Biomedical subjects
D H Schetky
Publications and source records attributed to D H Schetky.
Ethical issues in forensic child and adolescent psychiatry.
This article addresses the unique ethical conflicts that are encountered in forensic psychiatry. Special issues for the forensic child and adolescent psychiatrist in the areas of custody, sexual abuse, termination of parental rights and adoption, evaluation of juvenile offenders, and maternal-fetal conflicts are addressed. The need for neutrality, objectivity, and integrity in performing forensic evaluations is stressed.
Civil litigation and the child psychiatrist.
This paper reviews the legal principles involved in tort litigation and covers the evolution of case law regarding recovery of damages for psychic trauma. Concepts of zone of danger, foreseeability, and proximate cause are discussed. Issues for both plaintiff and expert witness are discussed. Case examples are provided, and recommendations are made regarding the child psychiatrist's involvement in these cases.
The sexual abuse victim in the courts.
This article explores the impact of court procedures on victims of sexual abuse and on the process of psychotherapy. Differences between civil and criminal litigation are described as is the psychiatrist's role in these cases. Recommendations are made as to how to render the experience of testifying in court less traumatic for the victim.
Resolved: child sex abuse is overdiagnosed.
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Problems in validating allegations of sexual abuse. Part 1: Factors affecting perception and recall of events.
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Problems in validating allegations of sexual abuse. Part 2: Clinical evaluation.
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Emerging issues in child sexual abuse.
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The child as a witness.
The increasing participation of children in judicial proceedings raises two central issues: the competency of the child as a witness and the effects on the child of testifying about a traumatic experience. After discussing these issues, the authors present the recommendations of forensic child psychiatrists on how to improve the judicial process to elicit more accurate testimony from child witnesses--for example, by videotaping a child's testimony to avoid repeated interrogations, using anatomically correct dolls and pictures to allow the child to recount events through displacement, and using one skilled interviewer throughout the proceeding to allow rapport to develop between interviewer and child. They then discuss the role of the child psychiatrist in court proceedings involving child witnesses.
Children and handguns. A public health concern.
Data on children who are killed by handguns each year are reported. Homicide, suicide, accidental death, as well as injuries by handguns, are reviewed. It is concluded that handguns are a major cause of death among children and adolescents. The medical profession is urged to take a more active role in finding solutions to this problem.
Custody and visitation. Problems and perspectives.
Child custody and visitation remain vexing problems requiring input from mental health professionals as public policy decisions are formulated. Difficult problems do not have easy solutions, but through continued exploration of the issues using clinical and research methods, perhaps innovative programs will be developed and evaluated. Ultimately, this may lead to better ways of helping families cope with the trauma and the consequences of the family break-up and the resulting attempt to establish custody and visitation.
Countertransference on the witness stand: a flight from self?
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Parents who fail: a study of 51 cases of termination of parental rights.
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Preschoolers' responses to murder of their mothers by their fathers: a study of four cases.
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