上达成令人满意的解决方案,除非它重构对抗和传闻的一般法则。在Lilly v. Virginia一案中,我为美国公民自由联盟(American Civil Liberties Union)共同撰写了一份法庭之友简报,提议对对抗权进行重新定义。(3)该案中占多数的法官之一布雷耶(Breyer)大法官撰写了一份同意意见,广泛参考了案情摘要,并对其中提出的观点表示了相当大的同情。(4)这些观点在许多方面与斯卡利亚和托马斯法官的观点一致。(5)因此,在不远的将来,法院将按照法庭之友摘要中建议的思路修改对抗条款,这是合理的。目前的原则在很大程度上取决于法院的看法,即传闻法和对抗权“通常是为了保护相似的价值观,并且源于相同的根源”。(6)因此,法院倾向于将两者结合起来,将两者都视为旨在通过排除不可靠的证据来促进查明真相的准确性。因此,就庭外陈述而言,本院赋予对抗权的范围非常小,不受传闻法的约束。如果一项陈述符合“根深蒂固”的道听途说豁免,那么对峙条款不太可能对可采性构成障碍。(8)因此,在对被指控的施虐者的审判中,儿童指控性虐待的陈述是否应被接受,往往取决于法院是否认为该陈述符合《联邦规则》中所列的道听途说豁免之一,这一清单据称是根据可靠性考虑而确定的。这种做法有许多理由值得反对。A.确定可靠性的困难可靠性很难确定。为了证实这一点,我们只需要看看目前关于儿童证人可靠性的辩论。任何将可靠证据与不可靠证据区分开来的企图都必须搁浅。如果裁决是根据广泛的证据类别做出的,法律就会过于生硬——不仅会笼统地提出许多不可靠的陈述,而且还会根据与具体案件几乎没有关系的概括来做出决定。如果根据具体情况作出决定,结果不一定会更好。这种决定将不可避免地非常主观,它将有效地免于上诉控制,或者对上诉资源的要求极高。作为可靠性测试如何不起作用的一个例子,请考虑第十巡回上诉法院在美国诉汤姆案中的还押判决。”法院认为,一名五岁女孩对儿科医生的陈述称,她的父亲在一年多前对她进行了性虐待,属于传闻例外。(12)由于犯罪者的身份是确定是否存在性传播疾病风险的重要信息,法院的结论是,这些陈述是为了医疗诊断和治疗而作的,因此就对抗条款而言是可靠的。…
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引用次数: 5
A Feminist Look at the Death Penalty 死刑的女权主义视角
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192373
A. Pope
Amy E. Pope (*) I INTRODUCTION The death penalty has its fervent defenders and critics. In all the debate about the procedure, however, no one has suggested how a feminist perspective might improve the discussion. Feminist theory can be helpful in several ways. First, we can learn from the lives of the women embroiled in the process. Indeed, fifty-four women currently live on death row. (1) Not only are women themselves imprisoned by the state, but women are also the mothers, sisters, and wives of those condemned to die. Countless numbers of women are the victims of the crimes for which men are sentenced to death. And women are, in still small but growing numbers, the judges, prosecutors, and defense attorneys embroiled in the process. Second, and more importantly, the decision to impose the death penalty and the procedures for doing so present traditionally male ways of looking at the problem, presenting judges and juries with a limited means of considering the issues: Universal standards are divorced from context, dichotomous choices ar e imposed in place of a range of alternatives, and emotions are excised from the procedure. Imposing a feminist lens on the procedure will round out the largely one-sided argument. For these reasons and others, it is appropriate to look at the death penalty from a feminist perspective. How has the system affected the lives of women? How does the process and the punishment reflect the voices of women? Why are so few women sentenced with this penalty, and what does this imply about our culture? What is the feminist response to a procedure that ostensibly rids this country of the people who threaten women in the most violent ways? In Autumn 1998, Law and Contemporary Problems published an issue exploring the American Bar Association's Proposed Moratorium on the Death Penalty. (2) This note advances another argument in favor of the proposed moratorium-that, by employing feminist methodology to examine the death penalty, it becomes clear that the current procedural system fails to represent large numbers of those penalized under the system. Accordingly, the major purpose of this note is to start a conversation about the ways in which thinking from a feminist perspective may help us, as a society, to approach the death penalty in a more productive and holistic fashion. This note points out that, even when there is a horrible crime, and instinct calls for death, there are contextual factors that must be considered. Universal standards that require "yes" or "no" answers fail to address the needs of both the Victims of crime and its perpetrators. Until criminal procedure is reconfigured to better represent those voices, it is inappropriate for the democratic state to impose such a final and severe sentence. After a brief exploration of the need for a feminist perspective on capital punishment in Part II, Part III begins by determining which feminist methodology is most appropriate to an analysis of the death penalty. The
死刑有其狂热的捍卫者和批评者。然而,在所有关于手术的争论中,没有人提出女权主义的观点如何能改善讨论。女权主义理论可以在几个方面提供帮助。首先,我们可以从卷入这一过程的妇女的生活中学到东西。事实上,目前有54名妇女被关押在死囚牢房中。妇女不仅自己被国家囚禁,而且她们还是那些被判死刑的人的母亲、姐妹和妻子。无数妇女是男性被判处死刑的罪行的受害者。参与这一过程的法官、检察官和辩护律师中,女性人数仍然不多,但数量在不断增加。第二,也是更重要的是,判处死刑的决定和执行死刑的程序呈现了传统上男性看待问题的方式,向法官和陪审团提供了一种有限的考虑问题的手段:普遍标准脱离了具体情况,用二分法代替了一系列备选办法,并从程序中剔除了感情因素。从女权主义的角度来看待这一过程,将使基本上一边倒的争论变得圆满。由于这些原因和其他原因,从女权主义的角度看待死刑是恰当的。这个制度是如何影响女性的生活的?这个过程和惩罚如何反映了女性的声音?为什么很少有女性被判这种刑罚,这对我们的文化意味着什么?女权主义者对这个表面上让这个国家摆脱那些以最暴力的方式威胁女性的人的程序有什么反应?1998年秋,《法律与当代问题》出版了一期杂志,探讨美国律师协会暂停死刑的提议。(2)本说明提出了赞成暂停执行死刑的另一个论点,即通过采用女权主义方法来审查死刑,很明显,目前的程序制度未能代表在该制度下受到惩罚的大量人。因此,本说明的主要目的是展开一场对话,讨论从女权主义角度思考如何有助于我们整个社会以更富有成效和更全面的方式对待死刑问题。这篇笔记指出,即使发生了可怕的犯罪,本能要求死亡,也必须考虑环境因素。要求回答“是”或“否”的普遍标准未能同时满足犯罪受害者和犯罪者的需要。在刑事诉讼程序被重新配置以更好地代表这些声音之前,民主国家施加如此最终和严厉的判决是不合适的。在第二部分简要探讨了从女权主义角度看待死刑的必要性之后,第三部分首先确定哪种女权主义方法最适合于对死刑的分析。本文特别概述了女权主义思想的两种模式的优缺点。我并不试图维护某一学派的智慧胜过另一学派;相反,我的目标是融合这两种理论,以创造一种看待死刑制度的不同方式。第四部分将这种混合方法应用于最高法院关于死刑的主要案件,并询问我们是否应该拥有死刑。该照会随后考虑,如果我们要判处死刑,我们如何才能使程序更加公平。第五部分对使用死刑的程序提出质疑,并发现法律在处理涉及在公共和私人领域犯下的罪行的案件方面存在差异。第六部分认为受害者影响陈述是试图普及刑事司法制度的一个例子,并审议了该倡议如何不足。该说明的结论是,虽然没有立即解决这个问题的办法,但从女权主义的角度重新思考死刑将开始对这个问题进行更有成效的讨论。...
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引用次数: 8
Response of Lester Brickman to Elihu Inselbuch, "Contingent Fees and Tort Reform: A Reassessment and Reality Check" 莱斯特·布里克曼对伊莱胡·因塞尔布赫《或有费用与侵权改革:重新评估与现实检验》的回应
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192246
L. Brickman
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引用次数: 0
Applying Suggestibility Research to the Real World: The Case of Repeated Questions 将暗示研究应用于现实世界:以重复问题为例
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192367
T. Lyon
Thomas D. Lyon (*) I INTRODUCTION One can discern two parallel trends in the law and the psychology of child witnesses. In the law, appellate courts are beginning to stem the once powerful movement to increase the acceptance of children's testimony and the admissibility of children's out-of-court statements. In psychology, experimental psychologists are amassing evidence of the potential unreliability of children's memory reports. The trends intersect when courts assess the reliability of children's statements in order to evaluate the competency of child witnesses, to decide whether to admit expert testimony about the suggestibility of children, and to decide whether to admit children's hearsay. This article will analyze particular strands of each trend. With respect to the law of the child witness, it will consider the application of the medical diagnosis hearsay exception to sexual abuse cases, using as a case study State v. Larson, (1) a Minnesota case that made its way to the United States Supreme Court. The analysis will show how restrictive application of the medical diagnosis exception forces courts to confront the dangers of children's suggestibility. With respect to the psychology of child witnesses, this article will consider the application of the research literature on repeated questions to sexual abuse cases. It will review the entire corpus of research on repeated questions and apply that research to State v. Larson. The article will argue that the risks of question repetition have been exaggerated. The leading research on repeated questions does not support a claim that repetition increases error. Whether repetition leads to inconsistency depends on the types of questions asked, the age of the child, and the child's memory of the event. Most important, researchers ignore the potential effects of repetition on false denials, emphasizing instead the risk that repetition will lead to false allegations. As a result, the cost-benefit calculations called for by policy-minded researchers include only the costs of repeated questions. Part II discusses the facts of State v. Larson, the application of the medical diagnosis exception, and how limiting the exception leads courts to look more carefully at the potential unreliability of children's reports. A key issue in Larson was whether the child's response to repeated questions could be trusted. Part III discusses the importance of repeated questions in debates over suggestibility and summarizes the settled view of the dangers of repeated questions. Part IV critically reviews the literature, including the factors that affect the likelihood that repetition leads to inconsistency or error. Part V discusses the possibility that repetition will increase the number of true reports of abuse. The goals of this article are to communicate the specifics of the research for practical application in future cases and to illustrate the difficulties and potential drawbacks of applying suggestibility resear
在法律和儿童证人的心理方面,人们可以看出两种平行的趋势。在法律上,上诉法院开始阻止曾经强大的运动,以增加对儿童证词的接受程度和对儿童庭外陈述的可采性。在心理学中,实验心理学家正在收集证据,证明儿童记忆报告可能不可靠。当法院评估儿童陈述的可靠性,以评估儿童证人的能力,决定是否接受关于儿童易受暗示的专家证词,以及决定是否接受儿童的道听途说时,这些趋势就会交叉。本文将分析每种趋势的特定部分。关于儿童证人的法律,它将考虑医疗诊断传闻例外在性虐待案件中的应用,以州诉拉尔森案为例,(1)明尼苏达州的一个案件,该案件已被提交给美国最高法院。分析将显示医疗诊断例外的限制性适用如何迫使法院面对儿童易受暗示的危险。在儿童证人心理方面,本文将考虑重复提问研究文献在性侵案件中的应用。它将审查关于重复问题的全部研究资料,并将该研究应用于国家诉拉尔森案。本文将论证重复问题的风险被夸大了。关于重复问题的主要研究并不支持重复会增加错误的说法。重复是否会导致不一致取决于所问问题的类型、孩子的年龄以及孩子对事件的记忆。最重要的是,研究人员忽略了重复对虚假否认的潜在影响,而是强调重复会导致虚假指控的风险。因此,具有政策意识的研究人员所要求的成本效益计算只包括重复问题的成本。第二部分讨论了国家诉拉尔森案的事实,医疗诊断例外的适用,以及限制例外如何使法院更仔细地审查儿童报告的潜在不可靠性。拉尔森案的一个关键问题是,孩子对重复问题的回答是否可信。第三部分讨论了在关于易受暗示的争论中重复提问的重要性,并总结了关于重复提问的危险性的既定观点。第四部分批判性地回顾了文献,包括影响重复导致不一致或错误的可能性的因素。第五部分讨论了重复将增加真实的虐待报告数量的可能性。本文的目的是传达研究的具体内容,以便在未来的案例中进行实际应用,并说明将暗示性研究应用于现实案例的困难和潜在缺陷。在州诉拉尔森案中,布鲁斯·拉尔森被判二级性侵他四岁的女儿有罪。当孩子(以下简称“b”)三岁时,她向母亲抱怨阴道疼痛和排尿灼烧。(3)在一周左右的时间里,母亲带孩子去了家庭诊所,由医生助理给孩子做了检查。(4)进行检查的医生助理发现阴道口周围红肿。考官怀疑b受到了虐待,于是问b是谁摸了她。b回答说,“爸爸”用“从裤子里出来的骨头”碰了她。b说那很疼,她让他不要再打了。(5)在上诉中,明尼苏达州最高法院维持了儿童根据传闻规则的医疗诊断例外情况向医生助理陈述的可采性。…
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引用次数: 39
Forensic Interviews of Children: The Components of Scientific Validity and Legal Admissibility 儿童法医访谈:科学有效性和法律可采性的组成部分
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192369
N. Walker
Nancy E. Walker (*) I INTRODUCTION The problems associated with assessments of children's reports of victimization in criminal proceedings came to national attention during the 1980s and 1990s in a series of highly publicized trials of daycare staff. (1) In the McMartin Preschool case, (2) more than 350 children claimed to have been molested at the preschool and a number of public locations including a market, a car wash, and a church. (3) During interviewing, some children reported that, in addition to experiencing sexual abuse, they had been taken on plane rides and forced to drink blood and to watch animals being mutilated. (4) Prosecutors said that the suggestive techniques used to elicit retrospective reports from such young children were appropriate, whereas the defense claimed that the interviewing and videotaping procedures were inept. (5) When the trial ended in January of 1990, several jurors reported that they believed some of the children had in fact been molested but that the state had failed to prove the identity of the perpetra tor(s). (6) This three-year trial--the longest-running criminal trial in the history of the United States--cost taxpayers between thirteen and fifteen million dollars, produced no convictions, and destroyed the lives of many individuals connected to the case. (7) In the end, it was not possible to determine whether the reports provided by the children interviewed were accurate. Research completed since the McMartin trial shows that the skill of the interviewer directly influences whether a child relates a true memory, discusses a false belief, affirms details suggested by others, embellishes fantasies, or provides no information at all. (8) For example, Sena Garven and colleagues demonstrated that the coercive techniques used by interviewers in the McMartin case elicited substantially more false allegations from children than did simple suggestive questions. (9) This finding is particularly important given the fact that suggestive questions have long been known to have a negative impact on the quality of children's reports. (10) When exposed to the "McMartin techniques" for less than five minutes, children in the study conducted by Garven and colleagues showed error rates of nearly sixty percent. (11) Moreover, children subjected to social influence techniques became more acquiescent as the interview proceeded. (12) As these findings demonstrate, the specific techniques employed by an interviewer have a direct effect on the quality of the report obtained, a conclusion that has been heeded in recent appellate court opinions. (13) For example, in State v. Michaels, the New Jersey Supreme Court considered whether the state's interview techniques in the case had been "so coercive or suggestive that they had a capacity to distort substantially the children's recollections of actual events and thus compromise the reliability of the children's statements and testimony based on their recollections." (14) An amicus b
在20世纪80年代和90年代,在一系列对日托工作人员进行的高度公开的审判中,与评估儿童在刑事诉讼中受害报告有关的问题引起了全国的注意。在麦克马丁幼儿园一案中,350多名儿童声称在幼儿园和一些公共场所(包括市场、洗车场和教堂)遭到了骚扰。(3)在采访中,一些儿童报告说,除了遭受性虐待外,他们还被带到飞机上,被迫喝血,观看动物被肢解。(4)公诉人说,使用暗示性技巧从这些年幼的孩子那里引出回顾性报告是适当的,而辩方则声称面谈和录像程序是不恰当的。(5) 1990年1月审判结束时,几位陪审员报告说,他们认为一些儿童实际上受到了骚扰,但州政府未能证明肇事者的身份。(6)这场历时三年的审判——美国历史上历时最长的刑事审判——耗费了纳税人1300万至1500万美元,却没有定罪,还毁掉了许多与此案有关的人的生活。(7)最后,无法确定接受采访的儿童提供的报告是否准确。McMartin试验后完成的研究表明,采访者的技巧直接影响到孩子是否说出真实的记忆,讨论错误的信念,肯定别人提出的细节,美化幻想,或者根本不提供任何信息。(8)例如,Sena Garven和他的同事们证明,在McMartin案件中,采访者使用的强制技巧比简单的暗示性问题更能引起儿童的虚假指控。(9)这一发现尤其重要,因为人们早就知道,暗示性问题会对儿童报告的质量产生负面影响。在加文及其同事进行的研究中,当孩子们接触“麦克马丁技术”不到五分钟时,他们的错误率接近60%。此外,随着访谈的进行,接受社会影响技术的儿童变得更加默认。(12)正如这些调查结果所表明的那样,采访者所采用的具体技术对所获得的报告的质量有直接影响,这一结论在最近的上诉法院意见中得到了注意。(13)例如,在“州诉迈克尔斯案”中,新泽西州最高法院考虑到该州在此案中的面谈技巧是否“具有如此强的强制性或暗示性,以至于它们有能力在很大程度上扭曲儿童对实际事件的回忆,从而损害儿童根据其回忆所作陈述和证词的可靠性”。(14)一份由45名科学家签署的法庭之友陈述书向上诉法院提供了一份与儿童法医采访有关问题的研究摘要,并证明了使用高度暗示的采访技术与儿童有缺陷的记忆之间的因果关系。(15)摘要中提供的资料有助于上诉法院作出撤销被告定罪的决定。(16)正如麦克马丁学前班和迈克尔斯的案例所说明的那样,当访谈技术有缺陷时,涉及对儿童回顾性报告的评估的真相发现即使不是完全模糊,也可能受到严重损害。这些案例告诉我们,在进行和评价对儿童的法医面谈时,有必要建立和维持质量控制标准。采访者需要来自社会科学和法律的信息,例如关于儿童发展、记忆和沟通的信息,以及评估访谈证据可采性的法律标准的信息。…
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引用次数: 26
The Maturation and Disintegration of the Hearsay Exception for Statements for Medical Examination in Child Sexual Abuse Cases 儿童性虐待案件医学检查陈述传闻例外的成熟与瓦解
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192366
Robert P. Mosteller
Robert P. Mosteller (*) I Introduction The purpose of this symposium is to examine the treatment of children as victims and witnesses in criminal trials, most frequently involving sexual abuse, over the last quarter of the twentieth century and, from that experience, to draw lessons. In this essay, I examine what we have learned about the hearsay exception for "statements for purposes of medical diagnosis or treatment." (1) Earlier, I studied this exception as applied in child sexual abuse prosecutions and found it being stretched beyond the bounds of its theoretical justification. (2) In this essay, I reexamine our national experience with the exception over the past decade and find both a maturation of the exception and at least a partial disintegration. Briefly, the hearsay exception admits statements made by a person for the purpose of either receiving treatment or allowing a doctor to diagnose without any expectation of treatment. (3) The statements may concern the individual's present symptoms, medical history, or the general character of the condition or injury that prompted the medical visit. To be admissible, the statements must be "reasonably pertinent to diagnosis or treatment," apparently from the perspective of either the declarant or the medical expert. Although central to the exception, no definition of the term "medical" is provided in the rule itself or in the accompanying commentary. Finally, the availability or unavailability of the person who made the statement is irrelevant to admissibility. The exception is applied in a relatively straightforward and uncontroversial manner in typical civil cases involving accidents, injuries, sickness, and treatment. Its use is far more debatable as applied in child sexual abuse cases when one of the key issues is whether a child's statements describing sexual abuse, particularly statements identifying the abuser, are admissible. To illustrate how the use of the exception can, in my judgment, be very troubling, consider the following hypothetical case: A four-year-old female child, in the care of a single mother and her current live-in boyfriend, is found by social workers to be malnourished and poorly clothed. She is also apparently emotionally withdrawn. A physical examination reveals irritation in the genital area that is suggestive of sexual abuse several days earlier, but could also be fully explained in other ways. When asked by the examining pediatrician about her genital area, the child responds with very little information and the best that can be determined is that "it hurt." Because of the conditions of her care, the child is temporarily taken from her mother's custody. While in emergency care, the child is interviewed several times by social workers trying to determine whether sexual abuse occurred. She provides no additional information that would suggest sexual abuse. The interviews are not recorded. Investigators continue to suspect abuse because of an unproven but reported in
本次专题讨论会的目的是审查在20世纪最后25年里,儿童作为受害者和证人在最常涉及性虐待的刑事审判中的待遇,并从这一经验中吸取教训。在这篇文章中,我考察了我们对“医学诊断或治疗目的陈述”的道听途说例外的了解。早些时候,我研究了这一例外在儿童性虐待起诉中的应用,发现它超出了其理论正当性的范围。(2)在这篇文章中,我重新审视了我们国家在过去十年中与例外有关的经验,发现例外既成熟了,也至少部分瓦解了。简而言之,道听途说例外承认某人为接受治疗或允许医生在没有任何治疗预期的情况下进行诊断而作出的陈述。(3)陈述可能涉及个人目前的症状、病史或促使就医的病情或伤害的一般特征。要被接纳,陈述必须"合理地与诊断或治疗有关",显然是从申报人或医学专家的角度来看。尽管是例外情况的核心,但在规则本身或随附评注中都没有提供"医疗"一词的定义。最后,陈述人是否在场与可采性无关。在涉及事故、伤害、疾病和治疗的典型民事案件中,例外情况以相对直接和无争议的方式适用。它在儿童性虐待案件中的使用更具争议性,因为其中一个关键问题是儿童描述性虐待的陈述,特别是确定施虐者的陈述是否可以接受。为了说明例外情况的使用在我看来是多么令人不安,请考虑以下假设的案例:一个四岁的女孩,由一位单身母亲和她现在的同居男友照顾,被社会工作者发现营养不良,衣着褴褛。她在情感上也很孤僻。身体检查显示生殖器部位的刺激,这是几天前性虐待的暗示,但也可以用其他方式完全解释。当检查儿科医生询问她的生殖器部位时,孩子回答的信息很少,能确定的最好答案是“疼”。由于她照顾的条件,这个孩子暂时离开了她母亲的监护。在紧急护理期间,社会工作者对儿童进行了多次面谈,以确定是否发生了性虐待。她没有提供任何暗示性虐待的额外信息。采访没有录音。调查人员继续怀疑虐待,因为两年前,母亲的同居男友巴迪(Buddy)对一名儿童进行了未经证实但有报道的性虐待事件。儿童被送到一名儿科医生那里,该医生定期与社会服务部合作,以发现和治疗性虐待。医生被简要介绍了案件的所有信息和对巴迪的怀疑。他没有做身体检查,因为症状已经消失了。在没有任何证人在场,没有任何录音,也没有什么笔记的情况下,医生采访了这个孩子。他报告说,孩子告诉他“巴迪用他的尿尿伤了她的屁股”,并在笔记中写下了这句话。在后来的采访中,这孩子再也没有重复过这样的话。巴迪被指控性侵儿童。孩子不被传唤作为证人的国家;她被认为没有能力作证,因为她不懂誓言。初审法官驳回了辩方基于道听途说和对抗条款的反对意见,并允许儿科医生根据“体检例外”对孩子的陈述作证,医生解释说,调查与孩子被安置在远离巴迪的寄养家庭有关。…
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引用次数: 0
Using Managed Care Tools in Traditional Medicare — Should We? Could We? 在传统医疗中使用管理式医疗工具——我们应该这样做吗?我们可以吗?
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192282
R. Berenson, D. Harris
Since the early 1990s, policy analysts seeking important opportunities for reform in the Medicare program have looked at the experience of private markets and managed care in the private sector. Managed care organizations (“MCOs”), in general, and health maintenance organizations (“HMOs”), in particular, seem to have hit the wall in recent years in their ability to contain costs. They have experienced a public backlash against many of their policies and procedures, resulting in marketplace, legislative, and legal reactions that have altered their operations. Nevertheless, many policy analysts continue to look to managed care and competition among private health plans as the bases for structural reform of Medicare. Proponents of market forces in health care often advocate both managed care and managed competition, but, although related, the concepts are quite different. For purposes of this discussion, we apply the term “managed care” to supply-side interventions meant to affect directly the efficiency and quality of health services delivery. In contrast, “managed competition” attempts to alter individuals’ demand for care among competing private insurers, thereby affecting provider behavior only indirectly.
自20世纪90年代初以来,寻求医疗保险计划改革重要机会的政策分析人士一直在研究私营市场和私营部门管理式医疗的经验。总体而言,管理式医疗组织(mco),尤其是健康维护组织(hmo),近年来似乎在控制成本的能力方面遇到了瓶颈。他们经历了公众对他们的许多政策和程序的强烈反对,导致市场、立法和法律的反应改变了他们的运作。然而,许多政策分析人士继续把管理医疗和私人健康计划之间的竞争视为医疗保险结构改革的基础。医疗保健市场力量的支持者经常主张管理式医疗和管理式竞争,但是,尽管相关,概念是完全不同的。为了本讨论的目的,我们将术语“管理式医疗”应用于旨在直接影响卫生服务提供的效率和质量的供应方干预措施。相比之下,“有管理的竞争”试图改变相互竞争的私人保险公司之间的个人护理需求,从而仅间接影响提供者的行为。
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引用次数: 10
Child Witness Policy: Law Interfacing with Social Science 儿童证人政策:法律与社会科学的结合
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192371
D. Marsil, Jean R. Montoya, D. Ross, L. Graham
Dorothy F. Marsil (*) Jean Montoya (**) David Ross (***) Louise Graham (****) I INTRODUCTION The number of children testifying in court has posed serious practical and legal problems for the judicial system. One problem confronting the courts is how to protect children from experiencing the psychological trauma resulting from a face-to-face confrontation with a defendant who may have physically harmed the child or threatened future harm to the child. Another concern is that this trauma may impair children's memory performance and their willingness to disclose the truth. In response to these concerns, child witness innovations proliferated throughout the United States in the 1980s and 1990s. (1) Among the innovations were: placing a screen between child witnesses and the defendant during children's testimony; (2) transmitting children's testimony into the courtroom by closed-circuit television; (3) and admitting children's otherwise inadmissible hearsay, (4) including children's videotaped interviews. (5) These innovations spawned a fair amount of appellate litigation regarding their constitutionality . Much of the litigation focused on whether a given innovation violated the Confrontation Clause, (6) but questions about due process arose as well. Court decisions regarding the constitutionality of child witness innovations rest on a number of assumptions that are subject to empirical testing. This article examines many of these assumptions and evaluates whether they are supported by social science evidence. Part II of the article examines the use of shielding procedures in child sexual abuse prosecutions. It begins by exploring the Supreme Court's analysis of state laws providing protection by shielding the child witness from the defendant. Next, it explores various questions: Do child witnesses need protection from confrontational stress? Does shielding prejudice the defendant? Does it impact juror perception of the proceedings' fairness? Does shielding impact juror perception of the child witness? How reliable is children's shielded testimony? Does shielding impair juror ability to detect deception in the child witness? Part III examines the use of hearsay testimony in child sexual abuse prosecutions. As with Part II, it begins by painting a picture of the legal landscape. Specifically, it considers the evidentiary and constitutional implications of using hearsay when children are witnesses. Part III then addresses various questions: Does admitting hearsay testimony protect the child witness? Does admitting hearsay testimony prejudice the defendant? How reliable is hearsay testimony offered in trials involving child witnesses? How accurate are the hearsay witnesses? Are they able to reconstruct details of their out-of-court exchange with the child witness? Does the eyewitness report deteriorate as it is transmitted down the hearsay chain from the child to the hearsay witness? Part IV concludes the article. It highlights the insights gained from
多萝西·f·马西尔(*)让·蒙托亚(**)大卫·罗斯(***)露易丝·格雷厄姆(****)1简介在法庭上作证的儿童数量给司法系统带来了严重的实际和法律问题。法院面临的一个问题是,如何保护儿童免受因与可能对儿童造成身体伤害或威胁将来对儿童造成伤害的被告面对面对抗而造成的心理创伤。另一个担忧是,这种创伤可能会损害儿童的记忆表现和他们披露真相的意愿。为了应对这些担忧,儿童证人创新在20世纪80年代和90年代在美国各地激增。(1)创新包括:在儿童作证时,在儿童证人和被告之间设置屏障;(二)通过闭路电视向法庭传送儿童证言;(三)采纳儿童的其他不可采信的道听途说;(四)包括对儿童的采访录像。(5)这些创新引发了大量关于其合宪性的上诉诉讼。大部分诉讼集中在某项创新是否违反了对抗条款,但也出现了关于正当程序的问题。法院关于儿童证人创新是否符合宪法的裁决基于若干假设,这些假设需要经过经验检验。本文考察了其中的许多假设,并评估了它们是否得到了社会科学证据的支持。文章的第二部分探讨了保护程序在儿童性虐待起诉中的使用。它首先探讨了最高法院对州法律的分析,这些法律通过保护儿童证人免受被告的伤害来提供保护。接下来,它探讨了各种问题:儿童证人需要保护免受对抗压力吗?庇护对被告有偏见吗?是否会影响陪审员对诉讼程序公正性的看法?保护是否会影响陪审员对儿童证人的看法?儿童的保密证词有多可靠?遮遮掩掩会损害陪审员在儿童证人身上发现欺骗的能力吗?第三部分审查传闻证词在儿童性虐待起诉中的使用。与第二部分一样,它首先描绘了一幅法律图景。具体而言,它考虑了在儿童作为证人时使用传闻的证据和宪法含义。第三部分接着讨论了各种问题:承认道听途说的证词是否保护了儿童证人?承认道听途说的证词对被告有偏见吗?在涉及儿童证人的审判中,传闻证词有多可靠?道听途说的证人有多准确?他们能重现他们与儿童证人庭外交流的细节吗?目击者的报告是否会随着从孩子到目击者的传闻链的传递而恶化?第四部分是全文的结语。它突出了法学与社会科学相结合所获得的见解,并对法律实践和未来的社会科学研究提出了建议。使用屏蔽程序不同于承认道听途说。在屏蔽程序中,儿童在出庭作证时对被告的看法受到阻碍。当使用屏幕时,儿童从放置在儿童和被告之间的屏幕后面作证。当使用单向闭路电视时,孩子在一个单独的作证室作证,孩子的证词被传送到法庭,被告、陪审团和法官都能看到证词。(7)在任何一种情况下,儿童证人都要宣誓作证并接受盘问。相反,当以传闻代替儿童的证词时,不仅儿童避免了与被告的身体对抗,而且儿童证人也不受质证,因为控方依赖传闻证人的证词,传闻证人报告了儿童的庭外陈述。...
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引用次数: 6
Hearsay Exceptions: Adjusting the Ratio of Intuition to Psychological Science 道听途说例外:调整直觉与心理科学的比例
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192365
J. Myers, I. Cordón, S. Ghetti, G. Goodman
John E.B. Myers (*) Ingrid Cordon (**) Simona Ghetti (***) Gail S. Goodman (****) I INTRODUCTION Exceptions to the hearsay rule grew out of intuitive beliefs about human nature. (1) Thus, dying declarations were thought to be reliable because dying declarants hesitate to meet their Maker with a lie upon their lips. (2) Excited utterances are reliable because traumatic stress is believed to still the capacity to lie. Statements to doctors are trustworthy because patients are believed to have an incentive to tell the truth to the doctor. Psychological science based on empirical study of human behavior played no role in the origin of most hearsay exceptions. The exceptions, after all, came into being long before William James and Wilhem Wundt established their laboratories in 1875 and 1879. (3) Today, psychological science has made tremendous progress, and it is appropriate to ask whether modern psychology supports or undermines the intuitive foundations of hearsay exceptions. This paper explores this issue by examining three exceptions: excited utterances, statements for purposes of medical diagnosis or treatment, and the residual hearsay exception. These selections are appropriate because the focus is child declarants, and these exceptions play key roles in child abuse litigation. II THE EXCITED UTTERANCE EXCEPTION The origins of the excited utterance exception can be traced to the eighteenth century. (4) The exception is invoked frequently in child abuse litigation. (5) The exception is codified in Rule 803(2) of the Federal Rules of Evidence, which provides that the hearsay rule does not exclude statements "relating to a startling event or condition made while the declarant was under the stress of excitement caused by the event or condition." (6) The primary rationale for the exception is that statements are trustworthy when made shortly following a startling event and while the declarant remains affected by the stress caused by the event. Traumatic stress is thought to lower the probability that statements are a product of conscious fabrication. (7) The excited utterance exception has three requirements. First, there must be an exciting event. Second, the out-of-court statement must relate to the event. Third, the statement must be made while the declarant is under the stress of excitement induced by the event. Courts consider several factors to determine whether hearsay statements were made under the stress of excitement caused by a startling event. We discuss these factors below, employing a two-step process. We begin by outlining legal principles. The legal analysis will then be followed by relevant psychological principles. We conclude the discussion of excited utterances by grappling with the fundamental question: Does traumatic stress still the capacity to lie? Some of the legal factors involved in this determination include: Spontaneity. For many courts, spontaneity is the most important factor in determining whether a statement was a pr
约翰·e·b·迈尔斯(*)英格丽·戈登(**)西蒙娜·盖蒂(***)盖尔·s·古德曼(****)道听途说规则的例外情况源于对人性的直觉信念。因此,临终的宣言被认为是可靠的,因为临终的宣言者在面对他们的造物主时犹豫不决,嘴上说着谎言。(2)兴奋的话语是可靠的,因为创伤性应激被认为仍然具有说谎的能力。对医生的陈述是值得信赖的,因为人们相信病人有向医生说实话的动机。基于对人类行为的实证研究的心理科学在大多数传闻例外的起源中没有发挥作用。毕竟,早在1875年和1879年威廉·詹姆斯和威廉姆·冯特建立实验室之前,这些例外就已经存在了。(3)今天,心理科学已经取得了巨大的进步,我们有必要提出这样的问题:现代心理学是支持还是破坏道听途说例外的直觉基础?本文通过检查三种例外情况来探讨这一问题:激动的话语、医学诊断或治疗目的的陈述和残余传闻例外。这些选择是适当的,因为重点是儿童声明人,这些例外在虐待儿童诉讼中起着关键作用。兴奋话语例外的起源可以追溯到18世纪。(4)在虐待儿童诉讼中经常援引例外情况。(5)例外情况在《联邦证据规则》第803(2)条中被编纂,该规则规定道听途说规则不排除“在声明人因该事件或情况而处于紧张状态时所作的与令人吃惊的事件或情况有关的陈述”。(6)例外情况的主要理由是,在令人吃惊的事件发生后不久,当声明人仍然受到事件造成的压力的影响时,陈述是可信的。创伤压力被认为降低了陈述是有意识捏造的产物的可能性。(7)兴奋性话语例外有三个条件。首先,必须有一个激动人心的事件。其次,庭外陈述必须与事件相关。第三,声明必须在声明人因事件而处于紧张兴奋状态时作出。法院考虑几个因素来确定传闻陈述是否是在令人吃惊的事件引起的兴奋的压力下作出的。我们将采用两步流程在下面讨论这些因素。我们首先概述法律原则。在进行法律分析之后,将遵循有关的心理学原则。我们通过解决一个基本问题来结束对激动话语的讨论:创伤性压力是否仍然具有说谎的能力?在这一决定中涉及的一些法律因素包括:对许多法院来说,在决定陈述是反思思考的产物还是对惊人事件的自发反应时,自发性是最重要的因素。陈述越自发,法院就越有可能适用激动性陈述例外。如果一个孩子有机会反思,那么这种平衡就会偏离可接受性。讯问。孩子可能会在回答关于一个令人吃惊的事件的问题时做出陈述。法院同意质疑并不一定会破坏这种例外情况所需要的兴奋感。因此,像“发生了什么?”这样简单的问题不会破坏兴奋或自发性。然而,随着问题的增加,特别是当问题变得具有暗示性时,孩子的陈述是对惊人事件的自发反应的可能性就会降低。时间的流逝。令人震惊的事件和庭外陈述之间的间隔越长,陈述人在陈述时兴奋的可能性就越小。…
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引用次数: 7
Why Children’s Suggestibility Remains a Serious Concern 为什么儿童易受暗示仍然是一个严重的问题
Q2 Social Sciences Pub Date : 2002-01-01 DOI: 10.2307/1192368
Amye Warren, D. Marsil
Amye R. Warren (*) Dorothy F. Marsil (**) I INTRODUCTION After more than two decades of continuous contemporary research on the child as a witness in legal proceedings, a great deal is known about children's eyewitness memory and suggestibility. Excellent reviews of this research are available, (1) and their summaries and conclusions will not be reiterated here. Instead, this article will focus on six areas representing some of the most intractable problems that will require further attention from scientists and practitioners alike. This list of issues is selective and somewhat idiosyncratic, but should serve to illustrate why the current understanding of children's suggestibility is far from complete. Research on each issue will be highlighted, concentrating primarily on studies published or presented in the past ten years. II Six REMAINING ISSUES A. Suggestibility is Not Limited to Preschool Children In the past ten years, research on children's capacities as witnesses has focused heavily on preschoolers, (2) who are disproportionately susceptible to suggestion. (3) The focus on preschoolers was based on both applied and theoretical grounds. For example, investigations in the McMartin Preschool case (4) and State v. Michaels (5) featured particularly problematic interviews with large numbers of very young children in day-care settings. Knowledge of cognitive development principles led child witness researchers to predict that preschoolers' relative cognitive limitations could lead to greater susceptibility to suggestive influences and, in turn, to a variety of problems for their interviewers. For example, Nancy Perry and her colleagues demonstrated that preschoolers have difficulty determining whether they really understand complex questions and frequently inaccurately answer questions that they do not understand. (6) Although the research attention devoted to preschoolers was certainly warranted, it has led to a relative neglect of the equally important population of older children. This trend, however, appears to be changing. In recent studies, researchers are increasingly including older children. (7) The findings indicate that suggestibility generally declines over the school years but that even adolescents can be significantly more suggestible than adults. (8) On the other hand, some studies demonstrate that, under certain conditions, older children and adults can be more suggestible than younger children. (9) The following sections briefly review six studies that included children older than preschoolers. Jennifer Ackil and Maria Zaragoza examined the suggestibility of first graders, third graders, fifth graders, and college students. (10) The subjects viewed a brief video and then heard an experimenter read a summary of the video that included some misleading information. (11) Either immediately afterwards or one week later, participants were given memory tests. (12) Evidence of suggestibility was found for all age groups, but first grad
经过二十多年来对儿童在法律诉讼中作为证人的持续研究,人们对儿童的目击记忆和易受暗示性有了很多了解。这项研究的优秀评论是可用的(1),他们的总结和结论在这里不再重复。相反,本文将集中讨论六个领域,这些领域代表了一些最棘手的问题,这些问题需要科学家和实践者的进一步关注。这张问题清单是有选择性的,有些特殊,但应该有助于说明为什么目前对儿童易受暗示的理解还远远不够完整。将重点介绍对每个问题的研究,主要集中在过去十年中发表或提出的研究。A.易受暗示并不仅限于学龄前儿童在过去的十年中,关于儿童作为证人能力的研究主要集中在学龄前儿童身上,(2)他们特别容易受到暗示的影响。(3)对学龄前儿童的关注既有实践依据,也有理论依据。例如,在麦克马丁学前班案(4)和州诉迈克尔斯案(5)的调查中,对大量日托机构中非常年幼的儿童进行了特别有问题的采访。认知发展原则的知识使儿童目击研究人员预测,学龄前儿童的相对认知限制可能导致他们更容易受到暗示性影响,进而给他们的采访者带来各种各样的问题。例如,Nancy Perry和她的同事证明,学龄前儿童很难确定他们是否真的理解了复杂的问题,并且经常错误地回答他们不理解的问题。(6)尽管对学龄前儿童的研究关注是理所当然的,但这导致了对同样重要的年龄较大的儿童的相对忽视。然而,这一趋势似乎正在改变。在最近的研究中,研究人员越来越多地将年龄较大的儿童纳入研究对象。(7)研究结果表明,易受暗示的程度在上学期间普遍下降,但即使是青少年也可能明显比成年人更容易受暗示。(8)另一方面,一些研究表明,在某些条件下,年龄较大的儿童和成人可能比年幼的儿童更容易受暗示。(9)以下部分简要回顾了六项研究,其中包括学龄前儿童。Jennifer Ackil和Maria Zaragoza研究了一年级、三年级、五年级和大学生的易受暗示性。(10)受试者观看一段简短的视频,然后听一名实验者朗读视频摘要,其中包含一些误导性信息。随后或一周后,参与者进行了记忆测试。(12)所有年龄组都存在易受暗示的证据,但一年级学生比三年级和五年级学生更容易受到暗示的影响,而三年级和五年级学生又比大学生更容易受到暗示的影响。从本质上讲,与从摘要中记住的相比,参与者声称在视频中实际看到的建议项目的比例也发现了同样的年龄差异模式。(14)朱莉·罗宾逊和帕梅拉·布里格斯还向他们的参与者播放了一部电影,这些参与者有4到5岁的,有8到9岁的,还有成年人。然后他们问了一系列问题,其中一些是误导。一天后,他们问了另一组问题。(17)在误导问题的正确答案方面,最小的孩子比8 - 9岁的孩子和成年人的表现差。然而,后两组没有显著差异。(18)相反,当对误导性问题的建议答案分别进行检查时,研究表明,两个年龄组的儿童都比成年人更容易受暗示,但孩子们之间并没有什么不同。...
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引用次数: 12
期刊
Law and Contemporary Problems
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