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Alan Stone and the Ethics of Forensic Psychiatry: An Overview

Dr. Miller is Clinical Professor of Psychiatry, George Washington University Medical Center, and Adjunct Professor of Law, Georgetown University Law School, Washington, D.C. An earlier version of this paper was presented at the 38th Annual Meeting of the American Academy of Psychiatry and the Law, Miami Beach, FL, October 19, 2007. Address correspondence to: Glenn H. Miller, MD, 8213 Tomlinson Avenue, Bethesda, MD 20817. E-mail: glennhmiller{at}gmail.com

Abstract

In 1982, Alan Stone presented a keynote speech at the Annual Meeting of the American Academy of Psychiatry and the Law (AAPL) on the ethics of forensic psychiatry. That speech was sharply critical of the prevailing ethics standards and led forensic psychiatrists to study his ideas carefully. A quarter-century later, he returned to the AAPL's Annual Meeting to present his current thinking. This overview outlines the development of Stone's thought over 25 years and the dialectic among Stone and three critics: Paul Appelbaum, Ezra Griffith, and Stephen Morse. Stone is now more optimistic about the possibility of developing an ethic for forensic psychiatry.