Abstract:The structure of the legal concept of unfitness to stand trial and how it corresponds to psychometric concepts is examined. We conclude that psychometric attempts at quantification and measurement are logically flawed, because they inappropriately treat fitness/unfitness as an individual trait rather than as situation-specific conjunctive/disjunctive concepts. It is argued that, whereas psychometric approaches may be suitable for measuring single components of unfitness, an overall "fitness" score is meaningle… Show more
“…That is, they can provide a framework within which evaluators may assess their clinical decision-making. Veiel and Coles (1999) suggested that although it may be appropriate to assess elements of competence psychometrically, a global or overall score on an AC measure is meaningless and logically flawed. They argued that a competence determination requires the simultaneous consideration of several different capabilities in the context of the specific demands of that defendant's legal situation.…”
Section: General Issues Related To Ac Assessmentmentioning
This article reviews and evaluates publications during 1996-2000 with relevance for assessments of competence to stand trial (also known as adjudicative competence). The review focuses specifically on articles that provide new concepts or data supported by research or case analyses. The studies are reviewed under the following headings: (i) the systemic context of evaluations of adjudicative competence (AC); (ii) conceptual guidelines for AC evaluations; (iii) research on AC assessment methods; (iv) empirical correlates of AC judgments and psycholegal abilities; (v) quality of AC evaluations and reports; (vi) interpretation of AC evaluation data; (vii) issues in AC assessment of special populations (e.g., juveniles, persons with mental retardation, and women); and (viii) treatment to restore competence. Suggestions are offered for further research to advance the quality of clinical evaluations of adjudicative competence.
“…That is, they can provide a framework within which evaluators may assess their clinical decision-making. Veiel and Coles (1999) suggested that although it may be appropriate to assess elements of competence psychometrically, a global or overall score on an AC measure is meaningless and logically flawed. They argued that a competence determination requires the simultaneous consideration of several different capabilities in the context of the specific demands of that defendant's legal situation.…”
Section: General Issues Related To Ac Assessmentmentioning
This article reviews and evaluates publications during 1996-2000 with relevance for assessments of competence to stand trial (also known as adjudicative competence). The review focuses specifically on articles that provide new concepts or data supported by research or case analyses. The studies are reviewed under the following headings: (i) the systemic context of evaluations of adjudicative competence (AC); (ii) conceptual guidelines for AC evaluations; (iii) research on AC assessment methods; (iv) empirical correlates of AC judgments and psycholegal abilities; (v) quality of AC evaluations and reports; (vi) interpretation of AC evaluation data; (vii) issues in AC assessment of special populations (e.g., juveniles, persons with mental retardation, and women); and (viii) treatment to restore competence. Suggestions are offered for further research to advance the quality of clinical evaluations of adjudicative competence.
“…Despite good overall agreement in terms of CST decision, per se, considerable divergence existed regarding the reasons for these decisions. Veiel and Coles (1999) operationalized the CST construct differently. They argue, quite reasonably, that fitness is a relative concept as it must be defined individually relative to the demands of a particular trial.…”
Section: Recent Psychological and Psychiatricmentioning
confidence: 99%
“…They comment on the lack of attention paid to the specific deficits of mentally retarded individuals in that they often learn to reply with stock answers to facilitate social interac-tions but have very little understanding of the concepts that they articulate. Veiel and Coles (1999) conclude that psychological measurement is inappropriate for CST and, at most, the roles for psychological instruments should be limited to construct explication and standardization and validation of procedures for component constructs. They favor a branched questioning model with each successful answer entailing a question designed to establish the limits of comprehension of the previous answer, proceeding to asymptote.…”
Section: Recent Psychological and Psychiatricmentioning
Competency to Stand Trial or Fitness to Stand Trial (FST) is the most frequent referral issue facing forensic mental health professionals (FMHPs) and consumes considerable scarce resources in the process. This article summarizes minimalist and expanded legal approaches to FST and briefly describes three instruments developed by FMHPs to structure FST assessments. We then present evidence supporting the validity of the Nussbaum Fitness Questionnaire for efficiently screening individuals for fitness and blatant or subtle malingering. The paper ends with a number of suggestions to optimize use of these instruments within the current set of forensic mental health practices. Specifically, it is suggested that use of the screening instrument could reliably eliminate up to 70% of current referrals for complete assessments while the more in-depth semistructured interviews be utilized to confirm unfitness, especially when the mental health professional has more than trivial doubt regarding an individual's FST. [Brief Treatment and Crisis Intervention 8:43-72 (2008)]
“…It draws liberally from the author's recent articles, particularly Veiel and Coles (1999), Coles and Grant (1999) and Coles (1999). Dr E. Michael Coles, PhD, RPsych, Department of Psychology, Simon Fraser University, Burnaby, BC, Canada …”
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