title: An analogue study of the factors influencing competency decisions.
abstract: Forensic psychiatrists who were members of the American Academy of Psychiatry and the Law analyzed case histories to make a competency or incompetency decision. The case histories were created to alter background information, diagnostic information, information about the defendants' understanding of the adversarial process, courtroom behavior, and the nature of the crime. The information that had the most influence on the decisions of the forensic psychiatrists included the cognitive status of the defendant, psychotic features, courtroom behavior, and understanding of the adversarial process. Relationship with the lawyer, alcohol/drug use history, psychiatric history, and criminal history had less influence. The forensic psychiatrists tended to "error" toward a decision for competency unless compelling evidence was presented to the contrary.
authors.affiliation: Department of Psychiatry, University of Florida, Gainesville 32610-0256, USA.
authors.forename: R K
authors.initials: RK
authors.lastname: Blashfield
authors.forename: L
authors.initials: L
authors.lastname: Robbins
authors.forename: G W
authors.initials: GW
authors.lastname: Barnard
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D003072:Cognition Disorders; D003415:Crime / Q000523:psychology*; D003657:Decision Making; D005260:Female; D005555:Forensic Psychiatry / Q000592:standards*; D006801:Humans; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence / Q000523:psychology*; D008875:Middle Aged; D011618:Psychotic Disorders; D011795:Surveys and Questionnaires; D014481:United States