7 - Voice For The Defense Online
7 - Voice For The Defense Online
7 - Voice For The Defense Online
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nor has it beensc~entifrcally valtdated. Indeed, the literature generally indicates that it rsnot testable<br />
(thereby failrng one of the Daubert / Robinson tests). Other theories of behavior or personality have<br />
been adopted by a malority of mental health profess~onals. Thus, although it is recornzed that<br />
experts in other fields may at times disagree in the applicatton of established princtples to the facts in<br />
a particular case, the deficiency in the case of Psychiatry I Psychology IS more serious as there is not<br />
even agreement as to the correct principles. ("Psychiatq as an agreed on body of knowledge hardly<br />
exists!' L.L. Havens, "Twentieth Century Psychiauy: A View for the Sea", <strong>The</strong> Awsrkmjod of<br />
Psychiiq, Volume 138, No. 10, 1981, pp. 1279 1287).<br />
Psychratry I Psychology have failed to accomplish even the most baw step in the establishment of<br />
any science which IS an adequate system for the class~fication of tts data. <strong>The</strong> Dragnustrc and<br />
Statistical Manual of Mental Disorders is the offictally endorsed system, published by the American<br />
Psychiatric Association. Its hlsmry u one of frequent revisions such that each ediuon becomes<br />
obsolete before there is enough m e for an adequate body of research to accumulate. Wtth each<br />
revision, research done with the prlor version(s1 has to be discarded or redone to prove that it<br />
generalizes to the new editton, Thus, it is constantly m the state of be~ng "expenmental." <strong>The</strong><br />
aurhors of the current version, DSM-IV (See Frances, et al., 1991, Chapter 4, Volume I), nore there<br />
is controversy over whether the manual should be "categorical," whtch it is now, or "dimensional"<br />
(quantitative), which n now is not. This controversy, however, suggests they do not really know what<br />
approach is best. <strong>The</strong>y note that the more field trials (wh~ch they employ) strive for internal<br />
consistency and research vigor, the less hkely they will achieve external vahdtty. <strong>The</strong>y express<br />
concern thar so little validation was avadahle for many of the most crucial decisions. <strong>The</strong>y also<br />
describe then current classification decrsions as "temporary!' <strong>The</strong> manual ttself warns that when<br />
DSM-IV material is used for forensicpurposes, there is a sign~ficant risk that dtagnostic mfomatmn<br />
wtll be misused or misunderstood. <strong>The</strong> manual states that because tmpairments, abthtles, and<br />
disabihties vary widely withtn each diagnostic category, assignment to a particular d~agnosis does not<br />
tmply a spectfic level of impairment or disabihty. Gwen that impatrment or disab~lity are the forens~c<br />
issues to wh'ieh Psychiatric / Psychological evidence IS most often directed, the manual declares itself<br />
unable to answer such questions. <strong>The</strong> frequent changes in the diagnostic manuals mean that<br />
Ittigation 1s often resolved on the basis of diagnoses that mlghr be apprapriate at the time but would<br />
be inapproprtate within a short time later.<br />
If Psychiatry / Psychology are in a constant state of flux and lack an aped on body of knowledge<br />
and lack an adequate class~ficattan system, how can they meet any mrnimally rat~onal rest for<br />
admission as expert evidence?<br />
2. Psychiatry Is Not a Typical Field of Medicine<br />
Psychiatry is unlike tradi~onal fields of medtctne. <strong>The</strong>re are no sctentifically established ahd clearly<br />
defined mental disease entities other than neumphysiological pathology. <strong>The</strong> subject matter of<br />
psychiatry is not duease many common meaning of the term but rather involves problems of psychosoctal<br />
adjustment or defic~encies of learning. In the absence of demonstrable organic aini pathology there<br />
is no basis for lncludlng problems of psychosocial adjustment within the provmce of medicine.<br />
3. <strong>The</strong> Psychiatrist / Psychologist Lacks Appropriate Education and Tr ng<br />
<strong>The</strong> subject wlth wh~ch the Psychiatrist deals is that of psychology or pethaps sociology. Med~cal<br />
tralning a largely melevant in problems in these areas and does not qualify anyone as an expert in<br />
psychology and/or sociology. <strong>The</strong> psychiatrist gets Little formal educatim m psychology andsociology.<br />
4. Psychiahic and Psychological Opinions Are Speculative And Conjectural and<br />
Cannot Be Made with Reasonable Medical Certainty<br />
<strong>The</strong>re is no substantial body of scientific ev~dence demonstrating that psychiamc / psychological<br />
diagnoses and evaluations can be made with a high degree of validity (accuracy). <strong>The</strong>re is a suht<br />
antial body of sctentific and professional l~terature indicating that psychiatric / psychological<br />
diagnosis qd evaluauons are seriously deficient in validity. <strong>The</strong>re is a substantial body ofscientific<br />
evidence demonstrating that the psychiatrists and psychologists can neither predict nor postdiit<br />
behavior or mental codtion with a reasonable degree of accuracy <strong>The</strong>re IS a body of evidence<br />
indicatmg that there is as much or more chance that the psychiatrist I psychologist will he incorrect<br />
as there is that he will be correct. Stated differently, it is not mfrequent that one could achieve equal<br />
accuracy by fhppmng coins. <strong>The</strong>refore, it cannot be said that psychiatric / psychologtcal evaluations<br />
can be made with reasonable certainty. <strong>For</strong> lack of reasonable certainty inpsychiatric and psycho log^cal<br />
evaluation and diagnosis, it must be concluded at the present ttme that psych~atr~c and<br />
psychological Jiagnoscs and evaluations are spcculat~ve and conjectural and thereforc are in<br />
diagnoses and ev:~luations has ;ilmost ncvcr<br />
admissible. <strong>The</strong> validity of psychiatric ,md psycholr~gical<br />
MAY I989 VOICE 25