Fitness to practice and fitness to regulate

2017 ◽  
Vol 41 (S1) ◽  
pp. S581-S581
Author(s):  
R. Kurz

IntroductionIn 2012, forensic psychology Professor Jane Ireland published initial research claiming that two third of psychological assessment reports sampled from UK family courts were ‘poor’ or ‘very poor’. ‘Fitness to practice’ concerns were raised by vested interest and dismissed after a 1-week hearing – four years later.ObjectivesThe presentation outlines the nature of various UK institutions, such as family courts, HCPC and GMC as well as their practices which raise questions about their fitness to regulate.AimsDelegates will start to learn how institutions that purport to serve public interest yet can be easily exploited by vested interests.MethodsCase studies are used to illustrate how extremely serious concerns were ignored but persecution concerns upheld.ResultsIn one case, four courts appointed experts ignored an obvious child trafficking process where a toddler was raped to cover up birth and disappearance of a newborn baby that succeeded from incestuous rape. In spite of a clinical psychologist failing to cover the two index incidents, the concerns did not meet the HCPC ‘Standard of Acceptance’. A ‘revenge concern’ was raised by vested interests. In another case, the GMC refused to investigate a psychiatrist who had lied and rather absurdly claimed that repeatedly seeking return of her children was evidence for a mother's personality disorder. In a widely publicized case Psychiatrist Dr Hibbert accused of unnecessarily, breaking up families was investigated but cleared of misconduct by the GMC.ConclusionsInstitutions tasked with protecting public safety and fairness appear to be unduly biased towards shielding inadequate professionals and persecuting whistle-blowers.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Author(s):  
Jonathan Boston

Significant changes have been made since the late 1980s to the funding, governance, and accountability of New Zealand’s public tertiary education institutions (TEIs). The new governance framework, which was introduced by the fourth Labour government in 1990, has been the subject of numerous criticisms. According to the government’s departmental advisers on tertiary education, the new regime exposes the Crown to significant ownership risks, provides insufficient incentives for sound financial management, gives too much power to vested interests, unduly limits the government’s capacity to intervene in the wider public interest, and leaves TEIs insufficiently accountable for their use of public resources. This article examines the merits of these criticisms, and assesses the various proposals for reform.


1976 ◽  
Vol 22 (3) ◽  
pp. 265-283 ◽  
Author(s):  
Michael Musheno ◽  
Dennis Palumbo ◽  
James Levine

A normative policy-impact model that provides criteria for evaluating specific programs as well as for determining which goals should be given priority in criminal justice is presented. With "decision structure," "self-interest goals," and "public-interest goals" the main elements of the model, the article stresses the impact of criminal justice on various groups related to this policy area. Although a policy may be aimed primarily at groups out side government (e.g., criminals), it also will have an impact on those asked to carry it out (e.g., police). When the effects benefit the nongovernment groups (sometimes called the clientele), the policy achieves "public-interest goals. " When the beneficiaries are government officials, "self-interest goals" are being attained. One of the main themes of this paper is that the extent to which public-interest goals can be reached depends entirely on how well they serve the self-interests of those who are responsible for executing the policies in question. Thus, while the article proposes that the ultimate goal of the criminal justice system should be the "equalization of the burden of crime," it emphasizes that the means of accomplishing this goal are uncertain because traditional crime-control strategies (e.g., deterrence) have major fallacies. Moreover, even if promising strategies are discovered, the self- interests of personnel in the criminal justice system motivate them to subvert such policies. Only through conscious mani pulation of work incentives can the vested interests of many criminal justice personnel in the status quo be altered and the equalization of the costs of crime be obtained.


1982 ◽  
Vol 10 (4) ◽  
pp. 503-517
Author(s):  
Donald G. Ziegenfuss ◽  
James T. Ziegenfuss

The expanding interest in forensic psychology and psychiatry in both the theoretical and applied areas necessitates consideration of the developing literature. The authors view both theoretical and applied literature as the basis for further development of the field, including resolution of some of the difficult conflicts confronting courts, practitioners, and academicians. A bibliography of professional journal articles, law review articles, and books relating to psychological assessment, diagnosis, and testimony was developed to support the continuing growth of the field. The almost 200 citations include discussions of assessment and testimony techniques, diagnostic approaches, witness roles, competency determination, and examination.


2016 ◽  
Vol 33 (S1) ◽  
pp. S156-S156
Author(s):  
E. Cortázar Alonso ◽  
H. Guillén Rodrigo ◽  
R. Remesal Cobreros ◽  
R. Alonso Díaz

Given the increase in depressive symptoms, as a mental disorder combined with an organic disease, we suggest a therapeutic approach based on group therapy. The effectivity of this kind of therapy has been confirmed by multiple studies as a way to decrease the pressure in mental health units. The results reached in various studies confirm at least an equal effectivity as individual psychotherapy, thereby it optimizes the increasingly limited public health resources. The objective of the group therapy is to promote an active attitude in the patients and make them responsible of their condition and their treatment process too. The program is aimed to female patients with various kinds of clinical depression, ranging from 40 to 60, who come to the USMC Hospital Vazquez Diaz in Huelva. The group had 12 participants, it was led by a Clinical Psychologist with the help of the Clinical Psychology residents. The program consisted in 8 bimonthly sessions of 90 minutes with an assessment test/retest at the beginning and end of it. The work in the group therapy was based on the constructivist orientation. Different areas were treated as: identification and adaptive expression of emotions, strengthening self-esteem and providing adaptive coping strategies to the psychological distress. As a conclusion we can see how the individual changes in the patients go socializing and enhancing the change in the rest of the participants in a mutual support that promote a more active role that take the patients away of the initial passivity.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1974 ◽  
Vol 5 (3) ◽  
pp. 295-297
Author(s):  
Robert N. Butler

The author charges that U.S. Social Security Administration has participated in a nursing home cover-up. Sadly, the SSA is not the consumer agency one might expect it to be. Now, however, if the public and professionals do not let the opportunity slip there is a chance to have nursing home Medicare inspection reports available in useful form in the 1168 SSA offices in the U.S.


2019 ◽  
pp. 159-163
Author(s):  
Saba Javed

Chronic pain is a multidimensional field in which a patient’s physical, environmental, and psychological state must be fully understood to further assess their problem. These variables form a complex interaction with each other and play a critical role in the treatment of chronic pain. The clinical interview is the cornerstone of the psychological evaluation. An important purpose of the interview is to identify any psychiatric conditions that might exacerbate pain or complicate treatment, such as psychosis, substance dependence, or a personality disorder. The patient was seen in the chronic pain clinic and assessed by the pain clinical psychologist. We present the case of a patient who presented to the chronic pain clinic and underwent evaluation for spinal cord stimulator trial placement. As part of this evaluation, the patient underwent psychological assessment by the pain clinical psychologist; we discuss the approach to psychological assessment using observational narrative. Psychological evaluation can help guide a physician’s treatment plan to better meet the patient’s needs. Psychological assessment prior to interventional management should be used as a tool to give the patient the best chance for success. Key words: Psychological assessment, psychological evaluation, spinal cord stimulation, intrathecal pump


Engrami ◽  
2020 ◽  
Vol 42 (2) ◽  
pp. 95-101
Author(s):  
Dušanka Vučinić-Latas

The traditional process of psychological assessment involves an approach in which the diagnostician is focused on gathering relevant information about the subject using a standard test battery, which aims to assess key aspects of the subject's functioning. Modern tendencies indicate that there is a potentially constructive modification of the paradigm of work of a clinical psychologist/psychotherapist employed in a health institution with the daily task of psychodiagnostic assessment. Potential change of the way of working is actually moving the approach from "information-oriented" to "change-oriented" whose essential premise is that the clinical psychologist uses the test situation and the tests as a situation during the psychodiagnostic application of instruments in which the respondent can gain new psychological insights. Events that occur "Here and now" in the test situation and the use of test material as a "provocateur" of maladaptive mechanisms of feelings, opinions and behaviour can lead to therapeutic change. In this approach some elements of the therapeutic-collaborative approach can be used during the psychodiagnostic process, with special reference to the specifics of the adolescent population.


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