Do you have faith in forensic diagnostic psychiatric evaluations?

Originally posted on doc2doc.

I read with interest a recent discussion thread here on doc2doc : “Forensic Science – The Emperor without clothes“. In fact, I am still thinking about the question asked by Kirked: Do you have faith in forensic science? My response: “I have some doubts” (perhaps I have many doubts concerning “forensic science”).

I agree: The Emperor have no clothes (sunshine is the best disinfectant).

Right now, I am particularly interested in psychiatric forensic science (*).

“The PHP enterprise is explicitly a forensic enterprise as, by definition of their role, they are conducting “fitness-for-duty” forensic diagnostic psychiatric evaluations on behalf of a professional (here, the medical) licensing board.”
https://physicianrights.wordpress.com/2015/06/06/the-looming-fraud-case-against-phps-and-medical-boards/

Psychiatry vs. Whistleblowers
http://www.bmartin.cc/dissent/documents/#psychiatry

I would like to ask a similar (but different) question:


(*) Is psychiatry forensic science a science?

http://www.ncbi.nlm.nih.gov/pubmed/?term=(“forensic%20psychiatry”%5BAll%20Fields%5D%20OR%20″forensic%20psychiatric”%5BAll%20Fields%5D)%20AND%20(“science”%5BMeSH%20Terms%5D%20OR%20″science”%5BAll%20Fields%5D)&cmd=DetailsSearch

  1 comment for “Do you have faith in forensic diagnostic psychiatric evaluations?

  1. August 10, 2015 at 4:39 am

    Good points, by Rumikern on doc2doc

    Re: Do you have faith in forensic diagnostic psychiatric evaluations?

    “I answered “no” and here’s why:
    1) my experience as a board-certified psychiatrist who was subjected to such an evaluation on highly circumspect grounds (and in the context of my being a psychiatric whistleblower);
    2) my conversations with numerous other physicians who have ben subject to abuse by state boards and physician health programs;
    3) my study of how easily such examinations can be skewed and the process corrupted;
    4) psychiatric diagnosis is highly subjective. On top of that, it’s very easy to do a shoddy evaluation and make it look complete. Therefore, it’s deceptive and nearly impossible to detect. All relies on the ethics of the examiner / reporter;
    5) in that it is connected with a legal system that deprives evaluees of their right to due process (documented by the NC State Auditor in its evaluation of the NC Physicians Health Program – see on their web report of NCPHP 2014 http://www.ncauditor.net/EPSWeb/Reports/performance/per-2013-8141.pdf – 1,140 physicians were deprived of their right of due process over the preceding decade!), it suffers form the legal deficiencies therein.
    6) When you combine a corruptible subjective compulsory psychiatric evaluation with a flawed, if not corrupt, legal system – one depriving the evaluee basic constitutionally-guaranteed rights of due process, independent opinion, right to see and contest one’s evaluation et al. – can you really expect anything good to come from it?” [ . . . ]

    Read more: http://bit.ly/1Uy7fuc

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