Fitness for Duty Evaluations have become more common for public safety positions. Courts throughout the United States have ruled that due to the level of trust and power given law enforcement officers, law enforcement agencies have a responsibility to ensure that officers are fit to perform their duties.
Personal injury evaluations have become common place in personal injury and worker’s compensation litigation. We get a lot of requests from personal injury attorneys to complete psychological or neuropsychological evaluations for their personal injury cases
Based on my research, terms like “legitimate medical purpose” and “usual course of professional practice” are not found in medical textbooks, nor are they taught in medical schools. It does not seem to be necessary. It is intuitive to physicians what we do and why we do it.
Although there are still too many instances when clinical mistakes are denied, timely disclosures and apologies are not made, results of investigations are not shared and compensation offers are not extended, more hospitals are taking a less adversarial position.
A powerful adjunct to post-trauma psychotherapy is body-oriented therapies and methods. Yoga, massage therapy, and Pilates are powerful tools that should be considered and included in the comprehensive treatment plan. In my work with auto accident trauma survivors I daily see the value of combining massage therapy and methods such as Pilates with the verbal working through of trauma in psychotherapy. I believe auto insurance carriers would earn big returns on their investments by paying for personal trainers to work with survivors in regular Pilates sessions which somatically supports the psycho-therapeutic work. When combined with regular massage therapy, the synergy of the combined approaches is the perfect combination for many people attempting to gain improved emotional regulation, physical health, and mobility.
Physical traumas such as a serious burn injury can be profoundly traumatic. Serious burns result in sudden unanticipated trauma related to the individual's exposure to a potentially life-threatening experience. One day the burn victim begins their day like any other, and by the end of the day the burn victim's life may be changed forever by the traumatic event experienced. A Forensic Psychological Expert utilizes well respected psychological tests to assess the emotional impact of such injuries. The psychological tests employed are statistically reliable and valid. The choice of valid and reliable psychological tests employed by a Forensic Psychologist are similar to tests used by a physician to diagnose diabetes or other medical disorders. Such tests offer norms that compare the individual in question to a large normative sample, in order to evaluate the burn victim's psychological functioning compared to that of the "normal" person.
Proper interviewing Protocols are critical to maximize information-gathering as well as accuracy of information in criminal and National Security investigations. Police procedures incorrectly assume that promoting physical close proximity with an interviewer (eg, Inbau, Reid, Buckley, & Jane, 2013) will induce subjects to become more forthcoming.
Formerly this disorder has been referred to as Munchausen by Proxy and later, Factitious Disorder by Proxy. In the current version of the American Psychiatric Association's Diagnostic Criteria, Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), the disorder is referred to as Factitious Disorder Imposed on Another, (DSM-V 300.19). The perpetrator and not the victim is given this diagnosis. The victim is given an abuse diagnosis.
Objective: The authors compared data from psychiatrists and psychologists in California to determine whether long-standing differences in clinical practice remain after the introduction of managed care and other changes in mental service delivery. Methods: Responses from practicing clinicians in California who participated in the 1998 National Survey of Psychiatric Practice and the 2000 California Survey of Psychological Practice were compared on items related to patient caseload, practice profile, and insurance or reimbursement arrangements.