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Biomedical subjects

T Grisso

Publications and source records attributed to T Grisso.

26 records · Page 2Linked to original sources
PubMed1993

The differences between forensic psychiatry and forensic psychology.

Forensic psychiatry and forensic psychology face a common threat: the erosion of their credibility. It is proposed that they can combat this threat better by collaboration than by independent efforts. Similarities between the two professions are reviewed to examine their potential for collaboration. Their differences are reviewed to demonstrate the value of that which they can contribute collaboratively, beyond that which either can contribute independently, to increasing their credibility in the eyes of the public and the courts. Three specific areas for collaboration are proposed: individual practice, quality control of expert testimony, and training.

Clinical Competence↗
PubMed1991

The designated forensic professional program: a state government-university partnership to improve forensic mental health services.

As the law/mental health field has expanded and matured in the last 20 years, the sophistication required by mental health professionals in order to respond appropriately to legal questions has grown significantly. Courts and legislatures define a growing number of legal competencies. Judges and attorneys are more familiar with mental health law than they were 10 or 20 years ago.

Credentialing↗
PubMed1990

The relation of the Halstead-Reitan neuropsychological battery to functional daily living skills in geriatric patients.

This study investigated the nature of the relationship between neuropsychological tests, the Halstead-Reitan Battery, and a measure of everyday living ability, the Community Competence Scale. The sample consisted of 40 geriatric patients referred for suspected dementia. The results indicated that neuropsychological tests were moderately predictive of measures of functional daily living skills. Although some specific neuropsychological measures, or combination of measures, were more predictive of particular functional daily living skills, their relationship did not necessarily follow logical or theoretical expectations. Thus, while it may be safe for neuropsychologists to make predictions about a patient's global capacity to function independently, predictions regarding specific functional daily living skills may be unwarranted.

Journal Article↗
PubMed1988

Assessing patients' capacities to consent to treatment.

The right of patients to accept or refuse recommended treatment requires careful reassessment when their decision-making capacities are called into question. Patients must be informed appropriately about treatment decisions and be given an opportunity to demonstrate their highest level of mental functioning. The legal standards for competence include the four related skills of communicating a choice, understanding relevant information, appreciating the current situation and its consequences, and manipulating information rationally. Since competence is a legal concept and can be formally determined only in court, the clinical examiner's proper role is to gather relevant information and decide whether an adjudication of incompetence is required. Treatment for impairment of mental functioning can sometimes restore patients' capacities, making it unnecessary to deprive them of their decision-making powers.

Communication↗
PubMedDate not supplied

Capacities of hospitalized, medically ill patients to consent to treatment.

This study was designed to compare the abilities of hospitalized, medically ill patients with non-ill comparison subjects to engage in an informed consent process. Eighty-two inpatients under the age of 70 were recruited from patients admitted for evaluation or treatment of ischemic heart disease (N = 675). The comparison subjects (n = 82) were matched person-to-person on age, gender, race, educational level, and occupation and did not have histories of ischemic heart disease. The hospitalized subjects did not differ from the non-ill comparison subjects on three instruments developed to assess abilities related to decision-making competence. Demographic and mental state variables did not correlate with performance, except for verbal cognitive functioning. There is no reason to believe that hospitalized patients similar to this sample--even if being treated for potentially life-threatening conditions--are at increased risk of inability to engage in a meaningful informed consent process.

Adult↗