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Learning Objectives
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After reading and studying this chapter and participating in lecture and discussion, students should be able to:

Discuss the limitations of psychological research to inform legal decisions.

Discuss how competency to stand trial is determined.

Discuss the characteristics of people most likely to be referred for competency evaluations, and the characteristics of people most likely to be found incompetent to stand trial.

Discuss the frequency with which the insanity defense is used, and the typical judgments that result when it is used.

Summarize how insanity pleas are evaluated according to the M'Naghten rule, irresistible impulse rule, Durham rule, ALI rule, and the American Psychiatric Association's definition of insanity.

Discuss the pros and cons of each rule above and describe how each rule either broadened or constricted the legal definition of insanity.

Discuss the significance of Barrett v. United States (1977).

Discuss the use of the guilty but mentally ill (GBMI) verdict.

Discuss the need for treatment as a justification for civil commitment.

Discuss the modern criteria used to enable civil commitment, and the variations in how states treat the legal issue of civil commitment.

Discuss the significance of Donaldson v. O'Connor (1975).

Describe the factors that predict violence over the short term.

Describe the prevalence of violence among mentally ill people.

Describe the prevalence of involuntary commitment.

Discuss the rights of patients to receive treatment and to refuse treatment.

Discuss the circumstances in which patients' rights can be violated.

Identify and describe the clinician's duties to the client and society.

Discuss when confidentiality may be broken, and when it may not be broken.







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