Abstract
Competency issues can arise at any point beginning with an individual’s initial interaction with the justice system until the same individual is facing the imposition of a sentence. Neuropsychologists are commonly introduced to the criminal arena through referrals related to competence issues, and much can be gained from understanding how cognitive and psychological functioning can impact an individual’s ability to understand and appreciate current circumstances. The present article focuses on three less frequently explored domains of competency, including competence to waive Miranda rights, competence to consent to or refuse treatment, and competency for execution. Pertinent diagnostic considerations are discussed, and relevant legal standards and ethical issues are described. Lastly, evaluation procedures for each type of competence evaluation are discussed. This primer on competency assessment offers a review of the current practices, and limitations, in this burgeoning intersection of law, brain–behavior relationships, and psychology.
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Ackerson, K. S., Brodsky, S. L. & Zapf, P. A. (2005). Judges’ and psychologists’ assessments of legal and clinical factors in competence for execution. Psychology, Public Policy, and Law, 11, 164–193.
American Bar Association (1989). American Bar Association criminal justice mental health standards. Washington: Author.
American Psychological Association (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073.
American Psychological Association (2013). Specialty guidelines for forensic psychology. American Psychologist, 68, 7–19.
American Psychological Association. (2010). American Psychological Association ethical principles of psychologists and code of conduct. Retrieved from http://www.apa.org/ethics/code/index.aspx
Applebaum, P. (1986). Competence to be executed: Another conundrum for mental health professionals. Hospital & Community Psychiatry, 37, 682–684.
Appelbaum, P. S. (2006). Decisional capacity of patients with schizophrenia to consent to research: Taking stock. Schizophrenia Bulletin, 32(1), 22–25.
Appelbaum, P. S. & Grisso, T. (1995). The MacArthur treatment competence study I: Mental illness and competence to consent to treatment. Law and Human Behavior, 19(2), 105–126.
Atkins v. Virginia, 536 U.S. 304 (2002).
Berghuis v. Thompkins, 560 U.S. (2010).
Blackstone, W. (1978). Commentaries on the laws of England (9th ed.). New York: Garland.
Blanton, D. J. & Dagenais, P. A. (2007). Comparison of language skills of adjudicated and nonadjudicated adolescent males and females. Language, Speech, and Hearing Services in Schools, 38, 309–314.
Brodsky, S. (1990). Professional ethics and professional morality in the assessment of competence for execution: A response to Bonnie. Law and Human Behavior, 14, 91–97.
Brodsky, S. L., Zapf, P. A. & Boccaccini, M. T. (2001). The last competency: An examination of legal, ethical, and professional ambiguities regarding evaluation of competence for execution. Journal of Forensic Psychology Practice, 1, 1–25.
Bush, S., Ruff, R., Troster, A., Barth, J., Koffler, S. & Silver, C. R. (2005). Symptom validity assessment: Practice issues and medical necessity NAN policy & planning committee. Archives of Clinical Neuropsychology, 20, 419–426.
Cooper, V. G. & Zapf, P. (2008). Psychiatric patients’ comprehension of Miranda rights. Law and Human Behavior, 32, 390–405.
Council on Ethical and Judicial Affairs (1993). Physician participation in capital punishment. Journal of the American Medical Association, 270, 365–368.
Cunningham, M. D. & Goldstein, A. M. (2003). Sentencing determinations in death penalty cases. In A. M. Goldstein & I. B. Weiner (Eds.), Handbook of psychology (Forensic psychology, Vol. 11, pp. 407–436). Hoboken: Wiley.
Cunningham, M. D. & Vigen, M. P. (2002). Death row inmate characteristics, adjustment, and confinement: A critical review of the literature. Behavioral Sciences & the Law, 20, 191–210.
Deitchman, M. A., Kennedy, W. A. & Beckham, J. C. (1991). Self-selection factors in the participation of mental health professionals in competency for execution evaluations. Law and Human Behavior, 15, 287–303.
DeMatteo, D., Murrie, D. C., Anumba, N. M. & Keesler, M. E. (2011). Forensic mental health assessments in death penalty cases. New York: Oxford University Press.
Denney, R. L. & Tyner, E. A. (2010). Criminal law, competency, insanity, and dangerousness: Competency to proceed. In A. M. Horton Jr. & L. C. Hartlage (Eds.), Handbook of forensic neuropsychology (2nd ed., pp. 211–233). New York: Springer.
Dickerson v. U.S., 166 F.3d 667 (2000).
Eastwood, J. & Snook, B. (2012). The effect of listenability factors on the comprehension of police cautions. Law and Human Behavior, 36, 177–183.
Ebert, B. (2001). Competency to be executed: A proposed instrument to evaluate an inmates’ level of competency in light of the Eighth Amendment prohibition against the execution of the presently insane. Law and Psychology Review, 25, 29–57.
Fare v. Michael C., 442 U.S. 707 (1979).
Ferris, R. (1997). Psychiatry and the death penalty. Psychiatric Bulletin, 21, 746–748.
Florida v. Powell, 559 U.S. (2010).
Ford v. Wainwright, 477 U.S. 399 (1986).
Freedman, A. M. & Halpern, A. L. (1999). The psychiatrists’ dilemma: A conflict of roles in legal executions. The Australian and New Zealand Journal of Psychiatry, 33, 629–635.
Frumkin, B. (2000). Competency to waive Miranda rights: Clinical and legal issues. Mental and Physical Disability Law Reporter, 24, 326–331.
Fulero, S. M. & Everington, C. (1995). Assessing competency to waive Miranda rights in defendants with mental retardation. Law and Human Behavior, 19, 533–543.
Greenfield, D. P., Dougherty, E. J., Jackson, R. M., Podboy, J. W. & Zimmerman, M. L. (2009). Retrospective evaluation of Miranda reading levels and waiver competency. American Journal of Forensic Psychology, 19(2), 75–86.
Grisso, T. (1998). Forensic evaluation of juveniles. Sarasota: Professional Resource Press.
Grisso, T. (2003). Evaluating competencies: Forensic assessments and instruments (2nd ed.). New York: Springer.
Grisso, T. (2010). Guidance for improving forensic reports: A review of common errors. Open Access Journal of Forensic Psychology, 2, 102–115.
Gudjonsson, G. H. (1992). The psychology of interrogations, confessions, and testimony. London: Wiley.
Haney, C. (2003). Mental health issues in long-term solitarity and “supermax” confinement. Crime and Delinquency, 49, 124–156.
Harper v. Washington, 494 U.S. 210, 1990.
Heilbrun, K. S. (1987). The assessment of competency for exertion: An overview. Behavioral Sciences & the Law, 5, 383–396.
Heilbrun, K. S. & McClaren, H. A. (1988). Assessment of competency for execution: A guide for mental health professionals. The Bulletin of the American Academy of Psychiatry and the Law, 16, 205–216.
Illinois v. Higgins, 278 N.E.2d 68 (1993).
Kavanagh, L., Rowe, D., Hersch, J., Barnett, K. J. & Reznik, R. (2010). Neurocognitive deficits and psychiatric disorders in a NSW prison population. International Journal of Law and Psychiatry, 33, 20–26.
Kurtz, M. M. & Marcopulos, B. A. (2012). Cognition in schizophrenia. In B. Marcopulos & M. Kurtz (Eds.), Clinical neuropsychological foundations of schizophrenia (pp. 1–25). New York: Psychology Press.
Leong, G. B., Weinstock, R., Silva, J. A. & Eth, S. (1993). Psychiatry and the death penalty: The past decade. Psychiatric Annals, 23, 41–47.
Leong, G. B., Silva, J. A., Weinstock, R. & Ganzini, L. (2000). Survey of forensic psychiatrists on evaluation and treatment of prisoners on death row. The Journal of the American Academy of Psychiatry and the Law, 28, 427–432.
Marcopulos, B. A., Fuji, D., O’Grady, J., Shaver, G., Manley, J. & Aucone, E. (2008a). Providing neuropsychological services for persons with schizophrenia: A review of the literature and prescription for practice. In J. Morgan & J. Ricker (Eds.), Textbook of clinical neuropsychology (pp. 734–761). New York: Psychology Press.
Marcopulos, B. A., Morgan, J. E. & Denney, R. L. (2008b). Neuropsychological evaluation of competency to proceed. In R. L. Denney & J. P. Sullivan (Eds.), Clinical neuropsychology in the criminal forensic setting (pp. 176–203). New York: Guilford.
Marson, D. C., Hebert, K. & Solomon, A. C. (2012). Assessing civil competencies in older adults with dementia: Consent capacity, financial capacity, and testamentary capacity. In G. Larrabee (Ed.), Forensic neuropsychology: A scientific approach (2nd ed., pp. 401–437). New York: Oxford University Press.
Melton, G. B., Petrila, J., Poythress, N. G. & Slobogin, C. (Eds.). (2007). Psychological evaluations for the courts: A handbook for mental health professionals and lawyers (3rd ed.). New York: Guilford.
Miller, H. (2001). Miller-forensic assessment of symptoms test (M-FAST): Professional manual. Odessa: Psychological Assessment Resources.
Miller, R. D. (1988). Evaluation of and treatment for competency to be execution: A national survey and an analysis. Journal of Psychiatry and Law, 16, 67–90.
Minzenberg, M. J., Laird, A. R., Thelen, S., Carter, C. S. & Glahn, D. C. (2009). Meta-analysis of 41 functional neuroimaging studies of executive function in schizophrenia. Archives of General Psychiatry, 66(8), 811–822.
Miranda v. Arizona, 384 U.S. 436 (1966).
Moberg, P. J. & Kniele, K. (2006). Evaluation of competency: Ethical considerations for neuropsychologists. Applied Neuropsychology, 13(2), 101–114.
O’Keefe, M. L., Klebe, K. J., Stucker, A., Sturm, K., & Leggett, W. (2010). One year longitudinal study of the psychological effects of administrative segregation. Final report submitted to National Institute of Justice. Grant No. 2006-IJ-CS-0015. Retrieved January 20, 2013 from https://www.ncjrs.gov/pdffiles1/nij/grants/232973.pdf
Oberlander, L. B. & Goldstein, N. E. (2001). A review and update on the practice of evaluating Miranda comprehension. Behavioral Sciences & the Law, 19, 453–471.
Otto, R. K. (2009). Meaningufl consideration of competence to be executed. In R. F. Schopp, R. L. Wierner, B. H. Bornstein & S. L. Willborn (Eds.), Mental disorder and criminal law: Responsibility, punishment, and competence (pp. 191–204). New York: Springer.
Owiti, J., & Bowers, L. (2010). A literature review: Refusal of psychotropic medication in acute inpatient psychiatric care. Report from the Conflict and Containment Reduction Research Programme. Retrieved January 20, 2013 from http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevMedsref.pdf
Panetti v. Quarterman, 551 U.S. 930 (2007), remanded, 2008 U.S. Dist. LEXIS 107438 (W.D. Tex. 2008).
Pirelli, G. & Zapf, P. A. (2008). An investigation of psychologists’ practices and attitudes toward participation in capital evaluations. Journal of Forensic Psychology Practice, 8, 39–66.
Pirelli, G., Gottdiener, W. H. & Zapf, P. A. (2011). A meta-analytic review of competency to stand trial research. Psychology, Public Policy, and Law, 17(1), 1–53.
Richardson, G., Gudjonsson, G. H. & Kelly, T. P. (1995). Interrogative suggestibility in an adolescent forensic population. Journal of Adolescence, 18, 211–216.
Riggins v. Nevada, 504 U.S. 127, 1992
Rogers, R., Harrison, K. S., Shuman, D. W., Sewell, K. W., & Hazelwood, L. L. (2007). An analysis of Miranda warnings and waivers: Comprehension and coverage. Law and Human Behavior, 31, 177–192. doi:10.1007/s10979-006-9054-8.
Rogers, R., Hazelwood, L. L., Sewell, K. W., Blackwood, H. L., Rogstad, J. E. & Harrison, K. S. (2009). Development and initial validation of the Miranda vocabulary Scale. Law and Human Behavior, 33, 381–392.
Rogers, R., Jordan, M. J. & Harrison, J. S. (2004). A critical review of published competency-to-confess measures. Law and Human Behavior, 28, 707–718.
Rogers, R., Rogstad, J. E., Steadham, J. A. & Drogin, E. Y. (2011a). In plain English: Avoiding recognized problems with Miranda miscomprehension. Psychology, Public Policy, and Law, 17, 264–285.
Rogers, R., Gillard, N. D., Wooley, C. N. & Fiduccia, C. E. (2011b). Decrements in Miranda abilities: An investigation of situational effects via a mock-crime paradigm. Law and Human Behavior, 35, 392–401.
Rogers, R., Sewell, K. W. & Gillard, N. D. (2010). Structured interview of reported symptoms (2nd ed.). Odessa: Psychological Assessment Resources.
Rogers, R. & Shuman, D. (2000). Conducting insanity evaluations (2nd ed.). New York: Guilford.
Rost, G. C. & McGregor, K. K. (2012). Miranda rights comprehension in young adults with specific language impairment. American Journal of Speech-Language Pathology, 21, 101–108.
Rudnick, A. (2002). Depression and competence to refuse psychiatric treatment. Journal of Medical Ethics, 28, 151–155.
Ryba, N. L., Brodsky, S. L. & Shlosberg, A. (2007). Competency to waive Miranda rights evaluations: A survey of practitioners’ use of the Grisso instruments. Assessment, 14, 300–309.
Sell v. United States, 539 U.S. 166, 2003
Tombaugh, T. N. (1997). TOMM: Test of memory malingering manual. Toronto: Multi-Health Systems.
United States v. Loughner, 672 F.3d 731, 2012
Weinstock, R., Leong, G. B. & Silva, J. A. (2010). Competence to be executed: An ethical analysis post Panetti. Behavioral Sciences & the Law, 28, 690–706.
Zapf, P. A., Boccaccini, M. T. & Brodsky, S. L. (2003). Assessment of competency for execution: Professional guidelines and an evaluation checklist. Behavioral Sciences & the Law, 21, 103–120.
Zapf, P. A. (2008). Competency for execution. In R. Jackson (Ed.), Learning forensic assessment (pp. 239–261). New York: Routledge/Taylor & Francis.
Zapf, P. A. (2009). Elucidating the contours of competency for execution: The implications of Ford and Panetti for the assessment of CFE. Journal of Psychiatry and the Law, 37, 269–307.
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Tussey, C.M., Marcopulos, B.A. & Caillouet, B.A. Neuropsychological Evaluation of Competency in Criminal Forensic Contexts. Psychol. Inj. and Law 6, 31–40 (2013). https://doi.org/10.1007/s12207-013-9143-1
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DOI: https://doi.org/10.1007/s12207-013-9143-1