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  1. On wearing two hats : Role conflict in serving as both psychotherapist and expert witness.

    Article - En anglais

    Objective 

    This article explores the clinical, legal, and ethical problems that typically occur when a psychotherapist serves as both a treating clinician and forensic evaluator (or expert witness) in the same case.

    Method 

    The professional literature, ethics codes, opinion surveys, and the changing economic and institutional contexts of psychotherapy are reviewed in order to identify obstacles to widespread recognition of this straightforward ethical issue.

    The processes of psychotherapy and forensic evaluation are then analyzed so as to reveal fundamental incompatibilities between the psychotherapist's clinical and legal functions.

    Results 

    Attempting to treat and evaluate the same person typically creates an irreconcilable role conflict.

    This role conflict manifests itself in different conceptions of truth and causation, different forms of alliance, different types of assessment, and different ethical guidelines.

    Conclusions 

    Although circumstances sometimes compel a practitioner to assume the dual role of treater and evaluator, the problems that surround this practice argue for its avoidance whenever possible.

    Mots-clés Pascal : Conflit, Rôle professionnel, Psychothérapeute, Expertise médicolégale, Psychiatrie médicolégale, Législation, Etats Unis, Amérique du Nord, Amérique, Ethique, Homme

    Mots-clés Pascal anglais : Conflict, Occupational role, Psychotherapist, Medicolegal expertise, Forensic psychiatry, Legislation, United States, North America, America, Ethics, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0286565

    Code Inist : 002B18H04. Création : 15/07/1997.